EXPLANATION-Matter enclosed in bold-faced brackets [thus] in this bill is not enacted and is intended to be omitted in the law. FIRST REGULAR SESSION [PERFECTED] SENATE SUBSTITUTE FOR SENATE BILL NO. 61 103RD GENERAL ASSEMBLY INTRODUCED BY SENATOR BROWN (26). 0441S.06P KRISTINA MARTIN, Secretary AN ACT To repeal sections 324.009, 334.031, 334.035, 345.050, and 361.909, RSMo, and to enact in lieu thereof six new sections relating to professional licensing. Be it enacted by the General Assembly of the State of Missouri, as follows: Section A. Sections 324.009, 334.031, 334.035, 345.050, 1 and 361.909, RSMo, are repealed and six new sections enacted in 2 lieu thereof, to be known as sections 324.004, 324.009, 334.031, 3 334.035, 345.050, and 361.909, to read as follows:4 324.004. 1. Any person who has at least three years 1 of work experience in an occupation or profession i n another 2 state, the District of Columbia, or any combination of such 3 jurisdictions, and whose work experience involved the 4 practice of an occupation or profession for which a license 5 is not required in the jurisdiction or jurisdictions in 6 which the person worked but is required in this state, may 7 submit an application for a one -time nonrenewable two -year 8 temporary license in this state in the occupation or 9 profession, along with proof of at least three years of work 10 experience in the occupation or profession and a fee as set 11 by regulation of the oversight body, to the relevant 12 oversight body in this state. The oversight body shall make 13 SS SB 61 2 a determination of qualification within forty -five days of 14 receiving a completed application. 15 2. The oversight body shall require an applicant under 16 this section to take and pass the examination specific to 17 the occupation or profession which is required for licensure 18 by those individuals applying pursuant to the provisions of 19 the oversight body's statut ory and regulatory authority. An 20 oversight body that administers an examination on the laws 21 of this state as part of its licensing application 22 requirements may require an applicant under this section to 23 take and pass an examination specific to the law s of this 24 state. 25 3. The oversight body shall not issue a one -time 26 nonrenewable temporary license to any applicant described in 27 subsection 1 of this section who has had any license in the 28 relevant occupation or profession revoked by an oversight 29 body outside of this state, who is currently under 30 investigation, who has a complaint pending, or who is 31 currently under disciplinary action. 32 4. Applicants for the one -time nonrenewable temporary 33 license shall be citizens of the United States and shall 34 submit legal proof of citizenship as part of the application. 35 5. If an applicant is not currently residing in this 36 state, the oversight board shall conditionally approve the 37 application contingent upon receipt of proof of domicile in 38 this state within ninety days of the applicant receiving the 39 temporary license. If the applicant fails to provide proof 40 within ninety days of receiving the temporary license, the 41 oversight board may terminate the temporary license and the 42 applicant may reapply for a temporary license. 43 6. The provisions of this section shall not apply to 44 the following: 45 SS SB 61 3 (1) Any occupation whose oversight body has entered 46 into a licensing compact with another state for the 47 regulation of practice under the oversig ht body's 48 jurisdiction. The provisions of this section shall not be 49 construed to alter the authority granted by, or any 50 requirements promulgated pursuant to, any 51 interjurisdictional or interstate compacts adopted by this 52 state or any reciprocity agre ements with other states, and 53 whenever possible the provisions of this section shall be 54 interpreted so as to imply no conflict between it and any 55 compact or any reciprocity agreement with other states; 56 (2) Any occupation set forth in subsection 6 of 57 section 290.257 or any electrical contractor licensed under 58 sections 324.900 to 324.945; 59 (3) Any occupation whose regulators or licensees are 60 required to comply with specific federal statutory, 61 regulatory, and administrative requirements in or der to 62 practice in this state; or 63 (4) Assistant physicians licensed under chapter 334. 64 7. The one-time nonrenewable temporary license shall 65 expire after two years. Upon expiration, the individual 66 shall be required to apply for a permanent l icense in 67 accordance with the license requirements for the occupation 68 for which he or she held the temporary license. 69 8. Notwithstanding any other provision of law to the 70 contrary, a license issued under this section shall be valid 71 only in this state and shall not make a licensee eligible to 72 be part of an interstate compact. An applicant who is 73 licensed in another state pursuant to an interstate compact 74 shall not be eligible for licensure by an oversight body 75 under the provisions of this sect ion. 76 SS SB 61 4 9. Notwithstanding any other provision of law to the 77 contrary, a license issued under this section shall be valid 78 only in this state and shall not make a licensee eligible to 79 obtain a license by reciprocity in another state. 