MO
Missouri House Bill HB609

Missouri 2025 Regular Session

Missouri House Bill HB609 Compare Versions

OldNewDifferences
11 FIRSTREGULARSESSION
2-HOUSECOMMITTEESUBSTITUTEFOR
32 HOUSEBILLNO.609
43 103RDGENERALASSEMBLY
5-1674H.02C JOSEPHENGLER,ChiefClerk
4+INTRODUCEDBYREPRESENTATIVETHOMPSON.
5+1674H.01I DANARADEMANMILLER,ChiefClerk
66 ANACT
7-Torepealsections195.010,195.030,and338.165,RSMo,andtoenactinlieuthereofthree
8-newsectionsrelatingtohealthcareproviders.
7+Torepealsections195.010,195.030,195.070,334.031,334.035,and338.165,RSMo,andto
8+enactinlieuthereofsixnewsectionsrelatingtohealthcareproviders.
99 BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
10-SectionA.Sections195.010,195.030,and338.165,RSMo,arerepealedandthree
11-2newsectionsenactedinlieuthereof,tobeknownassections195.010,195.030,and338.165,
12-3toreadasfollows:
10+SectionA.Sections195.010,195.030,195.070,334.031,334.035,and338.165,
11+2RSMo,arerepealedandsixnewsectionsenactedinlieuthereof,tobeknownassections
12+3195.010,195.030,195.070,334.031,334.035,and338.165,toreadasfollows:
1313 195.010.Thefollowingwordsandphrasesasusedinthischapterandchapter579,
1414 2unlessthecontextotherwiserequires,mean:
1515 3 (1)"Acutepain",pain,whetherresultingfromdisease,accidentalorintentional
1616 4trauma,orothercauses,thatthepractitionerreasonablyexpectstolastonlyashortperiodof
1717 5time.Acutepainshallnotincludechronicpain,painbeingtreatedaspartofcancercare,
1818 6hospiceorotherend-of-lifecare,ormedication-assistedtreatmentforsubstanceuse
1919 7disorders;
2020 8 (2)"Addict",apersonwhohabituallyusesoneormorecontrolledsubstancestosuch
2121 9anextentastocreateatoleranceforsuchdrugs,andwhodoesnothaveamedicalneedfor
2222 10suchdrugs,orwhoissofaraddictedtotheuseofsuchdrugsastohavelostthepowerofself-
2323 11controlwithreferencetohisorheraddiction;
2424 12 (3)"Administer",toapplyacontrolledsubstance,whetherbyinjection,inhalation,
2525 13ingestion,oranyothermeans,directlytothebodyofapatientorresearchsubjectby:
2626 14 (a)Apractitioner(or,inhisorherpresence,byhisorherauthorizedagent);or
2727 15 (b)Thepatientorresearchsubjectatthedirectionandinthepresenceofthe
2828 16practitioner;
2929 EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
3030 intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (4)"Agent",anauthorizedpersonwhoactsonbehalfoforatthedirectionofa
3131 18manufacturer,distributor,ordispenser.Thetermdoesnotincludeacommonorcontract
3232 19carrier,publicwarehouseman,oremployeeofthecarrierorwarehousemanwhileactinginthe
3333 20usualandlawfulcourseofthecarrier'sorwarehouseman'sbusiness;
3434 21 (5)"Attorneyforthestate",anyprosecutingattorney,circuitattorney,orattorney
3535 22generalauthorizedtoinvestigate,commenceandprosecuteanactionunderthischapter;
3636 23 (6)"Controlledsubstance",adrug,substance,orimmediateprecursorinSchedulesI
3737 24throughVlistedinthischapter;
3838 25 (7)"Controlledsubstanceanalogue",asubstancethechemicalstructureofwhichis
3939 26substantiallysimilartothechemicalstructureofacontrolledsubstanceinScheduleIorII
4040 27and:
4141 28 (a)Whichhasastimulant,depressant,orhallucinogeniceffectonthecentralnervous
4242 29systemsubstantiallysimilartothestimulant,depressant,orhallucinogeniceffectonthe
4343 30centralnervoussystemofacontrolledsubstanceincludedinScheduleIorII;or
4444 31 (b)Withrespecttoaparticularindividual,whichthatindividualrepresentsorintends
4545 32tohaveastimulant,depressant,orhallucinogeniceffectonthecentralnervoussystem
4646 33substantiallysimilartothestimulant,depressant,orhallucinogeniceffectonthecentral
4747 34nervoussystemofacontrolledsubstanceincludedinScheduleIorII.Thetermdoesnot
4848 35includeacontrolledsubstance;anysubstanceforwhichthereisanapprovednewdrug
4949 36application;anysubstanceforwhichanexemptionisineffectforinvestigationaluse,fora
5050 37particularperson,underSection505ofthefederalFood,DrugandCosmeticAct(21U.S.C.
