Journal of the House



First Regular Session, 91st General Assembly


TWENTY-NINTH DAY, Tuesday, February 20, 2001



Speaker Kreider in the Chair.



Prayer by Father David Buescher.



God, help us entrust the committee meetings, the discussions, the time with constituents, all the affairs of this day to Your attention. Your care will infuse these dealings and interactions with a deeper sense of meaning and purpose.

May our representatives not work as if they are alone or helpless, but rather awake with the knowledge that Your spirit breathes in and through their efforts and toiling. Grant them this presence as they humbly stand praying to You at the start of this day. Amen.



The Pledge of Allegiance to the flag was recited.



The Speaker appointed the following to act as Honorary Pages for the Day, to serve without compensation: Sarah Leleah McDonald, Maddy Noss, Steven Le, Daniel Kuehn and Ashley Burris.



The Journal of the twenty-eighth day was approved as printed by the following vote:



AYES: 144
Abel Baker Ballard Barnett Barnitz
Barry 100 Bartelsmeyer Bartle Bearden Behnen
Berkowitz Berkstresser Boatright Bonner Boucher
Bowman Boykins Bray 84 Britt Brooks
Burcham Burton Byrd Campbell Carnahan
Champion Cierpiot Coleman Cooper Copenhaver
Crawford Crowell Crump Cunningham Curls
Davis Dempsey Dolan Enz Fares
Farnen Foley Ford Franklin Fraser
Gaskill George Graham Gratz Green 15
Green 73 Griesheimer Hagan-Harrell Hampton Hanaway
Harding Harlan Hartzler Haywood Hegeman
Henderson Hendrickson Hickey Hilgemann Holt
Hoppe Hosmer Jetton Johnson 61 Johnson 90
Jolly Kelley 47 Kelly 144 Kelly 27 Kennedy
King Koller Lawson Legan Levin
Liese Linton Lograsso Long Lowe
Luetkemeyer Luetkenhaus Marble Marsh May 149
Mayer Mays 50 McKenna Merideth Miller
Monaco Moore Murphy Myers Naeger
Nordwald O'Connor O'Toole Ostmann Overschmidt
Phillips Portwood Purgason Ransdall Rector
Reid Reinhart Relford Reynolds Richardson
Ridgeway Rizzo Roark Robirds Ross
Scheve Scott Secrest Seigfreid Selby
Shelton Shields Shoemyer Skaggs Smith
Surface Thompson Townley Treadway Troupe
Van Zandt Villa Wagner Walton Wiggins
Willoughby Wilson 25 Wilson 42 Mr. Speaker
NOES: 000
PRESENT: 000
ABSENT WITH LEAVE: 015
Black Clayton Froelker Gambaro Hohulin
Holand Hollingsworth Hunter Kelly 36 Schwab
St. Onge Vogel Ward Williams Wright
VACANCIES: 004


Dana Staley, State President of Future Farmers of America, King City, Missouri, addressed the House.



HOUSE COURTESY RESOLUTIONS OFFERED AND ISSUED



House Resolution No. 523

through

House Resolution No. 526 - Representative Selby

House Resolution No. 527 - Representative Naeger

House Resolution No. 528 - Representative Kelly (27)

House Resolution No. 529 - Representative Seigfreid

House Resolution No. 530

and

House Resolution No. 531 - Representatives Seigfreid and Copenhaver

House Resolution No. 532

and

House Resolution No. 533 - Representative Ladd Baker

House Resolution No. 534 - Representative Barry

House Resolution No. 535 - Representative Phillips



SECOND READING OF HOUSE CONCURRENT RESOLUTION



HCR 23 was read the second time.



SECOND READING OF HOUSE BILLS



HB 820 through HB 825 were read the second time.



SECOND READING OF SENATE BILL



SCS SBs 26 & 126 was read the second time.

COMMITTEE REPORT



Committee on Rules, Joint Rules and Bills Perfected and Printed, Chairman Crump reporting:



Mr. Speaker: Your Committee on Rules, Joint Rules and Bills Perfected and Printed, to which was referred HB 163, HCS HBs 441, 94 & 244, HB 219, and HCS HB 207, begs leave to report it has examined the same and finds them to be truly perfected and that the printed copies thereof furnished the members are correct.