80 10. As used in this section, the term "oversight body" 81 means any board, department, agency, or office of a 82 jurisdiction that issues occupational or professional 83 licenses. 84 11. The division of professional registration may 85 promulgate rules to implement the pr ovisions of this 86 section. Any rule or portion of a rule, as that term is 87 defined in section 536.010, that is created under the 88 authority delegated in this section shall become effective 89 only if it complies with and is subject to all of the 90 provisions of chapter 536 and, if applicable, section 91 536.028. This section and chapter 536 are nonseverable and 92 if any of the powers vested with the general assembly 93 pursuant to chapter 536 to review, to delay the effective 94 date, or to disapprove and annul a r ule are subsequently 95 held unconstitutional, then the grant of rulemaking 96 authority and any rule proposed or adopted after August 28, 97 2025, shall be invalid and void. 98 324.009. 1. For purposes of this section, the 1 following terms mean: 2 (1) "License", a license, certificate, registration, 3 permit, accreditation, or military occupational speciality 4 that enables a person to legally practice an occupation or 5 profession in a particular jurisdiction; 6 (2) "Military", the Armed Forces of the United States 7 including the Air Force, Army, Coast Guard, Marine Corps, 8 Navy, Space Force, National Guard and any other military 9 branch that is designated by Congress as part of the Armed 10 SS SB 61 5 Forces of the United States, and all reserve compo nents and 11 auxiliaries. Such term also includes the military reserves 12 and militia of any United States territory or state; 13 (3) "Missouri law enforcement officer", any person 14 employed by or otherwise serving in a position for the state 15 or a local governmental entity in the state of Missouri as a 16 police officer, peace officer certified under chapter 590, 17 auxiliary police officer, sheriff, sheriff's deputy, member 18 of the patrol as that term is defined in section 43.010, or 19 in some like position i nvolving the enforcement of the law 20 and protection of the public interest at the risk of that 21 person's life and who is a permanent resident of the state 22 of Missouri or who is domiciled in the state of Missouri; 23 (4) "Nonresident military or law enforcement 24 spouse"[,]: 25 (a) A nonresident spouse of an active duty member of 26 the Armed Forces of the United States who has been 27 transferred or is scheduled to be transferred to the state 28 of Missouri, or who has been transferred or is scheduled to 29 be transferred to an adjacent state and is or will be 30 domiciled in the state of Missouri, or has moved to the 31 state of Missouri on a permanent change -of-station basis; or 32 (b) A nonresident spouse of a person residing outside 33 the state of Missouri w ho has accepted an offer of 34 employment with the state or a local governmental entity in 35 the state of Missouri and who will become a Missouri law 36 enforcement officer upon the commencement of such employment; 37 [(4)] (5) "Oversight body", any board, d epartment, 38 agency, or office of a jurisdiction that issues licenses; 39 [(5)] (6) "Resident military or law enforcement 40 spouse", a spouse of an active duty member of the Armed 41 Forces of the United States who has been transferred or is 42 SS SB 61 6 scheduled to be transferred to the state of Missouri or an 43 adjacent state and who is a permanent resident of the state 44 of Missouri, who is domiciled in the state of Missouri, or 45 who has Missouri as his or her home of record , or a spouse 46 of a Missouri law enforcement officer. 47 2. Any person who holds a valid current license issued 48 by another state, a branch or unit of the military, a 49 territory of the United States, or the District of Columbia, 50 and who has been licensed for at least one year in such 51 other jurisdiction, may submit an application for a license 52 in Missouri in the same occupation or profession, and at the 53 same practice level, for which he or she holds the current 54 license, along with proof of current licensure and proof of 55 licensure for at least one year in the other jurisdiction, 56 to the relevant oversight body in this state. 57 3. The oversight body in this state shall: 58 (1) Within six months of receiving an application 59 described in subsection 2 of this section, waive any 60 examination, educational, or experience requirements for 61 licensure in this state for the applicant if it determines 62 that there were minimum education requirements and, if 63 applicable, work experience and clinical supervision 64 requirements in effect and the other sta te verifies that the 65 person met those requirements in order to be licensed or 66 certified in that state. An oversight body that administers 67 an examination on laws of this state as part of its 68 licensing application requirement may require an applicant 69 to take and pass an examination specific to the laws of this 70 state; or 71 (2) Within thirty days of receiving an application 72 described in subsection 2 of this section from a nonresident 73 military or law enforcement spouse or a resident military or 74 SS SB 61 7 law enforcement spouse, waive any examination, educational, 75 or experience requirements for licensure in this state for 76 the applicant and issue such applicant a license under this 77 section if such applicant otherwise meets the requirements 78 of this section. 