5151 38Section355)totheextentconductwithrespecttothesubstanceispursuanttotheexemption;
5252 39oranysubstancetotheextentnotintendedforhumanconsumptionbeforesuchanexemption
5353 40takeseffectwithrespecttothesubstance;
5454 41 (8)"Counterfeitsubstance",acontrolledsubstancewhich,orthecontainerorlabeling
5555 42ofwhich,withoutauthorization,bearsthetrademark,tradename,orotheridentifyingmark,
5656 43imprint,numberordevice,oranylikenessthereof,ofamanufacturer,distributor,ordispenser
5757 44otherthanthepersonwhoinfactmanufactured,distributed,ordispensedthesubstance;
5858 45 (9)"Deliver"or"delivery",theactual,constructive,orattemptedtransferfromone
5959 46persontoanotherofdrugparaphernaliaorofacontrolledsubstance,oranimitation
6060 47controlledsubstance,whetherornotthereisanagencyrelationship,andincludesasale;
6161 48 (10)"Dentist",apersonauthorizedbylawtopracticedentistryinthisstate;
6262 49 (11)"Depressantorstimulantsubstance":
6363 50 (a)Adrugcontaininganyquantityofbarbituricacidoranyofthesaltsofbarbituric
6464 51acidoranyderivativeofbarbituricacidwhichhasbeendesignatedbytheUnitedStates
6565 52SecretaryofHealthandHumanServicesashabitformingunder21U.S.C.Section352(d);
6666 53 (b)Adrugcontaininganyquantityof:
67-HCSHB609 2 54 a.Amphetamineoranyofitsisomers;
67+HB609 2 54 a.Amphetamineoranyofitsisomers;
6868 55 b.Anysaltofamphetamineoranysaltofanisomerofamphetamine;or
6969 56 c.AnysubstancetheUnitedStatesAttorneyGeneral,afterinvestigation,hasfoundto
7070 57be,andbyregulationdesignatedas,habitformingbecauseofitsstimulanteffectonthe
7171 58centralnervoussystem;
7272 59 (c)Lysergicaciddiethylamide;or
7373 60 (d)AnydrugcontaininganyquantityofasubstancethattheUnitedStatesAttorney
7474 61General,afterinvestigation,hasfoundtohave,andbyregulationdesignatedashaving,a
7575 62potentialforabusebecauseofitsdepressantorstimulanteffectonthecentralnervoussystem
7676 63oritshallucinogeniceffect;
7777 64 (12)"Dispense",todeliveranarcoticorcontrolleddangerousdrugtoanultimateuser
7878 65orresearchsubjectbyorpursuanttothelawfulorderofapractitionerincludingthe
7979 66prescribing,administering,packaging,labeling,orcompoundingnecessarytopreparethe
8080 67substanceforsuchdelivery."Dispenser"meansapractitionerwhodispenses;
8181 68 (13)"Distribute",todeliverotherthanbyadministeringordispensingacontrolled
8282 69substance;
8383 70 (14)"Distributor",apersonwhodistributes;
8484 71 (15)"Drug":
8585 72 (a)SubstancesrecognizedasdrugsintheofficialUnitedStatesPharmacopoeia,
8686 73OfficialHomeopathicPharmacopoeiaoftheUnitedStates,orOfficialNationalFormulary,or
8787 74anysupplementtoanyofthem;
8888 75 (b)Substancesintendedforuseinthediagnosis,cure,mitigation,treatmentor
8989 76preventionofdiseaseinhumansoranimals;
9090 77 (c)Substances,otherthanfood,intendedtoaffectthestructureoranyfunctionofthe
9191 78bodyofhumansoranimals;and
9292 79 (d)Substancesintendedforuseasacomponentofanyarticlespecifiedinthis
9393 80subdivision.Itdoesnotincludedevicesortheircomponents,partsoraccessories;
9494 81 (16)"Drug-dependentperson",apersonwhoisusingacontrolledsubstanceandwho
9595 82isinastateofpsychicorphysicaldependence,orboth,arisingfromtheuseofsuchsubstance
9696 83onacontinuousbasis.Drugdependenceischaracterizedbybehavioralandotherresponses
9797 84whichincludeastrongcompulsiontotakethesubstanceonacontinuousbasisinorderto
9898 85experienceitspsychiceffectsortoavoidthediscomfortcausedbyitsabsence;
9999 86 (17)"Drugenforcementagency",theDrugEnforcementAdministrationintheUnited
100100 87StatesDepartmentofJustice,oritssuccessoragency;
101101 88 (18)"Drugparaphernalia",allequipment,products,substancesandmaterialsofany
102102 89kindwhichareused,intendedforuse,ordesignedforuse,inplanting,propagating,
103103 90cultivating,growing,harvesting,manufacturing,compounding,converting,producing,
104-HCSHB609 3 91processing,preparing,storing,containing,concealing,injecting,ingesting,inhaling,or
104+HB609 3 91processing,preparing,storing,containing,concealing,injecting,ingesting,inhaling,or
105105 92otherwiseintroducingintothehumanbodyacontrolledsubstanceoranimitationcontrolled
106106 93substanceinviolationofthischapterorchapter579.Itincludes,butisnotlimitedto:
107107 94 (a)Kitsused,intendedforuse,ordesignedforuseinplanting,propagating,
108108 95cultivating,growingorharvestingofanyspeciesofplantwhichisacontrolledsubstanceor
109109 96fromwhichacontrolledsubstancecanbederived;
110110 97 (b)Kitsused,intendedforuse,ordesignedforuseinmanufacturing,compounding,
111111 98converting,producing,processing,orpreparingcontrolledsubstancesorimitationcontrolled
112112 99substances;
113113 100 (c)Isomerizationdevicesused,intendedforuse,ordesignedforuseinincreasingthe
114114 101potencyofanyspeciesofplantwhichisacontrolledsubstanceoranimitationcontrolled
115115 102substance;
116116 103 (d)Testingequipmentused,intendedforuse,ordesignedforuseinidentifying,orin
117117 104analyzingthestrength,effectivenessorpurityofcontrolledsubstancesorimitationcontrolled
118118 105substances;
119119 106 (e)Scalesandbalancesused,intendedforuse,ordesignedforuseinweighingor
120120 107measuringcontrolledsubstancesorimitationcontrolledsubstances;
121121 108 (f)Dilutentsandadulterants,suchasquininehydrochloride,mannitol,mannite,
122122 109dextroseandlactose,used,intendedforuse,ordesignedforuseincuttingcontrolled
123123 110substancesorimitationcontrolledsubstances;
124124 111 (g)Separationginsandsiftersused,intendedforuse,ordesignedforuseinremoving
125125 112twigsandseedsfrom,orinotherwisecleaningorrefining,marijuana;
126126 113 (h)Blenders,bowls,containers,spoonsandmixingdevicesused,intendedforuse,or
127127 114designedforuseincompoundingcontrolledsubstancesorimitationcontrolledsubstances;
128128 115 (i)Capsules,balloons,envelopesandothercontainersused,intendedforuse,or
129129 116designedforuseinpackagingsmallquantitiesofcontrolledsubstancesorimitationcontrolled
130130 117substances;
131131 118 (j)Containersandotherobjectsused,intendedforuse,ordesignedforuseinstoring
132132 119orconcealingcontrolledsubstancesorimitationcontrolledsubstances;
133133 120 (k)Hypodermicsyringes,needlesandotherobjectsused,intendedforuse,or
134134 121designedforuseinparenterallyinjectingcontrolledsubstancesorimitationcontrolled
135135 122substancesintothehumanbody;
136136 123 (l)Objectsused,intendedforuse,ordesignedforuseiningesting,inhaling,or
137137 124otherwiseintroducingmarijuana,cocaine,hashish,orhashishoilintothehumanbody,such
138138 125as:
139139 126 a.Metal,wooden,acrylic,glass,stone,plastic,orceramicpipeswithorwithout
140140 127screens,permanentscreens,hashishheads,orpuncturedmetalbowls;
141-HCSHB609 4 128 b.Waterpipes;
141+HB609 4 128 b.Waterpipes;
142142 129 c.Carburetiontubesanddevices;
143143 130 d.Smokingandcarburetionmasks;
144144 131 e.Roachclipsmeaningobjectsusedtoholdburningmaterial,suchasamarijuana
145145 132cigarette,thathasbecometoosmallortooshorttobeheldinthehand;
146146 133 f.Miniaturecocainespoonsandcocainevials;
147147 134 g.Chamberpipes;
148148 135 h.Carburetorpipes;
149149 136 i.Electricpipes;
150150 137 j.Air-drivenpipes;
151151 138 k.Chillums;
152152 139 l.Bongs;
153153 140 m.Icepipesorchillers;
154154 141 (m)Substancesused,intendedforuse,ordesignedforuseinthemanufactureofa
155155 142controlledsubstance.
