HCS/SCS/SB 403 - This act modifies several provisions relating to health care, including: (1) "Celiac Awareness Day"; (2) "Myasthenia Gravis Awareness Month"; (3) "Tardive Dyskinesia Awareness Week"; (4) "Limb Loss Awareness Month"; (5) medical preceptorship tax credit; (6) vaccine passports; (7) forensic examinations; (8) CPR training for foster parents; (9) feminine hygiene products; and (10) special victims. "CELIAC AWARENESS DAY" (Section 9.235) This act designates the second Wednesday in May as "Celiac Awareness Day". This provision is identical to HB 449 (2021). "MYASTHENIA GRAVIS AWARENESS MONTH" (Section 9.275) This act designates the month of June as "Myasthenia Gravis Awareness Month". This provision is identical to HB 640 (2021). "TARDIVE DYSKINESIA AWARENESS WEEK" (Section 9.289) This act designates the first full week of May each year as "Tardive Dyskinesia Awareness Week" to promote awareness of the movement disorder tardive dyskinesia. These provisions shall expire on August 28, 2026. "LIMB LOSS AWARENESS MONTH" (Section 9.309) This act designates the month of April as "Limb Loss Awareness Month". This provision is identical to HB 404 (2021). MEDICAL PRECEPTORSHIP TAX CREDIT (Section 135.690) This act creates a medical preceptor state tax credit, beginning January 1, 2022, for any community-based faculty preceptor who serves as the faculty preceptor for a medical student core preceptorship or physician assistant core preceptorship in an amount equal to $1,000 dollars for each preceptorship, up to a maximum of $3,000 per tax year, if he or she completes up to three preceptorship rotations during the tax year and did not receive any direct compensation for the preceptorships. No more than 200 preceptorship tax credits in one calendar year shall be authorized on a first-come, first-served basis. The cumulative amount of tax credits awarded under this provision shall not exceed two hundred thousand dollars per year; provided, that the Division of Professional Registration may exceed that cap in an amount not to exceed the funds remaining in the "Medical Preceptor Fund", established in this act for the tax credit program and funded through a license fee increase of $7 per license for physicians and surgeons and $3 per license for physician assistants. This provision is substantially similar to a provision in HCS/SS/SB 580 (2020) and HB 2036 (2020). VACCINE PASSPORTS (Section 192.028) This act prohibits any government entity from issuing vaccine passports for the purpose of certifying an individual's vaccination status to a third-party or to otherwise publish or share any individual's vaccination record or similar health information. No government entity shall require documentation of an individual having received a vaccination or prophylactic treatment against any disease, other than those disease for which state statute permits such mandates and subject to the conditions expressed in such statute, in order for individuals to access public property or receive government services. No government entity shall have the authority to mandate that any private entity require documentation of an individual having received a vaccination or prophylactic treatment against any disease, other than those disease for which state statute permits such mandates and subject to the conditions expressed in such statute, in order for individuals to access property, goods, or services. Finally, no entity with government-provided monopolistic privileges shall require documentation of an individual having received a vaccination or prophylactic treatment against any disease in order for the individual to access property, goods, or services. FORENSIC EXAMINATIONS (Sections 192.2520 and 197.315) This act requires the statewide coordinator for the telehealth network for forensic examinations of victims of sexual offenses to regularly consult with Missouri-based stakeholders and clinicians regarding the training programs offered by the network, as well as the implementation and operation of the network. Current law permits the training to be offered online or in person and this act requires that the training be made available online and permits it to be offered in person. Providers shall not be required to utilize this training, so long as the training utilized by providers is, at a minimum, equivalent to the network's training. Current law requires licensed hospitals to perform forensic examinations of victims of sexual offenses beginning January 1, 2023. Under this act, such requirement shall only occur beginning January 1, 2023, or no later than 6 months after the establishment of the telehealth network, whichever is later. Under current law, victims under the age of 14 shall be referred to a SAFE CARE provider, as defined by law; the act provides that