Missouri 2025 Regular Session

Missouri Senate Bill SB166 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1
2	2		FIRST REGULAR SESSION
3		-	[PERFECTED]
4		-	SENATE SUBSTITUTE FOR
5	3		SENATE COMMITTEE SUBSTITUTE FOR
6	4		SENATE BILLS NOS. 166 & 155
7	5		103RD GENERAL ASSEMBLY
8		-	INTRODUCED BY SENATOR GREGORY (21).
9		-	0979S.06P KRISTINA MARTIN, Secretary
	6	+	0979S.03C KRISTINA MARTIN, Secretary
10	7		AN ACT
11	8		To amend chapter 160, RSMo, by adding thereto one new section relating to cardiac emergency
12	9		response plans.
13	10
14	11		Be it enacted by the General Assembly of the State of Missouri, as follows:
15	12		Section A. Chapter 160, RSMo, is amended by adding thereto 1
16	13		one new section, to be known as section 160.482, to read as 2
17	14		follows:3
18	15		160.482. 1. As used in this section, the following 1
19	16		terms mean: 2
20	17		(1) "Automated external defibrillator" or "A ED", a 3
21	18		lightweight, portable device that: 4
22	19		(a) Is used to administer an electric shock through 5
23	20		the chest wall to the heart; 6
24	21		(b) Has built-in computers within the device to assess 7
25	22		the patient's heart rhythm, determine whether defibrillation 8
26	23		is needed, and administer the shock; 9
27	24		(c) Has audible or visual prompts, or both, to guide 10
28	25		the user through the process; 11
29	26		(d) Has received approval from the U.S. Food and Drug 12
30	27		Administration of its pre -market modification filed under 21 13
31		-	U.S.C. Section 360(k), as amended; 14 ~~SS SCS SBs 166 & 155 2~~
	28	+	U.S.C. Section 360(k), as amended; 14
32	29		(e) Is capable of recognizing the presence or absence 15
33	30		of ventricular fibrillation and rapid ventricular 16
34		-	tachycardia and is capable of determining without 17
	31	+	tachycardia and is capable of determining without 17 SCS SBs 166 & 155 2
35	32		intervention by an operator whether defibrillation should be 18
36	33		performed; and 19
37	34		(f) Upon determining defibrillation should be 20
38	35		performed, either automatically charges and delivers an 21
39	36		electrical impulse to an individual's heart or charges and 22
40	37		delivers an electrical impulse at the command of the 23
41	38		operator; 24
42	39		(2) "Cardiopulmonary resuscitation" or "CPR", a 25
43	40		combination of rescue breathing, chest compressions, and 26
44	41		external cardiac massage used to sustain an individual's 27
45	42		life until advanced assistance arrives; 28
46	43		(3) "Defibrillation", administering an electrical 29
47	44		impulse to an individual's heart in order to stop 30
48	45		ventricular fibrillation or rapid ventricular tachycardia; 31
49	46		(4) "Emergency services provider", any public 32
50	47		employer, or ground or air ambulance service as those terms 33
51	48		are used in chapter 190, that employs persons to provide 34
52	49		fire fighting, dispatching services, and emergency medical 35
53	50		services; 36
54	51		(5) "Extracurricular event", any school -sponsored 37
55	52		program or voluntary activity sponsored by the school, local 38
56	53		education agency, or an organization sa nctioned by the local 39
57		-	education agency ~~or charter school~~ at which students compete 40
58		-	~~for the purpose~~ of: 41
	54	+	education agency at which students compete for the purpose 40
	55	+	of: 41
59	56		(a) Receiving an award, rating, recognition, or 42
60	57		criticism; 43
61		-	(b) Qualifying for additional ~~com petition~~; or 44 ~~SS SCS SBs 166 & 155 3~~
	58	+	(b) Qualifying for additional competition; or 44
62	59		(c) Preparing for and involvement in public 45
63	60		performances, contests, athletic competitions, 46
64	61		demonstrations, displays, and club activities; 47
65	62		(6) "Project ADAM (Automated Defibrillators in Adam's 48
66		-	Memory)", a national, nonprofit ~~orga nization~~ focused on 49
	63	+	Memory)", a national, nonprofit organization focused on 49 SCS SBs 166 & 155 3
67	64		education around preventing and planning to respond to 50
68	65		cardiac arrest; 51
69	66		(7) "Protocol", currently approved and accepted 52
70	67		procedures describing specific steps a provider is required 53
71	68		to follow in assessing and treating a patient; 54
72	69		(8) "Public school", the same definition as in section 55
73		-	160.011. The term shall be construed to include a charter 56
74		-	school; 57
75		-	(9) "School campus", any public school building or 58
76		-	cluster of buildings, and grounds around such public school 59
77		-	building or cluster of buildings, used for any public school 60
78		-	purpose including, but not limited to, an extracurricular 61
79		-	activity, organized physical activity courses, early 62
80		-	childhood education programs, or school district 63
81		-	administration; 64
82		-	(10) "School personnel", a school district or charter 65
83		-	school employee approved by the school board of the school 66
84		-	district or governing board of the charter school or a 67
