FIRSTREGULARSESSION
[PERFECTED]
HOUSEBILLNO.325
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVEMURPHY.
1426H.01P JOSEPHENGLER,ChiefClerk
ANACT
Torepealsections192.2405and210.115,RSMo,andtoenactinlieuthereofsevennew
sectionsrelatingtothepracticeofcertainlicensedprofessions.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Sections192.2405and210.115,RSMo,arerepealedandsevennew
2sectionsenactedinlieuthereof,tobeknownassections192.2405,192.2510,210.115,
3210.191,273.410,273.415,and324.1720,toreadasfollows:
192.2405.1.Thefollowingpersonsshallberequiredtoimmediatelyreportorcause
2areporttobemadetothedepartmentundersections192.2400to192.2470:
3 (1)Anypersonhavingreasonablecausetosuspectthataneligibleadultpresentsa
4likelihoodofsufferingseriousphysicalharm,orbullyingasdefinedinsubdivision(2)of
5section192.2400,andisinneedofprotectiveservices;and
6 (2)Anyadultdaycareworker,chiropractor,ChristianSciencepractitioner,coroner,
7dentist,embalmer,employeeofthedepartmentsofsocialservices,mentalhealth,orhealth
8andseniorservices,employeeofalocalareaagencyonagingoranorganizedareaagencyon
9agingprogram,emergencymedicaltechnician,firefighter,firstresponder,funeraldirector,
10homehealthagency,homehealthagencyemployee,hospitalandclinicpersonnelengagedin
11thecareortreatmentofothers,in-homeservicesownerorprovider,in-homeservicesoperator
12oremployee,lawenforcementofficer,long-termcarefacilityadministratororemployee,
13medicalexaminer,medicalresidentorintern,mentalhealthprofessional,minister,nurse,
14nursepractitioner,optometrist,otherhealthpractitioner,peaceofficer,pharmacist,physical
15therapist,physician,physician'sassistant,podiatrist,probationorparoleofficer,psychologist,
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16socialworker,animalcontrolofficer,animalhumaneinvestigatorasdefinedinsection
17273.415,orotherpersonwiththeresponsibilityforthecareofaneligibleadultwhohas
18reasonablecausetosuspectthattheeligibleadulthasbeensubjectedtoabuseorneglector
19observestheeligibleadultbeingsubjectedtoconditionsorcircumstanceswhichwould
20reasonablyresultinabuseorneglect.Notwithstandinganyotherprovisionofthissection,a
21dulyordainedminister,clergy,religiousworker,orChristianSciencepractitionerwhile
22functioninginhisorherministerialcapacityshallnotberequiredtoreportconcerninga
23privilegedcommunicationmadetohimorherinhisorherprofessionalcapacity.
24 2.Anyotherpersonwhobecomesawareofcircumstancesthatmayreasonablybe
25expectedtobetheresultof,orresultin,abuseorneglectofaneligibleadultmayreporttothe
26department.
27 3.Thepenaltyforfailingtoreportasrequiredundersubdivision(2)ofsubsection1
28ofthissectionisprovidedundersection565.188.
29 4.Asusedinthissection,"firstresponder"meansanypersontrainedandauthorized
30bylaworruletorenderemergencymedicalassistanceortreatment.Suchpersonsmay
31include,butshallnotbelimitedto,emergencyfirstresponders,policeofficers,sheriffs,
32deputysheriffs,firefighters,oremergencymedicaltechnicians.
192.2510.1.Allpersonsprovidingprotectiveservicestoeligibleadults,assuch
2termsaredefinedinsection192.2400,andwhohavedirectcontactwithsuchadults,
3shallberequiredtocompleteatleastonehouroftrainingwithinthefirstsixtydaysof
4employment.Thetrainingshallincludethefollowing:
5 (1)Requirementstoreportanimalabuseorneglectandthepenaltiesassociated
6withfailuretoreportundersection273.410;
7 (2)Howtoidentifyanimalabuseorneglect;
8 (3)Howtomakeareportofanimalabuseorneglect;and
9 (4)Therelationshipbetweeneligibleadultabuseorneglectandanimalabuseor
10neglect.
