Missouri 2025 Regular Session

Missouri Senate Bill SB704 Compare Versions

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22 EXPLANATION-Matter enclosed in bold-faced brackets [thus] in this bill is not enacted
33 and is intended to be omitted in the law.
44 FIRST REGULAR SESSION
55 SENATE BILL NO. 704
66 103RD GENERAL ASSEMBLY
77 INTRODUCED BY SENATOR NICOLA.
88 2672S.04I KRISTINA MARTIN, Secretary
99 AN ACT
1010 To repeal sections 210.115, 568.045, 568.050, 568.060, and 578.421, RSMo, and to enact in lieu
1111 thereof five new sections relating to child protection, with penalty provisions.
1212
1313 Be it enacted by the General Assembly of the State of Missouri, as follows:
1414 Section A. Sections 210.115, 568.045, 568.050, 568.060, 1
1515 and 578.421, RSMo, are repealed and five new sections enact ed 2
1616 in lieu thereof, to be known as sections 210.115, 568.045, 3
1717 568.050, 568.060, and 578.421, to read as follows:4
1818 210.115. 1. When any physician, medical examiner, 1
1919 coroner, dentist, chiropractor, optometrist, podiatrist, 2
2020 resident, intern, nurse, h ospital or clinic personnel that 3
2121 are engaged in the examination, care, treatment or research 4
2222 of persons, and any other health practitioner, psychologist, 5
2323 mental health professional, social worker, day care center 6
2424 worker or other child -care worker, juvenile officer, 7
2525 probation or parole officer, jail or detention center 8
2626 personnel, teacher, principal or other school official, 9
2727 minister as provided by section 352.400, peace officer or 10
2828 law enforcement official, volunteer or personnel of a 11
2929 community service program that offers support services for 12
3030 families in crisis to assist in the delegation of any powers 13
3131 regarding the care and custody of a child by a properly 14
3232 executed power of attorney pursuant to sections 475.600 to 15
3333 475.604, or other person with re sponsibility for the care of 16
3434 children has reasonable cause to suspect that a child has 17 SB 704 2
3535 been or may be subjected to abuse or neglect or observes a 18
3636 child being subjected to conditions or circumstances which 19
3737 would reasonably result in abuse or neglect, th at person 20
3838 shall immediately report to the division in accordance with 21
3939 the provisions of sections 210.109 to 210.183. No internal 22
4040 investigation shall be initiated until such a report has 23
4141 been made. As used in this section, the term "abuse" is not 24
4242 limited to abuse inflicted by a person responsible for the 25
4343 child's care, custody and control as specified in section 26
4444 210.110, but shall also include abuse inflicted by any other 27
4545 person. 28
4646 2. If two or more members of a medical institution who 29
4747 are required to report jointly have knowledge of a known or 30
4848 suspected instance of child abuse or neglect, a single 31
4949 report may be made by a designated member of that medical 32
5050 team. Any member who has knowledge that the member 33
5151 designated to report has failed to do so shall thereafter 34
5252 immediately make the report. Nothing in this section, 35
5353 however, is meant to preclude any person from reporting 36
5454 abuse or neglect. 37
5555 3. The reporting requirements under this section are 38
5656 individual, and no supervisor or administ rator may impede or 39
5757 inhibit any reporting under this section. No person making 40
5858 a report under this section shall be subject to any 41
5959 sanction, including any adverse employment action, for 42
6060 making such report. Every employer shall ensure that any 43
6161 employee required to report pursuant to subsection 1 of this 44
6262 section has immediate and unrestricted access to 45
6363 communications technology necessary to make an immediate 46
6464 report and is temporarily relieved of other work duties for 47
6565 such time as is required to mak e any report required under 48
6666 subsection 1 of this section. 49 SB 704 3
6767 4. Notwithstanding any other provision of sections 50
6868 210.109 to 210.183[,] to the contrary: 51
6969 (1) Any child who does not receive specified medical 52
7070 treatment by reason of the legitimate pr actice of the 53
7171 religious belief of the child's parents, guardian, or others 54
7272 legally responsible for the child, for that reason alone, 55
7373 shall not be found to be an abused or neglected child, and 56
7474 such parents, guardian or other persons legally responsible 57
7575 for the child shall not be entered into the central 58
7676 registry. However, the division may accept reports 59
7777 concerning such a child and may subsequently investigate or 60
7878 conduct a family assessment as a result of that report , but 61
7979 shall not investigate or co nduct a family assessment for the 62
8080 sole reason that the child's parent, guardian, or other 63
