| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.398 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEPETERS. |
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| 5 | 5 | | 1390H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsections191.648,192.769,and210.030,RSMo,andtoenactinlieuthereoffour |
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| 8 | 8 | | newsectionsrelatingtohealthcare. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Sections191.648,192.769,and210.030,RSMo,arerepealedandfour |
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| 11 | 11 | | 2newsectionsenactedinlieuthereof,tobeknownassections191.648,192.2521,210.030, |
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| 12 | 12 | | 3and376.1240,toreadasfollows: |
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| 13 | 13 | | 191.648.1.Asusedinthissection,thefollowingtermsmean: |
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| 14 | 14 | | 2 (1)"Designatedsexuallytransmittedinfection",chlamydia,gonorrhea, |
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| 15 | 15 | | 3trichomoniasis,oranyothersexuallytransmittedinfectiondesignatedasappropriate |
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| 16 | 16 | | 4forexpeditedpartnertherapybythedepartmentofhealthandseniorservicesorfor |
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| 17 | 17 | | 5whichexpeditedpartnertherapywasrecommendedinthemostrecentCentersfor |
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| 18 | 18 | | 6DiseaseControlandPreventionguidelinesforthepreventionortreatmentofsexually |
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| 19 | 19 | | 7transmittedinfections; |
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| 20 | 20 | | 8 (2)"Expeditedpartnertherapy"[means], thepracticeoftreatingthesexpartnersof |
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| 21 | 21 | | 9personswith[chlamydiaorgonorrhea] designatedsexuallytransmittedinfectionswithout |
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| 22 | 22 | | 10aninterveningmedicalevaluationorprofessionalpreventioncounseling; |
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| 23 | 23 | | 11 (3)"Healthcareprofessional",amemberofanyprofessionregulatedbychapter |
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| 24 | 24 | | 12334or335authorizedtoprescribemedications. |
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| 25 | 25 | | 13 2.Anylicensed[physician] healthcareprofessionalmay,butshallnotberequired |
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| 26 | 26 | | 14to,utilizeexpeditedpartnertherapyforthemanagementofthepartnersofpersonswith |
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| 27 | 27 | | 15[chlamydiaorgonorrhea] designatedsexuallytransmittedinfections. Notwithstandingthe |
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| 28 | 28 | | 16requirementsof20CSR2150-5.020(5)oranyotherlawtothecontrary,alicensed |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17[physician] healthcareprofessionalutilizingexpeditedpartnertherapymayprescribeand |
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| 31 | 31 | | 18dispensemedicationsforthetreatmentof[chlamydiaorgonorrhea] adesignatedsexually |
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| 32 | 32 | | 19transmittedinfectionforanindividualwhoisthepartnerofapersonwith[chlamydiaor |
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| 33 | 33 | | 20gonorrhea] adesignatedsexuallytransmittedinfectionandwhodoesnothavean |
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| 34 | 34 | | 21established[physician/patient] relationshipwithsuch[physician] healthcareprofessional. |
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| 35 | 35 | | 22[Anyantibioticmedicationsprescribedanddispensedforthetreatmentofchlamydiaor |
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| 36 | 36 | | 23gonorrheaunderthissectionshallbeinpillform.] |
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| 37 | 37 | | 24 3.Anylicensed[physician] healthcareprofessionalutilizingexpeditedpartner |
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| 38 | 38 | | 25therapyforthemanagementofthepartnerswith[chlamydiaorgonorrhea] designated |
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| 39 | 39 | | 26sexuallytransmittedinfectionsshallprovideexplanationandguidanceto[a]eachpatient |
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| 40 | 40 | | 27[diagnosedwithchlamydiaorgonorrhea] ofthepreventativemeasuresthatcanbetakenby |
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| 41 | 41 | | 28thepatienttostopthe[spread] transmissionofsuch[diagnosis] infection. |
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| 42 | 42 | | 29 4.Anylicensed[physician] healthcareprofessionalutilizingexpeditedpartner |
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| 43 | 43 | | 30therapyforthemanagementofpartnersofpersonswith[chlamydiaorgonorrhea] designated |
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| 44 | 44 | | 31sexuallytransmittedinfectionsunderthissectionshallhaveimmunityfromanycivil |
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| 45 | 45 | | 32liabilitythatmayotherwiseresultbyreasonofsuchactions,unlesssuch[physician] health |
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| 46 | 46 | | 33careprofessionalactsnegligently,recklessly,inbadfaith,orwithmaliciouspurpose. |
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| 47 | 47 | | 34 5.Thedepartmentofhealthandseniorservicesandthedivisionofprofessional |
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| 48 | 48 | | 35registrationwithinthedepartmentofcommerceandinsuranceshallbyruledevelop |
