Missouri Senate

House Committee Substitute

COMMUNICABLE AND INFECTIONS DISEASE (Section 192.020)

This act requires the Department of Health and Senior Services to include carbapenem-resistant enterobacteriaceae (CRE) in its list of communicable or infectious diseases which must be reported to the Department.

This provision is identical to SCS/HCS/HB 1066 (2015) and HCS/SCS/SB 10 (2015).

AMINO ACID-BASED ELEMENTAL FORMULAS (Section 192.390)

This act requires the Department of Health and Senior Services to provide coverage, through state and federal appropriations, for the full cost of amino acid-based elemental formulas for children under 19 years with a medical diagnosis of specified allergies, syndromes, or disorders, provided that the state is the payor of last resort.

This provision is identical to provisions in SCS/HB 556 (2015).

HEALTH CARE-ASSOCIATED INFECTIONS (Section 192.667)

Under current law, the Department is required to disseminate reports to the public based on data compiled showing infection incidence rate for certain infections for hospitals and ambulatory surgical centers. This act adds other infections to be reported including hospital and ambulatory surgical center procedure infections that meet certain requirements, central line-related bloodstream infections, health care-associated infections specified by the Centers for Medicare and Medicaid Services (CMS), and other categories of infections established by the Department through rule. The Department shall make such reports available to the public for at least 2 years.

This act requires the Infection Control Advisory Panel to make recommendations to the Department regarding the appropriateness of using CMS' reporting requirements by January 1, 2016. The panel recommendations shall address which hospitals shall be required, as a condition of licensure, to use specified national networks for data collection, risk analysis and adjustment, or public reporting of infection data. After considering the panel's recommendations, the Department shall implement guidelines from the Centers for Disease Control and Prevention National Healthcare Safety Network, or its successor. As a condition of licensure, those hospitals that meet the minimum public reporting requirements shall participate in the National Healthcare Safety Network program. Those hospitals shall permit the program to disclose facility-specific data. Those facilities not participating in the program shall submit facility-specific data to the Department as a condition of licensure.

This act also provides that no later than August 28, 2016, each hospital and ambulatory surgical center, excluding mental health facilities, shall establish an antibiotic stewardship program for evaluating the judicious use of antibiotics, especially antibiotics that are the last line of defense against resistant infections. The stewardship program procedures shall be made available upon inspection to the Department. Hospitals shall meet specified national standards for reporting antimicrobial usage or resistance and shall authorize the National HealthCare Safety Network, or its successor, to disclose to the Department facility-specific reported data. Such data shall not be disclosed to the public except under specific circumstances. Beginning January 1, 2017, and every year thereafter, the Department shall report the General Assembly on the incidence, type, and distribution of antimicrobial-resistant infections in the state.

These provisions are similar to SCS/HCS/HB 1066(2015), SCS/SB 10 (2015) and SB 910 (2014).

PERINATAL ADVISORY COUNCIL (Section 192.380)

This act establishes the Perinatal Advisory Council, which shall be comprised of representatives from specified community and health organizations and professions. After receiving public input, the Council shall make recommendations for the division of the state into neonatal and maternal care regions. The Council shall establish criteria for levels of birthing center care and base its levels of care designations upon evidence and best practices as identified by the American Academy of Pediatrics and the American Congress of Obstetricians and Gynecologists. By January 1, 2017, and every year thereafter, hospital license applications shall include the appropriate level of maternal care and neonatal care designations as determined by the Council. By the same date, any hospital operated by a state university shall report to the Department of Health and Senior Services, upon the Department's request, the appropriate level of maternal care designation and neonatal care designation. The Department may partner with appropriate nationally recognized nonprofit organizations with relevant expertise to administer the provisions of this act.

This provision is nearly identical to HCS/SCS/SB 107 (2015) and HCS/SCS/SB 146 (2015) and similar to SCS/SB 342 (2015) and HCS/SCS/SB 230 (2015).

NOTICE OF IMMUNIZATION (Section 210.003)

This act requires all public, private, and parochial day care centers, preschools, and nursery schools to notify parents or guardians, upon request, of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.

This provision is substantially similar to HCS/SB 533 (2015) and HB 976 (2015).

DISABLED PLACARDS AND LICENSE PLATES - 301.142

This act adds assistant physicians and physical therapists to the list of authorized health care practitioners who may issue a statement for his or her patient to receive a disabled placard or license plate.

This provision is similar to provisions contained in HCS/SCS/SB 107 (2015), SCS/HCS/HB 1002 (2015), and HCS/SCS/SB 197 (2015).

HEALTHCARE PROFESSIONALS WORKFORCE DATA (Section 324.001)

This act provides that the State Board of Nursing, Board of Pharmacy, Missouri Dental Board, State Committee of Psychologists, and State Board of Registration for the Healing Arts may enter into contractual agreements with the Department of Health and Senior Services, public institutions of higher education, and nonprofit entities in order to collect and analyze workforce data from its licensees for the purpose of future workforce planning and to assess the accessibility and availability of qualified health care services and practitioners in Missouri.

Data collection is controlled by the applicable state board requesting the collection, and the boards may release identifying data to the contractor to facilitate data analysis of the health care workforce. The data collected is the property of the board requesting the data, and shall be maintained as provided in existing law. Data shall only be released in the aggregate form in a manner that cannot be used to identify a specific individual. A board cannot request or collect income or other financial earnings information. Contractors shall maintain the confidentiality of data received and shall not release any data without approval from the applicable board.

These provisions are nearly identical to HCS/SB 107 (2015) and HCS/HB 112 (2015).

MICHELA BIRK