79 4. (1) The oversight body shall not waive any 80 examination, educational, or experience requirements for any 81 applicant who has had his or her license revoked by an 82 oversight body outside the state; who is currently under 83 investigation, who has a c omplaint pending, or who is 84 currently under disciplinary action, except as provided in 85 subdivision (2) of this subsection, with an oversight body 86 outside the state; who does not hold a license in good 87 standing with an oversight body outside the state; who has a 88 criminal record that would disqualify him or her for 89 licensure in Missouri; or who does not hold a valid current 90 license in the other jurisdiction on the date the oversight 91 body receives his or her application under this section. 92 (2) If another jurisdiction has taken disciplinary 93 action against an applicant, the oversight body shall 94 determine if the cause for the action was corrected and the 95 matter resolved. If the matter has not been resolved by 96 that jurisdiction, the oversight bod y may deny a license 97 until the matter is resolved. 98 5. Nothing in this section shall prohibit the 99 oversight body from denying a license to an applicant under 100 this section for any reason described in any section 101 associated with the occupation or pr ofession for which the 102 applicant seeks a license. 103 6. Any person who is licensed under the provisions of 104 this section shall be subject to the applicable oversight 105 body's jurisdiction and all rules and regulations pertaining 106 SS SB 61 8 to the practice of the licensed occupation or profession in 107 this state. 108 7. This section shall not be construed to waive any 109 requirement for an applicant to pay any fees, post any bonds 110 or surety bonds, or submit proof of insurance associated 111 with the license the applic ant seeks. 112 8. This section shall not apply to business, 113 professional, or occupational licenses issued or required by 114 political subdivisions. 115 9. The provisions of this section shall not impede an 116 oversight body's authority to require an appli cant to submit 117 fingerprints as part of the application process. 118 10. [The provisions of this section shall not apply to 119 an oversight body that has entered into a licensing compact 120 with another state for the regulation of practice under the 121 oversight body's jurisdiction. ] The provisions of this 122 section shall not be construed to alter the authority 123 granted by, or any requirements promulgated pursuant to, any 124 interjurisdictional or interstate compacts adopted by 125 Missouri statute or any reciprocit y agreements with other 126 states in effect [on August 28, 2018], and whenever possible 127 this section shall be interpreted so as to imply no conflict 128 between it and any compact, or any reciprocity agreements 129 with other states in effect [on August 28, 2018]. 130 11. Notwithstanding any other provision of law, a 131 license issued under this section shall be valid only in 132 this state and shall not make a licensee eligible to be part 133 of an interstate compact. An applicant who is licensed in 134 another state pursuant to an interstate compact shall not be 135 eligible for licensure by an oversight body under the 136 provisions of this section. 137 SS SB 61 9 12. The provisions of this section shall not apply to 138 any occupation set forth in subsection 6 of section 290.257, 139 or any electrical contractor licensed under sections 324.900 140 to 324.945. 141 334.031. 1. Candidates for licenses as physicians and 1 surgeons shall furnish [satisfactory evidence of their good 2 moral character, and their preliminary qualificati ons, to 3 wit: a certificate of graduation from an accredited high 4 school or its equivalent, and satisfactory evidence of 5 completion of preprofessional education consisting of a 6 minimum of sixty semester hours of college credits in 7 acceptable subjects leading towards the degree of bachelor 8 of arts or bachelor of science from an accredited college or 9 university. They shall also furnish satisfactory evidence 10 of having attended throughout at least four terms of thirty - 11 two weeks of actual instructions in each term and of having 12 received a diploma from some reputable medical college or 13 osteopathic college that enforces requirements of four terms 14 of thirty-two weeks for actual instruction in each term, 15 including, in addition to class work, such experi ence in 16 operative and hospital work during the last two years of 17 instruction as is required by the American Medical 18 Association and the American Osteopathic Association before 19 the college is approved and accredited as reputable. Any 20 medical college approved and accredited as reputable by the 21 American Medical Association or the Liaison Committee on 22 Medical Education and any osteopathic college approved and 23 accredited as reputable by the American Osteopathic 24 Association is deemed to have complied wi th the requirements 25 of this subsection]: 26 (1) Evidence of good moral character by submitting to 27 a criminal background check as provided in section 43.540; 28 SS SB 61 10 (2) A diploma and academic transcripts from a school 29 accredited by the Liaison Committe e on Medical Education, 30 the Commission on Osteopathic College Accreditation, the 31 Educational Commission for Foreign Medical Graduates 32 (ECFMG), or a similar accrediting agency; and 33 (3) A certificate demonstrating that the applicant has 34 satisfied the requirements of section 334.035. An applicant 35 who holds a valid certificate issued by the ECFMG shall 36 submit satisfactory evidence of successful completion of two 37 years of such training. Except as provided in subsection 3 38 of this section, the boar d shall not require applicants to 39 provide information regarding the internship or resident 40 training in addition to what the applicant is required to 41 furnish by this subsection . 