11 2.Thedepartmentofhealthandseniorservices,inconsultationwithanimal
12welfareassociations,shalldeveloporadaptanduseavailabletrainingmaterialsforthe
13trainingrequiredunderthissection.Personsrequiredtocompletetrainingunderthis
14sectionshallbeprovidedwithopportunitiestodosoduringregularworkinghours.
15 3.Asusedinthissection,thefollowingtermsshallmean:
16 (1)"Animal",thesamemeaningasinsection578.029;
17 (2)"Animalwelfareassociation",anonprofitorganizationthatisestablishedto
18promoteanimalwelfare,isrecognizedbytheInternalRevenueServiceastaxexempt
19undertheprovisionsoftheInternalRevenueCodeSection501(c)(3)or501(c)(4),orthe
HB325 2 20correspondingsectionofanyfuturetaxcode,andisregisteredwiththesecretaryofstate
21underchapter355.
210.115.1.Whenanyphysician,medicalexaminer,coroner,dentist,chiropractor,
2optometrist,podiatrist,resident,intern,nurse,hospitalorclinicpersonnelthatareengagedin
3theexamination,care,treatmentorresearchofpersons,andanyotherhealthpractitioner,
4psychologist,mentalhealthprofessional,socialworker,daycarecenterworkerorotherchild-
5careworker,juvenileofficer,probationorparoleofficer,jailordetentioncenterpersonnel,
6teacher,principalorotherschoolofficial,ministerasprovidedbysection352.400,peace
7officerorlawenforcementofficial,animalcontrolofficer,animalhumaneinvestigatoras
8definedinsection273.415,volunteerorpersonnelofacommunityserviceprogramthat
9offerssupportservicesforfamiliesincrisistoassistinthedelegationofanypowersregarding
10thecareandcustodyofachildbyaproperlyexecutedpowerofattorneypursuanttosections
11475.600to475.604,orotherpersonwithresponsibilityforthecareofchildrenhasreasonable
12causetosuspectthatachildhasbeenormaybesubjectedtoabuseorneglectorobservesa
13childbeingsubjectedtoconditionsorcircumstanceswhichwouldreasonablyresultinabuse
14orneglect,thatpersonshallimmediatelyreporttothedivisioninaccordancewiththe
15provisionsofsections210.109to210.183.Nointernalinvestigationshallbeinitiateduntil
16suchareporthasbeenmade.Asusedinthissection,theterm"abuse"isnotlimitedtoabuse
17inflictedbyapersonresponsibleforthechild'scare,custodyandcontrolasspecifiedin
18section210.110,butshallalsoincludeabuseinflictedbyanyotherperson.
19 2.Iftwoormoremembersofamedicalinstitutionwhoarerequiredtoreportjointly
20haveknowledgeofaknownorsuspectedinstanceofchildabuseorneglect,asinglereport
21maybemadebyadesignatedmemberofthatmedicalteam.Anymemberwhohas
22knowledgethatthememberdesignatedtoreporthasfailedtodososhallthereafter
23immediatelymakethereport.Nothinginthissection,however,ismeanttoprecludeany
24personfromreportingabuseorneglect.
25 3.Thereportingrequirementsunderthissectionareindividual,andnosupervisoror
26administratormayimpedeorinhibitanyreportingunderthissection.Nopersonmakinga
27reportunderthissectionshallbesubjecttoanysanction,includinganyadverseemployment
28action,formakingsuchreport.Everyemployershallensurethatanyemployeerequiredto
29reportpursuanttosubsection1ofthissectionhasimmediateandunrestrictedaccessto
30communicationstechnologynecessarytomakeanimmediatereportandistemporarily
31relievedofotherworkdutiesforsuchtimeasisrequiredtomakeanyreportrequiredunder
32subsection1ofthissection.