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| 49 | 49 | | 36guidelinesfortheimplementationofsubsection2ofthissection.Anyruleorportionofa |
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| 50 | 50 | | 37rule,asthattermisdefinedinsection536.010,thatiscreatedundertheauthoritydelegatedin |
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| 51 | 51 | | 38thissectionshallbecomeeffectiveonlyifitcomplieswithandissubjecttoallofthe |
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| 52 | 52 | | 39provisionsofchapter536and,ifapplicable,section536.028.Thissectionandchapter536 |
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| 53 | 53 | | 40arenonseverableandifanyofthepowersvestedwiththegeneralassemblypursuantto |
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| 54 | 54 | | 41chapter536toreview,todelaytheeffectivedate,ortodisapproveandannularuleare |
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| 55 | 55 | | 42subsequentlyheldunconstitutional,thenthegrantofrulemakingauthorityandanyrule |
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| 56 | 56 | | 43proposedoradoptedafterAugust28,2010,shallbeinvalidandvoid. |
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| 57 | 57 | | 192.2521.Aspecialtyhospitalisexemptfromtheprovisionsofsections192.2520 |
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| 58 | 58 | | 2and197.135ifsuchhospitalhasapolicyforthetransferofavictimofasexualassaultto |
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| 59 | 59 | | 3anappropriatehospitalwithanemergencydepartment.Asusedinthissection, |
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| 60 | 60 | | 4"specialtyhospital"meansahospitalthathasbeendesignatedbythedepartmentof |
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| 61 | 61 | | 5healthandseniorservicesassomethingotherthanageneralacutecarehospital. |
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| 62 | 62 | | 210.030.1.Everylicensedphysician,midwife,registerednurseandallpersonswho |
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| 63 | 63 | | 2mayundertake,inaprofessionalway,theobstetricalandgynecologicalcareofapregnant |
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| 64 | 64 | | 3womaninthestateofMissourishall,ifthewomanconsents,takeorcausetobetakena |
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| 65 | 65 | | 4sampleofvenousbloodofsuchwomanatthetimeofthefirstprenatalexamination,ornot |
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| 66 | 66 | | 5laterthantwentydaysafterthefirstprenatalexamination,andanothersampleattwenty- |
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| 67 | 67 | | HB398 2 6eightweeksofpregnancyandsubjectsuch[sample] samplestoanapprovedandstandard |
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| 68 | 68 | | 7serologicaltestforsyphilis[, an]andapprovedserological[test] testsforhepatitisB, |
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| 69 | 69 | | 8hepatitisC,humanimmunodeficiencyvirus(HIV),andsuchothertreatablediseasesand |
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| 70 | 70 | | 9metabolicdisordersasareprescribedbythedepartmentofhealthandseniorservices.[Inany |
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| 71 | 71 | | 10areaofthestatedesignatedasasyphilisoutbreakareabythedepartmentofhealthandsenior |
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| 72 | 72 | | 11services,ifthemotherconsents,asampleofhervenousbloodshallbetakenlaterinthe |
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| 73 | 73 | | 12courseofpregnancyandatdeliveryforadditionaltestingforsyphilisasmaybeprescribedby |
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| 74 | 74 | | 13thedepartment] Ifamothertestspositiveforsyphilis,hepatitisB,hepatitisC,orHIV,or |
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| 75 | 75 | | 14anycombinationofsuchdiseases,thephysicianorpersonprovidingcareshall |
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| 76 | 76 | | 15administertreatmentinaccordancewiththemostrecentacceptedmedicalpractice. Ifa |
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| 77 | 77 | | 16mothertestspositiveforhepatitisB,thephysicianorpersonwhoprofessionallyundertakes |
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| 78 | 78 | | 17thepediatriccareofanewbornshallalsoadministertheappropriatedosesofhepatitisB |
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| 79 | 79 | | 18vaccineandhepatitisBimmuneglobulin(HBIG)inaccordancewiththecurrent |
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| 80 | 80 | | 19recommendationsoftheAdvisoryCommitteeonImmunizationPractices(ACIP).Ifthe |
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| 81 | 81 | | 20mother'shepatitisBstatusisunknown,theappropriatedoseofhepatitisBvaccineshallbe |
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| 82 | 82 | | 21administeredtothenewborninaccordancewiththecurrentACIPrecommendations.Ifthe |
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| 83 | 83 | | 22motherconsents,asampleofhervenousbloodshallbetaken.Ifshetestspositivefor |
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| 84 | 84 | | 23hepatitisB,hepatitisBimmuneglobulin(HBIG)shallbeadministeredtothenewbornin |
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| 85 | 85 | | 24accordancewiththecurrentACIPrecommendations. |
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| 86 | 86 | | 25 2.Thedepartmentofhealthandseniorservicesshall[, inconsultationwiththe |
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| 87 | 87 | | 26Missourigeneticdiseaseadvisorycommittee,] makesuchrulespertainingtosuchtestsas |
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| 88 | 88 | | 27shallbedictatedbyacceptedmedicalpractice,andtestsshallbeofthetypesapprovedor |