85		-	contract employee of the school district or charter school 68
86		-	who is required to follow school policy a nd procedures; 69
87		-	(11) "School-sponsored event", any event or activity 70
88		-	sponsored by the public school or school district including, 71
89		-	but not limited to, athletic events, booster clubs, parent - 72
90		-	teacher organizations, or any activity designed to enhance 73
91		-	the school curriculum whether on the school campus or not; 74
92		-	(12) "Sudden cardiac arrest", a condition that occurs 75
93		-	when the heart malfunctions and stops beating unexpectedly, 76 SS SCS SBs 166 & 155 4
94		-	is due to abnormal heart rhythms called arrhythmias, and is 77
95		-	generally the result of some underlying form of heart 78
96		-	disease; 79
97		-	(13) "Ventricular fibrillation", the most common 80
98		-	arrhythmia that causes cardiac arrest and a condition in 81
99		-	which the heart's electrical impulses suddenly become 82
100		-	chaotic, often without warning, caus ing the heart's pumping 83
101		-	action to stop abruptly. 84
102		-	2. For the 2026-27 school year and all subsequent 85
103		-	school years, each public school shall develop and implement 86
104		-	a cardiac emergency response plan that addresses the 87
105		-	appropriate use of school personn el to respond to incidents 88
106		-	involving an individual experiencing sudden cardiac arrest 89
107		-	or a similar life-threatening emergency while on a school 90
108		-	campus. 91
109		-	3. Members of each public school's administration 92
110		-	shall coordinate directly with local emergen cy services 93
111		-	providers to integrate the public school's cardiac emergency 94
112		-	response plan into the local emergency services providers' 95
113		-	protocols. A cardiac emergency response plan shall 96
114		-	integrate evidence-based core elements, such as those 97
115		-	recommended by the American Heart Association guidelines, 98
116		-	Project ADAM, or another set of nationally recognized, 99
117		-	evidence-based standards or core elements. 100
118		-	4. The cardiac emergency response plan shall 101
119		-	integrate, at a minimum, the following core elements: 102
120		-	(1) Establishment of a cardiac emergency response team; 103
121		-	(2) Activation of the team in response to a sudden 104
122		-	cardiac arrest; 105
123		-	(3) Implementation of AED placement and routine 106
124		-	maintenance throughout the school campus; 107 SS SCS SBs 166 & 155 5
125		-	(4) Dissemination of the plan throughout the school 108
126		-	campus; 109
127		-	(5) Maintenance of ongoing staff training in CPR and 110
128		-	AED use; 111
129		-	(6) Practice of the cardiac emergency response plan 112
130		-	using drills annually; 113
131		-	(7) Integration of the plan into the local emergency 114
132		-	services providers' protocols; and 115
133		-	(8) Both annual and continuous reviews and evaluations 116
134		-	of the plan. 117
135		-	5. Appropriate AED placement shall be dictated by the 118
136		-	cardiac emergency response plan and in accordance with 119
137		-	guidelines set by the American Hear t Association or 120
138		-	nationally recognized guidelines focused on emergency 121
139		-	cardiovascular care. An AED should be identified with 122
140		-	appropriate signage and be on -site or placed and made 123
141		-	available in an unlocked location on school property. 124
142		-	6. For schools with an athletic department or 125
143		-	organized school athletic program, an automated external 126
144		-	defibrillator shall be clearly marked and easily accessible 127
145		-	in an unlocked location at each school athletic venue and 128
146		-	event. The AED shall be accessible during the school day 129
147		-	and any school-sponsored athletic event or team practice in 130
148		-	which pupils of the school are participating. It is 131
149		-	recommended, to the extent possible, that the governing body 132
150		-	of a public school shall make the best effort possible to 133
151		-	ensure that the AED placement as described in this 134
152		-	subsection is accessible within three minutes of cardiac 135
153		-	arrest. 136
154		-	7. Appropriate school personnel shall be certified in 137
155		-	first aid, CPR, and AED use following guidelines set forth 138
156		-	by the American Heart Association or nationally recognized 139 SS SCS SBs 166 & 155 6
157		-	guidelines focused on emergency cardiovascular care. The 140
158		-	school personnel required to be certified shall be 141
159		-	determined by the cardiac emergency response plan and shall 142
160		-	include, but shall not be limited to, athleti c coaches, 143
161		-	school nurses, and athletic trainers. 144
162		-	8. Nothing contained in this section shall be 145
163		-	construed to create a cause of action against a school 146
164		-	district, charter school, or any personnel of a school 147
165		-	district or charter school. 148
	70	+	160.011; 56