156156 143
157157 144Indeterminingwhetheranobject,product,substanceormaterialisdrugparaphernalia,a
158158 145courtorotherauthorityshouldconsider,inadditiontoallotherlogicallyrelevantfactors,the
159159 146following:
160160 147 a.Statementsbyanownerorbyanyoneincontroloftheobjectconcerningitsuse;
161161 148 b.Priorconvictions,ifany,ofanowner,orofanyoneincontroloftheobject,under
162162 149anystateorfederallawrelatingtoanycontrolledsubstanceorimitationcontrolledsubstance;
163163 150 c.Theproximityoftheobject,intimeandspace,toadirectviolationofthischapter
164164 151orchapter579;
165165 152 d.Theproximityoftheobjecttocontrolledsubstancesorimitationcontrolled
166166 153substances;
167167 154 e.Theexistenceofanyresidueofcontrolledsubstancesorimitationcontrolled
168168 155substancesontheobject;
169169 156 f.Directorcircumstantialevidenceoftheintentofanowner,orofanyoneincontrol
170170 157oftheobject,todeliverittopersonswhoheorsheknows,orshouldreasonablyknow,intend
171171 158tousetheobjecttofacilitateaviolationofthischapterorchapter579;theinnocenceofan
172172 159owner,orofanyoneincontroloftheobject,astodirectviolationofthischapterorchapter
173173 160579shallnotpreventafindingthattheobjectisintendedforuse,ordesignedforuseasdrug
174174 161paraphernalia;
175175 162 g.Instructions,oralorwritten,providedwiththeobjectconcerningitsuse;
176176 163 h.Descriptivematerialsaccompanyingtheobjectwhichexplainordepictitsuse;
177177 164 i.Nationalorlocaladvertisingconcerningitsuse;
178-HCSHB609 5 165 j.Themannerinwhichtheobjectisdisplayedforsale;
178+HB609 5 165 j.Themannerinwhichtheobjectisdisplayedforsale;
179179 166 k.Whethertheowner,oranyoneincontroloftheobject,isalegitimatesupplierof
180180 167likeorrelateditemstothecommunity,suchasalicenseddistributorordealeroftobacco
181181 168products;
182182 169 l.Directorcircumstantialevidenceoftheratioofsalesoftheobjecttothetotalsales
183183 170ofthebusinessenterprise;
184184 171 m.Theexistenceandscopeoflegitimateusesfortheobjectinthecommunity;
185185 172 n.Experttestimonyconcerningitsuse;
186186 173 o.Thequantity,formorpackagingoftheproduct,substanceormaterialinrelationto
187187 174thequantity,formorpackagingassociatedwithanylegitimateusefortheproduct,substance
188188 175ormaterial;
189189 176 (19)"Federalnarcoticlaws",thelawsoftheUnitedStatesrelatingtocontrolled
190190 177substances;
191191 178 (20)"Hospital",aplacedevotedprimarilytothemaintenanceandoperationof
192192 179facilitiesforthediagnosis,treatmentorcare,fornotlessthantwenty-fourhoursinanyweek,
193193 180ofthreeormorenonrelatedindividualssufferingfromillness,disease,injury,deformityor
194194 181otherabnormalphysicalconditions;oraplacedevotedprimarilytoprovide,fornotlessthan
195195 182twenty-fourconsecutivehoursinanyweek,medicalornursingcareforthreeormore
196196 183nonrelatedindividuals.Thetermhospitaldoesnotincludeconvalescent,nursing,shelteror
197197 184boardinghomesasdefinedinchapter198,butshallincludeoutpatientfacilitiesownedand
198198 185operatedbyahospital;
199199 186 (21)"Illegalindustrialhemp":
200200 187 (a)AllnonseedpartsandvarietiesoftheCannabissativaL.plant,growingornot,
201201 188thatcontainanaveragedelta-9tetrahydrocannabinol(THC)concentrationexceedingthree-
202202 189tenthsofonepercentonadryweightbasis;
203203 190 (b)Illegalindustrialhempshallbedestroyedinthemosteffectivemannerpossible,
204204 191andsuchdestructionshallbeverifiedbytheMissouristatehighwaypatrol;
205205 192 (22)"Immediateprecursor",asubstancewhich:
206206 193 (a)Thestatedepartmentofhealthandseniorserviceshasfoundtobeandbyrule
207207 194designatesasbeingtheprincipalcompoundcommonlyusedorproducedprimarilyforusein
208208 195themanufactureofacontrolledsubstance;
209209 196 (b)Isanimmediatechemicalintermediaryusedorlikelytobeusedinthe
210210 197manufactureofacontrolledsubstance;and
211211 198 (c)Thecontrolofwhichisnecessarytoprevent,curtailorlimitthemanufactureof
212212 199thecontrolledsubstance;
213213 200 (23)"Imitationcontrolledsubstance",asubstancethatisnotacontrolledsubstance,
214214 201whichbydosageunitappearance(includingcolor,shape,sizeandmarkings),orby
215-HCSHB609 6 202representationsmade,wouldleadareasonablepersontobelievethatthesubstanceisa
215+HB609 6 202representationsmade,wouldleadareasonablepersontobelievethatthesubstanceisa
216216 203controlledsubstance.Indeterminingwhetherthesubstanceisanimitationcontrolled
217217 204substancethecourtorauthorityconcernedshouldconsider,inadditiontoallotherlogically
218218 205relevantfactors,thefollowing:
219219 206 (a)WhetherthesubstancewasapprovedbythefederalFoodandDrug
220220 207Administrationforover-the-counter(nonprescriptionornonlegend)salesandwassoldin
221221 208thefederalFoodandDrugAdministration-approvedpackage,withthefederalFoodandDrug
222222 209Administration-approvedlabelinginformation;
223223 210 (b)Statementsmadebyanownerorbyanyoneelseincontrolofthesubstance
224224 211concerningthenatureofthesubstance,oritsuseoreffect;
225225 212 (c)Whetherthesubstanceispackagedinamannernormallyusedforillicitcontrolled
226226 213substances;
227227 214 (d)Priorconvictions,ifany,ofanowner,oranyoneincontroloftheobject,under
228228 215stateorfederallawrelatedtocontrolledsubstancesorfraud;
229229 216 (e)Theproximityofthesubstancestocontrolledsubstances;
230230 217 (f)Whethertheconsiderationtenderedinexchangeforthenoncontrolledsubstance
231231 218substantiallyexceedsthereasonablevalueofthesubstanceconsideringtheactualchemical
232232 219compositionofthesubstanceand,whereapplicable,thepriceatwhichover-the-counter
233233 220substancesoflikechemicalcompositionsell.Animitationcontrolledsubstancedoesnot
