Establishes the "End Hospital Institutionalization Act"

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Establishes the "End Hospital Institutionalization Act"

The following summaries of this bill are available: Print All Summaries Introduced Print SB 1151 - This act establishes the "End Hospital Institutionalization Act".

What This Bill Does

• The following summaries of this bill are available: Print All Summaries Introduced Print SB 1151 - This act establishes the "End Hospital Institutionalization Act".
• The juvenile court, upon notification from a hospital that a child under the jurisdiction of the juvenile court is being boarded at a hospital when he or she is medically stable but unable to be discharged for reasons specified in the act, shall immediately intervene to ensure such child is placed in an appropriate setting and afforded proper treatment.
• For boarded children not under the jurisdiction of the juvenile court, the court shall immediately take custody of the child to ensure that the child is placed in an appropriate setting and afforded proper treatment.
• For boarded individuals diagnosed with a developmental disability, serious mental illness, or substance use disorder, the Department of Mental Health shall provide case management and treatment without delay and in the least restrictive environment possible.

Limits and Unknowns

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Official Summary Text

The following summaries of this bill are available:

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Introduced

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SB 1151 - This act establishes the "End Hospital Institutionalization Act". The juvenile court, upon notification from a hospital that a child under the jurisdiction of the juvenile court is being boarded at a hospital when he or she is medically stable but unable to be discharged for reasons specified in the act, shall immediately intervene to ensure such child is placed in an appropriate setting and afforded proper treatment. For boarded children not under the jurisdiction of the juvenile court, the court shall immediately take custody of the child to ensure that the child is placed in an appropriate setting and afforded proper treatment. For boarded individuals diagnosed with a developmental disability, serious mental illness, or substance use disorder, the Department of Mental Health shall provide case management and treatment without delay and in the least restrictive environment possible.

The state shall reimburse the hospital the actual costs for boarding, or the hospital's full allowable costs under MO HealthNet, whichever is greater, for each day an individual is boarded after the juvenile court or the Department has been notified of the boarding of such individual.

This act is identical to SB 557 (2025) and SB 1494 (2024) and substantially similar to HB 2664 (2024).
SARAH HASKINS

Current Bill Text

SECOND REGULAR SESSION
SENATE BILL NO. 1151
103RD GENERAL ASSEMBLY
INTRODUCED BY SENATOR BURGER.
3827S.01I KRISTINA MARTIN, Secretary
AN ACT
To amend chapter 191, RSMo, by adding thereto one new section relating to the boarding of certain
individuals at hospitals.
Be it enacted by the General Assembly of the State of Missouri, as follows:
Section A. Chapter 191, RSMo, is amended by adding thereto 1
one new section, to be known as section 191.1900, to read as 2
follows:3
191.1900. 1. The provisions of this section shall be 1
known and may be cited as the "End Hospital 2
Institutionalization Act". 3
2. As used in this section, the following terms mean: 4
(1) "Boarding" or "boarded", any continued stay of a 5
medically stable patient in a hospital or emergency room 6
that occurs without medical justification because the 7
patient's caretaker is unable or unwilling to ensure: 8
(a) The safety, well-being, and necessary ongoing 9
medical, behavioral, or psychological care of the patient 10
outside the hospital; or 11
(b) The safety of the public with respect to the 12
patient's behaviors in the community outside the hospital; 13
(2) "Hospital", the same meaning given to the term in 14
section 197.020. 15
3. Upon notification by a hospital that a child under 16
the jurisdiction of a juvenile court is being boarded, the 17
SB 1151 2
juvenile court shall immediately intervene to ensure that 18
such child is placed in an appropriate setting and afforded 19
proper treatment. 20
4. Upon notification by a hospital that a child who is 21
not under the jurisdiction of a juvenile court is being 22
boarded, the juvenile court of the county in which the 23
hospital is located shall immediately take custody of the 24
child to ensure that such child is placed in an appropriate 25
setting and afforded proper treatment. 26
5. Upon notification by a hospital that an individual 27
who has been diagnosed with a developmental disability, 28
serious mental illness, or substance use disorder is being 29
boarded, the department of mental health shall provide case 30
management and treatment, including residential or inpatient 31
treatment as appropriate, without delay and in the least 32
restrictive environment possible. 33
6. The state shall reimburse the hospital the actual 34
costs for boarding, or the hospital's full allowable costs 35
under MO HealthNet rules, whichever is greater, for each day 36
an individual is boarded after the juvenile court or the 37
department of mental health has been notified of the 38
boarding of such individual. 39
✓