Title XII — PUBLIC HEALTH AND WELFARE

191.305. Missouri genetic advisory committee created — purpose — appointment, terms — qualifications — expenses. — 1. The "Missouri Genetic Advisory Committee", consisting of fifteen members, is hereby created to advise the department in all genetic programs including metabolic d…

191.310. Duties of committee — liaison officers with mental health and education, appointment. — 1. The committee shall advise the department on the provision of genetic services to insure the following: (1) That high quality is maintained; (2) That genetic programs are responsiv…

191.315. Genetics program to be established by department — rules authorized — procedure. — 1. The department is hereby designated as administrator of a comprehensive genetics program which will provide genetic diagnosis, counseling, treatment, education and research. 2. The dire…

191.317. Confidentiality of all tests and personal information — exceptions — retention of specimens, procedure. — 1. All testing results and personal information obtained from any individual, or from specimens from any individual, shall be held confidential and be considered a c…

191.320. Genetic diagnostic and counseling services to be established — outreach centers, duties — referral for abortion, procedure, requirements. — The department may contract with tertiary genetic centers to provide genetic diagnostic and counseling services, to initiate and co…

191.323. Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects. — The department may: (1) Develop and implement programs of professional education for physicians, medical students, nurses, scientists, techn…

191.325. Cost of services, how paid — free to persons financially unable to pay — residency requirement. — Any person residing in the state of Missouri who is in need of genetic services and, as a person, can probably benefit from such services and who is otherwise financially un…

191.331. Infants to be tested for metabolic and genetic diseases — reports — exceptions — refusal to test — fee for screening test, department may impose by rule, use of fees — formula provided by department, when — assistance available, when. — 1. Every infant who is born in thi…

191.332. Supplemental newborn screening requirements — additional screenings — rulemaking authority. — 1. By January 1, 2002, the department of health and senior services shall, subject to appropriations, expand the newborn screening requirements in section 191.331 to include pot…

191.333. Citation of law — screening for lysosomal storage diseases — rulemaking authority — fee increase authorized. — 1. This section shall be known and may be cited as the "Brady Alan Cunningham Newborn Screening Act". 2. By July 1, 2012, the department of health and senior se…

191.334. Chloe's Law — critical congenital heart disease screening, requirements — rulemaking authority. — 1. This section shall be known and may be cited as "Chloe's Law". 2. Effective January 1, 2014, every newborn infant born in this state shall be screened for critical congen…

191.335. Hemophilia program established — state assistance, when. — 1. The department of health and senior services hereafter referred to as the department shall establish a program for the care and treatment of persons suffering from hemophilia. This program shall assist persons…

191.340. Hemophilia program — care and treatment — financial assistance — education — duties of department. — The department shall: (1) Assist in the development and expansion of programs for the care and treatment of persons suffering from hemophilia, including self-administrati…

191.360. Trained employee of end-stage renal disease facility may initiate dialysis — not unlawful practice of medicine. — It shall not be considered an unlawful practice of medicine pursuant to chapter 334 or a violation of any provision of chapter 335 for an employee of a certi…

191.362. Appropriately trained employees to have completed course in dialysis techniques. — Appropriately trained employees of certified end-stage renal disease facilities, excluding licensed physicians and registered professional nurses, who may initiate dialysis shall be those …

191.365. Sickle cell anemia — purposes of program — financial assistance, when. — 1. The department shall establish a program for the care and treatment of persons suffering from sickle cell anemia and the identification and counseling of individuals that have sickle cell trait. …

191.370. Sickle cell anemia, development of program for care and treatment — duties of department. — The department shall: (1) Assist in the development and expansion of programs for the care and treatment of persons suffering from sickle cell anemia; (2) Assist in the developmen…

191.375. Cystic fibrosis, program for care and treatment — financial assistance, when. — 1. The department shall establish a program for early and accurate diagnosis of persons suspected of having cystic fibrosis to avoid increasing lung damage and death as a result of delayed di…

191.380. Cystic fibrosis, duties of department. — The department shall: (1) Assist in the development and expansion of programs for the care and treatment of persons suffering from cystic fibrosis; (2) Extend financial assistance to persons suffering from cystic fibrosis in obtai…

191.400. State board of health and senior services — appointment — terms — qualifications — limitation on other employment, exception — vacancies — compensation — meetings. — 1. There is hereby created a "State Board of Health and Senior Services" which shall consist of nine memb…

191.411. System of coordinated health care services — health access incentive fund created, purpose — enhanced Medicaid payments — rules — annual report. — 1. The director of the department of health and senior services shall develop and implement a plan to define a system of coo…

191.425. Program established, eligibility — contracting authority — conditional on receipt of federal funding — sunset provision. — 1. Upon receipt of federal funding in accordance with subsection 4 of this section, there is hereby established within the department of health and …

191.430. Program established, purpose — department duties. — 1. There is hereby established within the department of health and senior services the "Health Professional Loan Repayment Program" to provide forgivable loans for the purpose of repaying existing loans related to appli…

191.435. Need for health care areas to be designated. — The department of health and senior services shall designate counties, communities, or sections of areas in the state as areas of defined need for health care, mental health, and public health services. If a county, communit…

191.440. Contracts for forgivable loans, contents — practice sites, stipulation of. — 1. The department of health and senior services shall enter into a contract with each individual qualifying for a forgivable loan under sections 191.430 to 191.450. The written contract between …