33 4.Notwithstandinganyotherprovisionofsections210.109to210.183,anychildwho
34doesnotreceivespecifiedmedicaltreatmentbyreasonofthelegitimatepracticeofthe
35religiousbeliefofthechild'sparents,guardian,orotherslegallyresponsibleforthechild,for
HB325 3 36thatreasonalone,shallnotbefoundtobeanabusedorneglectedchild,andsuchparents,
37guardianorotherpersonslegallyresponsibleforthechildshallnotbeenteredintothecentral
38registry.However,thedivisionmayacceptreportsconcerningsuchachildandmay
39subsequentlyinvestigateorconductafamilyassessmentasaresultofthatreport.Suchan
40exceptionshallnotlimittheadministrativeorjudicialauthorityofthestatetoensurethat
41medicalservicesareprovidedtothechildwhenthechild'shealthrequiresit.
42 5.Inadditiontothosepersonsandofficialsrequiredtoreportactualorsuspected
43abuseorneglect,anyotherpersonmayreportinaccordancewithsections210.109to210.183
44ifsuchpersonhasreasonablecausetosuspectthatachildhasbeenormaybesubjectedto
45abuseorneglectorobservesachildbeingsubjectedtoconditionsorcircumstanceswhich
46wouldreasonablyresultinabuseorneglect.
47 6.Anypersonorofficialrequiredtoreportpursuanttothissection,including
48employeesofthedivision,whohasprobablecausetosuspectthatachildwhoisormaybe
49undertheageofeighteen,whoiseligibletoreceiveacertificateoflivebirth,hasdiedshall
50reportthatfacttotheappropriatemedicalexaminerorcoroner.If,uponreviewofthe
51circumstancesandmedicalinformation,themedicalexaminerorcoronerdeterminesthatthe
52childdiedofnaturalcauseswhileundermedicalcareforanestablishednaturaldisease,the
53coroner,medicalexaminerorphysicianshallnotifythedivisionofthechild'sdeathandthat
54thechild'sattendingphysicianshallbesigningthedeathcertificate.Inallothercases,the
55medicalexaminerorcoronershallacceptthereportforinvestigation,shallimmediatelynotify
56thedivisionofthechild'sdeathasrequiredinsection58.452andshallreportthefindingsto
57thechildfatalityreviewpanelestablishedpursuanttosection210.192.
58 7.Anypersonorindividualrequiredtoreportmayalsoreportthesuspicionofabuse
59orneglecttoanylawenforcementagencyorjuvenileoffice.Suchreportshallnot,however,
60taketheplaceofreportingtothedivision.
61 8.Ifanindividualrequiredtoreportsuspectedinstancesofabuseorneglectpursuant
62tothissectionhasreasontobelievethatthevictimofsuchabuseorneglectisaresidentof
63anotherstateorwasinjuredasaresultofanactwhichoccurredinanotherstate,theperson
64requiredtoreportsuchabuseorneglectmay,inlieuofreportingtotheMissourichildren's
65division,makesuchareporttothechildprotectionagencyoftheotherstatewiththeauthority
66toreceivesuchreportspursuanttothelawsofsuchotherstate.Ifsuchagencyacceptsthe
67report,noreportisrequiredtobemade,butmaybemade,tothechildren'sdivision.
68 9.Forthepurposesofprovidingsupportiveservicesorverifyingthestatusofayouth
69asunaccompaniedorhomelessforthepurposesofaccessingsupportiveservices,thefactthat
70achildisanunaccompaniedyouthasdefinedin42U.S.C.Section11434a(6)isnot,inandof
71itself,asufficientbasisforreportingchildabuseorneglect,unlessthechildisundersixteen
72yearsofageorisanincapacitatedperson,asdefinedinsection475.010.Nothinginthis
HB325 4 73subsectionshalllimitamandatedreporterfrommakingareportunderthissectionifthe
74mandatedreporterknowsorhasreasonablecausetosuspectthatanunaccompaniedyouthhas
75beenormaybeavictimofabuseorneglect.
210.191.1.Allchildren'sdivisionemployees,andcontractorsforchildren's
2services,whohavedirectcontactwithchildrenthroughthestate'schildprotectionand
3welfaresystemshallberequiredtocompleteatleastonehouroftrainingwithinthefirst
4sixtydaysofemploymentorcontract.Thetrainingshallincludethefollowing:
5 (1)Requirementstoreportanimalabuseorneglectandthepenaltiesassociated
6withfailuretoreportundersection273.410;
7 (2)Howtoidentifyanimalabuseorneglect;
8 (3)Howtomakeareportofanimalabuseorneglect;and
9 (4)Therelationshipbetweenchildabuseorneglectandanimalabuseorneglect.