PERFECTION OF HOUSE JOINT RESOLUTION



HJR 5, relating to school district bond elections, was taken up by Representative Barry.



Speaker Pro Tem Abel assumed the Chair.



Representative Marble offered House Amendment No. 1.



House Amendment No. 1



AMEND House Joint Resolution No. 5, Page 1, Article VI, Section 26(b), Line 1, by adding immediately after "26(b).", the following: "]."; and



Further amend said House Joint Resolution No. 5, Page 2, Article VI, Section 26(b), Line 10, by adding after all of said line the following:



"2. The required majority for passage of this house joint resolution, notwithstanding Article XII, Section 2(b) of the Constitution, shall be a four-sevenths majority.".



Representative Marble moved that House Amendment No. 1 be adopted.



Which motion was defeated by the following vote:



AYES: 055
Ballard Barnett Bartelsmeyer Bearden Behnen
Berkstresser Boatright Burcham Burton Byrd
Champion Cierpiot Cooper Crawford Crowell
Cunningham Dempsey Enz Gaskill Green 73
Hegeman Henderson Hohulin Holand Hunter
Jetton Kelly 144 Legan Levin Linton
Lograsso Luetkemeyer Marble Marsh May 149
Mayer Miller Murphy Myers Naeger
Nordwald Phillips Portwood Purgason Rector
Reinhart Richardson Ridgeway Roark Schwab
Scott Secrest St. Onge Townley Wright
NOES: 099
Abel Baker Barnitz Barry 100 Bartle
Berkowitz Black Bonner Boucher Bowman
Boykins Bray 84 Britt Brooks Campbell
Carnahan Clayton Coleman Copenhaver Crump
Curls Davis Dolan Fares Farnen
Foley Ford Franklin Fraser Froelker
Gambaro George Graham Gratz Green 15
Griesheimer Hagan-Harrell Hampton Harding Hartzler
Haywood Hendrickson Hickey Hilgemann Hollingsworth
Holt Hoppe Hosmer Johnson 61 Johnson 90
Jolly Kelley 47 Kelly 27 Kelly 36 Kennedy
King Koller Liese Lowe Luetkenhaus
Mays 50 McKenna Merideth Monaco Moore
O'Connor O'Toole Ostmann Overschmidt Ransdall
Reid Relford Reynolds Rizzo Robirds
Ross Scheve Seigfreid Selby Shelton
Shields Shoemyer Skaggs Smith Surface
Thompson Treadway Troupe Van Zandt Villa
Wagner Walton Ward Wiggins Williams
Willoughby Wilson 25 Wilson 42 Mr. Speaker
PRESENT: 000
ABSENT WITH LEAVE: 005
Hanaway Harlan Lawson Long Vogel
VACANCIES: 004


Representative Bearden offered House Amendment No. 2.



House Amendment No. 2



AMEND House Joint Resolution No. 5, Page 2, Section 26(b), Lines 9 and 10, by striking the words: "general municipal election day or".



Representative Bearden moved that House Amendment No. 2 be adopted.



Which motion was defeated by the following vote:



AYES: 057
Ballard Barnett Bartelsmeyer Bearden Behnen
Berkstresser Burcham Burton Byrd Champion
Cierpiot Cooper Crawford Crowell Cunningham
Dempsey Dolan Enz Froelker Gaskill
Green 15 Griesheimer Hegeman Henderson Hohulin
Holand Holt Hunter Jetton Kelly 144
Kelly 36 Legan Linton Lograsso Long
Luetkemeyer Luetkenhaus Marble Marsh May 149
Murphy Myers Naeger Nordwald Portwood
Purgason Rector Reinhart Richardson Ridgeway
Roark Robirds Schwab Scott Secrest
St. Onge Townley