191.445. Fund created, use of moneys. — There is hereby created in the state treasury the "Health Professional Loan Incentive Fund", which shall consist of any appropriations made by the general assembly, all funds recovered from an individual under section 191.450, and all funds…

191.450. Failure to maintain acceptable employment status, liable for loan amount — recovery amount. — 1. An individual who enters into a written contract with the department of health and senior services, as described in section 191.440, and who fails to maintain an acceptable e…

191.480. Manufacturers may make investigational drugs and devices available to eligible patients, when — definitions — requirements. — 1. For purposes of this section, the following terms shall mean: (1) "Eligible patient", a person who meets all of the following: (a) Has a termi…

191.592. Grant program established — definitions — purpose — fund created, use of moneys — priority of expenditures — criteria, requirements — report — rulemaking authority — expiration date. — 1. For purposes of this section, the following terms mean: (1) "Department", the depar…

191.594. Citation of law — prevalence of depression and suicide study — prohibited acts — definitions. — 1. Sections 191.594 to 191.596 shall be known and may be cited as the "Show-Me Compassionate Medical Education Act". 2. No medical school in this state shall prohibit, discour…

191.596. Research project authorized — committee established, members, duties — center study, contents — annual report. — 1. Medical schools in this state may, in collaboration with the show-me compassionate medical education research project committee, conduct a single center or…

191.600. Loan repayment program established — program fund established — use. — 1. Sections 191.600 to 191.615 establish a loan repayment program for graduates of an accredited graduate training program in any discipline designated in rule by the department who practice in areas …

191.603. Definitions. — As used in sections 191.600 to 191.615, the following terms shall mean: (1) "Areas of defined need", areas designated by the department pursuant to section 191.605, when services are needed to improve the patient-health professional ratio in the area, to c…

191.605. Department to designate as areas of need — factors to be considered — allocation of appropriated funds. — 1. The department shall designate counties, communities, or sections of urban areas as areas of defined need for medical, psychiatric, or dental services when such c…

191.607. Qualifications for eligibility established by department. — The department shall adopt and promulgate regulations establishing standards for determining eligible persons for loan repayment pursuant to sections 191.600 to 191.615. These standards shall include, but are no…

191.609. Contract for repayment of loans, contents. — 1. The department shall enter into a contract with each individual qualifying for repayment of educational loans. The written contract between the department and an individual shall contain, but not be limited to, the followin…

191.611. Loan repayment program to cover certain loans — amount paid per year of obligated service — schedule of payments — communities sharing costs to be given first consideration. — 1. A loan payment provided for an individual under a written contract under the Missouri state …

191.614. Breach of contract for service obligation, penalties — recovery of amount paid by contributing community. — 1. If an individual breaches the written contract of the individual by failing either to begin such individual's service obligation or to complete such service obl…

191.615. Application for federal funds — insufficient funds, effect. — 1. The department shall submit a grant application to the Secretary of the United States Department of Health and Human Services as prescribed by the secretary to obtain federal funds to finance the Missouri s…

191.630. Definitions. — As used in sections 191.630 and 191.631, the following terms mean: (1) "Communicable disease", acquired immunodeficiency syndrome (AIDS), cutaneous anthrax, hepatitis in any form, human immunodeficiency virus (HIV), measles, meningococcal disease, mumps, p…

191.631. Testing for disease, consent deemed given, when — hospital to conduct testing, written policies and procedures required — notification for confirmed exposure, by whom — limitations on testing and duties of hospitals, coroners, and medical examiners — rules. — 1. (1) Notw…

191.640. Blood-borne pathogen standard required for occupational exposure of public employees to blood and other infectious materials — definitions — requirements of needleless system and sharps — violations, penalty. — 1. As used in this section, the following terms shall mean: …

191.645. Risk of exposure to Hepatitis C, information to be made available — website to be maintained, content. — 1. Health care employers shall make information available to their employees regarding the risk of exposure to hepatitis C. Such information shall include but not be …

191.648. Expedited partner therapy permitted, requirements for physicians utilizing — rulemaking authority. — 1. As used in this section, the following terms mean: (1) "Designated sexually transmitted infection", chlamydia, gonorrhea, trichomoniasis, or any other sexually transmi…

191.650. Definitions. — As used in sections 191.650 to 191.698*, the following terms mean: (1) "Disclose", to disclose, to release, transfer, disseminate or otherwise communicate all or any part of any record orally, in writing, or by electronic means to any person or entity; (2)…

191.653. HIV testing performed by whom, how — consultation with subject required, when. — 1. No person shall perform or conduct HIV testing except physicians, hospitals, and those persons authorized by the department of health and senior services. No person shall be authorized by…

191.656. Confidentiality of reports and records, exceptions — violation, civil action for injunction, damages, costs and attorney fees — health care provider participating in judicial proceeding, immune from civil liability. — 1. (1) All information known to, and records containi…

191.657. Disclosure of confidential HIV information, by court order, only to certain persons, procedure, when. — 1. No court shall issue an order for the disclosure of confidential HIV-related information, except a court of record of competent jurisdiction in accordance with the …

191.658. HIV infection status disclosure by department of health and senior services to exposed health workers or law enforcement officers, when, violation, penalty. — 1. As used in this section, the following terms shall mean: (1) "Disclose", to disclose, release, transfer, diss…

191.659. Department of corrections, HIV and infectious diseases testing without right of refusal — exception — minors victim of sexual assault, testing, notice to parents or custodians required. — 1. Except as provided in subsection 2 of this section, all individuals who are deli…