234234 221includeaplaceboorregisteredinvestigationaldrugeitherofwhichwasmanufactured,
235235 222distributed,possessedordeliveredintheordinarycourseofprofessionalpracticeorresearch;
236236 223 (24)"Industrialhemp":
237237 224 (a)AllnonseedpartsandvarietiesoftheCannabissativaL.plant,growingornot,
238238 225thatcontainanaveragedelta-9tetrahydrocannabinol(THC)concentrationthatdoesnot
239239 226exceedthree-tenthsofonepercentonadryweightbasisorthemaximumconcentration
240240 227allowedunderfederallaw,whicheverisgreater;
241241 228 (b)AnyCannabissativaL.seedthatispartofagrowingcrop,retainedbyagrower
242242 229forfutureplanting,orusedforprocessingintooruseasagriculturalhempseed;
243243 230 (c)Industrialhempincludesindustrialhempcommoditiesandproductsandtopicalor
244244 231ingestibleanimalandconsumerproductsderivedfromindustrialhempwithadelta-9
245245 232tetrahydrocannabinolconcentrationofnotmorethanthree-tenthsofonepercentonadry
246246 233weightbasis;
247247 234 (25)"Initialprescription",aprescriptionissuedtoapatientwhohasneverpreviously
248248 235beenissuedaprescriptionforthedrugoritspharmaceuticalequivalentorwhowaspreviously
249249 236issuedaprescriptionforthedrugoritspharmaceuticalequivalent,butthedateonwhichthe
250250 237currentprescriptionisbeingissuedismorethanfivemonthsafterthedatethepatientlast
251251 238usedorwasadministeredthedrugoritsequivalent;
252-HCSHB609 7 239 (26)"Laboratory",alaboratoryapprovedbythedepartmentofhealthandsenior
252+HB609 7 239 (26)"Laboratory",alaboratoryapprovedbythedepartmentofhealthandsenior
253253 240servicesaspropertobeentrustedwiththecustodyofcontrolledsubstancesbutdoesnot
254254 241includeapharmacistwhocompoundscontrolledsubstancestobesoldordispensedon
255255 242prescriptions;
256256 243 (27)"Manufacture",theproduction,preparation,propagation,compoundingor
257257 244processingofdrugparaphernaliaorofacontrolledsubstance,oranimitationcontrolled
258258 245substance,eitherdirectlyorbyextractionfromsubstancesofnaturalorigin,orindependently
259259 246bymeansofchemicalsynthesis,orbyacombinationofextractionandchemicalsynthesis,
260260 247andincludesanypackagingorrepackagingofthesubstanceorlabelingorrelabelingofits
261261 248container.Thistermdoesnotincludethepreparationorcompoundingofacontrolled
262262 249substanceoranimitationcontrolledsubstanceorthepreparation,compounding,packagingor
263263 250labelingofanarcoticordangerousdrug:
264264 251 (a)Byapractitionerasanincidenttohisorheradministeringordispensingofa
265265 252controlledsubstanceoranimitationcontrolledsubstanceinthecourseofhisorher
266266 253professionalpractice;or
267267 254 (b)Byapractitionerorhisorherauthorizedagentunderhisorhersupervision,for
268268 255thepurposeof,orasanincidentto,research,teachingorchemicalanalysisandnotforsale;
269269 256 (28)"Marijuana",allpartsoftheplantgenusCannabisinanyspeciesorformthereof,
270270 257including,butnotlimitedtoCannabisSativaL.,exceptindustrialhemp,CannabisIndica,
271271 258CannabisAmericana, CannabisRuderalis, andCannabisGigantea, whethergrowingornot,
272272 259theseedsthereof,theresinextractedfromanypartoftheplant;andeverycompound,
273273 260manufacture,salt,derivative,mixture,orpreparationoftheplant,itsseedsorresin.Itdoes
274274 261notincludethematurestalksoftheplant,fiberproducedfromthestalks,oilorcakemade
275275 262fromtheseedsoftheplant,anyothercompound,manufacture,salt,derivative,mixtureor
276276 263preparationofthematurestalks(excepttheresinextractedtherefrom),fiber,oilorcake,or
277277 264thesterilizedseedoftheplantwhichisincapableofgermination;
278278 265 (29)"Methamphetamineprecursordrug",anydrugcontainingephedrine,
279279 266pseudoephedrine,phenylpropanolamine,oranyoftheirsalts,opticalisomers,orsaltsof
280280 267opticalisomers;
281281 268 (30)"Narcoticdrug",anyofthefollowing,whetherproduceddirectlyorindirectlyby
282282 269extractionfromsubstancesofvegetableorigin,orindependentlybymeansofchemical
283283 270synthesis,orbyacombinationofextractionandchemicalanalysis:
284284 271 (a)Opium,opiate,andanyderivative,ofopiumoropiate,includingtheirisomers,
285285 272esters,ethers,salts,andsaltsofisomers,esters,andethers,whenevertheexistenceofthe
286286 273isomers,esters,ethers,andsaltsispossiblewithinthespecificchemicaldesignation.The
287287 274termdoesnotincludetheisoquinolinealkaloidsofopium;
288-HCSHB609 8 275 (b)Cocaleaves,butnotincludingextractsofcocaleavesfromwhichcocaine,
288+HB609 8 275 (b)Cocaleaves,butnotincludingextractsofcocaleavesfromwhichcocaine,
289289 276ecgonine,andderivativesofecgonineortheirsaltshavebeenremoved;
290290 277 (c)Cocaineoranysalt,isomer,orsaltofisomerthereof;
291291 278 (d)Ecgonine,oranyderivative,salt,isomer,orsaltofisomerthereof;
292292 279 (e)Anycompound,mixture,orpreparationcontaininganyquantityofanysubstance
293293 280referredtoinparagraphs(a)to(d)ofthissubdivision;
294294 281 (31)"Officialwrittenorder",anorderwrittenonaformprovidedforthatpurposeby
295295 282theUnitedStatesCommissionerofNarcotics,underanylawsoftheUnitedStatesmaking
296296 283provisiontherefor,ifsuchorderformsareauthorizedandrequiredbyfederallaw,andifno
297297 284suchorderformisprovided,thenonanofficialformprovidedforthatpurposebythe
298298 285departmentofhealthandseniorservices;
299299 286 (32)"Opiate"or"opioid",anysubstancehavinganaddiction-formingoraddiction-
300300 287sustainingliabilitysimilartomorphineorbeingcapableofconversionintoadrughaving
301301 288addiction-formingoraddiction-sustainingliability.Thetermincludesitsracemicand
302302 289levorotatoryforms.Itdoesnotinclude,unlessspecificallycontrolledundersection195.017,
303303 290thedextrorotatoryisomerof3-methoxy-n-methyl-morphinananditssalts