NOES: 097
Abel Baker Barnitz Barry 100 Bartle
Berkowitz Black Boatright Bonner Boucher
Bowman Boykins Bray 84 Britt Brooks
Campbell Carnahan Clayton Coleman Copenhaver
Crump Curls Davis Fares Farnen
Foley Ford Franklin Fraser Gambaro
George Graham Gratz Green 73 Hagan-Harrell
Hampton Harding Harlan Hartzler Haywood
Hendrickson Hickey Hilgemann Hollingsworth Hoppe
Hosmer Johnson 61 Johnson 90 Jolly Kelley 47
Kelly 27 Kennedy King Koller Liese
Lowe Mayer Mays 50 McKenna Merideth
Miller Monaco Moore O'Connor O'Toole
Ostmann Overschmidt Phillips Ransdall Reid
Relford Reynolds Rizzo Ross Scheve
Seigfreid Selby Shelton Shields Shoemyer
Skaggs Smith Surface Thompson Treadway
Troupe Van Zandt Villa Wagner Ward
Wiggins Williams Willoughby Wilson 25 Wilson 42
Wright Mr. Speaker
PRESENT: 000
ABSENT WITH LEAVE: 005
Hanaway Lawson Levin Vogel Walton
VACANCIES: 004


On motion of Representative Barry, HJR 5 was ordered perfected and printed.



PERFECTION OF HOUSE BILLS



HCS HB 113, relating to state building contracts, was taken up and placed on the Informal Calendar.



HB 381, relating to gray market tobacco, was taken up and placed on the Informal Calendar.



HB 621, with House Committee Amendment No. 1, relating to the penitentiary redevelopment commission, was taken up by Representative Gratz.



On motion of Representative Gratz, House Committee Amendment No. 1 was adopted.



Representative Britt assumed the Chair.



Representative Gratz offered House Amendment No. 1.









House Amendment No. 1



AMEND House Bill No. 621, Page 3, Section 217.900, Line 77, by inserting immediately after said line the following:



"9. Upon the dissolving of the commission, any funds remaining in the Missouri State Penitentiary Commission Fund shall be transferred to the general revenue fund.".



On motion of Representative Gratz, House Amendment No. 1 was adopted.



On motion of Representative Gratz, HB 621, as amended, was ordered perfected and printed.



Speaker Pro Tem Abel resumed the Chair.



HB 575, with House Committee Amendment No. 1, relating to motor vehicle franchise, was taken up by Representative O'Connor.



On motion of Representative O'Connor, House Committee Amendment No. 1 was adopted.



On motion of Representative O'Connor, HB 575, as amended, was ordered perfected and printed.



HCS HB 567, relating to professional registration, was taken up by Representative Treadway.



Representative Johnson (90) offered House Amendment No. 1.



House Amendment No. 1



AMEND House Committee Substitute for House Bill No. 567, Page 12, Section 324.205, Line 3, by striking the "[" on said line; and



Further amend said Section, Page 13, Line 4, by striking the following; "] a class A misdemeanor".



On motion of Representative Johnson (90), House Amendment No. 1 was adopted.



Representative Shoemyer offered House Amendment No. 2.



House Amendment No. 2



AMEND House Committee Substitute for House Bill No. 567, Page 61, Section 331.050, Line 27, by inserting after all of said line the following:



"332.051. 1. The board shall establish and maintain an office at Jefferson City, Missouri, where its records and files shall be kept.

2. Investigators employed by the board shall, among other duties, have the power in the name of the board to investigate alleged violations of this chapter including the right to inspect, on order of the board, dental offices, [including records,] dental laboratories, dental equipment and instruments [with respect to violations of the provisions of this chapter], and to inspect and copy all records, including patient records.

3. In any investigation, hearing or other proceeding to determine a licensee's or applicant's fitness to practice, any record relating to any patient of the licensee or applicant shall be discoverable by the board and admissible into evidence, regardless of any statutory or common law privilege that such licensee, applicant, record custodian or patient might otherwise invoke. In addition, no such licensee, applicant, or record custodian may withhold records or testimony bearing upon a licensee's or applicant's fitness to practice on the ground of privilege between such licensee, applicant or record custodian and a patient.

