FIRSTREGULARSESSION HOUSEBILLNO.620 103RDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEHAUSMAN. 1805H.01I DANARADEMANMILLER,ChiefClerk ANACT Torepealsection301.142,RSMo,andtoenactinlieuthereofonenewsectionrelatingto licenseplatesandplacardsforpersonswithdisabilities. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Section301.142,RSMo,isrepealedandonenewsectionenactedinlieu 2thereof,tobeknownassection301.142,toreadasfollows: 301.142.1.Asusedinsections301.141to301.143,thefollowingtermsmean: 2 (1)"Department",thedepartmentofrevenue; 3 (2)"Director",thedirectorofthedepartmentofrevenue; 4 (3)"Otherauthorizedhealthcarepractitioner"includesadvancedpracticeregistered 5nurseslicensedpursuanttochapter335,physicianassistantslicensedpursuanttochapter334, 6chiropractorslicensedpursuanttochapter331,podiatristslicensedpursuanttochapter330, 7assistantphysicians,physicaltherapistslicensedpursuanttochapter334,occupational 8therapistslicensedpursuanttochapter324,andoptometristslicensedpursuanttochapter 9336; 10 (4)"Physicallydisabled",anaturalpersonwhoisblind,asdefinedinsection8.700, 11oranaturalpersonwithmedicaldisabilitieswhichprohibits,limits,orseverelyimpairsone's 12abilitytoambulateorwalk,asdeterminedbyalicensedphysicianorotherauthorizedhealth 13carepractitionerasfollows: 14 (a)Thepersoncannotambulateorwalkfiftyorlessfeetwithoutstoppingtorestdue 15toasevereanddisablingarthritic,neurological,orthopediccondition,orothersevereand 16disablingcondition;or EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (b)Thepersoncannotambulateorwalkwithouttheuseof,orassistancefrom,a 18brace,cane,crutch,anotherperson,prostheticdevice,wheelchair,orotherassistivedevice;or 19 (c)Isrestrictedbyarespiratoryorotherdiseasetosuchanextentthattheperson's 20forcedrespiratoryexpiratoryvolumeforonesecond,whenmeasuredbyspirometry,isless 21thanoneliter,orthearterialoxygentensionislessthansixtymm/hgonroomairatrest;or 22 (d)Usesportableoxygen;or 23 (e)Hasacardiacconditiontotheextentthattheperson'sfunctionallimitationsare 24classifiedinseverityasclassIIIorclassIVaccordingtostandardssetbytheAmericanHeart 25Association;or 26 (f)Exceptasotherwiseprovidedinsubdivision(3)ofsubsection16ofthissection,a 27person'sage,inandofitself,shallnotbeafactorindeterminingwhethersuchpersonis 28physicallydisabledorisotherwiseentitledtodisabledlicenseplatesand/ordisabled 29windshieldhangingplacardswithinthemeaningofsections301.141to301.143; 30 (5)"Physician",apersonlicensedtopracticemedicinepursuanttochapter334; 31 (6)"Physician'sstatement",astatementpersonallysignedbyadulyauthorizedperson 32whichcertifiesthatapersonisdisabledasdefinedinthissection; 33 (7)"Temporarilydisabledperson",adisabledpersonasdefinedinthissectionwhose 34disabilityorincapacityisexpectedtolastnomorethanonehundredeightydays; 35 (8)"Temporarywindshieldplacard",aplacardtobeissuedtopersonswhoare 36temporarilydisabledpersonsasdefinedinthissection,certificationofwhichshallbe 37indicatedonthephysician'sstatement; 38 (9)"Windshieldplacard",aplacardtobeissuedtopersonswhoarephysically 39disabledasdefinedinthissection,certificationofwhichshallbeindicatedonthephysician's 40statement. 41 2.Otherauthorizedhealthcarepractitionersmayfurnishtoadisabledortemporarily 42disabledpersonaphysician'sstatementforonlythosephysicalhealthcareconditionsfor 43whichsuchhealthcarepractitionerislegallyauthorizedtodiagnoseandtreat. 