42 2. In determining the qualifications necessary for 43 licensure as a qualified physician and surgeon, the board, 44 by rule and regulation, may accept the certificate of the 45 National Board of Medical Examiners of the United States, 46 chartered pursuant to the laws of the District of Columbia, 47 of the National Board of Examiners for Osteopathic 48 Physicians and Surgeons chartered pursuant to the laws of 49 the state of Indiana, or of the Licentiate of the Medical 50 Counsel of Canada (LMCC) in lieu of and as equivalent to its 51 own professional examination. Every applicant for a licens e 52 on the basis of such certificate, upon making application 53 showing necessary qualifications as provided in subsection 1 54 of this section, shall be required to pay the same fee 55 required of applicants to take the examination before the 56 board. 57 3. The board may require applicants to list all 58 licenses to practice as a physician currently or previously 59 held in any other state, territory, or country and to 60 SS SB 61 11 disclose any past or pending investigations, discipline, or 61 sanctions against each such licens e. 62 4. In addition to the criminal background screening 63 required by this section, the board may obtain a report on 64 the applicant from the National Practitioner Data Bank or 65 the Federation of State Medical Boards. 66 334.035. 1. For purposes of this section, the 1 following terms mean: 2 (1) "ACGME", the Accreditation Council for Graduate 3 Medical Education; 4 (2) "Applicant", an applicant for a permanent license 5 as a physician and surgeon; 6 (3) "Hospital", the same mea ning given to the term in 7 section 197.020. 8 2. Except as otherwise provided in section 334.036, 9 every applicant [for a permanent license as a physician and 10 surgeon] shall provide the board with satisfactory evidence 11 of having successfully complete d such postgraduate training 12 in hospitals or medical or osteopathic colleges as the board 13 may prescribe by rule. 14 3. Any applicant who has completed unaccredited 15 postgraduate training in a medical subspecialty for which no 16 program accredited by AC GME exists shall be deemed to have 17 satisfactorily completed the training requirements of 20 18 C.S.R. 2150-2.004(2) or any successor regulation if such 19 unaccredited postgraduate training occurred in a teaching 20 hospital accredited by ACGME. The training period shall be 21 equal to or exceed an accredited postgraduate training 22 program. 23 4. The board shall waive the training requirements of 24 20 C.S.R. 2150-2.004(2) or any successor regulation for any 25 applicant who is licensed as a physician in good stan ding in 26 SS SB 61 12 another state and has been in good standing more than three 27 years. 28 345.050. To be eligible for licensure by the board by 1 examination, each applicant shall submit the application fee 2 and shall furnish evidence of such person' s current 3 competence and shall: 4 (1) Hold a master's or a doctoral degree from a 5 program that was awarded "accreditation candidate" status or 6 is accredited by the Council on Academic Accreditation of 7 the American Speech-Language-Hearing Association or other 8 accrediting agency approved by the board in the area in 9 which licensure is sought; 10 (2) Submit official transcripts from one or more 11 accredited colleges or universities presenting evidence of 12 the completion of course work and clinical p racticum 13 requirements equivalent to that required by the Council on 14 Academic Accreditation of the American Speech -Language- 15 Hearing Association or other accrediting agency approved by 16 the board; 17 (3) Present written evidence of completion of a 18 clinical fellowship from supervisors. The experience 19 required by this subdivision shall follow the completion of 20 the requirements of subdivisions (1) and (2) of this 21 section. This period of employment shall be under the 22 direct supervision of a [person who is licensed by the state 23 of Missouri in the profession in which the applicant seeks 24 to be] licensed speech-language pathologist in good 25 standing. Persons applying with an audiology clinical 26 doctoral degree are exempt from this provision; and 27 (4) Pass an examination promulgated or approved by the 28 board. The board shall determine the subject and scope of 29 the examinations. 