332.181. 1. [After a person has received a certificate of registration qualifying him to practice dentistry in Missouri, he may within one year from the date of his certificate, apply, on forms furnished to the applicant for, and upon payment of a dentist's license fee shall receive, a license to practice dentistry in Missouri] No person shall engage in the practice of dentistry in Missouri without first obtaining a license pursuant to this chapter.

2. [The certificate of registration of a dentist issued to any person who fails to apply for a license as herein provided within one year after the date of his certificate of registration shall be void] Any person desiring to obtain a license to practice dentistry in Missouri shall make application to the board on a form prescribed by the board pursuant to section 332.141. An application for licensure shall be active for one year after the date it is received by the board. The application is void if not completed within one year of its receipt by the board.

3. [Each person who holds a certificate of registration] Once licensed to practice dentistry in Missouri, a licensee shall renew his or her license [to practice dentistry in Missouri] on or before the license renewal date and shall display his or her license for each current licensing period in the office in which he or she practices or offers to practice dentistry.

4. All licenses issued or renewed on or after December 1, 2002, shall be valid for two years. The board shall not renew [any certificate of registration] the license of any dentist unless the licensee [shall provide] provides satisfactory evidence that he or she has completed [seventy-five hours] the required number of continuing education [within a three-year period] hours within the time period prescribed by rule by the board. The board may extend the time requirements for completion of continuing education for up to six months for reasons related to health, military service, foreign residency or other good cause. All requests for extensions of time shall be made in writing and submitted to the board before the license renewal date. The board may waive the requirements for continuing education for retired or disabled dentists or for other good cause.

5. Any [registered and] licensed dentist who fails to renew his or her license on or before the renewal date may apply to the board for [a] renewal of his or her license within [five] four years subsequent to the date [his] of license [expired] expiration, provided that any such applicant shall pay a reinstatement fee for the license.

6. The [certificate of registration] license of any dentist who fails to renew [his license] within [five] four years of the time his or her license [has] expired [shall be] is void. [He] The dentist may reapply for a [new certificate of registration], license provided that, unless [he applies] application is made under section 332.211, he or she shall pay the same fees and be examined in the same manner as an original applicant for [a certificate of registration] licensure as a dentist. A [registered and] currently licensed dentist in Missouri may apply to the board to be placed on an inactive list of dentists, and during the time his or her name remains on the inactive list, he or she shall not practice dentistry. If a dentist wishes to be removed from the inactive list, unless he or she applies under section 332.211, he or she shall apply for a current license and pay the license fees for the years between the date of the entry of his or her name on the inactive list and the date of issuance of his or her current license. [And] In addition, [if he] any dentist who has been on the inactive list for more than [three] four years[,] shall be examined in the same manner as an original applicant for [a certificate of registration] licensure as a dentist.

7. A [registered and] currently licensed dentist in Missouri who does not maintain a practice in this state or does not reside in this state may apply to the board to be placed on an out-of-state licensee list of dentists. Any dentist applying to be so [registered and] licensed shall accompany his or her application with a fee not greater than the licensure fee for a licensee who maintains a practice in this state or who resides in this state. The required fee shall be established by the board, by rule, as with other licensing fees.

332.261. 1. [After a person has received a certificate of registration qualifying him to practice as a dental hygienist in Missouri, he may within one year from the date of his certificate apply for and shall receive a license to practice as a dental hygienist in Missouri. Application forms shall be furnished to the applicant, and the application shall be accompanied by the dental hygienist license fee.] No person shall engage in the practice of dental hygiene without first obtaining a license pursuant to this chapter.

2. [The certificate of registration as a dental hygienist issued to any person who fails to apply for a license as herein provided within one year after the date of his certificate of registration shall be void.] Any person desiring to obtain a license to practice dental hygiene in Missouri shall make application to the board on a form prescribed by the board pursuant to section 332.241. An application for licensure shall be active for one year after the date it is received by the board. The application is void if not completed within one year of its receipt by the board.