8181 person responsible for the child's care, custody, and 64
8282 control refuses to affirm or otherwise recognize the child's 65
8383 sexual orientation or gender identity if such i dentity 66
8484 differs from the child's biological sex, as such term is 67
8585 defined in section 191.1720, or if he or she refuses to 68
8686 assist or consent to the child's gender transition, as such 69
8787 term is defined in section 191.1720 . Such an exception 70
8888 shall not limit the administrative or judicial authority of 71
8989 the state to ensure that medical services are provided to 72
9090 the child when the child's health requires it ; provided, 73
9191 that such medical services shall not include services 74
9292 prohibited under section 191.1720; 75
9393 (2) A child shall not be considered abused or 76
9494 neglected for the sole reason that the child's parent, 77
9595 guardian, or other person responsible for the child's care, 78
9696 custody, and control refuses to affirm or otherwise 79
9797 recognize the child's sexual orient ation or gender identity 80
9898 if such identity differs from the child's biological sex, as 81 SB 704 4
9999 such term is defined in section 191.1720, and such parent, 82
100100 guardian, or other person responsible for the child's care, 83
101101 custody, and control shall not be entered into the central 84
102102 registry. The division shall not investigate or conduct a 85
103103 family assessment for the sole reason that the child's 86
104104 parent, guardian, or other person responsible for the 87
105105 child's care, custody, and control refuses to affirm or 88
106106 otherwise recognize the child's sexual orientation or gender 89
107107 identity if such identity differs from the child's 90
108108 biological sex, as such term is defined in section 191.1720 . 91
109109 5. In addition to those persons and officials required 92
110110 to report actual or suspected abus e or neglect, any other 93
111111 person may report in accordance with sections 210.109 to 94
112112 210.183 if such person has reasonable cause to suspect that 95
113113 a child has been or may be subjected to abuse or neglect or 96
114114 observes a child being subjected to conditions or 97
115115 circumstances which would reasonably result in abuse or 98
116116 neglect. 99
117117 6. Any person or official required to report pursuant 100
118118 to this section, including employees of the division, who 101
119119 has probable cause to suspect that a child who is or may be 102
120120 under the age of eighteen, who is eligible to receive a 103
121121 certificate of live birth, has died shall report that fact 104
122122 to the appropriate medical examiner or coroner. If, upon 105
123123 review of the circumstances and medical information, the 106
124124 medical examiner or coroner det ermines that the child died 107
125125 of natural causes while under medical care for an 108
126126 established natural disease, the coroner, medical examiner 109
127127 or physician shall notify the division of the child's death 110
128128 and that the child's attending physician shall be signi ng 111
129129 the death certificate. In all other cases, the medical 112
130130 examiner or coroner shall accept the report for 113 SB 704 5
131131 investigation, shall immediately notify the division of the 114
132132 child's death as required in section 58.452 and shall report 115
133133 the findings to the chi ld fatality review panel established 116
134134 pursuant to section 210.192. 117
135135 7. Any person or individual required to report may 118
136136 also report the suspicion of abuse or neglect to any law 119
137137 enforcement agency or juvenile office. Such report shall 120
138138 not, however, take the place of reporting to the division. 121
139139 8. If an individual required to report suspected 122
140140 instances of abuse or neglect pursuant to this section has 123
141141 reason to believe that the victim of such abuse or neglect 124
142142 is a resident of another state or w as injured as a result of 125
143143 an act which occurred in another state, the person required 126
144144 to report such abuse or neglect may, in lieu of reporting to 127
145145 the Missouri children's division, make such a report to the 128
146146 child protection agency of the other state wi th the 129
147147 authority to receive such reports pursuant to the laws of 130
148148 such other state. If such agency accepts the report, no 131
149149 report is required to be made, but may be made, to the 132
150150 children's division. 133
151151 9. For the purposes of providing supportive serv ices 134
152152 or verifying the status of a youth as unaccompanied or 135
153153 homeless for the purposes of accessing supportive services, 136
154154 the fact that a child is an unaccompanied youth as defined 137
155155 in 42 U.S.C. Section 11434a(6) is not, in and of itself, a 138