44 3.Aphysician'sstatementshall: 45 (1)Beonaformprescribedbythedirectorofrevenue; 46 (2)Setforththespecificdiagnosisandmedicalconditionwhichrenderstheperson 47physicallydisabledortemporarilydisabledasdefinedinthissection; 48 (3)Includethephysician'sorotherauthorizedhealthcarepractitioner'slicense 49number;and 50 (4)Bepersonallysignedbytheissuingphysicianorotherauthorizedhealthcare 51practitioner. 52 4.Ifitistheprofessionalopinionofthephysicianorotherauthorizedhealthcare 53practitionerissuingthestatementthatthephysicaldisabilityoftheapplicant,user,ormember HB620 2 54oftheapplicant'shouseholdispermanent,itshallbenotedonthestatement.Otherwise,the 55physicianorotherauthorizedhealthcarepractitionershallnoteonthestatementthe 56anticipatedlengthofthedisability,whichshalldeterminetheexpirationdateforthe 57temporarywindshieldplacard,andwhichperiodshallnotexceedonehundredeightydays.If 58thephysicianorhealthcarepractitionerfailstorecordanexpirationdateonthephysician's 59statement,thedirectorshallissueatemporarywindshieldplacardforaperiodofthirtydays. 60 5.Aphysicianorotherauthorizedhealthcarepractitionerwhoissuesorsignsa 61physician'sstatementsothatdisabledplatesoradisabledwindshieldplacardmaybeobtained 62shallmaintaininsuchdisabledperson'smedicalchartdocumentationthatsuchacertificate 63hasbeenissued,thedatethestatementwassigned,thediagnosisorconditionwhichexisted 64thatqualifiedthepersonasdisabledpursuanttothissectionandshallcontainsufficient 65documentationsoastoobjectivelyconfirmthatsuchconditionexists. 66 6.Themedicalorotherrecordsofthephysicianorotherauthorizedhealthcare 67practitionerwhoissuedaphysician'sstatementshallbeopentoinspectionandreviewbysuch 68practitioner'slicensingboard,inordertoverifycompliancewiththissection.Information 69containedwithinsuchrecordsshallbeconfidentialunlessrequiredforprosecution, 70disciplinarypurposes,orotherwiserequiredtobedisclosedbylaw. 71 7.OwnersofmotorvehicleswhoareresidentsofthestateofMissouri,andwhoare 72physicallydisabled,ownersofmotorvehiclesoperatedatleastfiftypercentofthetimebya 73physicallydisabledperson,orownersofmotorvehiclesusedtoprimarilytransportphysically 74disabledmembersoftheowner'shouseholdmayobtaindisabledpersonlicenseplates.Such 75owners,uponapplicationtothedirectoraccompaniedbythedocumentsandfeesprovidedfor 76inthissection,acurrentphysician'sstatementwhichhasbeenissuedwithinninetydays 77proceedingthedatetheapplicationismade,andproofofcompliancewiththestatemotor 78vehiclelawsrelatingtoregistrationandlicensingofmotorvehicles,shallbeissuedmotor 79vehiclelicenseplatesforvehicles,otherthancommercialvehicleswithagrossweightin 80excessoftwenty-fourthousandpounds,uponwhichshallbeinscribedtheinternational 81wheelchairaccessibilitysymbolandtheword"DISABLED"inadditiontoacombinationof 82lettersandnumbers.Suchlicenseplatesshallbemadewithfullyreflectivematerialwitha 83commoncolorschemeanddesign,shallbeclearlyvisibleatnight,andshallbeaesthetically 84attractive,asprescribedbysection301.130.Ifatanytimeanindividualwhoobtained 85disabledlicenseplatesissuedunderthissubsectionnolongeroccupiesaresidencewitha 86physicallydisabledperson,ornolongerownsavehiclethatisoperatedatleastfiftypercent 87ofthetimebyaphysicallydisabledperson,suchindividualshallsurrenderthedisabled 88licenseplatestothedepartmentwithinthirtydaysofbecomingineligiblefortheiruse. 