3. [Each person who holds a certificate of registration] Once licensed to practice as a dental hygienist in Missouri, a licensee shall renew his or her license to practice as a dental hygienist on or before the renewal date and shall display his or her license for each current licensing period in the office in which he or she practices or offers to practice as a dental hygienist.

4. All licenses issued or renewed on or after December 1, 2002, shall be valid for two years. The board shall not renew [any certificate of registration] the license of any hygienist unless the licensee [shall provide] provides satisfactory evidence that he or she has completed [forty-five hours] the required number of continuing education [within a three-year period] hours within the time period prescribed by rule by the board. The board may extend the time requirements for completion of continuing education for up to six months for reasons related to health, military service, foreign residency or other good cause. All requests for extensions of time shall be made in writing and submitted to the board before the license renewal date. The board may waive the requirements for continuing education for retired or disabled hygienists or for other good cause.

5. Any [registered and] licensed dental hygienist who fails to renew his or her license on or before the renewal date may apply to the board for [a] renewal of his or her license within [five] four years [after] subsequent to the date [his] of license [expired] expiration, [but he] but any such applicant shall pay a reinstatement fee for the [new] license.

6. The [certificate of registration] license of any dental hygienist who fails to renew [his license] within [five] four years of the time that his or her license [shall have] expired [shall be] is void. [He] The dental hygienist may apply for a new [certificate of registration] license, provided that, unless [he applies] application is made under section 332.281, he or she shall pay the same fees and be examined in the same manner as an original applicant for [a certificate of registration] licensure as a dental hygienist. A currently licensed dental hygienist in Missouri may apply to the board to be placed on an inactive list of dental hygienists, and during the time his or her name remains on the inactive list, he or she shall not practice as a dental hygienist. If a dental hygienist wishes to be removed from the inactive list, unless he or she applies pursuant to section 332.281, he or she shall apply for a current license and pay the license fees for the years between the date of the entry of his or her name on the inactive list and the date of issuance of his or her current license. In addition, any dental hygienist who has been on the inactive list for more than four years shall be examined in the same manner as an original applicant for licensure as a dental hygienist.

7. [Any] A currently licensed dental hygienist [holding a certificate of registration in this state] in Missouri who does not practice in this state or who does not reside in this state may apply to the board to be placed on an out-of-state registration list of dental hygienists. Any dental hygienist applying to be so [registered] licensed shall accompany his or her application with a fee not greater than the license fee for a licensee who practices in this state or resides in this state. The required fee shall be established by the board, by rule, as with other licensing fees.

332.321. 1. The board may refuse to issue [any certificate of registration or authority, permit or license, or refuse to renew any such certificate of registration or authority,] or renew any permit or license[,] required pursuant to this chapter for one or any combination of causes stated in subsection 2 of this section or the board may, as a condition to issuing or renewing any such [certificate of registration or authority,] permit or license, require a person to submit himself or herself for identification, intervention, treatment or rehabilitation by the well-being committee as provided in section 332.327. The board shall notify the applicant in writing of the reasons for the refusal and shall advise the applicant of his or her right to file a complaint with the administrative hearing commission as provided by chapter 621, RSMo.

2. The board may cause a complaint to be filed with the administrative hearing commission as provided by chapter 621, RSMo, against any holder of any [certificate of registration or authority,] permit or license required by this chapter or any person who has failed to renew or has surrendered his or her [certificate of registration or authority,] permit or license for any one or any combination of the following causes:

(1) Use of any controlled substance, as defined in chapter 195, RSMo, or alcoholic beverage to an extent that such use impairs a person's ability to perform the work of any profession licensed or regulated by this chapter;

(2) The person has been finally adjudicated and found guilty, or entered a plea of guilty or nolo contendere, in a criminal prosecution pursuant to the laws of any state or of the United States, for any offense reasonably related to the qualifications, functions or duties of any profession licensed or regulated pursuant to this chapter, for any offense an essential element of which is fraud, dishonesty or an act of violence, or any offense involving moral turpitude, whether or not sentence is imposed;

(3) Use of fraud, deception, misrepresentation or bribery in securing any [certificate of registration or authority,] permit or license issued pursuant to this chapter or in obtaining permission to take any examination given or required pursuant to this chapter;