304304 291(dextromethorphan);
305305 292 (33)"Opiumpoppy",theplantofthespeciesPapaversomniferumL.,exceptits
306306 293seeds;
307307 294 (34)"Over-the-countersale",aretailsalelicensedpursuanttochapter144ofadrug
308308 295otherthanacontrolledsubstance;
309309 296 (35)"Person",anindividual,corporation,governmentorgovernmentalsubdivisionor
310310 297agency,businesstrust,estate,trust,partnership,jointventure,association,oranyotherlegal
311311 298orcommercialentity;
312312 299 (36)"Pharmacist",alicensedpharmacistasdefinedbythelawsofthisstate,and
313313 300wherethecontextsorequires,theownerofastoreorotherplaceofbusinesswherecontrolled
314314 301substancesarecompoundedordispensedbyalicensedpharmacist;butnothinginthischapter
315315 302shallbeconstruedasconferringonapersonwhoisnotregisterednorlicensedasapharmacist
316316 303anyauthority,rightorprivilegethatisnotgrantedtohimbythepharmacylawsofthisstate;
317317 304 (37)"Poppystraw",allparts,excepttheseeds,oftheopiumpoppy,aftermowing;
318318 305 (38)"Possessed"or"possessingacontrolledsubstance",aperson,withthe
319319 306knowledgeofthepresenceandnatureofasubstance,hasactualorconstructivepossessionof
320320 307thesubstance.Apersonhasactualpossessionifhehasthesubstanceonhisorherpersonor
321321 308withineasyreachandconvenientcontrol.Apersonwho,althoughnotinactualpossession,
322322 309hasthepowerandtheintentionatagiventimetoexercisedominionorcontroloverthe
323323 310substanceeitherdirectlyorthroughanotherpersonorpersonsisinconstructivepossessionof
324324 311it.Possessionmayalsobesoleorjoint.Ifonepersonalonehaspossessionofasubstance
325-HCSHB609 9 312possessionissole.Iftwoormorepersonssharepossessionofasubstance,possessionis
325+HB609 9 312possessionissole.Iftwoormorepersonssharepossessionofasubstance,possessionis
326326 313joint;
327327 314 (39)"Practitioner",aphysician,dentist,optometrist,podiatrist,veterinarian,scientific
328328 315investigator,pharmacy,hospitalorotherpersonlicensed,registeredorotherwisepermittedby
329329 316thisstatetodistribute,dispense,conductresearchwithrespecttooradministerortousein
330330 317teachingorchemicalanalysis,acontrolledsubstanceinthecourseofprofessionalpracticeor
331331 318researchinthisstate,orapharmacy,hospitalorotherinstitutionlicensed,registered,or
332332 319otherwisepermittedtodistribute,dispense,conductresearchwithrespecttooradministera
333333 320controlledsubstanceinthecourseofprofessionalpracticeorresearch;
334334 321 (40)"Production",includesthemanufacture,planting,cultivation,growing,or
335335 322harvestingofdrugparaphernaliaorofacontrolledsubstanceoranimitationcontrolled
336336 323substance;
337337 324 (41)"Registrynumber",thenumberassignedtoeachpersonregisteredunderthe
338338 325federalcontrolledsubstanceslaws;
339339 326 (42)"Sale",includesbarter,exchange,orgift,oroffertherefor,andeachsuch
340340 327transactionmadebyanyperson,whetherasprincipal,proprietor,agent,servantoremployee;
341341 328 (43)"State"whenappliedtoapartoftheUnitedStates,includesanystate,district,
342342 329commonwealth,territory,insularpossessionthereof,andanyareasubjecttothelegal
343343 330authorityoftheUnitedStatesofAmerica;
344344 331 (44)"Syntheticcannabinoid",includesunlessspecificallyexceptedorunlesslistedin
345345 332anotherschedule,anynaturalorsyntheticmaterial,compound,mixture,orpreparationthat
346346 333containsanyquantityofasubstancethatisacannabinoidreceptoragonist,includingbutnot
347347 334limitedtoanysubstancelistedinparagraph(ll)ofsubdivision(4)ofsubsection2ofsection
348348 335195.017andanyanalogues;homologues;isomers,whetheroptical,positional,orgeometric;
349349 336esters;ethers;salts;andsaltsofisomers,esters,andethers,whenevertheexistenceofthe
350350 337isomers,esters,ethers,orsaltsispossiblewithinthespecificchemicaldesignation,however,
351351 338itshallnotincludeanyapprovedpharmaceuticalauthorizedbytheUnitedStatesFoodand
352352 339DrugAdministration;
353353 340 (45)"Ultimateuser",apersonwholawfullypossessesacontrolledsubstanceoran
354354 341imitationcontrolledsubstanceforhisorherownuseorfortheuseofamemberofhisorher
355355 342householdorimmediatefamily,regardlessofwhethertheyliveinthesamehousehold,orfor
356356 343administeringtoananimalownedbyhimorbyamemberofhisorherhousehold.For
357357 344purposesofthissection,thephrase"immediatefamily"meansahusband,wife,parent,child,
358358 345sibling,stepparent,stepchild,stepbrother,stepsister,grandparent,orgrandchild;
359359 346 (46)"Wholesaler",apersonwhosuppliesdrugparaphernaliaorcontrolledsubstances
360360 347orimitationcontrolledsubstancesthathehimselfhasnotproducedorprepared,onofficial
361361 348writtenorders,butnotonprescriptions.
362-HCSHB609 10 195.030.1.Thedepartmentofhealthandseniorservicesuponpublicnoticeand
362+HB609 10 195.030.1.Thedepartmentofhealthandseniorservicesuponpublicnoticeand
363363 2hearingpursuanttothissectionandchapter536maypromulgaterulesandchargereasonable
364364 3feesrelatingtotheregistrationandcontrolofthemanufacture,distributionanddispensingof
365365 4controlledsubstanceswithinthisstate.Noruleorportionofarulepromulgatedpursuantto
366366 5theauthorityofthischaptershallbecomeeffectiveunlessithasbeenpromulgatedpursuantto
367367 6theprovisionsofsection536.024.
368368 7 2.Nopersonshallmanufacture,compound,mix,cultivate,grow,orbyanyother
369369 8processproduceorprepare,distribute,dispenseorprescribeanycontrolledsubstanceandno
370370 9personasawholesalershallsupplythesame,withouthavingfirstobtainedaregistration
371371 10issuedbythedepartmentofhealthandseniorservicesinaccordancewithrulesand
372372 11regulationspromulgatedbyit.Noregistrationshallbegrantedforatermexceedingthree
373373 12years.
