FIRSTREGULARSESSION
HOUSEBILLNO.803
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVESTINNETT.
2031H.01I JOSEPHENGLER,ChiefClerk
ANACT
Torepealsection210.030,RSMo,andtoenactinlieuthereofonenewsectionrelatingto
bloodtestsofpregnantwomen.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Section210.030,RSMo,isrepealedandonenewsectionenactedinlieu
2thereof,tobeknownassection210.030,toreadasfollows:
210.030.1.Everylicensedphysician,midwife,registerednurseandallpersonswho
2mayundertake,inaprofessionalway,theobstetricalandgynecologicalcareofapregnant
3womaninthestateofMissourishall,ifthewomanconsents,takeorcausetobetakena
4sampleofvenousbloodofsuchwomanatthetimeofthefirstprenatalexamination,ornot
5laterthantwentydaysafterthefirstprenatalexamination,andanothersampleattwenty-
6eightweeksofpregnancyandsubjectsuch[sample] samplestoanapprovedandstandard
7serologicaltestforsyphilis[, an]andapprovedserological[test] testsforhepatitisB,
8hepatitisC,humanimmunodeficiencyvirus(HIV),andsuchothertreatablediseasesand
9metabolicdisordersasareprescribedbythedepartmentofhealthandseniorservices.[Inany
10areaofthestatedesignatedasasyphilisoutbreakareabythedepartmentofhealthandsenior
11services,ifthemotherconsents,asampleofhervenousbloodshallbetakenlaterinthe
12courseofpregnancyandatdeliveryforadditionaltestingforsyphilisasmaybeprescribedby
13thedepartment] Ifamothertestspositiveforsyphilis,hepatitisB,hepatitisC,orHIV,or
14anycombinationofsuchdiseases,thephysicianorpersonprovidingcareshall
15administertreatmentinaccordancewiththemostrecentacceptedmedicalpractice. Ifa
16mothertestspositiveforhepatitisB,thephysicianorpersonwhoprofessionallyundertakes
17thepediatriccareofanewbornshallalsoadministertheappropriatedosesofhepatitisB
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18vaccineandhepatitisBimmuneglobulin(HBIG)inaccordancewiththecurrent
19recommendationsoftheAdvisoryCommitteeonImmunizationPractices(ACIP).Ifthe
20mother'shepatitisBstatusisunknown,theappropriatedoseofhepatitisBvaccineshallbe
21administeredtothenewborninaccordancewiththecurrentACIPrecommendations.Ifthe
22motherconsents,asampleofhervenousbloodshallbetaken.Ifshetestspositivefor
23hepatitisB,hepatitisBimmuneglobulin(HBIG)shallbeadministeredtothenewbornin
24accordancewiththecurrentACIPrecommendations.
25 2.Thedepartmentofhealthandseniorservicesshall[, inconsultationwiththe
26Missourigeneticdiseaseadvisorycommittee,] makesuchrulespertainingtosuchtestsas
27shallbedictatedbyacceptedmedicalpractice,andtestsshallbeofthetypesapprovedor
28acceptedbythe[departmentofhealthandseniorservices] UnitedStatesFoodandDrug
29Administration. [Anapprovedandstandardtestforsyphilis,hepatitisB,andothertreatable
30diseasesandmetabolicdisordersshallmeanatestmadeinalaboratoryapprovedbythe
31departmentofhealthandseniorservices.] Noindividualshallbedeniedtestingbythe
32departmentofhealthandseniorservicesbecauseofinabilitytopay.
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HB803 2