This act provides that inspections of cone beam computed tomography systems and panoramic x-ray systems shall be inspected within 30 days of installation and whenever moved within an office. Systems that cannot produce radiation intensity greater than 30 milligrays shall not be required to be inspected more frequently than every 3 years. Cone beam computed tomography systems that can produce radiation intensity greater than 30 milligrays shall be inspected annually. A cone beam computed tomography system is a medical imaging device which uses x-ray computed tomography to capture data using a cone-shaped x-ray beam. A panoramic x-ray system is an imaging device that captures the entire mouth in a single, 2-dimensional image that includes the teeth, upper and lower jaws, and surrounding structures and tissues.

Additionally, the inspections of x-ray equipment used exclusively on animals by a licensed veterinarian or veterinary facility shall not be required to be inspected more frequently than every 4 years. (Section 192.500)

These provisions are identical to provisions in CCS/SB 50 (2017) and HCS/SB 125, and similar to SB 212 (2017), SCS/HB 349 (2017), HB 813 (2017), and HB 1531 (2016).

This act allows individuals to apply for, renew, and replace professional licenses, pay licensing fees, and submit any other required information to their respective licensing boards electronically. The act applies to all regulated professions in this state that require a license, permit, certificate, or registration. (Section 324.005)

This provision is similar to HB 904 (2017).

Current law requires an applicant for land surveyor-in-training to provide at three letters of reference, one of which must be from a professional land surveyor who has personal knowledge of the applicant's land surveying education or experience. Additionally, an applicant for licensure as a professional land surveyor must provide at least three letters of reference, all of which must be from professional land surveyors with personal knowledge of the experience of the applicant's land surveying education or experience.

This act repeals any requirement for letters of reference in order to apply for enrollment as a land surveyor-in-training or to apply for licensure as a professional land surveyor. (Sections 327.313 & 327.321)

These provisions are identical to HB 557 (2017), provisions contained in HCS/SB 125 (2017), and to HB 2461 (2016).

This act allows health care professionals, as defined in the act, to annually complete up to two hours of suicide assessment, referral, treatment, and management training as part of the continuing education requirements for licensure as a health care professional.

Psychologists are required to complete two hours of such training as a condition of initial licensure. The act also requires behavior analysts, professional counselors, social workers, baccalaureate social workers, and marital and family therapists to complete two hours of suicide assessment, referral, treatment, and management training as a condition of initial licensure and as a condition of license renewal. The training shall count toward any continuing education required for such license. (Section 324.046 and provisions in Chapter 337).

These provisions are identical to SS/SB 490 (2017).

This act requires the Board of Cosmetology and Barber Examiners to issue a duplicate license, by mail, when a licensed cosmetologist or barber submits a form, electronically or by mail, explaining that the original license has been destroyed, lost, mutilated beyond practical usage, or was never received. (Sections 328.025 and 329.033)

These provisions are identical to provisions in HB 813 (2017) and similar to provisions in HCS/SB 125 (2017).

This act provides that the payment of a royalty to a dental franchisor, as defined in the act, by a licensee of the Missouri Dental Board operating a franchised dental office is not grounds for complaint against the licensee by the Board or unlawful. (Section 332.011 & 332.321).

These provisions are similar to SCS/SB 353 (2017) and to provisions contained in HB 702 (2017).

This act allows licensed hospitals to employ a dentist, an oral and maxillofacial surgeon, and a maxillofacial prosthodontist to treat conditions specified in the act. (Section 332.081)

This provision is identical to a provision in HCS/SB 125 (2017) and substantially similar to a provision in CCS/SB 50 (2017), SB 410 (2017), and HB 762 (2017).

This act allows the Missouri Dental Board to create and issue dental faculty permits to individuals employed by an accredited dental school, college, or program in Missouri. The holder of a dental faculty permit will be authorized to practice dentistry without a license but only within the scope of his or her employment at such school, college, or program. The holder of a dental faculty permit may not receive any fee or compensation for the practice of dentistry except salary or benefits received as part of his or her employment with the school, college, or program. The qualifications to receive a dental faculty permit are set forth in the act. (Sections 332.081 & 332.183)

These provisions are identical to SB 388 (2017) and HB 665 (2017).

Under the provisions of the act, an out-of-state physician may travel into Missouri with an athletic team and provide sports-related medical services to specified individuals related to the athletic team so long as the physician is currently licensed to practice medicine in another state and has a written agreement with an athletic team located in the state where the physician is licensed. The act prohibits such physician from providing medical services at a health care facility in Missouri. (Section 334.010)

These provisions are identical to SCS/HCS/HB 122 (2017), SB 494 (2017), and CCS/HCS/SB 501 (2017).

The act changes the geographic proximity requirement in a collaborative practice arrangement between an assistant physician and a collaborating physician to 75 miles, if the assistant physician is operating in a federally-designated health professional area. By rule, if an assistant physician is not operating in a federally-designated health professional area, the geographic proximity requirement is 30 miles. (Section 334.037)

The act also changes the geographic proximity requirement in a collaborative practice arrangement between an advanced practice registered nurse and a collaborating physician to 75 miles, if the advanced practice registered nurse is operating in a federally-designated health professional area. By rule, if an advanced practice registered nurse is not operating in a federally-designated health professional area, the geographic proximity requirement is 30 miles. (Section 334.104)

Currently, a physician assistant and supervising physician must be no further than 50 miles apart when the physician assistant is practicing at certain locations. The act changes that distance to 75 miles. (Section 334.735)

These provisions are similar to provisions contained in HCS/SB 125 (2017).

Under current law, physician assistants may only dispense drugs, medicines, devices, or therapies pursuant to a physician supervision agreement. This act removes this requirement. (Section 334.735)

These provisions are similar to provisions contained in SB 455 (2017) and CCS/HCS/SB 501 (2017).

The act also requires that one of the nine members of the Missouri State Board of Nursing be an advanced practice registered nurse. Additionally, a list of three licensed and qualified nurses shall be submitted to the Director of the Division of Professional Registration by the Association of Missouri Nurse Practitioners if there is a Board vacancy for an advanced practice registered nurse. (Section 335.021)

These provisions are identical to SB 536 (2017) and HB 1192 (2017) and similar to HB 1089 (2017) and HB 1220 (2017).

This act provides that a licensed practical nurse may provide certain services under the MO HealthNet Personal Care Program without the direction of a registered nurse without impacting the eligibility of a residential care facility or assisted living facility to participate in the Program or receive reimbursement for services. (Section 335.099)

This act provides that two hours out of the currently required thirty-two hours of continuing education for optometrists must be in the area of Missouri jurisprudence. (Section 336.080)

These provisions are identical to provisions contained in HCS/SB 125 (2017).

This act provides that license renewal for speech-language pathologists and audiologists shall occur no less frequently than every three years. Additionally, the continuing education requirements for licensed speech-language pathologists and audiologists is limited to 30 hours triennially. (Section 345.051)

This provision is identical to a provision contained in CCS/SB 50 (2017), HCS/SB 125 (2017), and HCS/SB 501 (2017) and similar to a provision contained in HB 813 (2017).

JAMIE ANDREWS