89 8.Thedirectorshallfurtherissue,uponrequest,tosuchapplicantone,andforgood 90causeshown,asthedirectormaydefinebyruleandregulations,notmorethantwo, HB620 3 91removabledisabledwindshieldhangingplacardsforusewhenthedisabledpersonis 92occupyingavehicleorwhenavehiclenotbearingthepermanenthandicapplateisbeingused 93topickup,deliver,orcollectthephysicallydisabledpersonissuedthedisabledmotorvehicle 94licenseplateordisabledwindshieldhangingplacard. 95 9.Noadditionalfeeshallbepaidtothedirectorfortheissuanceofthespeciallicense 96platesprovidedinthissection,exceptforspecialpersonalizedlicenseplatesandotherlicense 97platesdescribedinthissubsection.Priorityforanyspecificsetofspeciallicenseplatesshall 98begiventotheapplicantwhoreceivedthenumberintheimmediatelyprecedinglicense 99periodsubjecttotheapplicant'scompliancewiththeprovisionsofthissectionandany 100applicablerulesorregulationsissuedbythedirector.Ifdeterminedfeasiblebytheadvisory 101committeeestablishedinsection301.129,anyspeciallicenseplateissuedpursuanttothis 102sectionmaybeadaptedtoalsoincludetheinternationalwheelchairaccessibilitysymboland 103theword"DISABLED"asprescribedinthissectionandsuchplatemaybeissuedtoany 104applicantwhomeetstherequirementsofthissectionandtheotherappropriateprovisionof 105thischapter,subjecttotherequirementsandfeesoftheappropriateprovisionofthischapter. 106 10.Anyphysicallydisabledperson,ortheparentorguardianofanysuchperson,or 107anynot-for-profitgroup,organization,orotherentitywhichtransportsmorethanone 108physicallydisabledperson,mayapplytothedirectorofrevenueforaremovablewindshield 109placard.Theplacardmaybeusedinmotorvehicleswhichdonotbearthepermanent 110handicapsymbolonthelicenseplate.Suchplacardsmustbehungfromthefront,middle 111rearviewmirrorofaparkedmotorvehicleandmaynotbehungfromthemirrorduring 112operation.Theseplacardsmayonlybeusedduringtheperiodoftimewhenthevehicleis 113beingusedbyadisabledperson,orwhenthevehicleisbeingusedtopickup,deliver,or 114collectadisabledperson,andshallbesurrenderedtothedepartment,withinthirtydays,ifa 115group,organization,orentitythatobtainedtheremovablewindshieldplacardduetothe 116transportationofmorethanonephysicallydisabledpersonnolongertransportsmorethanone 117disabledperson.Whenthereisnorearviewmirror,theplacardshallbedisplayedonthe 118dashboardonthedriver'sside. 119 11.Theremovablewindshieldplacardshallconformtothespecifications,inrespect 120tosize,color,andcontent,assetforthinfederalregulationspublishedbytheDepartmentof 121Transportation.Theremovablewindshieldplacardshallberenewedeveryfouryears.The 122directormaystaggertheexpirationdatestoequalizeworkload.Onlyoneremovableplacard 123maybeissuedtoanapplicantwhohasbeenissueddisabledpersonlicenseplates.Upon 124request,oneadditionalwindshieldplacardmaybeissuedtoanapplicantwhohasnotbeen 125issueddisabledpersonlicenseplates. 126 12.Atemporarywindshieldplacardshallbeissuedtoanyphysicallydisabledperson, 127ortheparentorguardianofanysuchpersonwhootherwisequalifiesexceptthatthephysical HB620 4 128disability,intheopinionofthephysician,isnotexpectedtoexceedaperiodofonehundred 129eightydays.Thetemporarywindshieldplacardshallconformtothespecifications,inrespect 130tosize,color,andcontent,assetforthinfederalregulationspublishedbytheDepartmentof 131Transportation.Thefeeforthetemporarywindshieldplacardshallbetwodollars.Upon 132request,andforgoodcauseshown,oneadditionaltemporarywindshieldplacardmaybe 133issuedtoanapplicant.Temporarywindshieldplacardsshallbeissueduponpresentationof 134thephysician'sstatementprovidedbythissectionandshallbedisplayedinthesamemanner 135asremovablewindshieldplacards.Apersonorentityshallbequalifiedtopossessand 136displayatemporaryremovablewindshieldplacardforsixmonthsandtheplacardmaybe 137renewedonceforanadditionalsixmonthsifaphysician'sstatementpursuanttothissectionis 138suppliedtothedirectorofrevenueatthetimeofrenewal. 