156156 sufficient basis for reporting child abuse or neglect, 139
157157 unless the child is under sixteen years of age or is an 140
158158 incapacitated person, as defined in section 475.010. 141
159159 Nothing in this subsection shall limit a mandated reporter 142
160160 from making a report under this section i f the mandated 143
161161 reporter knows or has reasonable cause to suspect that an 144 SB 704 6
162162 unaccompanied youth has been or may be a victim of abuse or 145
163163 neglect. 146
164164 568.045. 1. A person commits the offense of 1
165165 endangering the welfare of a child in the fir st degree if he 2
166166 or she: 3
167167 (1) Knowingly acts in a manner that creates a 4
168168 substantial risk to the life, body, or health of a child 5
169169 less than seventeen years of age; or 6
170170 (2) Knowingly engages in sexual conduct with a person 7
171171 under the age of seven teen years over whom the person is a 8
172172 parent, guardian, or otherwise charged with the care and 9
173173 custody; 10
174174 (3) Knowingly encourages, aids or causes a child less 11
175175 than seventeen years of age to engage in any conduct which 12
176176 violates the provisions of cha pter 571 or 579; 13
177177 (4) In the presence of a child less than seventeen 14
178178 years of age or in a residence where a child less than 15
179179 seventeen years of age resides, unlawfully manufactures or 16
180180 attempts to manufacture compounds, possesses, produces, 17
181181 prepares, sells, transports, tests or analyzes amphetamine 18
182182 or methamphetamine or any of its analogues. 19
183183 2. The offense of endangering the welfare of a child 20
184184 in the first degree is a class D felony unless the offense: 21
185185 (1) Is committed as part of an act or series of acts 22
186186 performed by two or more persons as part of an established 23
187187 or prescribed pattern of activity, or where physical injury 24
188188 to the child results, or the offense is a second or 25
189189 subsequent offense under this section, in which case the 26
190190 offense is a class C felony; 27
191191 (2) Results in serious physical injury to the child, 28
192192 in which case the offense is a class B felony; or 29 SB 704 7
193193 (3) Results in the death of a child, in which case the 30
194194 offense is a class A felony. 31
195195 3. A person does not com mit the offense of endangering 32
196196 the welfare of a child in the first degree if he or she 33
197197 refuses to affirm or recognize a child's sexual orientation 34
198198 or gender identity if such identity differs from the child's 35
199199 biological sex, as such term is defined in s ection 191.1720, 36
200200 or if he or she refuses to assist or consent to a child's 37
201201 gender transition, as such term is defined in section 38
202202 191.1720. 39
203203 568.050. 1. A person commits the offense of 1
204204 endangering the welfare of a child in the second degree if 2
205205 he or she: 3
206206 (1) With criminal negligence acts in a manner that 4
207207 creates a substantial risk to the life, body or health of a 5
208208 child less than seventeen years of age; or 6
209209 (2) Knowingly encourages, aids or causes a child less 7
210210 than seventeen years of age to engage in any conduct which 8
211211 causes or tends to cause the child to come within the 9
212212 provisions of paragraph (d) of subdivision (2) of subsection 10
213213 1 or subdivision (3) of subsection 1 of section 211.031; or 11
214214 (3) Being a parent, guardian or other person legally 12
215215 charged with the care or custody of a child less than 13
216216 seventeen years of age, recklessly fails or refuses to 14
217217 exercise reasonable diligence in the care or control of such 15
218218 child to prevent him or her from coming within the 16
219219 provisions of paragraph (c) of subdivision (1) of subsection 17
220220 1 or paragraph (d) of subdivision (2) of subsection 1 or 18
221221 subdivision (3) of subsection 1 of section 211.031; or 19
222222 (4) Knowingly encourages, aids or causes a child less 20
223223 than seventeen years of age to enter into any room, building 21 SB 704 8
224224 or other structure which is a public nuisance as defined in 22
225225 section 579.105. 23
226226 2. Nothing in this section shall be construed to mean 24
227227 the welfare of a child is endangered for the sole reason 25
228228 that he or she is being provided nonmedical remedial 26
229229 treatment recognized and permitted under the laws of this 27
230230 state. 28
231231 3. The offense of endangering the welfare of a child 29
232232 in the second degree is a class A misdemeanor unless the 30
233233 offense is committed as part of an act or series of acts 31
234234 performed by two or more persons as part of an established 32
235235 or prescribed pattern of activity, in which case the offense 33
236236 is a class E felony. 34