	71	+	(9) "School campus", any public school building or 57
	72	+	cluster of buildings, and grounds around such public school 58
	73	+	building or cluster of buildings, used for any public school 59
	74	+	purpose including, but not limited to, an extracurricular 60
	75	+	activity, organized physical activity courses, early 61
	76	+	childhood education programs, or school district 62
	77	+	administration; 63
	78	+	(10) "School personnel", a school district employee 64
	79	+	approved by the school board or a contract employee of the 65
	80	+	school district who is req uired to follow school policy and 66
	81	+	procedures; 67
	82	+	(11) "School-sponsored event", any event or activity 68
	83	+	sponsored by the public school or school district including, 69
	84	+	but not limited to, athletic events, booster clubs, parent - 70
	85	+	teacher organizations, or a ny activity designed to enhance 71
	86	+	the school curriculum whether on the school campus or not; 72
	87	+	(12) "Sudden cardiac arrest", a condition that occurs 73
	88	+	when the heart malfunctions and stops beating unexpectedly, 74
	89	+	is due to abnormal heart rhythms called ar rhythmias, and is 75
	90	+	generally the result of some underlying form of heart 76
	91	+	disease; 77
	92	+	(13) "Ventricular fibrillation", the most common 78
	93	+	arrhythmia that causes cardiac arrest and a condition in 79
	94	+	which the heart's electrical impulses suddenly become 80 SCS SBs 166 & 155 4
	95	+	chaotic, often without warning, causing the heart's pumping 81
	96	+	action to stop abruptly. 82
	97	+	2. For the 2026-27 school year and all subsequent 83
	98	+	school years, each public school shall develop and implement 84
	99	+	a cardiac emergency response plan that addresses the 85
	100	+	appropriate use of school personnel to respond to incidents 86
	101	+	involving an individual experiencing sudden cardiac arrest 87
	102	+	or a similar life-threatening emergency while on a school 88
	103	+	campus. 89
	104	+	3. Members of each public school's administration 90
	105	+	shall coordinate directly with local emergency services 91
	106	+	providers to integrate the public school's cardiac emergency 92
	107	+	response plan into the local emergency services providers' 93
	108	+	protocols. A cardiac emergency response plan shall 94
	109	+	integrate evidence-based core elements, such as those 95
	110	+	recommended by the American Heart Association guidelines, 96
	111	+	Project ADAM, or another set of nationally recognized, 97
	112	+	evidence-based standards or core elements. 98
	113	+	4. The cardiac emergency response plan shall 99
	114	+	integrate, at a minimum, th e following core elements: 100
	115	+	(1) Establishment of a cardiac emergency response team; 101
	116	+	(2) Activation of the team in response to a sudden 102
	117	+	cardiac arrest; 103
	118	+	(3) Implementation of AED placement and routine 104
	119	+	maintenance throughout the school camp us; 105
	120	+	(4) Dissemination of the plan throughout the school 106
	121	+	campus; 107
	122	+	(5) Maintenance of ongoing staff training in CPR and 108
	123	+	AED use; 109
	124	+	(6) Practice of the cardiac emergency response plan 110
	125	+	using drills annually; 111 SCS SBs 166 & 155 5
	126	+	(7) Integration of the plan into the local emergency 112
	127	+	services providers' protocols; and 113
	128	+	(8) Both annual and continuous reviews and evaluations 114
	129	+	of the plan. 115
	130	+	5. Appropriate AED placement shall be dictated by the 116
	131	+	cardiac emergency response plan and in accordance with 117
	132	+	guidelines set by the American Heart Association or 118
	133	+	nationally recognized guidelines focused on emergency 119
	134	+	cardiovascular care. An AED should be identified with 120
	135	+	appropriate signage and be on -site or placed and made 121
	136	+	available in an unlocked location on sch ool property. 122
	137	+	6. For schools with an athletic department or 123
	138	+	organized school athletic program, an automated external 124
	139	+	defibrillator shall be clearly marked and easily accessible 125
	140	+	in an unlocked location at each school athletic venue and 126
	141	+	event. The AED shall be accessible during the school day 127
	142	+	and any school-sponsored athletic event or team practice in 128
	143	+	which pupils of the school are participating. An AED should 129
	144	+	be placed on a person experiencing cardiac arrest within 130
	145	+	three minutes. 131
	146	+	7. Appropriate school personnel shall be certified in 132
	147	+	first aid, CPR, and AED use following guidelines set forth 133
	148	+	by the American Heart Association or nationally recognized 134
	149	+	guidelines focused on emergency cardiovascular care. The 135
	150	+	school personnel required to be certified shall be 136
	151	+	determined by the cardiac emergency response plan and shall 137
	152	+	include, but shall not be limited to, athletic coaches, 138
	153	+	school nurses, and athletic trainers. 139
166	154		