Missouri Senate

Senate Amendment

CORONERS (Sections 58.035, 58.095, and 58.208)

This act establishes the Coroner Standards and Training Commission which shall establish training standards relating to the operation, responsibilities and technical skills of the office of county coroner. The membership of the Commission is set forth in the act. The Commission shall establish training standards relating to the office of county coroner and shall issue a report on such standards.

(Section 58.035)

Currently, $1,000 of a county coroner's salary shall only be payable if he or she completes at least 20 hours of classroom instruction each year relating to the operations of the coroner's office when approved by a professional association of county coroners of Missouri. This act provides that the Coroners Standards and Training Commission shall establish and certify such training programs and their completion shall be submitted to the Missouri Coroners' and Medical Examiners' Association. Upon the Association's validation of certified training, it shall then submit the individual's name to the county treasurer and Department of Health and Senior Services indicating his or her compliance.

(Section 58.095)

This act creates the Missouri State Coroners' Training Fund. For any death certificate issued, there shall be a fee of one dollar deposited into the fund which shall be used by the Missouri Coroners' and Medical Examiners' Association for the purpose of in-state training, equipment, and necessary supplies, and to provide aid to training programs approved by the Missouri Coroners' and Medical Examiners' Association. This fee shall be imposed and collected in addition to all other fees already being imposed and collected on the issuance of death certificates, resulting in the current total fee of thirteen dollars being increased to fourteen dollars. Also, during states of emergency or disasters, local registrars may request reimbursement from the fund for copies of death certificates issued to individuals who are unable to afford the associated fees.

(Section 58.208)

These provisions are substantially similar to SB 554 (2020), SCS/SB 34 (2019), HCS/HB 242 (2019), and are similar to SCS/HCS/HB 447 (2019), SCS/HCS/HB 2079 (2018), and SB 1020 (2018).

ELECTRONIC DEATH REGISTRATION SYSTEM (Section 193.145)

Under current law, the medical certification from a medical provider is entered into the electronic death registration system. This act requires an attestation from the medical provider who completed the medical certification to be entered into the system as well.

Additionally, if the State Registrar determines that information on a document or record filed with or submitted to a local registrar is incomplete, the State Registrar shall return the records or documents with the incomplete information to the local registrar for correction by the data provider, funeral director, or person in charge of the final disposition.

This provision is substantially similar to SB 554 (2020), SB 598 (2020), SB 282 (2019), SCS/HCS/HB 447 (2019), HB 461 (2019), SCS/HCS/HB 1597 (2018), and provisions in HB 909 (2017).

PROFESSIONAL LICENSING RECIPROCITY (Section 324.009)

Current law permits any resident of Missouri who holds a valid current license issued by another state to submit an application for a license in Missouri in the same occupation or profession, along with proof of licensure in the other jurisdiction.

Under this act, any person who holds a valid license issued by another state, and who has been licensed for at least one year in such other jurisdiction may submit an application for a license in Missouri in the same occupation or profession along with proof of licensure in the other jurisdiction for at least one year.

Currently, the oversight body in the state shall, within six months of receiving an application for licensure, waive any examination, educational, or experience requirements if it determines that the licensing requirements in the jurisdiction that issued the license are substantially similar to, or more stringent than, the licensing requirements in Missouri. Under this act, the oversight body shall waive such requirements if there were minimum education requirements or work experience and clinical supervision requirements in effect, and if the other state verifies that the applicant met such requirements. An oversight body that administers an examination on laws of this state as part of its licensing application requirements may require an applicant to take and pass an examination specific to the laws of this state.

This act prohibits an oversight body from waiving any requirements for any applicant who has had his or her license revoked by an oversight body in another state, who is under investigation, who has a complaint pending, who does not hold a license in good standing with an oversight body in another state, or who has a criminal record that would disqualify him or her for licensure in Missouri.

If another jurisdiction has taken disciplinary action against an applicant, the oversight body in this state shall determine if the cause for action was corrected and the matter resolved. If the matter has not been resolved, the oversight body may deny a license until such matter is resolved.

This act repeals the provision prohibiting the oversight body from waiving certain requirements if it determines that doing so may endanger the public health, safety, or welfare.

Any person who is licensed under this act shall be subject to the applicable oversight body's jurisdiction and all rules and regulations pertaining to the practice of the licensed occupation in this state.

Provisions of this act shall not impede an oversight body's authority to require an applicant to submit fingerprints, nor shall this act apply to an oversight body that has entered into a licensing compact with another state.

Any license issued under this act shall only be valid in this state and shall not make a licensee eligible to be part of an interstate compact. An applicant licensed in another state pursuant to an interstate compact shall not be eligible for licensure by an oversight body in this state.