237237 4. A person does not commit the offense of endangering 35
238238 the welfare of a child in th e second degree if he or she 36
239239 refuses to affirm or recognize a child's sexual orientation 37
240240 or gender identity if such identity differs from the child's 38
241241 biological sex, as such term is defined in section 191.1720, 39
242242 or if he or she refuses to assist or cons ent to a child's 40
243243 gender transition, as such term is defined in section 41
244244 191.1720. 42
245245 568.060. 1. As used in this section, the following 1
246246 terms shall mean: 2
247247 (1) "Abuse", the infliction of physical, sexual, or 3
248248 mental injury against a child by any person eighteen years 4
249249 of age or older. For purposes of this section, abuse shall 5
250250 not include injury inflicted on a child by accidental means 6
251251 by a person with care, custody, or control of the child, or 7
252252 discipline of a child by a person wi th care, custody, or 8
253253 control of the child, including spanking, in a reasonable 9
254254 manner; 10 SB 704 9
255255 (2) "Abusive head trauma", a serious physical injury 11
256256 to the head or brain caused by any means, including but not 12
257257 limited to shaking, jerking, pushing, pulling, slamming, 13
258258 hitting, or kicking; 14
259259 (3) "Mental injury", an injury to the intellectual or 15
260260 psychological capacity or the emotional condition of a child 16
261261 as evidenced by an observable and substantial impairment of 17
262262 the ability of the child to function wi thin his or her 18
263263 normal range of performance or behavior; 19
264264 (4) "Neglect", the failure to provide, by those 20
265265 responsible for the care, custody, and control of a child 21
266266 under the age of eighteen years, the care reasonable and 22
267267 necessary to maintain the physical and mental health of the 23
268268 child, when such failure presents a substantial probability 24
269269 that death or physical injury or sexual injury would result; 25
270270 (5) "Physical injury", physical pain, illness, or any 26
271271 impairment of physical condition, incl uding but not limited 27
272272 to bruising, lacerations, hematomas, welts, or permanent or 28
273273 temporary disfigurement and impairment of any bodily 29
274274 function or organ; 30
275275 (6) "Serious emotional injury", an injury that creates 31
276276 a substantial risk of temporary or pe rmanent medical or 32
277277 psychological damage, manifested by impairment of a 33
278278 behavioral, cognitive, or physical condition. Serious 34
279279 emotional injury shall be established by testimony of 35
280280 qualified experts upon the reasonable expectation of 36
281281 probable harm to a reasonable degree of medical or 37
282282 psychological certainty; 38
283283 (7) "Serious physical injury", a physical injury that 39
284284 creates a substantial risk of death or that causes serious 40
285285 disfigurement or protracted loss or impairment of the 41
286286 function of any part of the body. 42 SB 704 10
287287 2. A person commits the offense of abuse or neglect of 43
288288 a child if such person knowingly causes a child who is less 44
289289 than eighteen years of age: 45
290290 (1) To suffer physical or mental injury as a result of 46
291291 abuse or neglect; or 47
292292 (2) To be placed in a situation in which the child may 48
293293 suffer physical or mental injury as the result of abuse or 49
294294 neglect. 50
295295 3. A person commits the offense of abuse or neglect of 51
296296 a child if such person recklessly causes a child who is less 52
297297 than eighteen years of age to suffer from abusive head 53
298298 trauma. 54
299299 4. A person does not commit the offense of abuse or 55
300300 neglect of a child by virtue of the sole fact that the 56
301301 person delivers or allows the delivery of a child to a 57
302302 provider of emergency services. 58
303303 5. A person does not commit the offense of abuse or 59
304304 neglect of a child by virtue of the sole fact that the 60
305305 person refuses to affirm or otherwise recognize a child's 61
306306 sexual orientation or gender identity if such identity 62
307307 differs from the child's biological sex, as such term is 63
308308 defined in section 191.1720. 64
309309 6. The offense of abuse or neglect of a child is: 65
310310 (1) A class D felony, without eligibility for 66
311311 probation, parole, or conditional release until the 67
312312 defendant has served no less tha n one year of such sentence, 68
313313 unless the person has previously been found guilty of a 69
314314 violation of this section or of a violation of the law of 70
315315 any other jurisdiction that prohibits the same or similar 71
316316 conduct or the injury inflicted on the child is a s erious 72
317317 emotional injury or a serious physical injury, in which case 73
318318 abuse or neglect of a child is a class B felony, without 74 SB 704 11