10 2.Thedivision,inconsultationwithanimalwelfareassociations,shalldevelopor
11adaptanduseavailabletrainingmaterialsforthetrainingrequiredunderthissection.
12Personsrequiredtocompletetrainingunderthissectionshallbeprovidedwith
13opportunitiestodosoduringregularworkinghours.
14 3.Asusedinthissection,thefollowingtermsshallmean:
15 (1)"Animal",thesamemeaningasinsection578.029;
16 (2)"Animalwelfareassociation",thesamemeaningasinsection192.2510.
273.410.1.Whenanypsychologist,mentalhealthprofessional,socialworker,
2schoolcounselor,teacher,orotherschoolprofessional,orjuvenileofficer,law
3enforcementorpeaceofficer,probationorparoleofficer,homehealthaide,adultor
4childprotectiveservicesworker,orvolunteerorpersonnelofacommunityservice
5programthatofferssupportoradvocacyservicesforchildreninfostercarehas
6reasonablecausetosuspectthatananimalhasbeenormaybesubjectedtoabuseor
7neglectorobservesananimalbeingsubjectedtoconditionsorcircumstancesthatwould
8reasonablyresultinabuseorneglect,thatpersonshallmakeareporttothehotline
9establishedandoperatedbytheMissouriAnimalControlAssociation(MACA)within
10oneday.
11 2.Thehotlineworkershallrequestallofthefollowinginformationforthe
12report:
13 (1)Thenameanddescriptionoftheanimalinvolved,ifknown;
14 (2)Theaddressandtelephonenumberoftheownerorotherpersonresponsible
15forthecareoftheanimal,ifknown;
16 (3)Thenatureandextentofthesuspectedabuseorneglect;and
HB325 5 17 (4)Anyotherinformationthatthepersonmakingthereportbelievesmaybe
18usefulinestablishingtheexistenceofthesuspectedabuseorneglectortheidentityofthe
19personcausingtheabuseorneglect.
20 3.Uponreceivingareportofsuspectedabuseorneglect,MACAshallprovide
21thereporttoanyduly-authorizedlawenforcementofficial,countyormunicipalanimal
22controlofficer,oranyMissouripeaceofficerstandardsandtraining(POST)-certifiedor
23MACA-certifiedanimalcrueltyinvestigator.
24 4.Anypersonrequiredtoreportanimalabuseorneglectunderthissectionshall
25beimmunefromcivilandcriminalliabilityinconnectionwithmakinganyrequired
26reportsifthepersonactedingoodfaithwhenmakingsuchreport.
27 5.Notwithstandinganyprovisionoflawtothecontrary,anyinformation
28identifyingapersonwhoreportssuspectedanimalabuseorneglectunderthissection
29shallbeconfidentialandshallnotbedeemedapublicrecordandshallnotbesubjectto
30theprovisionsofsection109.180orchapter610.
31 6.Nopersonrequiredtomakeareportofanimalabuseorneglectunderthis
32sectionshallknowinglymakeafalsereport.Thepenaltyformakingafalsereportand
33thedefensestoprosecutionshallbethesameasundersection575.080.
34 7.Ifanagencyorpoliticalsubdivisionofthestatedeterminesthatanemployee
35whoisamandatedreporterunderthissectionhasfailedtomakeareportasrequiredby
36thissection,theagencyorpoliticalsubdivisionshallissueawrittennoticetosuch
37employeethatshallincludeafindingoffactsinsupportofthefailuretomakeareport
38andanexplanationofthereportingrequirement.Suchnoticeshallnotberetainedina
39permanentemploymentfileandshallberetainedinaseparatefileordatabase
40maintainedbytheagencyorpoliticalsubdivision.Suchnoticeshallbeconsidereda
41closedrecordundertheprovisionsofchapter610.
