| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.266 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVESHIELDS. |
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| 5 | 5 | | 0754H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter160,RSMo,byaddingtheretoonenewsectionrelatingtobleedingcontrol |
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| 8 | 8 | | kitsinpublicschools. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter160,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection160.485,toreadasfollows: |
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| 12 | 12 | | 160.485.1.Thissectionshallbeknownandmaybecitedasthe"StoptheBleed |
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| 13 | 13 | | 2Act". |
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| 14 | 14 | | 3 2.Asusedinthissection,thefollowingtermsmean: |
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| 15 | 15 | | 4 (1)"Bleedingcontrolkit",afirstaidresponsekitthatcontainsatleastthe |
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| 16 | 16 | | 5following: |
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| 17 | 17 | | 6 (a)Tourniquetsthatare: |
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| 18 | 18 | | 7 a.EndorsedbytheUnitedStatesDepartmentofDefenseCommitteeonTactical |
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| 19 | 19 | | 8CombatCasualtyCareoritssuccessorentity;or |
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| 20 | 20 | | 9 b.ApprovedforuseinbattlefieldtraumacarebytheArmedForcesofthe |
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| 21 | 21 | | 10UnitedStates; |
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| 22 | 22 | | 11 (b)Bleedingcontrolbandages; |
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| 23 | 23 | | 12 (c)Latex-freeprotectivegloves; |
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| 24 | 24 | | 13 (d)Permanentmarkers; |
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| 25 | 25 | | 14 (e)InstructionaldocumentsdevelopedbytheUnitedStatesDepartmentof |
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| 26 | 26 | | 15HomelandSecurity'sStoptheBleednationalawarenesscampaignortheAmerican |
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| 27 | 27 | | 16CollegeofSurgeonsCommitteeonTrauma,orboth;and |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (f)Othermedicalmaterialsandequipmentsimilartothosedescribedin |
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| 30 | 30 | | 18paragraphs(a)and(b)ofthissubdivision; |
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| 31 | 31 | | 19 (2)"Department",thedepartmentofelementaryandsecondaryeducation; |
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| 32 | 32 | | 20 (3)"Emergencymedicalservicespersonnel",paidorvolunteerfirefighters,law |
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| 33 | 33 | | 21enforcementofficers,firstresponders,emergencymedicaltechnicians,orother |
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| 34 | 34 | | 22emergencyservicepersonnelactingwithintheordinarycourseandscopeofthose |
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| 35 | 35 | | 23professions,butexcludingphysicians; |
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| 36 | 36 | | 24 (4)"Schoolpersonnel",anyemployeeofapublicschooldistrictorcharter |
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| 37 | 37 | | 25school,oranyvolunteerservingatapublicschoolorcharterschool,whoisdesignated |
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| 38 | 38 | | 26touseableedingcontrolkitunderthissection. |
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| 39 | 39 | | 27 3.(1)BeforeJanuary1,2026,thedepartmentshalldevelopatraumaticblood |
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| 40 | 40 | | 28lossprotocolforschoolpersonneltofollowintheeventofaninjuryinvolvingtraumatic |
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| 41 | 41 | | 29bloodloss.Theprotocolshallmeettherequirementsofthissectionandshallbemade |
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| 42 | 42 | | 30availabletoeachschooldistrictandcharterschool. |
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| 43 | 43 | | 31 (2)Thetraumaticbloodlossprotocolshall: |
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| 44 | 44 | | 32 (a)Requirethatableedingcontrolkitbeplacedinareaswherethereislikelyto |
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| 45 | 45 | | 33behightrafficorcongregation,suchasauditoriums,cafeterias,orgymnasiums,and |
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| 46 | 46 | | 34areaswhereriskofinjurymaybeelevated,includingvocationalclassessuchas |
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| 47 | 47 | | 35woodworkingorautomotiveclasses,ofeachschooldistrict'sschoolbuildingsandeach |
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| 48 | 48 | | 36charterschoolinaneasilyaccessiblelocationofsuchareastobedeterminedbylocal |
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| 49 | 49 | | 37emergencymedicalservicespersonnel; |
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| 50 | 50 | | 38 (b)Includebleedingcontrolkitsintheemergencyplansofeachschooldistrict |
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| 51 | 51 | | 39andcharterschool,includingthepresentationanduseofthebleedingcontrolkitsinall |
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| 52 | 52 | | 40drillsandemergencies; |
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| 53 | 53 | | 41 (c)Requireeachschooldistrictandcharterschooltodesignateaschoolnurseor |
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| 54 | 54 | | 42schoolhealthcareprovider,orifnoschoolnurseorschoolhealthcareprovideris |
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| 55 | 55 | | 43available,aschoolpersonnelmember,ineachschoolbuildingwhoshallobtain |
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| 56 | 56 | | 44appropriatetrainingannuallyintheuseofableedingcontrolkitincluding,butnot |
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| 57 | 57 | | 45limitedto: |
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| 58 | 58 | | 46 a.Theproperapplicationofpressuretostopbleeding; |
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| 59 | 59 | | 47 b.Theproperapplicationofdressingsorbandages; |