139 13.Awindshieldplacardshallberenewableonlybythepersonorentitytowhichthe 140placardwasoriginallyissued.Anyplacardissuedpursuanttothissectionshallonlybeused 141whenthephysicallydisabledoccupantforwhomthedisabledplateorplacardwasissuedisin 142themotorvehicleatthetimeofparkingorwhenaphysicallydisabledpersonisbeing 143deliveredorcollected.Adisabledlicenseplateand/oraremovablewindshieldhanging 144placardarenottransferableandmaynotbeusedbyanyotherpersonwhetherdisabledornot. 145 14.Atthetimethedisabledplatesorwindshieldhangingplacardsareissued,the 146directorshallissuearegistrationcertificatewhichshallincludetheapplicant'sname,address, 147andotheridentifyinginformationasprescribedbythedirector,orifissuedtoanagency,such 148agency'snameandaddress.Thiscertificateshallfurthercontainthedisabledlicenseplate 149numberor,forwindshieldhangingplacards,theregistrationoridentifyingnumberstamped 150ontheplacard.Thevalidatedregistrationreceiptgiventotheapplicantshallserveasthe 151registrationcertificate. 152 15.Thedirectorshall,uponissuinganydisabledregistrationcertificateforlicense 153platesand/orwindshieldhangingplacards,provideinformationwhichexplainsthatsuch 154platesorwindshieldhangingplacardsarenontransferable,andtherestrictionsexplainingwho 155andwhenapersonorvehiclewhichbearsorhasthedisabledplatesorwindshieldhanging 156placardsmaybeusedorbeparkedinadisabledreservedparkingspace,andthepenalties 157prescribedforviolationsoftheprovisionsofthisact. 158 16.(1)Exceptasotherwiseprovidedinthissubsection,everyapplicantforissuance 159ofadisabledlicenseplateorplacardshallberequiredtopresentanewphysician'sstatement 160datednomorethanninetydayspriortosuchapplication,andforrenewalapplicationsa 161physician'sstatementdatednomorethanninetydayspriortosuchapplicationshallbe 162requiredeveryeighthyear. 163 (2)Notwithstandinganyprovisionoflawtothecontrary,iftheapplicanthas 164presentedproofofdisabilityintheformofastatementfromtheUnitedStatesDepartmentof HB620 5 165VeteransAffairsverifyingthatthepersonispermanentlydisabled,theapplicantshallnotbe 166requiredtoprovideaphysician'sstatementforthepurposeofissuanceorrenewalofdisabled 167personlicenseplatesorwindshieldplacards. 168 (3)Notwithstandingtheprovisionsofparagraph(f)ofsubdivision(4)ofsubsection1 169ofthissection,anypersonseventy-fiveyearsofageorolderwhoprovidedaphysician's 170statementwiththeoriginalapplicationshallnotberequiredtoprovideaphysician'sstatement 171forthepurposeofrenewalofdisabledpersonlicenseplatesorwindshieldplacards. 