(4) Obtaining or attempting to obtain any fee, charge, tuition or other compensation by fraud, deception or misrepresentation; or increasing charges when a patient utilizes a third-party payment program; or for repeated irregularities in billing a third party for services rendered to a patient. For the purposes of this subdivision, irregularities in billing shall include:

(a) Reporting charges for the purpose of obtaining a total payment in excess of that usually received by the dentist for the services rendered;

(b) Reporting incorrect treatment dates for the purpose of obtaining payment;

(c) Reporting charges for services not rendered;

(d) Incorrectly reporting services rendered for the purpose of obtaining payment [which is] greater than that to which the person is entitled;

(e) Abrogating the co-payment or deductible provisions of a third-party payment contract. Provided, however, that this paragraph shall not prohibit a discount, credit or reduction of charges provided under an agreement between the [holder of a license] licensee and an insurance company, health service corporation or health maintenance organization licensed pursuant to the laws of this state; or governmental third-party payment program; or self-insurance program organized, managed or funded by a business entity for its own employees or labor organization for its members;

(5) Incompetency, misconduct, gross negligence, fraud, misrepresentation or dishonesty in the performance of, or relating to one's ability to perform, the functions or duties of any profession licensed or regulated by this chapter;

(6) Violation of, or assisting or enabling any person to violate, any provision of this chapter, or any lawful rule or regulation adopted pursuant to this chapter;

(7) Impersonation of any person holding a [certificate of registration or authority,] permit or license or allowing any person to use his or her [certificate of registration or authority,] permit, license or diploma from any school;

(8) Disciplinary action against the holder of a license or other right to practice any profession regulated by this chapter [granted] imposed by another state, province, territory, federal agency or country upon grounds for which [revocation or suspension] discipline is authorized in this state;

(9) A person is finally adjudicated incapacitated or disabled by a court of competent jurisdiction;

(10) Assisting or enabling any person to practice or offer to practice, by lack of supervision or in any other manner, any profession licensed or regulated by this chapter who is not registered and currently eligible to practice pursuant to this chapter;

(11) Issuance of a [certificate of registration or authority,] permit or license based upon a material mistake of fact;

(12) Failure to display a valid certificate [or], license or permit if so required by this chapter or by any rule promulgated hereunder;

(13) Violation of any professional trust or confidence;

(14) Use of any advertisement or solicitation [which] that is false, misleading or deceptive to the general public or persons to whom the advertisement or solicitation is primarily directed. False, misleading or deceptive advertisements or solicitations shall include, but not be limited to:

(a) Promises of cure, relief from pain or other physical or mental condition, or improved physical or mental health;

(b) Any misleading or deceptive statement offering or promising a free service. Nothing herein shall be construed to make it unlawful to offer a service for no charge if the offer is announced as part of a full disclosure of routine fees including consultation fees;

(c) Any misleading or deceptive claims of patient cure, relief or improved condition; superiority in service, treatment or materials; new or improved service, treatment or material; or reduced costs or greater savings. Nothing herein shall be construed to make it unlawful to use any such claim if it is readily verifiable by existing documentation, data or other substantial evidence. Any claim [which] that exceeds or exaggerates the scope of its supporting documentation, data or evidence is misleading or deceptive;

(d) Any announced fee for a specified service where that fee does not include the charges for necessary related or incidental services, or where the actual fee charged for that specified service may exceed the announced fee, but it shall not be unlawful to announce only the maximum fee [which] that can be charged for the specified service, including all related or incidental services, modified by the term "up to" if desired;

(e) Any announcement in any form including the term "specialist" or the phrase "limited to the specialty of" unless each person named in conjunction with the term or phrase, or responsible for the announcement, holds a valid Missouri certificate and license evidencing that the person is a specialist in that area;

(f) Any announcement containing any of the terms denoting recognized specialties, or other descriptive terms carrying the same meaning, unless the announcement clearly designates by list each dentist not licensed as a specialist in Missouri who is sponsoring or named in the announcement, or employed by the entity sponsoring the announcement, after the following clearly legible or audible statement: "Notice: the following dentist(s) in this practice is (are) not licensed in Missouri as specialists in the advertised dental specialty(s) of ...........";

