Government Relations

UM Legislative Update Newsletter

July 15, 2004

Health care-related legislation signed by the Governor

Gov. Bob Holden signed four health care-related bills on July 9. The Dental Practice Act, HB1422, requires dentists who administer deep sedation, conscious sedation or general anesthesia to have a permit from the Missouri State Dental Board. Any site where such treatments are administered must have a site certificate issued by the Board. For more information on this bill, go to: http://www.senate.state.mo.us/senmogov/04info/house/bills/hb1422.htm

HB1195, on hospital licensure, extends the federal moratorium on new specialty hospitals in Missouri by three months. The bill prohibits the Missouri Department of Health and Senior Services from licensing a specialty hospital in Missouri until Aug. 28, 2005, which is the regular effective date of 2005 state legislation. An earlier effective date would require a two-thirds majority approval in the Missouri General Assembly. The definition of a specialty hospital mirrors that of the federal law. For more information on this bill, go to: http://www.senate.state.mo.us/senmogov/04info/house/bills/hb1195.htm

SB1160 allows the collection and redistribution of unused, unopened packages of prescription drugs to lower income patients. Participation in the drug repository program by hospitals and pharmacies is voluntary. The bill establishes procedures and handling fees for the program and addresses related issues, such as liability for defective medications. Liability protections are provided for hospital-employed physicians, as well as independent medical staff. For more information on this bill, go to: http://www.senate.state.mo.us/senmogov/04info/bills/sb1160.htm

HB795 raises the fee for vital records, such as birth and death certificates, with some of the proceeds earmarked to automate and improve the state’s vital records system. Other signed vital records legislation included HB1136, which addresses the disposition of fetal remains after a miscarriage and authorizes the state to issue, upon request, a birth certificate recognizing the delivery of a stillborn child. The standards governing the disposition of fetal remains are those already in place for pregnancies of 20 weeks gestation or more and would apply to all miscarriages. A related bill, SB799, would have required the state registrar to issue a certification of stillbirth and also would have revised standards for the disposition of fetal remains following a miscarriage. Gov. Holden vetoed that legislation for technical errors. Very similar language, however, was included in HB1136. For more information on these bills, go to:

July 16, 2004 Index