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SECOND REGULAR SESSION
HOUSE BILL NO. 2242
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE YOUNG.
5789H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o amend chapter 167, RSMo, by adding thereto two new sections relating to health
professionals in public schools.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Chapter 167, RSMo, is amended by adding thereto two new sections, to be
2 known as sections 167.501 and 167.503, to read as follows:
167.501. 1. Subject to appr opriation, any public school shall be eligible for a
2 state financial supplement to employ a school nurse who is licensed under chapter 335 as
3 pr ovided in this section.
4 2. Any school district may apply to the department of elementary and secondary
5 education for a state financial supplement to employ a school nurse in each school
6 named in the application and in no other schools of the district. The state financial
7 supplement per nurse shall not exceed the salary earned by such individual on the
8 district-appr oved salary schedule, which shall include earned years of experience. No
9 mor e than one school nurse per school shall be supplemented by the state under this
10 section.
11 3. The department may give pr efer ence to schools that demonstrate the great est
12 need for a school nurse under this section. The department shall determine need using
13 criteria including, but not limited to:
14 (1) The nurse-to-student ratio above the r ecommendation by the department;
15 (2) The per centage of students eligible for fr ee and red uced price lunch in the
16 district;
17 (3) The per centage of students r eceiving federal T itle I funding; and
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.
18 (4) Other criteria deemed appr opriate by the department.
19 4. (1) As used in this subsection, "telehealth" has the same meaning as in section
20 191.1 145.
21 (2) In lieu of employing a school nurse as described in this section, a school
22 district may use a state financial supplement rec eived under this section to r eimburse a
23 pr ovider of telehealth services for pr oviding a school with access to a nurse via a
24 telehealth service.
25 (3) A school district shall establish r eimbursement req uirements that are
26 substantially similar to the reim bursement requ irem ents established under subsection 2
27 of section 208.670.
28 (4) The use of a telehealth service under this section shall be subject to the same
29 par ental authorization r equir ements established in section 208.677.
30 5. (1) Ther e is her eby cr eated in the state tr easury the "School Nurse Financial
31 Supplement Fund", which shall consist of any grants, gifts, donations, bequests, or
32 moneys appr opriated under this section. The state trea sur er shall be custodian of the
33 fund. In accordance with sections 30.170 and 30.180, the state tr easurer may appr ove
34 disbursements. The fund shall be a dedicated fund and, upon appr opriation, moneys in
35 the fund shall be used solely as pr ovided in this section.
36 (2) Notwithstanding the pro visions of section 33.080 to the contrary , any moneys
37 r emaining in the fund at the end of the biennium shall not r evert to the credit of the
38 general reven ue fund.
39 (3) The state tre asurer shall invest moneys in the fund in the same manner as
40 other funds ar e invested. Any interes t and moneys earned on such investments shall be
41 cr edited to the fund.
42 6. (1) The department of elementary and secondary education shall pr omulgate
43 rules and regul ations for the implementation of this section. Such rules shall include,
44 but not be limited to, ensuring that school nurses supplemented by the state under this
45 section primarily perform duties associated with student health, establishing application
46 pr ocedur es for school districts, and determining a method of awarding state financial
47 supplements in the event that the number of applications exceeds the amounts
48 appr opriated for such awards.
49 (2) Any rule or portion of a rule, as that term is defined in section 536.010, that is
50 cr eated under the authority delegated in this section shall become effective only if it
51 complies with and is subject to all of the pr ovisions of chapter 536 and, if applicable,
52 section 536.028. This section and chapter 536 are nonseverable and if any of the powers
53 vested with the general assembly pursuant to chapter 536 to revi ew , to delay the
54 effective date, or to disappr ove and annul a rule are subsequently held unconstitutional,
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55 then the grant of rulemaking authority and any rule pr oposed or adopted after the
56 effective date of this section shall be invalid and void.
167.503. 1. Subject to appr opriation, any public school shall be eligible for a
2 state financial supplement to employ a mental health pr ofessional who is licensed under
3 chapter 337 as provi ded in this section.
4 2. Any school district may apply to the department of elementary and secondary
5 education for a state financial supplement to employ a mental health pr ofessional in
6 each school named in the application and in no other schools of the district. The state
7 financial supplement per mental health profes sional shall not exceed the salary earned
8 by such individual on the district-appr oved salary schedule, which shall include earned
9 years of experience. No mor e than one mental health pro fessional per school shall be
10 supplemented by the state under this section.
11 3. The department may give pr efer ence to schools that demonstrate the great est
12 need for a mental health profes sional under this section. The department shall
13 determine need using criteria including, but not limited to:
14 (1) The mental health profession al-to-student ratio above the re commendation
15 by the department;
16 (2) The per centage of students eligible for fr ee and red uced price lunch in the
17 district;
18 (3) The per centage of students r eceiving federal T itle I funding; and
19 (4) Other criteria deemed appr opriate by the department.
20 4. (1) As used in this subsection, "telehealth" has the same meaning as in section
21 191.1 145.
22 (2) In lieu of employing a mental health profes sional as described in this section,
23 a school district may use a state financial supplement re ceived under this section to
24 r eimburse a provi der of telehealth services for pr oviding a school with access to a
25 mental health profes sional via a telehealth service.
26 (3) A school district shall establish r eimbursement req uirements that are
27 substantially similar to the reim bursement requ irem ents established under subsection 2
28 of section 208.670.
29 (4) The use of a telehealth service under this section shall be subject to the same
30 par ental authorization r equir ements established in section 208.677.
31 5. (1) There is her eby creat ed in the state tr easury the "School Mental Health
32 Pr ofessional Financial Supplement Fund", which shall consist of any grants, gifts,
33 donations, bequests, or moneys appr opriated under this section. The state tr easurer
34 shall be custodian of the fund. In accordance with sections 30.170 and 30.180, the state
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35 tr easur er may appr ove disbursements. The fund shall be a dedicated fund and, upon
36 appr opriation, moneys in the fund shall be used solely as pr ovided in this section.
37 (2) Notwithstanding the pro visions of section 33.080 to the contrary , any moneys
38 r emaining in the fund at the end of the biennium shall not r evert to the credit of the
39 general reven ue fund.
40 (3) The state tre asurer shall invest moneys in the fund in the same manner as
41 other funds ar e invested. Any interes t and moneys earned on such investments shall be
42 cr edited to the fund.
43 6. (1) The department of elementary and secondary education shall pr omulgate
44 rules and regul ations for the implementation of this section. Such rules shall include,
45 but not be limited to, ensuring that mental health pro fessionals supplemented by the
46 state under this section primarily perform duties associated with student mental health,
47 establishing application pr ocedur es for school districts, and determining a method of
48 awarding state financial supplements in the event that the number of applications
49 exceeds the amounts appr opriated for such awards.
50 (2) Any rule or portion of a rule, as that term is defined in section 536.010, that is
51 cr eated under the authority delegated in this section shall become effective only if it
52 complies with and is subject to all of the pr ovisions of chapter 536 and, if applicable,
53 section 536.028. This section and chapter 536 are nonseverable and if any of the powers
54 vested with the general assembly pursuant to chapter 536 to revi ew , to delay the
55 effective date, or to disappr ove and annul a rule are subsequently held unconstitutional,
56 then the grant of rulemaking authority and any rule pr oposed or adopted after the
57 effective date of this section shall be invalid and void.
✔
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