42 8.Anypersonrequiredtomakeareportunderthissectionwhoissubjectto
43professionallicensureandwhofailstomakeareportasrequiredbythissectionshallbe
44subjecttodisciplinebyhisorherrespectivelicensingboardasfollows:
45 (1)Forthefirstinstanceofafailuretoreport,thelicensingboardshallissuea
46writtennoticetosuchemployeethatshallincludeafindingoffactsinsupportofthe
47failuretomakeareportandanexplanationofthereportingrequirement;
48 (2)Forasecondinstanceofafailuretoreport,thelicensingboardshallimposea
49fineofonehundreddollars;
50 (3)Forathirdandeachsubsequentinstanceofafailuretoreport,thelicensing
51boardshallimposeafineoffivehundreddollars.
52 9.Asusedinthissection,theterm"animal"shallhavethesamemeaningasin
53section578.029.
HB325 6 273.415.1.Allpersonsemployedorservingasanimalcontrolofficersoranimal
2humaneinvestigatorswhohavedirectcontactwithanimalsshallberequiredto
3completeatleastonehouroftrainingwithinthefirstsixtydaysofemployment.The
4trainingshallincludethefollowing:
5 (1)Requirementstoreportchildabuseorneglectundersection210.115or
6eligiblepersonabuseorneglectundersection192.2405andthepenaltiesassociatedwith
7failuretoreportsuchabuseorneglect;
8 (2)Howtoidentifychildoreligiblepersonabuseorneglect;
9 (3)Howtomakeareportofchildoreligiblepersonabuseorneglect;and
10 (4)Therelationshipbetweenchild,eligibleadult,andanimalabuseorneglect.
11 2.Thechildren'sdivisionandthedepartmentofhealthandseniorservices,in
12consultationwithanimalwelfareassociations,shalldeveloporadaptanduseavailable
13trainingmaterialsforthetrainingrequiredunderthissection.Personsrequiredto
14completetrainingunderthissectionshallbeprovidedwithopportunitiestodosoduring
15regularworkinghours.
16 3.Asusedinthissection,thefollowingtermsshallmean:
17 (1)"Animal",thesamemeaningasinsection578.029;
18 (2)"Animalhumaneinvestigator",aduly-authorizedcountyormunicipal
19animalcontrolofficeroranyMissouripeaceofficerstandardsandtraining(POST)-
20certifiedorMissouriAnimalControlAssociation(MACA)-certifiedanimalcruelty
21investigator;
22 (3)"Animalwelfareassociation",thesamemeaningasinsection192.2510.
324.1720.1.Asusedinthissection,theterm"politicalsubdivision"meansany
2county,township,city,incorporatedtown,orvillageinthisstate.
3 2.Thegeneralassemblyherebyoccupiesandpreemptstheentirefieldof
4legislationconcerningthepracticeoflicensedprofessionsregulatedunderchapters330,
5331,332,334,335,336,337,338,and340.Apoliticalsubdivisionispreemptedfrom
6enacting,maintaining,orenforcinganyorder,ordinance,rule,regulation,policy,or
7othersimilarmeasurethatprohibits,restricts,limits,regulates,controls,directs,or
8interfereswiththepracticeofsuchlicensedprofessions.
9 3.Nothinginthissectionshallprecludeorpreemptapoliticalsubdivisionfrom
10exercisingitslawfulauthoritytoregulatezoningorlanduse,toenforceabuildingor
11firecoderegulation,toimposeataxorlicensefeefortheprivilegeofcarryingona
12professiondescribedinsubsection2ofthissectionconsistentwiththelawsregulating
13suchtaxesorlicensefees,ortootherwiseregulateforthegeneralhealth,safety,
14sanitation,andwelfareaslongastheorder,ordinance,rule,regulation,policy,orother
15measuredoesnotinterferewith,restrict,orlimittheabilityofalawfullylicensed
HB325 7 16professionaltoengageinanyactorperformanyprocedurethatfallswithinthe
17professionallyrecognizedscopeofpracticeofthelicensedprofessionalinthepracticeof
18aprofessiondescribedinsubsection2ofthissection.
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HB325 8