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SECOND REGULAR SESSION
SENATE BILL NO. 1636
103RD GENERAL ASSEMBLY
INTRODUCED BY SENATOR GREGORY (21).
6842S.01I KRISTINA MARTIN, Secretary
AN ACT
To repeal section 191.658, RSMo, and to enact in lieu thereof two new sections relating to
infectious disease exposure notification, with penalty provisions.
Be it enacted by the General Assembly of the State of Missouri, as follows:
Section A. Section 191.658, RSMo, is repealed and two new 1
sections enacted in lieu thereof, to be known as sections 2
191.633 and 191.658, to read as follows:3
191.633. 1. As used in this section, the following 1
terms mean: 2
(1) "Exposure", any inhalation, ingestion, or contact 3
that may cause transmission of an infectious disease; 4
(2) "First responder", any: 5
(a) Law enforcement officer; 6
(b) Staff member of a jail or correctional center, as 7
defined in section 217.010; 8
(c) Paid or volunteer firefighter; or 9
(d) Emergency medical responder, emergency medical 10
technician, or paramedic, as those terms are defined in 11
section 190.100; 12
(3) "Health care facility", any facility, as the term 13
"facility" is defined in section 376.1350; 14
(4) "Health care professional", the same meaning given 15
to the term in section 376.1350; 16
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(5) "Health care service", the same meaning given to 17
the term in section 376.1350; 18
(6) "Health care worker", any health care professional 19
or other individual who provides or assists in the provision 20
of health care services. 21
2. (1) Any health care facility that becomes aware 22
that a health care worker or law enforcement officer has 23
sustained an exposure to an infectious disease described in 24
subsection 3 of this section in the course of the worker's 25
or officer's duties shall notify the health care worker or 26
law enforcement officer of the exposure as soon as 27
practicable but no later than forty-eight hours after 28
becoming aware of the exposure. The notification shall 29
identify the particular infectious disease to which the 30
health care worker or law enforcement officer was exposed. 31
(2) Any first responder who has transported an 32
individual to a health care facility or had contact with an 33
individual during transport of the individual to a health 34
care facility or as a result of the event or circumstance 35
that required the transport may submit a request to the 36
health care facility for information on whether the 37
individual tests positive for any infectious disease 38
described in subsection 3 of this section during the 39
individual's course of admission or treatment at the health 40
care facility following the transport. The health care 41
facility shall provide notification of any exposure in the 42
manner required under subdivision (1) of this subsection. 43
3. Notification shall be required under subsection 2 44
of this section for exposure to any of the following 45
infectious diseases: 46
(1) Anthrax (Bacillus anthracis) if classified as 47
cutaneous; 48
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(2) COVID-19 (SARS-CoV-2); 49
(3) Diphtheria (Corynebacterium diphtheriae); 50
(4) Hepatitis B (HBV); 51
(5) Hepatitis C (HCV); 52
(6) Human immunodeficiency virus (HIV); 53
(7) Measles (rubeola virus); 54
(8) Meningococcal disease (Neisseria meningitidis); 55
(9) Mumps (mumps virus); 56
(10) Novel influenza A viruses as defined by the 57
Council of State and Territorial Epidemiologists (CSTE); 58
(11) Pertussis (Bordetella pertussis); 59
(12) Pneumonic plague (Yersinia pestis); 60
(13) Rabies (rabies virus); 61
(14) Rubella, also known as German measles (rubella 62
virus); 63
(15) Severe acute respiratory syndrome (SARS-CoV); 64
(16) Tuberculosis (Mycobacterium tuberculosis) if 65
classified as an infectious pulmonary or laryngeal disease 66
or an extrapulmonary disease with a draining lesion; 67
(17) Vaccinia (vaccinia virus); 68
(18) Varicella disease (varicella-zoster virus) if 69
classified as chickenpox or disseminated zoster; and 70
(19) Viral hemorrhagic fevers (Lassa, Marburg, Ebola, 71
Crimean-Congo, and other viruses). 72
4. The requirements of this section shall be in 73
addition to, and not in lieu of, the requirements of 74
sections 191.631 and 191.658. 75
191.658. 1. As used in this section, the following 1
terms shall mean: 2
(1) "Disclose", to disclose, release, transfer, 3
disseminate or otherwise communicate all or any part of any 4
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record orally, in writing or by electronic means to any 5
person or entity; 6
(2) "Health care practitioner", any licensed 7
physician, nurse practitioner or physician's assistant; 8
(3) "HIV", the human immunodeficiency virus that 9
causes acquired immunodeficiency syndrome; 10
(4) "HIV infection", the pathological state of the 11
human body in response to HIV; 12
(5) "Medically significant exposure", a puncture 13
through or laceration of the skin, or contact of mucous 14
membrane or nonintact skin with blood, tissue, wound exudate 15
or other body fluids, including semen, vaginal secretions, 16
cerebrospinal fluid, synovial fluid, pleural fluid, 17
peritoneal fluid, pericardial fluid, amniotic fluid or any 18
body fluid containing visible blood, or contact of intact 19
skin with any such body fluids when the duration of contact 20
is prolonged or involves an extensive area of skin; 21
(6) "Person", private individuals, private or public 22
bodies politic, and corporations, partnerships, trusts, and 23
unincorporated associations and their officers, directors, 24
agents or employees; 25
(7) "Source individual", the person who is the source 26
of the blood or other body fluids to which medically 27
significant exposure occurred. 28
2. A health care practitioner providing medical 29
treatment for a health care worker or law enforcement 30
officer because of a medically significant exposure to blood 31
or other body fluids that occurred in the course of the 32
worker's or officer's employment may request from the 33
department of health and senior services information 34
regarding the HIV infection status of the source 35
individual. The department of health and senior services 36
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may disclose to the health care practitioner the HIV 37
infection status of the source individual if such 38
information is on file with the department. 39
3. The health care practitioner shall disclose the HIV 40
infection status of the source individual to the exposed 41
health care worker or law enforcement officer if, in the 42
professional judgment of the health care practitioner, such 43
disclosure is necessary to assure adherence to a prescribed 44
treatment regimen or is required under section 191.633. 45
4. No person to whom information about an individual's 46
HIV infection has been disclosed pursuant to this section 47
shall further disclose such results. 48
5. Any person who knowingly releases information in 49
violation of this section is guilty of a class A misdemeanor. 50
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