172 17.Thedirectorofrevenueuponreceivingaphysician'sstatementpursuanttothis 173subsectionshallcheckwiththestateboardofregistrationforthehealingartscreatedin 174section334.120,ortheMissouristateboardofnursingestablishedinsection335.021,with 175respecttophysician'sstatementssignedbyadvancedpracticeregisterednurses,orthe 176Missouristateboardofchiropracticexaminersestablishedinsection331.090,withrespectto 177physician'sstatementssignedbylicensedchiropractors,orwiththeboardofoptometry 178establishedinsection336.130,withrespecttophysician'sstatementssignedbylicensed 179optometrists,orthestateboardofpodiatricmedicinecreatedinsection330.100,withrespect 180tophysician'sstatementssignedbyphysiciansofthefootorpodiatriststodeterminewhether 181thephysicianisdulylicensedandregisteredpursuanttolaw. 182 18.Theboardsshallcooperatewiththedirectorandshallsupplyinformation 183requestedpursuanttothissubsection.Thedirectorshall,incooperationwiththeboards 184whichshallassistthedirector,establishalistofallMissouriphysiciansandotherauthorized 185healthcarepractitionersandofanyotherinformationnecessarytoadministerthissection. 186 19.Wheretheowner'sapplicationisbasedonthefactthatthevehicleisusedatleast 187fiftypercentofthetimebyaphysicallydisabledperson,theapplicantshallsubmita 188statementstatingthisfact,inadditiontothephysician'sstatement.Thestatementshallbe 189signedbyboththeownerofthevehicleandthephysicallydisabledperson.Theapplicant 190shallberequiredtosubmitthisstatementwitheachapplicationforlicenseplates.Noperson 191shallwillinglyorknowinglysubmitafalsestatementandanysuchfalsestatementshallbe 192consideredperjuryandmaybepunishablepursuanttosection301.420. 193 20.Thedirectorofrevenueshallretainallphysicians'statementsandallother 194documentsreceivedinconnectionwithaperson'sapplicationfordisabledlicenseplatesand/ 195ordisabledwindshieldplacards. 196 21.Thedirectorofrevenueshallenterintoreciprocityagreementswithotherstatesor 197thefederalgovernmentforthepurposeofrecognizingdisabledpersonlicenseplatesor 198windshieldplacardsissuedtophysicallydisabledpersons. 199 22.Whenapersontowhomdisabledpersonlicenseplatesoraremovableor 200temporarywindshieldplacardorbothhavebeenissueddies,thepersonalrepresentativeofthe 201decedentorsuchotherpersonwhomaycomeintoorotherwisetakepossessionofthe HB620 6 202disabledlicenseplatesordisabledwindshieldplacardshallreturnthesametothedirectorof 203revenueunderpenaltyoflaw.Failuretoreturnsuchplatesorplacardsshallconstituteaclass 204Bmisdemeanor. 205 23.Thedirectorofrevenuemayorderanypersonissueddisabledpersonlicense 206platesorwindshieldplacardstosubmittoanexaminationbyachiropractor,osteopath,or 207physician,ortosuchotherinvestigationaswilldeterminewhethersuchpersonqualifiesfor 208thespecialplatesorplacards. 209 24.Ifsuchpersonrefusestosubmitorisfoundtonolongerqualifyforspecialplates 210orplacardsprovidedforinthissection,thedirectorofrevenueshallcollectthespecialplates 211orplacards,andshallfurnishlicenseplatestoreplacetheonescollectedasprovidedbythis 212chapter. 213 25.Intheeventaremovableortemporarywindshieldplacardislost,stolen,or 214mutilated,thelawfulholderthereofshall,withinfivedays,filewiththedirectorofrevenuean 215applicationandanaffidavitstatingsuchfact,inordertopurchaseanewplacard.Thefeefor 216thereplacementwindshieldplacardshallbefourdollars. 217 26.Fraudulentapplication,renewal,issuance,procurementoruseofdisabledperson 218licenseplatesorwindshieldplacardsshallbeaclassAmisdemeanor.ItisaclassB 219misdemeanorforaphysician,chiropractor,podiatristoroptometristtocertifythatan 220individualorfamilymemberisqualifiedforalicenseplateorwindshieldplacardbasedona 221disability,thediagnosisofwhichisoutsidetheirscopeofpracticeorifthereisnobasisfor 222thediagnosis. ✔ HB620 7