(g) Any announcement containing any terms denoting or implying specialty areas [which] that are not recognized by the American Dental Association;

(15) Violation of the drug laws or rules and regulations of this state, any other state or the federal government;

(16) Failure or refusal to properly guard against contagious, infectious or communicable diseases or the spread thereof;

(17) Failing to maintain his or her office or offices, laboratory, equipment and instruments in a safe and sanitary condition;

(18) Accepting [or], tendering or paying "rebates" to or "splitting fees" with any other person; provided, however, that nothing herein shall be so construed as to make it unlawful for a dentist practicing in a partnership or as a corporation organized pursuant to the provisions of chapter 356, RSMo, [from distributing] to distribute profits in accordance with his or her stated agreement;

(19) Administering, or causing or permitting to be administered, nitrous oxide gas in any amount to himself or herself[;], or to another unless [this administration is done] as an adjunctive measure to patient management;

(20) Being unable to practice as a dentist, specialist or hygienist with reasonable skill and safety to patients by reasons of professional incompetency, or because of illness, drunkenness, excessive use of drugs, narcotics, chemicals, or as a result of any mental or physical condition. In enforcing this subdivision the board shall, after a hearing before the board, upon a finding of probable cause, require the dentist or specialist or hygienist to submit to a reexamination for the purpose of establishing his or her competency to practice as a dentist, specialist or hygienist, which reexamination shall be conducted in accordance with rules adopted for this purpose by the board, including rules to allow the examination of the dentist's, specialist's or hygienist's professional competence by at least three dentists or fellow specialists, or to submit to a mental or physical examination or combination thereof by at least three physicians. One examiner shall be selected by the dentist, specialist or hygienist compelled to take examination, one selected by the board, and one shall be selected by the two examiners so selected. Notice of the physical or mental examination shall be given by personal service or registered mail. Failure of the dentist, specialist or hygienist to submit to the examination when directed shall constitute an admission of the allegations against him or her, unless the failure was due to circumstances beyond his or her control. A dentist, specialist or hygienist whose right to practice has been affected pursuant to this subdivision shall, at reasonable intervals, be afforded an opportunity to demonstrate that he or she can resume competent practice with reasonable skill and safety to patients.

(a) In any proceeding pursuant to this subdivision, neither the record of proceedings nor the orders entered by the board shall be used against a dentist, specialist or hygienist in any other proceeding. Proceedings pursuant to this subdivision shall be conducted by the board without the filing of a complaint with the administrative hearing commission;

(b) When the board finds any person unqualified because of any of the grounds set forth in this subdivision, it may enter an order imposing one or more of the following: denying his or her application for a license; permanently withholding issuance of a license; administering a public or private reprimand; placing on probation, suspending or limiting or restricting his or her license to practice as a dentist, specialist or hygienist for a period of not more than five years; revoking his or her license to practice as a dentist, specialist or hygienist; requiring him or her to submit to the care, counseling or treatment of physicians designated by the dentist, specialist or hygienist compelled to be treated; or requiring such person to submit to identification, intervention, treatment or rehabilitation by the well-being committee as provided in section 332.327. For the purpose of this subdivision, "license" includes the certificate of registration, or license, or both, issued by the board.

3. After the filing of such complaint, the proceedings shall be conducted in accordance with the provisions of chapter 621, RSMo. Upon a finding by the administrative hearing commission that the grounds, provided in subsection 2, for disciplinary action are met, the board may, singly or in combination:

(1) Censure or place the person or firm named in the complaint on probation on such terms and conditions as the board deems appropriate for a period not to exceed five years; or

(2) [May] Suspend the license, certificate or permit for a period not to exceed three years; or

(3) Revoke the license, certificate, or permit. In any order of revocation, the board may provide that the person may not apply for licensure for a period of time ranging from two to seven years following the date of the order of revocation; or

(4) Cause the person or firm named in the complaint to make restitution to any patient, or any insurer or third-party payer who shall have paid in whole or in part a claim or payment which they should be reimbursed [for], where restitution would be an appropriate remedy, including the reasonable cost of follow-up care to correct or complete a procedure performed or one [which] that was to be performed by the person or firm named in the complaint; or

(5) Request the attorney general to bring an action in the circuit court of competent jurisdiction to recover a civil penalty on behalf of the state in an amount to be assessed by the court.

