Creates provisions relating to disease surveillance conducted by the department of health and senior services

Plain English: The amendment changes the wording of a section in HB1855 to require the department of health and senior services to conduct disease surveillance instead of just having the option to do so.

• Changes 'may' to 'shall' in Section 192.020, Line 24, making it mandatory for the department to conduct disease surveillance rather than allowing them an option.

• The amendment text does not provide details about what specific actions are required under 'disease surveillance', so the exact nature of these requirements remains unclear.

Plain English: The amendment adds requirements that patients must give consent before their test results related to alpha-gal are reported to health officials.

• Adds a new requirement for patient consent before reporting test results for alpha-gal to the department of health and senior services.
• Inserts language ensuring no patient is required to participate in disease surveillance reporting without their explicit agreement.

• The amendment text does not specify what happens if a patient chooses not to give consent, leaving some aspects unclear.

Plain English: The amendment changes the focus of HB1855 from disease surveillance to health care.

• Changes the main topic of the bill from 'disease surveillance' to 'health care'.

• It is unclear what specific provisions about health care will replace those related to disease surveillance.

Plain English: The amendment adds new provisions requiring counties and local public health agencies to report infant deaths, establish review committees for investigating these deaths, and provide medical records to help prevent fetal and infant mortality.

• Adds a new section (192.258) that requires each county to annually report infant deaths to the local public health agency.
• Establishes a requirement for local public health agencies to create committees to review and investigate infant deaths if there are five or more in a year, or if the death rate is higher than the state's rate for two consecutive years.
• Specifies that these committees must include community members but exclude law enforcement employees, ensuring confidentiality of data and records used during reviews.

• The amendment text was truncated at the end, so some details about funding or full committee responsibilities may be missing.

Plain English: The amendment adds new sections to HB1855 that require health care facilities providing perinatal care to implement an implicit bias program and track data on severe maternal morbidity and pregnancy-related deaths.

• Adds a new section defining terms related to implicit bias, perinatal care, and pregnancy-related death.
• Requires hospitals, clinics, and other health care facilities that provide perinatal care to implement an evidence-based implicit bias program for all health care providers involved in the care of pregnant patients.
• Specifies that these programs must include training on identifying biases, barriers to inclusion, corrective measures, historical impacts, cultural identity, communication skills, power dynamics, health inequities, and reproductive justice.
• Requires tracking and publishing data on severe maternal morbidity and pregnancy-related deaths disaggregated by racial and ethnic identity.

• The amendment text does not specify the consequences for non-compliance with these requirements.

Plain English: The amendment adds new provisions requiring counties and local public health agencies to report infant deaths, establish review committees for fetal and infant mortality, and provide medical records to aid investigations.

• Requires each county to annually report infant deaths to the local public health agency.
• Establishes a fetal and infant mortality review committee in areas with high infant death rates or higher than state average over two consecutive years.
• Sets up voluntary participation for local public health agencies in a statewide fetal and infant mortality review process, including investigating cases of term infants who experienced stillbirths or early deaths.
• Ensures confidentiality and protection from legal proceedings for data and records related to the review meetings.

• The amendment text is truncated at the end, so some details about the full scope of the provisions are not available.

Plain English: The amendment does not provide specific changes to the bill text and instead shows voting results for a procedural roll call vote.

• The provided amendment text only includes voting records and does not contain any substantive changes or amendments to the original bill.