374374 13 3.Personsregisteredbythedepartmentofhealthandseniorservicespursuanttothis
375375 14chaptertomanufacture,distribute,ordispenseorconductresearchwithcontrolledsubstances
376376 15areauthorizedtopossess,manufacture,distributeordispensesuchsubstances,includingany
377377 16suchactivityintheconductofresearch,totheextentauthorizedbytheirregistrationandin
378378 17conformitywithotherprovisionsofthischapterandchapter579.
379379 18 4.Thefollowingpersonsshallnotberequiredtoregisterandmaylawfullypossess
380380 19controlledsubstancespursuanttothischapterandchapter579:
381381 20 (1)Anagentoremployee,excludingphysicians,dentists,optometrists,podiatristsor
382382 21veterinarians,ofanyregisteredmanufacturer,distributor,ordispenserofanycontrolled
383383 22substanceifsuchagentisactingintheusualcourseofhisorherbusinessoremployment;
384384 23 (2)Acommonorcontractcarrierorwarehouseman,oranemployeethereof,whose
385385 24possessionofanycontrolledsubstanceisintheusualcourseofbusinessoremployment;
386386 25 (3)Anultimateuserorapersoninpossessionofanycontrolledsubstancepursuantto
387387 26alawfulorderofapractitionerorinlawfulpossessionofaScheduleVsubstance.
388388 27 5.Thedepartmentofhealthandseniorservicesmay,byregulation,waivethe
389389 28requirementforregistrationofcertainmanufacturers,distributors,ordispensersifitfindsit
390390 29consistentwiththepublichealthandsafety.
391391 30 6.Aseparateregistrationshallberequiredateachprincipalplaceofbusinessor
392392 31professionalpracticewheretheapplicantmanufactures,distributes,ordispensescontrolled
393393 32substances.Ahospitalmayobtainaseparateregistrationforeachoutpatientfacility
394394 33ownedoroperatedbythehospitalinwhichbehavioralhealthorsubstanceabuse
395395 34servicesaredelivered.Suchoutpatientfacilitymaydistributeordispensedrugstothe
396396 35extentallowedunderahospitalregistration.
397397 36 7.Thedepartmentofhealthandseniorservicesisauthorizedtoinspectthe
398398 37establishmentofaregistrantorapplicantinaccordancewiththeprovisionsofthischapter.
399-HCSHB609 11 338.165.1.Asusedinthissection,thefollowingtermsmean:
399+HB609 11 195.070.1.Aphysician,podiatrist,dentist,aregisteredoptometristcertifiedto
400+2administerpharmaceuticalagentsasprovidedinsection336.220,oranassistantphysicianin
401+3accordancewithsection334.037oraphysicianassistantinaccordancewithsection334.747
402+4ingoodfaithandinthecourseofhisorherprofessionalpracticeonly,mayprescribe,
403+5administer,anddispensecontrolledsubstancesorheorshemaycausethesametobe
404+6administeredordispensedbyanindividualasauthorizedbystatute.
405+7 2.Anadvancedpracticeregisterednurse,asdefinedinsection335.016,butnota
406+8certifiedregisterednurseanesthetistasdefinedinsubdivision(8)ofsection335.016,who
407+9holdsacertificateofcontrolledsubstanceprescriptiveauthorityfromtheboardofnursing
408+10undersection335.019andwhoisdelegatedtheauthoritytoprescribecontrolledsubstances
409+11underacollaborativepracticearrangementundersection334.104mayprescribeany
410+12controlledsubstanceslistedinSchedulesIII,IV,andVofsection195.017,andmayhave
411+13restrictedauthorityinScheduleII.PrescriptionsforScheduleIImedicationsprescribedbyan
412+14advancedpracticeregisterednursewhohasacertificateofcontrolledsubstanceprescriptive
413+15authorityarerestrictedtoonlythosemedicationscontaininghydrocodoneandScheduleII
414+16controlledsubstancesforhospicepatientspursuanttotheprovisionsofsection334.104.
415+17However,nosuchcertifiedadvancedpracticeregisterednurseshallprescribecontrolled
416+18substanceforhisorherownselforfamily.ScheduleIIInarcoticcontrolledsubstanceand
417+19ScheduleII-hydrocodoneprescriptionsshallbelimitedtoaonehundredtwenty-hoursupply
418+20withoutrefill.
419+21 3.Aveterinarian,ingoodfaithandinthecourseoftheveterinarian'sprofessional
420+22practiceonly,andnotforusebyahumanbeing,mayprescribe,administer,anddispense
421+23controlledsubstancesandtheveterinarianmaycausethemtobeadministeredbyanassistant
422+24ororderlyunderhisorherdirectionandsupervision.
423+25 4.Apractitionershallnotacceptanyportionofacontrolledsubstanceunusedbya
424+26patient,foranyreason,ifsuchpractitionerdidnotoriginallydispensethedrug,except:
425+27 (1)Whenthecontrolledsubstanceisdeliveredtothepractitionertoadministertothe
426+28patientforwhomthemedicationisprescribed[asauthorizedbyfederallaw]. Practitioners
427+29shallmaintainrecordsandsecurethemedicationasrequiredbythischapterandregulations
428+30promulgatedpursuanttothischapter;or
429+31 (2)Asprovidedinsection195.265.
430+32 5.Anindividualpractitionershallnotprescribeordispenseacontrolledsubstancefor
431+33suchpractitioner'spersonaluseexceptinamedicalemergency.
432+334.031.1.Candidatesforlicensesasphysiciansandsurgeonsshallfurnish
433+2[satisfactoryevidenceoftheirgoodmoralcharacter,andtheirpreliminaryqualifications,to
434+3wit:acertificateofgraduationfromanaccreditedhighschooloritsequivalent,and
435+4satisfactoryevidenceofcompletionofpreprofessionaleducationconsistingofaminimumof
436+HB609 12 5sixtysemesterhoursofcollegecreditsinacceptablesubjectsleadingtowardsthedegreeof
437+6bachelorofartsorbachelorofsciencefromanaccreditedcollegeoruniversity.Theyshall
438+7alsofurnishsatisfactoryevidenceofhavingattendedthroughoutatleastfourtermsofthirty-
439+8twoweeksofactualinstructionsineachtermandofhavingreceivedadiplomafromsome
440+9reputablemedicalcollegeorosteopathiccollegethatenforcesrequirementsoffourtermsof
441+10thirty-twoweeksforactualinstructionineachterm,including,inadditiontoclasswork,such
442+11experienceinoperativeandhospitalworkduringthelasttwoyearsofinstructionasis
443+12requiredbytheAmericanMedicalAssociationandtheAmericanOsteopathicAssociation
444+13beforethecollegeisapprovedandaccreditedasreputable.Anymedicalcollegeapproved
445+14andaccreditedasreputablebytheAmericanMedicalAssociationortheLiaisonCommittee
446+15onMedicalEducationandanyosteopathiccollegeapprovedandaccreditedasreputableby
447+16theAmericanOsteopathicAssociationisdeemedtohavecompliedwiththerequirementsof
448+17thissubsection]:
449+18 (1)Evidenceofgoodmoralcharacterbysubmittingtoacriminalbackground
450+19checkasprovidedinsection43.540;
451+20 (2)AdiplomaandacademictranscriptsfromaschoolaccreditedbytheLiaison
452+21CommitteeonMedicalEducation,theCommissiononOsteopathicCollege
453+22Accreditation,theEducationalCommissionforForeignMedicalGraduates
454+23(ECFMG),orasimilaraccreditingagency;and
455+24 (3)Acertificatedemonstratingthattheapplicanthassuccessfullycompleteda
456+25postgraduateinternshiporresidenttraininginahospitalapprovedforsuchtrainingby
457+26theboard.AnapplicantwhoholdsavalidcertificateissuedbytheECFMGshall
458+27submitsatisfactoryevidenceofsuccessfulcompletionoftwoyearsofsuchtraining.