victims between 14 and 17 years of age may be referred as well. Lastly, no individual hospital shall be required to comply with these provisions unless and until the Department of Health and Senior Services provides such hospital with access to the network for mentoring and training services without charge. These provisions are identical to provisions in HCS/SS/SB 64 (2021) and HCS/SS/SCS/SB 43 (2021) and similar to SB 550 (2021). CPR TRAINING FOR FOSTER PARENTS (Section 210.542) Under this act, any person with a current certification in the administration of cardiopulmonary resuscitation (CPR) as part of his or her professional or occupational training may substitute such certification for any CPR training required to become licensed as a foster parent. This provision is identical HCS/HB 1203 (2021). FEMININE HYGIENE PRODUCTS (Sections 217.199 and 221.065) The Director of Corrections and any sheriff or jailer who holds a person in custody shall ensure that an appropriate quantity of feminine hygiene products are available at no cost to female offenders while confined in any correctional center or jail. The General Assembly may appropriate funds to assist with the funding of this requirement. These provisions have an emergency clause. These provisions are identical to provisions in HCS/SS/SB 64 (2021), SB 128 (2021), and HB 318 (2021) and similar to provisions in the perfected SS/SB 212 (2021). SPECIAL VICTIMS (Sections 565.058, 574.203, and 574.204) This act provides that any special victim, as defined by law, shall not be required to reveal any current address or place of residence except to the court when in the private chamber of a judge for the purpose of determining jurisdiction and venue. Additionally, any special victim may file a petition with the court alleging assault in any degree by using his or her identifying initials instead of his or her legal name if said petition alleges that he or she would be endangered by such disclosure. This provision is identical to provisions in HCS/SS/SB 64 (2021), SB 513 (2021), and HCS/HB 1022 (2021). This act creates the offense of interference with a health care facility if such person willfully or recklessly interferes with a health care facility or an employee of such by causing a peace disturbance while inside the facility, refusing an order to vacate a facility, or threatening to inflict injury on patients or employees of the facility or damage the property of the facility. Such offense shall be a Class D misdemeanor on the first offense and a Class C misdemeanor for an subsequent offense. "Health care facility" is defined as a hospital that provides health care services directly to patients. This act creates the offense of interference with an ambulance service if the person willfully or recklessly interferes with access to or from an ambulance or disrupts ambulance service by threatening to inflict injury on any person providing ambulance services or damage the ambulance. Such offense shall be a Class D misdemeanor on the first offense and a Class C misdemeanor for an subsequent offense. These provisions are identical to provisions in HCS/SS/SB 64 (2021) and HCS/HB 1022 (2021). SARAH HASKINS HA #1: MODIFIES PROVISION IN HCS RELATING TO VACCINE PASSPORTS HA #2: MODIFIES PROVISIONS RELATING TO DENTIST AUTHORITY TO ADMINISTER VACCINES HA #3: DESIGNATES MAY AS "EHLERS-DANLOS SYNDROME AWARENESS MONTH" HA #4: MODIFIES PROVISIONS RELATING TO PHYSICAL THERAPISTS HA #5: MODIFIES PROVISIONS RELATING TO DRIVING WHILE INTOXICATED HA #6: MODIFIES PROVISIONS RELATING TO PHYSICAL THERAPISTS HA 7: CREATES THE "KRATOM CONSUMER PROTECTION ACT" HA #1 TO HA #7: MODIFIES PROVISIONS RELATING TO COLLABORATIVE PRACTICE ARRANGEMENTS FOR ADVANCED PRACTICE REGISTERED NURSES HA #8: ADDS PROVISIONS RELATING TO MENTAL HEALTH COVERAGE IN INSURANCE POLICIES HA #9: DESIGNATES THE THIRD WEEK IN SEPTEMBER AS "SICKLE CELL AWARENESS WEEK" HA #10: MODIFIES THE LONG-TERM CARE INSURANCE TAX DEDUCTION AND OTHER PROVISIONS RELATING TO LONG-TERM CARE INSURANCE HA #11: MODIFIES PROVISIONS RELATING TO PREPAID DENTAL PLANS HA #12: MODIFIES THE "SHOW-ME HEALTHY BABIES PROGRAM" HA #14: MODIFIES PROVISIONS RELATING TO MO HEALTHNET COVERAGE OF ANTIPSYCHOTIC MEDICATION HA #1 TO HA #14: DESIGNATES MAY AS "LUPUS AWARENESS MONTH" AND MAY 10 AS "LUPUS AWARENESS DAY" HA #2 TO HA #14: MODIFIES PROVISIONS RELATING TO EMERGENCY SERVICES AND TIME-CRITICAL DIAGNOSIS HA #3 TO HA #14: MODIFIES PROVISION IN HCS RELATING TO INTERFERENCE WITH A HEALTH CARE FACILITY HA #15: MODIFIES PROVISIONS RELATING TO PHARMACY BENEFITS MANAGERS HA #16: MODIFIES PROVISIONS RELATING TO MEDICATION ASSISTED TREATMENT; ADDS LANGUAGE AUTHORIZING THE MISSOURI DENTAL BOARD TO APPROVE PILOT PROJECTS TO EXTEND CARE TO UNDERSERVED POPULATIONS EMERGENCY CLAUSE DEFEATED