Bill Summary – FastDemocracy

FIRST REGULAR SESSION
                        HOUSE BILL NO. 1315
                               103RD GENERAL ASSEMBLY


                            INTRODUCED BY REPRESENTATIVE BROWN (149).

     2849H.01I                                                                    JOSEPH ENGLER, Chief Clerk


                                                AN ACT
     To amend chapter 190, RSMo, by adding thereto one new section relating to emergency
           ambulance services.


     Be it enacted by the General Assembly of the state of Missouri, as follows:

             Section A. Chapter 190, RSMo, is amended by adding thereto one new section, to be
 2   known as section 190.252, to read as follows:
             190.252. 1. As used in this section, the following terms mean:
 2           (1) "Ambulance service", the same meaning given to the term in section 190.100;
 3           (2) "Covered emergency ambulance service", any emergency ambulance service
 4   that responds to requests for assistance through the emergency telephone service and
 5   operates with employees who work shifts of least twenty-four hours;
 6           (3) "Emergency department", any emergency department within a health care
 7   facility;
 8           (4) "Emergency telephone service", the same meaning given to the term in
 9   section 190.290;
10           (5) "Emergent", an illness, trauma, or other condition of a patient that is
11   immediately life-threatening such that failure to address it at a specialty facility or other
12   facility that provides for a higher level of care could result in the death of the patient
13   within minutes or hours;
14           (6) "Health care facility", any facility as defined in section 376.1350, including
15   any department within the facility;
16           (7) "Time-critical diagnosis", the same meaning given to the term in section
17   190.100.

     EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
     intended to be omitted from the law. Matter in bold-face type in the above bill is proposed language.
HB 1315                                          2

18           2. A health care facility shall not request a covered emergency ambulance
19   service to provide transportation between the hours of 10:00 p.m. and 6:00 a.m. for any
20   patient who does not have an emergent condition or a time-critical diagnosis.
21           3. Notwithstanding the provisions of subsection 2 of this section to the contrary,
22   any emergency department at a capacity of at least eighty percent may request a
23   covered emergency ambulance service to provide transportation between the hours of
24   10:00 p.m. and 6:00 a.m. for any patient regardless of the nature of the patient's
25   diagnosis or condition.
26           4. The provisions of this section shall not apply to any requests by a health care
27   facility for patient transport by:
28           (1) An air ambulance service;
29           (2) A hospital-based or hospital-owned ambulance service; or
30           (3) An ambulance service that operates with employees who work shifts that do
31   not exceed sixteen hours.
                                                 ✔

Statutes affected: 
Introduced (2849H.01): 190.252