| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.97 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEEALY. |
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| 5 | 5 | | 0541H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsection196.990,RSMo,andtoenactinlieuthereoftwonewsectionsrelatingto |
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| 8 | 8 | | allergiesinchildcarefacilities. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Section196.990,RSMo,isrepealedandtwonewsectionsenactedinlieu |
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| 11 | 11 | | 2thereof,tobeknownassections196.990and210.225,toreadasfollows: |
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| 12 | 12 | | 196.990.1.Asusedinthissection,thefollowingtermsshallmean: |
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| 13 | 13 | | 2 (1)"Administer",thedirectapplicationofanepinephrineauto-injectortothebodyof |
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| 14 | 14 | | 3anindividual; |
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| 15 | 15 | | 4 (2)"Authorizedentity",anyentityororganizationatorinconnectionwithwhich |
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| 16 | 16 | | 5allergenscapableofcausinganaphylaxismaybepresentincluding,butnotlimitedto, |
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| 17 | 17 | | 6qualifiedfirstresponders,assuchtermisdefinedinsection321.621,restaurants,recreation |
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| 18 | 18 | | 7camps,youthsportsleagues,childcarefacilities,amusementparks,andsportsarenas. |
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| 19 | 19 | | 8"Authorizedentity"shallnotincludeanypublicschoolorpubliccharterschool; |
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| 20 | 20 | | 9 (3)"Epinephrineauto-injector",asingle-usedeviceusedfortheautomaticinjection |
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| 21 | 21 | | 10ofapremeasureddoseofepinephrineintothehumanbody; |
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| 22 | 22 | | 11 (4)"Physician",aphysicianlicensedinthisstateunderchapter334; |
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| 23 | 23 | | 12 (5)"Provide",thesupplyofoneormoreepinephrineauto-injectorstoanindividual; |
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| 24 | 24 | | 13 (6)"Self-administration",aperson'sdiscretionaryuseofanepinephrineauto-injector. |
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| 25 | 25 | | 14 2.Aphysicianmayprescribeepinephrineauto-injectorsinthenameofanauthorized |
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| 26 | 26 | | 15entityforuseinaccordancewiththissection,andpharmacists,physicians,andotherpersons |
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| 27 | 27 | | 16authorizedtodispenseprescriptionmedicationsmaydispenseepinephrineauto-injectors |
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| 28 | 28 | | 17underaprescriptionissuedinthenameofanauthorizedentity. |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18 3.Anauthorizedentitymayacquireandstockasupplyofepinephrineauto-injectors |
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| 31 | 31 | | 19underaprescriptionissuedinaccordancewiththissection.Suchepinephrineauto-injectors |
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| 32 | 32 | | 20shallbestoredinalocationreadilyaccessibleinanemergencyandinaccordancewiththe |
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| 33 | 33 | | 21epinephrineauto-injector'sinstructionsforuseandanyadditionalrequirementsestablishedby |
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| 34 | 34 | | 22thedepartmentofhealthandseniorservicesbyrule.Anauthorizedentityshalldesignate |
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| 35 | 35 | | 23employeesoragentswhohavecompletedthetrainingrequiredunderthissectiontobe |
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| 36 | 36 | | 24responsibleforthestorage,maintenance,andgeneraloversightofepinephrineauto-injectors |
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| 37 | 37 | | 25acquiredbytheauthorizedentity. |
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| 38 | 38 | | 26 4.Anauthorizedentitythatacquiresasupplyofepinephrineauto-injectorsundera |
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| 39 | 39 | | 27prescriptionissuedinaccordancewiththissectionshallensurethat: |
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| 40 | 40 | | 28 (1)Expectedepinephrineauto-injectorusersreceivetraininginrecognizing |
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| 41 | 41 | | 29symptomsofsevereallergicreactionsincludinganaphylaxisandtheuseofepinephrine |
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| 42 | 42 | | 30auto-injectorsfromanationallyrecognizedorganizationexperiencedintraininglaypersonsin |
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| 43 | 43 | | 31emergencyhealthtreatmentoranotherentityorpersonapprovedbythedepartmentofhealth |
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| 44 | 44 | | 32andseniorservices; |
