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SECOND REGULAR SESSION
HOUSE BILL NO. 2231
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE BYRNES.
4215H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o amend chapter 631, RSMo, by adding thereto one new section relating to dual diagnosis
treatment centers, with penalty provisions.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 631, RSMo, is amended by adding thereto one new section, to be
2 known as section 631.180, to read as follows:
631.180. 1. As used in this section, the following terms mean:
2 (1) "Dual diagnosis tr eatment", trea tment for both:
3 (a) Substance use disorders; and
4 (b) Mental disorders or mental illnesses;
5 (2) "Dual diagnosis tr eatment center", any facility that holds itself out to the
6 public as pr oviding dual diagnosis tr eatment;
7 (3) "Medication management", the ongoing monitoring and adjustment of
8 medication pr escribed for substance use disorders and mental disorders or mental
9 illnesses including, but not limited to:
10 (a) Assessing the effectiveness of the medication;
11 (b) Monitoring for side effects and interactions;
12 (c) Adjusting dosages as needed; and
13 (d) Ensuring patient adher ence to medication r egimens;
14 (4) "Mental disorder", the same meaning given to the term in section 630.005;
15 (5) "Mental illness", the same meaning given to the term in section 630.005;
EXPLANA TION — 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.
16 (6) "Substance use disorder", a condition characterized by a pattern of
17 substance use leading to clinically significant impairment or distr ess, as defined in the
18 most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM).
19 2. Every dual diagnosis trea tment center operating in this state shall actively
20 manage medications pr escribed for each of its patients to ensur e medication compliance.
21 This requ irem ent shall include, at a minimum, the following activities:
22 (1) Establishing a system for tracking medication prescription s and ref ills;
23 (2) Conducting reg ular medication review s with patients to assess effectiveness,
24 side effects, and adher ence;
25 (3) Pr oviding education and support to patients rega rding their medications;
26 (4) Collaborating with pharmacists and other health car e pr oviders to ensur e
27 safe and effective medication management; and
28 (5) Maintaining accurate records of medication management activities.
29 3. Dual diagnosis tre atment centers shall adher e to the following tr eatment
30 standards:
31 (1) T reat ment plans shall be developed and implemented in a way that addr esses
32 both substance use disorders and mental disorders or mental illnesses in an integrated
33 manner;
34 (2) T reat ment appr oaches shall be based on evidence-based practices that have
35 been demonstrated to be effective for dual diagnosis populations;
36 (3) T reat ment plans shall be individualized to meet the unique needs of each
37 patient; and
38 (4) T reat ment shall be pro vided in a patient-center ed manner , with a focus on
39 patient autonomy and shared decision-making.
40 4. A facility shall not advertise or hold itself out to the public as pr oviding dual
41 diagnosis tr eatment unless the facility meets the requ irem ents of this section for dual
42 diagnosis tr eatment centers. Advertising and marketing materials of a dual diagnosis
43 tr eatment center shall accurately re flect the services offere d by the facility and shall not
44 make false or misleading claims. A dual diagnosis tr eatment center shall clearly disclose
45 its licensur e status and any r elevant accredi tation or certification in its advertising and
46 marketing materials.
47 5. The department of mental health shall enforce the pr ovisions of this section.
48 A violation of any of the r equir ements of this section by a facility licensed under sections
49 630.705 to 630.760 shall be deemed a violation of sections 630.705 to 630.760, and any
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50 facility violating such r equir ements shall be subject to all penalties, r emedies, and
51 pr ocedur es pr ovided in sections 630.705 to 630.760.
✔
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