This act modifies the definition of "oversight body" by removing the exemptions for certain boards, and also modifies the definition of "license" by removing the exemption for a certificate to teach in public schools.

EXPANDED WORKFORCE ACCESS ACT OF 2020 (Section 324.025)

This provision shall be known as the "Expanded Workforce Access Act of 2020".

Beginning on January 1,2021, each state licensing authority shall grant a license to any applicant who has successfully completed the eighth grade, completed an apprenticeship approved by the Missouri Division of Professional Registration or the U.S. Department of Labor, and has passed an examination, if one is deemed to be necessary by the appropriate licensing authority.

The appropriate licensing authority shall establish a passing score for such examinations, which shall not exceed the passing score that is required for a non-apprenticeship license. If there is no examination requirement for a non-apprenticeship license, no examination shall be required for applicants who complete an apprenticeship.

The number of working hours required for an apprenticeship shall not exceed the number of educational hours otherwise required for a non-apprenticeship license.

Certain occupations relating to construction work, and electrical contractors are exempt from the provisions of the act.

This act is identical to SCS/SB 877 (2020), SB 318 (2019) and a provision contained in HCS/HB 472 (2019), and is substantially similar to SCS/HB 470 (2019), SCS/HB 705 (2019), HCS/SB 164 (2019), HCS/SB 204 (2019).

PROHIBITED USES OF OCCUPATIONAL FEES (Section 324.035)

Under this act, no board, commission, or committee within the Division of Professional Registration shall utilize occupational fees, or any other fees associated with licensing requirements, for the purpose of offering continuing education classes. Any board, commission, or committee within the Division shall not contract or partner with any outside vendor or agency for such purpose.

Nothing in this act shall be construed to preclude a board, commission, or committee within the Division from utilizing occupational licensure fees for the purpose of participating in conferences, seminars, or other outreach for the purposes of communicating information to licensees with respect to changes in policy, law, or regulations.

This provision is identical to a provision contained in SS/SCS/SB 670 (2020), SCS/SB 689 (2020), and is substantially similar to HB 705 (2019).

ATHLETIC TRAINERS (Sections 334.702, 334.703, 334.704, 334.706, 334.708, 334.710, 334.712, 334.715, 334.717, 334.721, 334.725, 334,726

This act modifies provisions relating to athletic trainers, including a number of definitions.

Under this act, when billing a third party payer, an athletic trainer shall only bill such third party payer for services within the scope of practice of a licensed athletic trainer.

(Section 334.702)

Under this act, an athletic trainer is required to refer any individual whose medical condition is beyond the scope of their education, training, and competence to a licensed physician.

If there is no improvement in an individual who has sustained an athletic injury within 21 days of initiation of treatment, or 10 visits, the athletic trainer shall refer the individual to a physician.

The practice of athletic training shall not include the reconditioning or rehabilitation of systemic neurologic or cardiovascular injuries, conditions, or diseases, except for an athlete participating in a sanctioned amateur or professional sport or recreational sport activity under the supervision of a treating physician.

(Section 334.703)

No person shall hold himself or herself out as an athletic trainer, or to be practicing athletic training, by title or description, unless such person has been licensed.

(Section 334.704)

Currently, the Board is required to make available a roster of the name and business addresses of all athletic trainers licensed in the state. This act removes the requirement that such information be annually prepared, and that copies be made available to any person upon request. In addition, this act removes the requirement that the Board set the fee for the roster, and adopt an official seal.

(Section 334.706)

Under current law, any person seeking licensure after August 28, 2006, must be a resident, or in the process of establishing residency in the state, and have passed the National Athletic Trainers Association Board of Certification examination. Under this act, any person seeking licensure is required only to have passed the Board of Certification, Inc.'s examination.

(Section 334.708)

All applications for initial licensure shall, under current law, be accompanied by an initial licensure fee which shall be paid to the Director of Revenue and deposited by the State Treasurer. Under this act, all fees charged by the Board shall be collected and deposited into the Board of Registration for the Healing Arts Fund.

(Section 334.710)

All licenses issued under current law shall expire on January 30 of each year. Under this act, all licenses shall expire pursuant to a schedule established by rule.

(Section 334.712)

This act adds a provision allowing the Board to deny a license or seek discipline if any person has practiced in the state of Missouri while no longer certified as an athletic trainer by the Board of Certification, Inc.

(Section 334.715)

Under this act, the Missouri Athletic Trainer Advisory Committee is to be composed of 6 members, rather than 5, to be appointed by the Board. Each member of the Committee shall be a resident of the state of Missouri for five years immediately preceding appointment, and remain a resident of Missouri throughout the term. The additional member shall be a member of the Board.

