HCS/SCS/SB 380 - 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. 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 identical to HCS/HB 1066 (2015), HCS/SCS/SB 10 (2015), and provisions of HCS/SCS/SB 197 (2015), HCS/SS/SCS/SB 354 (2015), HCS/SCS/SB 230 (2015); substantially similar to SCS/HCS/HB 1066 (2015); and similar to SCS/SB 10 (2015), SB 10 (2015), HB 1066 (2015), and SB 910 (2014).
This act also provides that the Department of Social Services, in cooperation with the Department of Health and Senior Services and the Department of Mental Health, shall establish a committee to assess the continuation of the Money Follows the Person Demonstration Program in order to support Missourians who have disabilities and those who are aging to transition from nursing facilities or habilitation centers to community settings. The committee will study sustainability of the program beyond the current demonstration time frame for all transitions to occur by September 30, 2018. The committee shall be comprised of specified representatives and shall including fiscal staff from specified divisions and agencies.
By July 1, 2016, the Department of Social Services must make recommendations based on the findings of the committee and report them to the General Assembly and the Governor. The provisions of the act will expire on January 1, 2017.
This provision is identical to SCS/HB 343 (2015) and substantially similar to HB 343 (2015).
This act adds physical therapists to the list of authorized health care practitioners who may sign statements necessary for a person to receive a windshield placard or special plates for a temporary or permanent physical disability.
This provision is identical to HCS/HB 720 (2015) and provisions in SCS/HCS/HB 1002 (2015), HCS/SCS/SB 197 (2015), HCS/SS/SCS/SB 354 (2015), HCS/SCS/SB 230 (2015), and substantially similar to HCS/SCS/SB 38 (2015), HCS/SB 458 (2015), HCS/SCS/SB 107 (2015), HCS/SCS/SB 146 (2015), and CCS#2/HCS/SB 254 (2015).
SARAH HASKINS
HA 1 - HOSPITALS ARE REQUIRED TO PROVIDE WRITTEN NOTICE OF A PATIENT'S HOSPITAL STATUS
HA 2 - CREATION OF THE MISSOURI PALLIATIVE CARE AND QUALITY OF LIFE INTERDISCIPLINARY COUNCIL AND THE PALLIATIVE CARE CONSUMER AND PROFESSIONAL INFORMATION AND EDUCATION PROGRAM
HA 3 - ALLOWS CERTAIN ADVANCED PRACTICE REGISTERED NURSES, PHYSICIAN ASSISTANTS, AND ASSISTANT PHYSICIANS TO PRESCRIBE SCHEDULE II-HYDROCODONE
HA 4 - INSPECTIONS OF CONE BEAM COMPUTED TOMOGRAPHY SYSTEMS AND PANORAMIC X-RAY SYSTEMS SHALL NOT BE INSPECTED MORE FREQUENTLY THAN EVERY 6 YEARS
HA 5 - PERMITS DATA COLLECTION BY SPECIFIED HEALTH CARE PROFESSIONALS BOARDS FOR WORKFORCE PLANNING AND ASSESSMENT OF AVAILABLE RESOURCES
HA 6 - ADDRESSES THE PROVISION AND REIMBURSEMENT OF OPTOMETRIC OR OPHTHALMIC SERVICES OR MATERIALS UNDER HEALTH BENEFIT OR VISION PLANS
HA 8 - PROVIDERS OF BEHAVIORAL, SOCIAL, AND PSYCHOPHYSIOLOGICAL SERVICES FOR THE PREVENTION, TREATMENT, OR MANAGEMENT OF PHYSICAL HEALTH PROBLEMS SHALL BE REIMBURSED UTILIZING SPECIFIC REIMBURSEMENT CODES
HA 9 - LIMITS WAGE RATE RECOMMENDATIONS FOR PERSONAL CARE ATTENDANTS WITHOUT SPECIFIC ANNUAL APPROPRIATIONS BY THE GENERAL ASSEMBLY
HA 11 - ADDRESSES PAIN MANAGEMENT CLINIC CERTIFICATION AND REGULATION; CERTIFIED MUSIC THERAPISTS WHO HAVE COMPLETED SPECIFIED TRAINING AND SPECIFIED ASSESSMENTS SHALL BE DEEMED AS LICENSED BY THE DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION FOR THE PURPOSES OF PROVIDING SERVICES TO THE FIRST STEPS PROGRAM
HA 1 TO HA 11 - TECHNICAL FIX
HA 12 - REQUIRES THE DEPARTMENT OF SOCIAL SERVICES TO CONTRACT WITH A 3RD PARTY FOR ELIGIBILITY VERIFICATION FOR SPECIFIED PUBLIC ASSISTANCE PROGRAMS
HA 13 - MODIFIES PROVISIONS RELATING TO TELEHEALTH SERVICES
HA 14 - MODIFIES PROVISIONS RELATING TO PERSONAL CARE ATTENDANTS AND ELECTRONIC VISIT VERIFICATION; CONTAINS AN EMERGENCY CLAUSE