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| 60 | 60 | | 48 c.Additionalpressuretechniquestocontrolbleeding;and |
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| 61 | 61 | | 49 d.Thecorrectapplicationoftourniquets; |
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| 62 | 62 | | 50 (d)Requireeachbleedingcontrolkitinschoolinventoriestobeinspected |
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| 63 | 63 | | 51annuallytoensurethatthematerials,supplies,andequipmentcontainedinthebleeding |
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| 64 | 64 | | 52controlkithavenotexpiredandthatanyexpiredmaterials,supplies,andequipmentare |
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| 65 | 65 | | 53replacedasnecessary;and |
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| 66 | 66 | | HB266 2 54 (e)Requireableedingcontrolkittoberestockedaftereachuseandany |
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| 67 | 67 | | 55materials,supplies,andequipmenttobereplacedasnecessarytoensurethatthe |
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| 68 | 68 | | 56bleedingcontrolkitcontainsallnecessarymaterials,supplies,andequipment. |
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| 69 | 69 | | 57 4.(1)Thedepartmentshall,incollaborationwiththeUnitedStatesDepartment |
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| 70 | 70 | | 58ofHomelandSecurityandthestatedepartmentofpublicsafety,includerequirementsin |
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| 71 | 71 | | 59thetraumaticbloodlossprotocolforschoolpersonneltoreceiveannualtraininginthe |
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| 72 | 72 | | 60useofbleedingcontrolkits. |
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| 73 | 73 | | 61 (2)Thetrainingrequirementsshallbesatisfiedbysuccessfulcompletionand |
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| 74 | 74 | | 62certificationunderthe"STOPTHEBLEED"courseaspromulgatedbytheAmerican |
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| 75 | 75 | | 63CollegeofSurgeonsCommitteeonTraumaortheAmericanRedCross. |
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| 76 | 76 | | 64 (3)Thetrainingrequirementsmayallowonlineinstruction. |
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| 77 | 77 | | 65 5.(1)Ableedingcontrolkitmaycontainanyadditionalitemsthat: |
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| 78 | 78 | | 66 (a)Areapprovedbyemergencymedicalservicespersonnel,assuchtermis |
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| 79 | 79 | | 67definedinsection190.600; |
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| 80 | 80 | | 68 (b)Canadequatelytreataninjuryinvolvingtraumaticbloodloss;and |
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| 81 | 81 | | 69 (c)Canbestoredinareadilyavailablekit. |
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| 82 | 82 | | 70 (2)Quantitiesofeachitemrequiredtobeinableedingcontrolkitmaybe |
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| 83 | 83 | | 71determinedbyeachschooldistrict. |
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| 84 | 84 | | 72 6.(1)Thedepartmentandeachschooldistrictandcharterschoolshallmaintain |
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| 85 | 85 | | 73informationregardingthetraumaticbloodlossprotocolandtheStoptheBleednational |
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| 86 | 86 | | 74awarenesscampaignoneachentity'swebsite. |
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| 87 | 87 | | 75 (2)Uponrequestbyaschooldistrictoracharterschool,thedepartmentmay,in |
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| 88 | 88 | | 76collaborationwiththedepartmentofpublicsafety,directtheschooldistrictorcharter |
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| 89 | 89 | | 77schooltoresourcesthatareavailabletoprovidebleedingcontrolkitstotheschool |
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| 90 | 90 | | 78districtorcharterschool. |
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| 91 | 91 | | 79 7.(1)Exceptasotherwiseprovidedinthissubsection,eachschooldistrictand |
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| 92 | 92 | | 80charterschoolshallimplementthetraumaticbloodlossprotocoldevelopedunderthis |
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| 93 | 93 | | 81sectionbeforetheendofthe2025-26schoolyear. |
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| 94 | 94 | | 82 (2)Therequirementsthatableedingcontrolkitbeplacedasrequiredin |
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| 95 | 95 | | 83paragraph(a)ofsubdivision(2)ofsubsection3ofthissection,thateachkitberestocked |
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| 96 | 96 | | 84asnecessary,andthatschoolpersonnelreceivetrainingunderthissectionshallbe |
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| 97 | 97 | | 85subjecttoanappropriationtocoverallcostsrelatedtosuchrequirementsbythegeneral |
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| 98 | 98 | | 86assembly. |
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| 99 | 99 | | 87 (3)Anyschooldistrictorcharterschoolmayreceivedonationsoffundsforthe |
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| 100 | 100 | | 88purchaseofbleedingcontrolkitsthatmeettherequirementsofthissectionandmay |
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| 101 | 101 | | 89receivedonationsofbleedingcontrolkitsthatmeettherequirementsofthissection. |
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| 102 | 102 | | HB266 3 90 8.Thissectionshallnotbeconstruedtocreateacauseofactionagainstaschool |
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| 103 | 103 | | 91district,acharterschool,oranyschoolpersonnel.Anyschoolpersonnelwhoingood |
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| 104 | 104 | | 92faithuseableedingcontrolkitasprovidedbythissectionshallbeimmunefromallcivil |
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| 105 | 105 | | 93liabilityforanyactoromissionintheuseofableedingcontrolkitunlesstheactor |
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| 106 | 106 | | 94omissionconstitutesgrossnegligenceorwillful,wanton,orintentionalmisconduct. |
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| 107 | 107 | | âś” |
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| 108 | 108 | | HB266 4 |
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