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| 45 | 45 | | 33 (2)Allepinephrineauto-injectorsaremaintainedandstoredaccordingtothe |
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| 46 | 46 | | 34epinephrineauto-injector'sinstructionsforuse; |
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| 47 | 47 | | 35 (3)Anypersonwhoprovidesoradministersanepinephrineauto-injectortoan |
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| 48 | 48 | | 36individualwhothepersonbelievesingoodfaithisexperiencinganaphylaxisactivatesthe |
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| 49 | 49 | | 37emergencymedicalservicessystemassoonaspossible;and |
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| 50 | 50 | | 38 (4)Aproperreviewofallsituationsinwhichanepinephrineauto-injectorisusedto |
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| 51 | 51 | | 39renderemergencycareisconducted. |
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| 52 | 52 | | 40 5.Anyauthorizedentitythatacquiresasupplyofepinephrineauto-injectorsundera |
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| 53 | 53 | | 41prescriptionissuedinaccordancewiththissectionshallnotifytheemergency |
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| 54 | 54 | | 42communicationsdistrictortheambulancedispatchcenteroftheprimaryproviderof |
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| 55 | 55 | | 43emergencymedicalserviceswheretheepinephrineauto-injectorsaretobelocatedwithinthe |
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| 56 | 56 | | 44entity'sfacility. |
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| 57 | 57 | | 45 6.Nopersonshallprovideoradministeranepinephrineauto-injectortoany |
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| 58 | 58 | | 46individualwhoisundereighteenyearsofagewithouttheverbalconsentofaparentor |
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| 59 | 59 | | 47guardianwhoispresentatthetimewhenprovisionoradministrationoftheepinephrineauto- |
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| 60 | 60 | | 48injectorisneeded.Provided,however,thatapersonmayprovideoradministeran |
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| 61 | 61 | | 49epinephrineauto-injectortosuchanindividualwithouttheconsentofaparentorguardianif |
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| 62 | 62 | | 50theparentorguardianisnotphysicallypresentandthepersonreasonablybelievesthe |
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| 63 | 63 | | 51individualshallbeinimminentdangerwithouttheprovisionoradministrationofthe |
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| 64 | 64 | | 52epinephrineauto-injector. |
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| 65 | 65 | | HB97 2 53 7.Thefollowingpersonsandentitiesshallnotbeliableforanyinjuriesorrelated |
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| 66 | 66 | | 54damagesthatresultfromtheadministrationorself-administrationofanepinephrineauto- |
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| 67 | 67 | | 55injectorinaccordancewiththissectionthatmayconstituteordinarynegligence: |
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| 68 | 68 | | 56 (1)Anauthorizedentitythatpossessesandmakesavailableepinephrineauto- |
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| 69 | 69 | | 57injectorsanditsemployees,agents,andothertrainedpersons; |
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| 70 | 70 | | 58 (2)Anypersonwhousesanepinephrineauto-injectormadeavailableunderthis |
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| 71 | 71 | | 59section; |
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| 72 | 72 | | 60 (3)Aphysicianthatprescribesepinephrineauto-injectorstoanauthorizedentity;or |
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| 73 | 73 | | 61 (4)Anypersonorentitythatconductsthetrainingdescribedinthissection. |
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| 74 | 74 | | 62 |
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| 75 | 75 | | 63Suchimmunitydoesnotapplytoactsoromissionsconstitutingarecklessdisregardforthe |
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| 76 | 76 | | 64safetyofothersorwillfulorwantonconduct.Theadministrationofanepinephrineauto- |
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| 77 | 77 | | 65injectorinaccordancewiththissectionshallnotbeconsideredthepracticeofmedicine.The |
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| 78 | 78 | | 66immunityfromliabilityprovidedunderthissubsectionisinadditiontoandnotinlieuofthat |
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| 79 | 79 | | 67providedundersection537.037.Anauthorizedentitylocatedinthisstateshallnotbeliable |
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| 80 | 80 | | 68foranyinjuriesorrelateddamagesthatresultfromtheprovisionoradministrationofan |
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| 81 | 81 | | 69epinephrineauto-injectorbyitsemployeesoragentsoutsideofthisstateiftheentityorits |
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| 82 | 82 | | 70employeeoragentisnotliableforsuchinjuriesorrelateddamagesunderthelawsofthestate |
