Read 1st time January 18, 2000, and 1000 copies ordered printed.
ANNE C. WALKER, Chief Clerk
AN ACT
To repeal section 210.030, RSMo Supp. 1999, relating to blood tests of pregnant women, and to enact in lieu thereof one new section relating to the same subject.
Section A. Section 210.030, RSMo Supp. 1999, is repealed and one new section enacted in lieu thereof, to be known as section 210.030, to read as follows:
210.030. 1. Every licensed physician, midwife, registered nurse and all persons who may undertake, in a professional way, the obstetrical and gynecological care of a pregnant woman in the state of Missouri shall, if the woman consents, take or cause to be taken a sample of venous blood of such woman at the time of the first prenatal examination, or not later than twenty days after the first prenatal examination, and subject such sample to an approved and standard serological test for syphilis, an approved serological test for hepatitis B and such other treatable diseases and metabolic disorders as are prescribed by the department of health. In any area of the state designated as a syphilis outbreak area by the department of health, if the mother consents, a sample of her venous blood shall be taken later in the course of pregnancy and at delivery for additional testing for syphilis as may be prescribed by the department. If a mother tests positive for hepatitis B, the physician or person who professionally undertakes the pediatric care of a newborn shall also administer the appropriate doses of hepatitis B vaccine and [gamma globulin specific for hepatitis B, or HBIG, within twelve hours of birth to infants born to mothers who are hepatitis B positive. If the results of such test are unknown within twelve hours, the hepatitis B vaccine and gamma globulin specific for hepatitis B, or HBIG, shall be administered as soon as possible.] hepatitis B immune globulin (HBIG) in accordance with the current recommendations of the Advisory Committee on Immunization Practices (ACIP). If the mother's hepatitis B status is unknown, the appropriate dose of hepatitis B vaccine shall be administered to the newborn in accordance with the current ACIP recommendations. If the mother consents, a sample of her venous blood shall be taken. If she tests positive for hepatitis B, hepatitis B immune globulin (HBIG) shall be administered to the newborn in accordance with the current ACIP recommendations.
2. The department of health shall, in consultation with the Missouri genetic disease advisory committee, make such rules
pertaining to such tests as shall be dictated by accepted medical practice, and tests shall be of the types approved by the
department of health. An approved and standard test for syphilis, hepatitis B, and other treatable diseases and metabolic
disorders shall mean a test made in a laboratory approved by the department of health. No individual shall be denied
testing by the department of health because of inability to pay.
Missouri House of Representatives