30 SS SB 61 13 361.909. Sections 361.900 to 361.1035 shall not apply 1 to: 2 (1) An operator of a payment system t o the extent that 3 it provides processing, clearing, or settlement services 4 between or among persons exempted under this section or 5 licensees in connection with wire transfers, credit card 6 transactions, debit card transactions, stored value 7 transactions, automated clearinghouse transfers, or similar 8 funds transfers; 9 (2) A person appointed as an agent of a payee to 10 collect and process a payment from a payer to the payee for 11 goods or services, other than money transmission itself, 12 provided to the payer by the payee, provided that: 13 (a) There exists a written agreement between the payee 14 and the agent directing the agent to collect and process 15 payments from a payer on the payee's behalf; 16 (b) The payee holds the agent out to the public as 17 accepting payments for goods or services on the payee's 18 behalf; and 19 (c) Payment for the goods and services is treated as 20 received by the payee upon receipt by the agent so that the 21 payer's obligation is extinguished and there is no risk of 22 loss to the payer if the agent fails to remit the funds to 23 the payee; 24 (3) A person that acts as an intermediary by 25 processing payments between an entity that has directly 26 incurred an outstanding money transmission obligation to a 27 sender and the sender's designated recipient, provided that 28 the entity: 29 (a) Is properly licensed or exempt from licensing 30 requirements under sections 361.900 to 361.1035; 31 SS SB 61 14 (b) Provides a receipt, electronic record, or other 32 written confirmation to the sender i dentifying the entity as 33 the provider of money transmission in the transaction; and 34 (c) Bears sole responsibility to satisfy the 35 outstanding money transmission obligation to the sender, 36 including the obligation to make the sender whole in 37 connection with any failure to transmit the funds to the 38 sender's designated recipient; 39 (4) The United States or a department, agency, or 40 instrumentality thereof, or its agent; 41 (5) Money transmission by the United States Postal 42 Service or by an age nt of the United States Postal Service; 43 (6) A state, county, city, or any other governmental 44 agency or governmental subdivision or instrumentality of a 45 state, or its agent; 46 (7) A federally insured depository financial 47 institution; bank holdi ng company; office of an 48 international banking corporation; foreign bank that 49 establishes a federal branch under the International Bank 50 Act, 12 U.S.C. Section 3102, as amended or recodified from 51 time to time; corporation organized under the Bank Servic e 52 Corporation Act, 12 U.S.C. Sections 1861 -1867, as amended or 53 recodified from time to time; or corporation organized under 54 the Edge Act, 12 U.S.C. Sections 611 -633, as amended or 55 recodified from time to time, under the laws of a state or 56 the United States; 57 (8) Electronic funds transfer of governmental benefits 58 for a federal, state, county, or governmental agency by a 59 contractor on behalf of the United States or a department, 60 agency, or instrumentality thereof, or on behalf of a state 61 or governmental subdivision, agency, or instrumentality 62 thereof; 63 SS SB 61 15 (9) A board of trade designated as a contract market 64 under the federal Commodity Exchange Act, 7 U.S.C. Sections 65 1-25, as amended or recodified from time to time, or a 66 person that, in the ordinary course of business, provides 67 clearance and settlement services for a board of trade to 68 the extent of its operation as or for such a board; 69 (10) A registered futures commission merchant under 70 the federal commodities laws to the extent of i ts operation 71 as such a merchant; 72 (11) A person registered as a securities broker -dealer 73 under federal or state securities laws to the extent of its 74 operation as such a broker -dealer; 75 (12) An individual employed by a licensee, authorized 76 delegate, or any person exempted from the licensing 77 requirements under sections 361.900 to 361.1035 if acting 78 within the scope of employment and under the supervision of 79 the licensee, authorized delegate, or exempted person as an 80 employee and not as an in dependent contractor; 81 (13) A person expressly appointed as a third -party 82 service provider to or agent of an entity exempt under 83 subdivision (7) of this section solely to the extent that: 84 (a) Such service provider or agent is engaging in 85 money transmission on behalf of and under a written 86 agreement with the exempt entity that sets forth the 87 specific functions that the service provider or agent is to 88 perform; and 89 (b) The exempt entity assumes all risk of loss and all 90 legal responsibility for satisfying the outstanding money 91 transmission obligations owed to purchasers and holders of 92 the outstanding money transmission obligations upon receipt 93 of the purchaser's or holder's money or monetary value by 94 the service provider or agent ; 95 SS SB 61 16 (14) A person appointed as an agent of a payor for 96 purposes of providing payroll processing services for which 97 the agent would otherwise need to be licensed, provided all 98 of the following apply: 99 (a) There is a written agreement between the payo r and 100 the agent that directs the agent to provide payroll 101 processing services on the payor's behalf; 102 (b) The payor holds the agent out to employees and 103 other payees as providing payroll processing services on the 104 payor's behalf; 105 (c) The payor's obligation to a payee, including an 106 employee or any other party entitled to receive funds via 107 the payroll processing services provided by the agent, shall 108 not be extinguished if the agent fails to remit the funds to 109 the payee. 110