| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.890 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEPRICE. |
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| 5 | 5 | | 2173H.01I JOSEPHENGLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter376,RSMo,byaddingtheretoonenewsectionrelatingtohealthinsurance |
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| 8 | 8 | | reimbursementofdoulaservices. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter376,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection376.1758,toreadasfollows: |
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| 12 | 12 | | 376.1758.1.Forpurposesofthissection,theterm"doula"meansanindividual |
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| 13 | 13 | | 2whohasbeentrainedtoprovidephysical,emotional,andeducationalsupport,butnot |
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| 14 | 14 | | 3medicalormidwiferycare,topregnantandbirthingwomenandtheirfamiliesbefore, |
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| 15 | 15 | | 4during,andafterchildbirth. |
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| 16 | 16 | | 5 2.Thedepartmentofhealthandseniorservicesshallreviewandapprovedoula |
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| 17 | 17 | | 6registrationtoallowforhealthinsurancereimbursementofdoulaservices. |
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| 18 | 18 | | 7 3.Thedepartmentofhealthandseniorservicesshall: |
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| 19 | 19 | | 8 (1)Createthecriteriaforthedoularegistrationapplication; |
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| 20 | 20 | | 9 (2)Reviewapplicationsfordoulastoregistertoreceivehealthinsurance |
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| 21 | 21 | | 10reimbursementinthisstate; |
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| 22 | 22 | | 11 (3)Approveapplicationstodesignateregistereddoulastatusbasedonthe |
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| 23 | 23 | | 12criteriacreatedundersubdivision(1)ofthissubsection; |
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| 24 | 24 | | 13 (4)Notifyapplicantsofapprovalordenialofdoularegistrationstatus.Any |
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| 25 | 25 | | 14denialnotificationshallincludethespecificreasonorreasonsforthedenial;and |
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| 26 | 26 | | 15 (5)Maintainastatewideregistryofdoulasapprovedforhealthinsurance |
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| 27 | 27 | | 16reimbursementinthisstate. |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 4.Increatingthecriteriaforthedoularegistrationapplicationtobeusedto |
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| 30 | 30 | | 18approvedoularegistrationstatus,thedepartmentofhealthandseniorservicesshall |
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| 31 | 31 | | 19consultrelevantorganizationsincluding,butnotlimitedto,theMissouriCommunity |
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| 32 | 32 | | 20DoulaCouncilandothercommunitydoulaorganizationsthatsupportaccessto |
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| 33 | 33 | | 21community-baseddoulaservicesinthestate. |
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| 34 | 34 | | 22 5.Nothinginthissectionprohibitsanypersonfrompracticingasadoulainthis |
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| 35 | 35 | | 23stateregardlessofwhetherthepersonisregisteredinaccordancewiththeprovisionsof |
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| 36 | 36 | | 24thissection. |
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| 37 | 37 | | 25 6.Thedepartmentofhealthandseniorservicesshallpromulgateallnecessary |
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| 38 | 38 | | 26rulesandregulationsfortheadministrationofthissection.Anyruleorportionofa |
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| 39 | 39 | | 27rule,asthattermisdefinedinsection536.010,thatiscreatedundertheauthority |
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| 40 | 40 | | 28delegatedinthissectionshallbecomeeffectiveonlyifitcomplieswithandissubjectto |
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| 41 | 41 | | 29alloftheprovisionsofchapter536and,ifapplicable,section536.028.Thissectionand |
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| 42 | 42 | | 30chapter536arenonseverableandifanyofthepowersvestedwiththegeneralassembly |
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| 43 | 43 | | 31pursuanttochapter536toreview,todelaytheeffectivedate,ortodisapproveandannul |
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| 44 | 44 | | 32arulearesubsequentlyheldunconstitutional,thenthegrantofrulemakingauthority |
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| 45 | 45 | | 33andanyruleproposedoradoptedafterAugust28,2025,shallbeinvalidandvoid. |
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| 46 | 46 | | âś” |
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| 47 | 47 | | HB890 2 |
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