Current law exempts dentists licensed by the Missouri Dental Board, and optometrists licensed by the State Board of Optometry. Under this act, dentists and optometrists are not exempt from athletic training licensing provisions.

Under this act, athletic trainers holding a valid credential from other nations, states, or territories performing their duties for their respective teams or organizations if they restrict their duties only to their teams or organizations and only during the course of their teams' or organizations' visit, not to exceed 30 days in one calendar year, in this state are exempt from athletic training licensing provisions.

(Section 334.721)

The provisions of these sections become effective 30 days after the effective date of this act.

(Section 334.726)

These provisions are substantially similar to SS/SCS/SB 670 (2020) and SCS/SB 247 (2019), and are similar to SB 454 (2017) and HB 882 (2017).

CONTINUING EDUCATION REQUIREMENTS FOR OPTOMETRISTS (Section 336.080)

Under this act, two hours out of the thirty-two required continuing education hours for optometrists shall be in the area of Missouri jurisprudence.

This provision is identical to HB 2219 (2020), and is similar to HCS/SB 204 (2019), HCS/SB 164 (2019), and SCS/HB 705

(2019).

LICENSING OF PSYCHOLOGISTS (Sections 337.020 and 337.029)

Under current law, any person seeking to obtain a license as a psychologist shall make an application to the State Committee of Psychologists and shall pay the required application fee. The Committee is not permitted to charge an application fee until such time as the application has been approved, and if an application is denied, no application fee shall be charged. This act repeals such provision.

Current law permits a psychologist licensed in another jurisdiction to receive a license in Missouri, provided the psychologist passes a written exam on Missouri law and regulations governing the practice of psychology. Such person must also meet one of several listed criteria set forth under current law. This act removes one listed criteria allowing a psychologist who is currently licensed or certified as a psychologist in another jurisdiction that is then a signatory to the Association of State and Provincial Psychology Board's reciprocity agreement to be eligible for a license in Missouri.

These provisions are identical to SS/SCS/SB 670 (2020), SCS/SB 689 (2020), SB 637 (2020), and SB 204 (2019).

PSYCHOLOGIST CONTINUING EDUCATION REQUIREMENTS (Section 337.050)

Current law requires each licensed psychologist applying for a renewal of a license to submit proof of the completion of at least 40 hours of continuing education credit within the two-year period immediately preceding the date of the application for renewal.

Under this act, a minimum of three of the 40 hours of continuing education shall be dedicated to professional ethics.

This provision is identical to SCS/SB 689 (2020) and is substantially similar to HB 705 (2019).

JOSIE BUTLER

SA 1: PROVIDES THAT THE HOSPICE SHALL PROVIDE WRITTEN NOTICE TO THE CORONER WITHIN 24 HOURS OF DEATH, RATHER THAN TO THE MEDICAL EXAMINER.

SA 3: ADDS SB 866 (2020) TO THE ACT, WHICH PERMITS PHYSICIAN ASSISTANTS TO SERVE AS STAFF ON AMBULANCES AND WAIVES CERTAIN CURRENT PROXIMITY REQUIREMENTS.

SA 5: EXCLUDES CERTAIN PROFESSIONS FROM THE LICENSE RECIPROCITY PROVISIONS.

SA 6: ADDS PROVISIONS SUBSTANTIALLY SIMILAR TO SCS/SB 703 (2020), WHICH MODIFIES PROVISIONS RELATING TO THE PRACTICE OF PUBLIC ACCOUNTING.

SA 8: ADDS PROVISIONS SUBSTANTIALLY SIMILAR TO SCS/SB 647 (2020), WHICH CREATES THE FRESH START ACT OF 2020.

SA 1 TO SA 8: EXEMPTS VETERINARIANS FROM THE PROVISIONS OF THE FRESH START ACT OF 2020.

SA 2 TO SA 8: EXEMPTS TEACHERS LICENSED BY THE STATE BOARD OF EDUCATION FROM THE PROVISIONS OF THE FRESH START ACT OF 2020.

SA 9: ADDS SB 1088 (2020) TO THE ACT, WHICH ADDS "CHARITABLE PHARMACY" AS A CLASS Q PHARMACY.

SA 10: ADDS A PROVISION REQUIRING AN OVERSIGHT BODY TO WAIVE ANY EXAMINATION, EDUCATIONAL, OR EXPERIENCE REQUIREMENTS FOR LICENSURE IN THIS STATE WITHIN 30 DAYS OF RECEIVING AN APPLICATION FOR LICENSURE FROM A NONRESIDENT MILITARY SPOUSE OR A RESIDENT MILITARY SPOUSE.