459+28
460+29Exceptasprovidedinsubsection3ofthissection,theboardshallnotrequireapplicants
461+30toprovideinformationinadditiontowhattheapplicantisrequiredtofurnishbythis
462+31subsection.
463+32 2.Indeterminingthequalificationsnecessaryforlicensureasaqualifiedphysician
464+33andsurgeon,theboard,byruleandregulation,mayacceptthecertificateoftheNational
465+34BoardofMedicalExaminersoftheUnitedStates,charteredpursuanttothelawsofthe
466+35DistrictofColumbia,oftheNationalBoardofExaminersforOsteopathicPhysiciansand
467+36SurgeonscharteredpursuanttothelawsofthestateofIndiana,oroftheLicentiateofthe
468+37MedicalCounselofCanada(LMCC)inlieuofandasequivalenttoitsownprofessional
469+38examination.Everyapplicantforalicenseonthebasisofsuchcertificate,uponmaking
470+39applicationshowingnecessaryqualificationsasprovidedinsubsection1ofthissection,shall
471+40berequiredtopaythesamefeerequiredofapplicantstotaketheexaminationbeforethe
472+41board.
473+HB609 13 42 3.Theboardmayrequireapplicantstolistalllicensestopracticeasaphysician
474+43currentlyorpreviouslyheldinanyotherstate,territory,orcountryandtodiscloseany
475+44pastorpendinginvestigations,discipline,orsanctionsagainsteachsuchlicense.
476+45Applicantsshallnotberequiredtosubmitverificationofsuchlicensureorany
477+46investigations,discipline,orsanctions,excepttheboardmayrequireapplicantsto
478+47provideanyauthorizationnecessaryfortheboardtoindependentlyverifytheexistence
479+48orstatusofanapplicant'slicensuretopracticeasaphysicianinanyotherstate,
480+49territory,orcountry.
481+50 4.Inadditiontothecriminalbackgroundscreeningrequiredbythissection,the
482+51boardmayobtainareportontheapplicantfromtheNationalPractitionerDataBank.
483+52 5.Notwithstandinganyotherprovisionoflawtothecontrary,iftheboarddoes
484+53notapproveordenyanapplicationsubmittedbyacandidateforlicensureasa
485+54physicianandsurgeonwithinforty-fivedaysfromthedatetheboardreceivesthe
486+55application,theapplicationshallbedeemedapproved,andthecandidateshallbe
487+56consideredlicensedasaphysicianandsurgeoningoodstandingwiththeboardasofthe
488+57dateofthedeemedapproval.
489+334.035.1.Forpurposesofthissection,thefollowingtermsmean:
490+2 (1)"ACGME",theAccreditationCouncilforGraduateMedicalEducation;
491+3 (2)"Applicant",anapplicantforapermanentlicenseasaphysicianand
492+4surgeon;
493+5 (3)"Hospital",thesamemeaninggiventotheterminsection197.020.
494+6 2.Exceptasotherwiseprovidedinsection334.036,everyapplicant[forapermanent
495+7licenseasaphysicianandsurgeon]shallprovidetheboardwithsatisfactoryevidenceof
496+8havingsuccessfullycompletedsuchpostgraduatetraininginhospitalsormedicalor
497+9osteopathiccollegesastheboardmayprescribebyrule.
498+10 3.Anyapplicantwhohascompletedunaccreditedpostgraduatetrainingina
499+11medicalsubspecialtyforwhichnoprogramaccreditedbyACGMEexistsshallbe
500+12deemedtohavesatisfactorilycompletedthetrainingrequirementsof20CSR2150-2.004
501+13(2)oranysuccessorregulationifsuchunaccreditedpostgraduatetrainingoccurredina
502+14teachinghospitalaccreditedbyACGME.
503+15 4.Theboardshallwaivethetrainingrequirementsof20CSR2150-2.004(2)or
504+16anysuccessorregulationforanyapplicantwhoislicensedasaphysicianingood
505+17standinginanotherstateandhasbeeningoodstandingmorethanthreeyears.
506+338.165.1.Asusedinthissection,thefollowingtermsmean:
400507 2 (1)"Board",theMissouriboardofpharmacy;
401508 3 (2)"Hospital",ahospitalasdefinedinsection197.020;
402-4 (3)"Hospitalclinicorfacility",aclinicorfacilityunderthecommoncontrol,
509+HB609 14 4 (3)"Hospitalclinicorfacility",aclinicorfacilityunderthecommoncontrol,
403510 5management,orownershipofthesamehospitalorhospitalsystem;
404511 6 (4)"Medicalstaffcommittee",thecommitteeorotherbodyofahospitalorhospital
405512 7systemresponsibleforformulatingpoliciesregardingpharmacyservicesandmedication
406513 8management;
407514 9 (5)"Medicationorder",anorderforalegenddrugordevicethatis:
408515 10 (a)Authorizedorissuedbyanauthorizedprescriberactingwithinthescopeofhisor
409516 11herprofessionalpracticeorpursuanttoaprotocolorstandingorderapprovedbythemedical
410517 12staffcommittee;and
411518 13 (b)Tobedistributedoradministeredtothepatientbyahealthcarepractitioneror
412519 14lawfullyauthorizeddesigneeatahospitalorahospitalclinicorfacility;
413520 15 (6)"Patient",anindividualreceivingmedicaldiagnosis,treatmentorcareata
414521 16hospitalorahospitalclinicorfacility.