319319 eligibility for probation or parole until the defendant has 75
320320 served not less than five years of such sentence; or 76
321321 (2) A class A felony if the child dies as a result of 77
322322 injuries sustained from conduct chargeable under the 78
323323 provisions of this section. 79
324324 [6.] 7. Notwithstanding subsection [5] 6 of this 80
325325 section to the contrary, the offense of abuse or neglect of 81
326326 a child is a class A felony, without eligibility for 82
327327 probation, parole, or conditional release until the 83
328328 defendant has served not less than fifteen years of such 84
329329 sentence, if: 85
330330 (1) The injury is a serious emotional injury or a 86
331331 serious physical injury; 87
332332 (2) The child is less than fourteen years of age; and 88
333333 (3) The injury is the result of sexual abuse or sexual 89
334334 abuse in the first degree as defined under section 566.100 90
335335 or sexual exploitation of a minor as defined under section 91
336336 573.023. 92
337337 [7.] 8. The circuit or prosecuting attorney may refer 93
338338 a person who is suspected of abuse or neglect of a child to 94
339339 an appropriate public or private agency for treatment or 95
340340 counseling so long as the agency has consented to taking 96
341341 such referrals. Nothing in this subsection shall limit the 97
342342 discretion of the circuit or prosecuting attorney to 98
343343 prosecute a person who has been referred for treatment or 99
344344 counseling pursuant to this subsection. 100
345345 [8.] 9. Nothing in this section shall be construed to 101
346346 alter the requirement that every element of any crime 102
347347 referred to herein must be proven beyond a reasonable doubt. 103
348348 [9.] 10. Discipline, including spanking administered 104
349349 in a reasonable manner, shall not be construed to be abuse 105
350350 under this section. 106 SB 704 12
351351 578.421. 1. Sections 578.421 to 578.437 shall be 1
352352 known and may be cited as the "Missouri Criminal Street 2
353353 Gangs Prevention Act". 3
354354 2. As used in sections 578.421 to 578.437, the 4
355355 following terms mean: 5
356356 (1) "Criminal street gang", any ongoing organization, 6
357357 association, or group of three or more persons, whether 7
358358 formal or informal, having as one of its motivating 8
359359 activities the commission of one or more of the criminal 9
360360 acts enumerated in subdivision (2) of this subsection, whose 10
361361 members individually or collectively engage in or have 11
362362 engaged in a pattern of criminal gang activity; 12
363363 (2) "Pattern of criminal street gang activity", the 13
364364 commission, attempted commission, or solicitation of two or 14
365365 more of the following off enses, provided at least one of 15
366366 those offenses occurred after August 28, 1993, and the last 16
367367 of those offenses occurred within three years after a prior 17
368368 offense, and the offenses are committed on separate 18
369369 occasions, or by two or more persons: 19
370370 (a) Assault with a deadly weapon or by means of force 20
371371 likely to cause serious physical injury, as provided in 21
372372 sections 565.050 and 565.052; 22
373373 (b) Robbery, arson and those offenses under chapter 23
374374 569 which are related to robbery and arson; 24
375375 (c) Murder or manslaughter, as provided in sections 25
376376 565.020 to 565.024; 26
377377 (d) Any violation of the provisions of chapter 579 27
378378 which involves the distribution, delivery or manufacture of 28
379379 a substance prohibited by chapter 579; 29
380380 (e) Unlawful use of a weapon which is a felony 30
381381 pursuant to section 571.030; 31 SB 704 13
382382 (f) Tampering with witnesses and victims, as provided 32
383383 in section 575.270; 33
384384 (g) Promoting online sexual solicitation, as provided 34
385385 in section 566.103; 35
386386 (h) Sexual trafficking of a child in th e first degree, 36
387387 as provided in section 566.210; 37
388388 (i) Sexual trafficking of a child in the second 38
389389 degree, as provided in section 566.211; 39
390390 (j) Patronizing prostitution, as provided in 40
391391 subsection 4 of section 567.030; 41
392392 (k) Promoting prostitution in the first degree, as 42
393393 provided in section 567.050; 43
394394 (l) Promoting prostitution in the second degree, as 44
395395 provided in section 567.060; 45
396396 (m) Abuse or neglect of a child, as provided in 46
397397 subsection [6] 7 of section 568.060; 47
398398 (n) Sexual exploitation of a minor, as provided in 48
399399 section 573.023; 49
400400 (o) Child used in sexual performance, as provided in 50
401401 section 573.200; 51
402402 (p) Promoting sexual performance by a child, as 52
403403 provided in section 573.205; or 53
404404 (q) Any dangerous felony, a s defined in section 54
405405 556.061. 55
406406