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| 89 | 89 | | 28acceptedbythe[departmentofhealthandseniorservices] UnitedStatesFoodandDrug |
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| 90 | 90 | | 29Administration. [Anapprovedandstandardtestforsyphilis,hepatitisB,andothertreatable |
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| 91 | 91 | | 30diseasesandmetabolicdisordersshallmeanatestmadeinalaboratoryapprovedbythe |
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| 92 | 92 | | 31departmentofhealthandseniorservices.] Noindividualshallbedeniedtestingbythe |
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| 93 | 93 | | 32departmentofhealthandseniorservicesbecauseofinabilitytopay. |
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| 94 | 94 | | 376.1240.1.Forpurposesofthissection,termsshallhavethesamemeaningsas |
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| 95 | 95 | | 2ascribedtotheminsection376.1350,andtheterm"self-administeredhormonal |
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| 96 | 96 | | 3contraceptive"shallmeanadrugthatiscomposedofoneormorehormonesandthatis |
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| 97 | 97 | | 4approvedbytheFoodandDrugAdministrationtopreventpregnancy,excluding |
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| 98 | 98 | | 5emergencycontraception.Nothinginthissectionshallbeconstruedtoapplyto |
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| 99 | 99 | | 6medicationsapprovedbytheFoodandDrugAdministrationtoterminateanexisting |
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| 100 | 100 | | 7pregnancy. |
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| 101 | 101 | | 8 2.Anyhealthbenefitplandelivered,issuedfordelivery,continued,orrenewed |
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| 102 | 102 | | 9inthisstateonorafterJanuary1,2026,thatprovidescoverageforself-administered |
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| 103 | 103 | | 10hormonalcontraceptivesshallprovidecoveragetoreimburseahealthcareprovideror |
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| 104 | 104 | | HB398 3 11dispensingentityforthedispensingofasupplyofself-administeredhormonal |
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| 105 | 105 | | 12contraceptivesintendedtolastuptooneyear. |
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| 106 | 106 | | 13 3.Thecoveragerequiredunderthissectionshallnotbesubjecttoanygreater |
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| 107 | 107 | | 14deductibleorco-paymentthanothersimilarhealthcareservicesprovidedbythehealth |
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| 108 | 108 | | 15benefitplan. |
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| 109 | 109 | | [192.769.1.Oncompletionofamammogram,amammography |
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| 110 | 110 | | 2 facilitycertifiedbytheUnitedStatesFoodandDrugAdministration(FDA)or |
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| 111 | 111 | | 3 byacertificationagencyapprovedbytheFDAshallprovidetothepatientthe |
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| 112 | 112 | | 4 followingnotice: |
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| 113 | 113 | | 5 "Ifyourmammogramdemonstratesthatyouhavedensebreasttissue, |
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| 114 | 114 | | 6 whichcouldhideabnormalities,andyouhaveotherriskfactorsforbreast |
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| 115 | 115 | | 7 cancerthathavebeenidentified,youmightbenefitfromsupplemental |
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| 116 | 116 | | 8 screeningteststhatmaybesuggestedbyyourorderingphysician.Dense |
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| 117 | 117 | | 9 breasttissue,inandofitself,isarelativelycommoncondition.Therefore,this |
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| 118 | 118 | | 10 informationisnotprovidedtocauseundueconcern,butrathertoraiseyour |
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| 119 | 119 | | 11 awarenessandtopromotediscussionwithyourphysicianregardingthe |
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| 120 | 120 | | 12 presenceofotherriskfactors,inadditiontodensebreasttissue.Areportof |
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| 121 | 121 | | 13 yourmammographyresultswillbesenttoyouandyourphysician.You |
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| 122 | 122 | | 14 shouldcontactyourphysicianifyouhaveanyquestionsorconcernsregarding |
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| 123 | 123 | | 15 thisreport.". |
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| 124 | 124 | | 16 2.Nothinginthissectionshallbeconstruedtocreateadutyofcare |
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| 125 | 125 | | 17 beyondthedutytoprovidenoticeassetforthinthissection. |
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| 126 | 126 | | 18 3.Theinformationrequiredbythissectionorevidencethataperson |
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| 127 | 127 | | 19 violatedthissectionisnotadmissibleinacivil,judicial,oradministrative |
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| 128 | 128 | | 20 proceeding. |
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| 129 | 129 | | 21 4.Amammographyfacilityisnotrequiredtocomplywiththe |
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| 130 | 130 | | 22 requirementsofthissectionuntilJanuary1,2015.] |
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| 131 | 131 | | âś” |
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| 132 | 132 | | HB398 4 |
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