HCS/SCS/SB 136 - This act creates the Dedication to Donation Act to encourage anatomical donation.

New terms are added to define "anatomical donation," "donee," and "OPO" or "organ procurement organizations." (Section 194.210).

Currently, anyone eighteen or older may make an anatomical donation. This act allows fifteen year olds to do the same, with written consent. Certain persons may consent to a gift in the absence of actual notice by the decedent. Organ procurement organizations are added as recipients. (Sections 194.220 - 194.230).

The current language of 194.233 is deleted. Upon a person's death, contact must be made with the OPO to determine the suitability of a donation. Any determination must be noted in the patient record. If suitable, the appropriate persons must be notified of the option to donate. By August 28, 2002, each hospital must have an anatomical donation protocol. The hospital shall not request a donation if actual notice is given of the deceased's objection. (Section 194. 233).

Current law outlines the procedure for designating an anatomical gift. This act allows OPOs to employ procurement coordinators and enucleators to assist in the recovery of donated organs. (Section 194.240).

A new section requires the Division of Motor Vehicle and Driver Licensing to modify the driver's license to comply with this act. If a certain valid donation documents exist, then consent at the time of death is not required. Certain persons may make a reasonable search for such documents. No hospital, physician, or donee who acts in good faith will be civilly or criminally liable under this act. (Sections 194.243 - 194.293).

Current law creates the "Organ Donor Program Fund" for the purpose of organ donation awareness programs, as directed by the "Organ Donation Advisory Committee". This act adds to the committee two representatives of federally certified OPOs, one representative of an eye bank, and one representative of the Department of Revenue. The existing health care representative member will be nominated by the Missouri Hospital Association. The Committee must study the feasibility of providing internet access to the organ donor registry for authorized personnel. A report is due on the subject by December 31, 2001. (Sections 194.297 - 194.302).

The procedure individuals must follow when applying for a Missouri driver's license is outlined in current law. New language states that an applicant may make a donation of $2 to promote organ donor programs when that applicant becomes eligible for the six-year license renewal. (Sections 302.171 - 302.181).

This act is substantially similar to HB 291 (2001).
ERIN MOTLEY