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| 83 | 83 | | 71inwhichsuchprovisionoradministrationoccurred.Notrainedpersonwhoisincompliance |
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| 84 | 84 | | 72withthissectionandwhoingoodfaithandexercisingreasonablecarefailstoadministeran |
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| 85 | 85 | | 73epinephrineauto-injectorshallbeliableforsuchfailure. |
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| 86 | 86 | | 74 8.Allbasiclifesupportambulancesandstretchervansoperatedinthestateshallbe |
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| 87 | 87 | | 75equippedwithepinephrineauto-injectorsandbestaffedbyatleastoneindividualtrainedin |
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| 88 | 88 | | 76theuseofepinephrineauto-injectors. |
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| 89 | 89 | | 77 9.Theprovisionsofthissectionshallapplyinallcountieswithinthestateandany |
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| 90 | 90 | | 78citynotwithinacounty. |
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| 91 | 91 | | 79 10.Nothinginthissectionshallbeconstruedassupersedingtheprovisionsofsection |
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| 92 | 92 | | 80167.630. |
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| 93 | 93 | | 210.225.1.(1)BeforeJuly1,2027,eachlicensedchildcareprovidershalladopt |
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| 94 | 94 | | 2apolicyonallergypreventionandresponsewithprioritygiventoaddressingpotentially |
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| 95 | 95 | | 3deadlyfood-borneallergies.Suchpolicyshallcontain,butshallnotbelimitedto,the |
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| 96 | 96 | | 4followingelements: |
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| 97 | 97 | | 5 (a)Distinguishingbetweenbuilding-wide,room-level,andindividualapproaches |
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| 98 | 98 | | 6toallergypreventionandmanagement; |
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| 99 | 99 | | 7 (b)Providinganage-appropriateresponsetobuilding-levelandroom-level |
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| 100 | 100 | | 8allergyeducationandprevention; |
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| 101 | 101 | | HB97 3 9 (c)Describingtheroleofchildcarefacilitystaffindetermininghowtomanage |
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| 102 | 102 | | 10anallergyproblem,whetherthroughaplanpreparedforachildunderSection504of |
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| 103 | 103 | | 11theRehabilitationActof1973,asamended,forachildwithanallergythathasbeen |
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| 104 | 104 | | 12determinedtobeadisability,anindividualizedhealthplanforachildwhohasan |
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| 105 | 105 | | 13allergythatisnotdisabling,oranotherallergymanagementplan; |
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| 106 | 106 | | 14 (d)Describingtheroleofotherchildrenandparentsincooperatingtoprevent |
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| 107 | 107 | | 15andmitigateallergies; |
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| 108 | 108 | | 16 (e)Addressingconfidentialityissuesinvolvedwithsharingmedicalinformation, |
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| 109 | 109 | | 17includingspecifyingwhenparentalpermissionisrequiredtomakemedicalinformation |
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| 110 | 110 | | 18available;and |
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| 111 | 111 | | 19 (f)Coordinatingwiththedepartmentofelementaryandsecondaryeducation, |
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| 112 | 112 | | 20localhealthauthorities,andotherappropriateentitiestoensureefficientpromulgation |
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| 113 | 113 | | 21ofaccurateinformationandtoensurethatexistingchildcarefacilitysafetyand |
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| 114 | 114 | | 22environmentalpoliciesdonotconflict. |
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| 115 | 115 | | 23 (2)Suchpoliciesmaycontaininformationfromorlinkstochildcarefacility |
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| 116 | 116 | | 24allergypreventioninformationfurnishedbythefoodallergyandanaphylaxisnetwork |
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| 117 | 117 | | 25orequivalentorganizationwithamedicaladvisoryboardthathasallergyspecialists. |
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| 118 | 118 | | 26 2.Thedepartmentofelementaryandsecondaryeducationshall,incooperation |
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| 119 | 119 | | 27withanyappropriateprofessionalassociation,developamodelpolicyorpoliciesbefore |
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| 120 | 120 | | 28July1,2026. |
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| 121 | 121 | | ✔ |
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| 122 | 122 | | HB97 4 |
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