HB1178 Enacts the Dedication to Donation Act.
Sponsor: Graham, Chuck (24) Effective Date:00/00/0000
CoSponsor: LR Number: 3049L.02I
Last Action: COMMITTEE: PUBLIC HEALTH
03/07/2000 - Executive Session Held (H)
HCS VOTED DO PASS
HB1178
Next Hearing:Hearing not scheduled
Calendar:Bill currently not on calendar
ACTIONS HEARINGS CALENDAR
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Available Bill Summaries for HB1178 Copyright(c)
* Committee * Introduced

Available Bill Text for HB1178
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BILL SUMMARIES

COMMITTEE

HCS HB 1178 -- ORGAN DONATION

SPONSOR:  Ladd Stokan (Graham, 24)

COMMITTEE ACTION:  Voted "do pass" by the Committee on Public
Health by a vote of 14 to 0 with 1 present.

This substitute makes several changes to the Anatomical Gift
Act.  In its main provisions, the substitute:

(1)  Adds definitions for "anatomical donations," "federally
certified organ procurement organizations," "organ donor program
fund," "enucleator," and "procurement coordinator";

(2)  Allows persons who are 16 years of age to effect anatomical
gifts with parental or guardian consent;

(3)  Allows an attending physician or hospital designee to
contact an organ procurement organization in Missouri to
determine the suitability or non-suitability of an organ,
tissue, or eye donation of any patient who is near death or who
dies while an inpatient at a hospital and specifies the
procedures for the determination;

(4)  Allows a hospital to develop and implement a protocol for
referring potential anatomical donors;

(5)  Establishes procedures for conducting death medical record
reviews for the purpose of determining the anatomical donor
potential at a hospital;

(6)  Allows the Division of Motor Vehicle and Driver's Licensing
to modify the driver's license and identification card
application process and renewal system for the purposes of
obtaining information on anatomical donations from persons over
18 years of age and allowing persons under 18 years of age to
register as donors with parental consent and further permits
organ procurement organizations in Missouri to have 24-hour
access to the donor information, beginning January 1, 2001;

(7)  Allows applicants for a driver's license to make voluntary
contributions of any amount to the Organ Donor Program Fund;

(8)  Specifies procedures which allow the Department of Revenue
to provide space on the face of the individual income tax return
form for persons voluntarily contributing to the Organ Donor
Program Fund, effective for tax year 2000 and thereafter;

(9)  Specifies persons who can conduct reasonable administrative
and physical searches in order to verify the approval or non--
approval of an organ donation;

(10)  Specifies the use of the Organ Donor Program Fund;

(11)  Adds the following members to the Organ Donation Advisory
Committee:  one representative from the Department of Revenue;
one representative from the Missouri Hospital Association; and
one representative from an eye bank.  The substitute also
specifies that 4 advisory committee representatives are required
to be current members of the organ procurement organizations in
Missouri; and

(12)  Allows the Director of Revenue to specify the rules and
procedures for allowing an applicant to designate an anatomical
gift on the back of a non-driver's license.

FISCAL NOTE:  Not available at time of printing.

PROPONENTS:  Supporters say that this bill is similar to laws in
Pennsylvania and New Hampshire.  The intent of this bill is to
increase access points for organ donations in Missouri.

Testifying for the bill was Representative Graham (24).

OPPONENTS:  Those who oppose the bill say that certain
provisions of the bill could conflict with federal regulations
(such provisions are not in the committee substitute).
Opponents also stated that non-certified persons could have
access to the donor information database maintained by the
Division of Motor Vehicle and Driver's Licensing.

Testifying against the bill were Organ Donation Advisory
Committee; Missouri Eye Bank; and Missouri Kidney Program.

Joseph Deering, Legislative Analyst


INTRODUCED

HB 1178 -- Organ Donations

Sponsor:  Graham (24)

This bill makes several changes to the Anatomical Gift Act and
revises a section pertaining to the issuance of non-driver's
licenses by the Department of Revenue.  The bill:

(1)  Adds the definitions for "acute care general hospitals,"
"anatomical donations," "federally certified organ procurement
organizations," "organ donor program fund," and "recovery
specialist";

(2)  Allows persons who are 16 years of age to effect anatomical
gifts with parental or guardian consent and specifies additional
requirements for whole body donations;

(3)  Allows licensed hospitals to verify after a patient's
admittance, if possible, evidence pertaining to an anatomical
gift and specifies procedures for the verification;

(4)  Allows an attending physician or hospital designee to
contact an organ procurement organization in Missouri to
determine the suitability or non-suitability of an organ,
tissue, or eye donation of a 75 year old or younger patient who
is near death or who dies while an inpatient at an acute care
hospital and specifies the procedures for the determination;

(5)  Allows an acute care general hospital to develop and
implement a protocol for referring potential anatomical donors;

(6)  Establishes procedures for conducting death medical record
reviews on an annual basis for the purpose of determining the
anatomical donor potential at acute care general hospitals;

(7)  Allows a recovery specialist to perform appropriate
procedures for anatomical gifts at the donor's request;

(8)  Allows the Division of Motor Vehicle and Driver's Licensing
to modify the driver's license and identification card
application process and renewal system for the purposes of
obtaining information on anatomical donations from persons over
18 years of age and allowing persons under 18 years of age to
register as donors with parental consent and further permits
organ procurement organizations in Missouri to have 24-hour
access to the donor information, beginning January 1, 2001;

(9)  Specifies the procedures which allow the Department of
Revenue to provide applicants for vehicle renewal registrations
an opportunity to contribute $1 to the Organ Donor Program Fund
and specifies the use of such funds;

(10)  Specifies procedures which allow the Department of Revenue
to provide space on the face of the individual income tax return
form for persons voluntarily contributing to the Organ Donor
Program Fund, effective for tax year 2000 and thereafter;

(11)  Specifies persons who can conduct reasonable,
administrative, and physical searches in order to verify the
approval or non-approval of an organ donation and for notifying
the next-of-kin of an accident trauma victim;

(12)  Specifies regulations for the administration and use of
the Organ Donor Program Fund;

(13)  Establishes an Organ Tissue and Donor Awareness Board and
specifies the duties and the composition of the members and
eliminates the Organ Donation Advisory Committee; and

(14)  Allows the Director of Revenue to specify the rules and
procedures for allowing an applicant to designate an anatomical
gift on the back of a non-driver's license.


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