415522 17 2.Thedepartmentofhealthandseniorservicesshallhavesoleauthorityand
416523 18responsibilityfortheinspectionandlicensureofhospitalsasprovidedbychapter197
417524 19including,butnotlimitedtoallparts,services,functions,supportfunctionsandactivities
418525 20whichcontributedirectlyorindirectlytopatientcareofanykindwhatsoever.However,the
419526 21boardmayinspectaclassBpharmacyoranyportionthereofthatisnotundertheinspection
420527 22authorityvestedinthedepartmentofhealthandseniorservicesbychapter197todetermine
421528 23compliancewiththischapterortherulesoftheboard.Thissectionshallnotbeconstruedto
422529 24bartheboardfromconductinganinvestigationpursuanttoapublicorgovernmental
423530 25complainttodeterminecompliancebyanindividuallicenseeorregistrantoftheboardwith
424531 26anyapplicableprovisionsofthischapterortherulesoftheboard.
425532 27 3.Thedepartmentofhealthandseniorservicesshallhavethesoleauthorityto
426533 28promulgaterulesgoverningpharmacyservicesinhospitals,butmaypromulgaterulesin
427534 29conjunctionwiththeboardgoverningmedicationdistributionandtheprovisionofmedication
428535 30therapyservices, asdescribedinsection338.010,byapharmacistatorwithinahospital.
429536 31[Rulesmayinclude,butarenotlimitedto,medicationmanagement,preparation,
430537 32compounding,administration,storage,distribution,packagingandlabeling.Untilsuch
431538 33rulesarejointlypromulgated,hospitalsshallcomplywithallapplicablestatelawand
432539 34departmentofhealthandseniorservicesrulesgoverningpharmacyservicesandmedication
433540 35managementinhospitals.] Theboardshallhavethesoleauthoritytopromulgaterules
434541 36governinginspectionandlicensureofclassBpharmacies.Therulemakingauthority
435-HCSHB609 12 37grantedhereintothedepartmentofhealthandseniorservicesshallnotincludethedispensing
542+37grantedhereintothedepartmentofhealthandseniorservicesshallnotincludethedispensing
436543 38ofmedicationbyprescription.
437544 39 4.Allpharmacistsprovidingmedicationtherapyservicesshallobtainacertificateof
438545 40medicationtherapeuticplanauthorityasprovidedbyruleoftheboard.Medicationtherapy
439-41servicesmaybeprovidedbyapharmacistforpatientsofahospitalpursuanttoaprotocol
546+HB609 15 41servicesmaybeprovidedbyapharmacistforpatientsofahospitalpursuanttoaprotocol
440547 42withaphysicianasrequiredbysection338.010orpursuanttoaprotocolapprovedbythe
441548 43medicalstaffcommittee.However,themedicalstaffprotocolshallincludeaprocess
442549 44wherebyanexemptiontotheprotocolforapatientmaybegrantedforclinicalefficacyshould
443550 45thepatient'sphysicianmakesuchrequest.Themedicalstaffprotocolshallalsoincludean
444551 46appealsprocesstorequestachangeinaspecificprotocolbasedonmedicalevidence
445552 47presentedbyaphysicianonstaff.
446553 48 5.MedicationmaybedispensedbyaclassBhospitalpharmacypursuanttoa
447554 49prescriptionoramedicationorder.
448555 50 6.Adrugdistributorlicenseshallnotberequiredtotransfermedicationfromaclass
449556 51Bhospitalpharmacytoahospitalclinicorfacilityforpatientcareortreatment.
450557 52 7.MedicationdispensedbyaclassApharmacylocatedinahospitaltoahospital
451558 53patientforuseoradministrationoutsideofthehospitalunderamedicalstaff-approved
452559 54protocolformedicationtherapyshallbedispensedonlybyaprescriptionorderformedication
453560 55therapyfromanindividualphysicianforaspecificpatient.
454561 56 8.Medicationdispensedbyahospitaltoahospitalpatientforuseoradministration
455562 57outsideofthehospitalshallbelabeledasprovidedbyrulesjointlypromulgatedbythe
456563 58departmentofhealthandseniorservicesandtheboardincludingmedicationdistributedfor
457564 59administrationbyorunderthesupervisionofahealthcarepractitioneratahospitalclinicor
458565 60facility.
459566 61 9.Thissectionshallnotbeconstruedtopreemptanylaworrulegoverningcontrolled
460567 62substances.
461568 63 10.Anyrule,asthattermisdefinedinsection536.010,thatiscreatedunderthe
462569 64authoritydelegatedinthissectionshallonlybecomeeffectiveifitcomplieswithandis
463570 65subjecttoalloftheprovisionsofchapter536and,ifapplicable,section536.028.Thissection
464571 66andchapter536arenonseverableandifanyofthepowersvestedwiththegeneralassembly
465572 67underchapter536toreview,todelaytheeffectivedate,ortodisapproveandannularuleare
466573 68subsequentlyheldunconstitutional,thenthegrantofrulemakingauthorityandanyrule
467574 69proposedoradoptedafterAugust28,2014,shallbeinvalidandvoid.
468575 70 11.Theboardshallappointanadvisorycommitteetoreviewandmake
469576 71recommendationstotheboardonthemeritofallrulesandregulationstobejointly
470577 72promulgatedbytheboardandthedepartmentofhealthandseniorservicespursuanttothe
471578 73jointrulemakingauthoritygrantedbythissection.Theadvisorycommitteeshallconsistof:
472-HCSHB609 13 74 (1)TworepresentativesdesignatedbytheMissouriHospitalAssociation,oneof
579+74 (1)TworepresentativesdesignatedbytheMissouriHospitalAssociation,oneof
473580 75whomshallbeapharmacist;
474581 76 (2)OnepharmacistdesignatedbytheMissouriSocietyofHealthSystem
475582 77Pharmacists;
476-78 (3)OnepharmacistdesignatedbytheMissouriPharmacyAssociation;
583+HB609 16 78 (3)OnepharmacistdesignatedbytheMissouriPharmacyAssociation;
477584 79 (4)Onepharmacistdesignatedbythedepartmentofhealthandseniorservicesfroma
478585 80hospitalwithalicensedbedcountthatdoesnotexceedfiftybedsorfromacriticalaccess
479586 81hospitalasdefinedbythedepartmentofsocialservicesforpurposesofMOHealthNet
480587 82reimbursement;
481588 83 (5)Onepharmacistdesignatedbythedepartmentofhealthandseniorservicesfroma
482589 84hospitalwithalicensedbedcountthatexceedstwohundredbeds;and
483590 85 (6)Onepharmacistdesignatedbytheboardwithexperienceintheprovisionof
484591 86hospitalpharmacyservices.
485592 87 12.Nothinginthissectionshallbeconstruedtolimittheauthorityofalicensed
486593 88healthcareprovidertoprescribe,administer,ordispensemedicationsandtreatmentswithin
487594 89thescopeoftheirprofessionalpractice.
488595 âś”
489-HCSHB609 14
596+HB609 17