4. If the board concludes that a dentist or dental hygienist has committed an act or is engaging in a course of conduct that would be grounds for disciplinary action and that constitutes a clear and present danger to public health and safety, the board may file a complaint before the administrative hearing commission which requests an expedited hearing, which specifies the activities that endanger the public health and safety and which specifies the nature of the proposed restriction or suspension of the dentist's or dental hygienist's license. Within fifteen days after service of the complaint on the dentist or dental hygienist, the administrative hearing commission shall conduct a preliminary hearing to determine whether the alleged activities of the dentist or dental hygienist appear to constitute a clear and present danger to the public health and safety which justify the immediate restriction or suspension of the dentist's or dental hygienist's license. The burden of proving that a dentist or dental hygienist is a clear and present danger to the public health and safety is on the Missouri dental board. The administrative hearing commission shall issue its decision immediately after the hearing and shall either grant the board the authority to suspend or restrict the license or dismiss the action.

5. If the administrative hearing commission grants temporary authority to the board to restrict or suspend the dentist's or dental hygienist's license, such temporary authority shall become final authority if the dentist or dental hygienist fails to request a full hearing within thirty days of the preliminary hearing. The administrative hearing commission shall, if requested by the dentist or dental hygienist named in the complaint, set a date to hold a full hearing pursuant to chapter 621, RSMo, regarding the activities alleged in the initial complaint filed by the board.

6. If the administrative hearing commission dismisses the action filed by the board pursuant to subsection 4 of this section, such dismissal shall not bar the board from initiating a subsequent action on the same grounds.

7. Notwithstanding any other provisions of section 332.071 or of this section, a [duly registered and] currently licensed dentist in Missouri may enter into an agreement with individuals and organizations to provide dental health care, provided such agreement does not permit or compel practices [in violation of this section or violate any other] that violate any provision of this chapter.

[5.] 8. At all proceedings for the enforcement of these or any other provisions of this chapter the board shall, as it deems necessary, select, in its discretion, either the attorney general or one of the attorney general's assistants designated by the attorney general or other legal counsel to appear and represent the board at each stage of such proceeding or trial until its conclusion.

[6.] 9. If at any time when any [disciplinary sanctions have] discipline has been imposed pursuant to this section or pursuant to any provision of this chapter, the licensee removes himself or herself from the state of Missouri, ceases to be currently licensed pursuant to the provisions of this chapter, or fails to keep the Missouri dental board advised of his or her current place of business and residence, the time of his or her absence, or unlicensed status, or unknown whereabouts shall not be deemed or taken as any part of the time of discipline so imposed."; and



Further amend said title, enacting clause and intersectional references accordingly.



HCS HB 567, as amended, with House Amendment No. 2, pending, was laid over.



REFERRAL OF HOUSE BILLS



The following House Bills were referred to the Committee indicated:



HCS HB 207 - Fiscal Review and Government Reform (Fiscal Note)

HB 81 - Education-Elementary and Secondary

HB 702 - Local Government and Related Matters

HB 703 - Critical Issues, Consumer Protection and Housing

HB 704 - Municipal Corporations

HB 705 - Retirement

HB 706 - Ways and Means

HB 707 - Criminal Law

HB 708 - Motor Vehicle and Traffic Regulations

HB 709 - Motor Vehicle and Traffic Regulations

HB 710 - Elections

HB 711 - Judiciary

HB 712 - Civil and Administrative Law

HB 713 - Insurance

HB 714 - Transportation

HB 715 - Social Services, Medicaid and the Elderly

HB 716 - Professional Registration and Licensing

HB 717 - Ways and Means

HB 718 - Criminal Law

HB 719 - Ways and Means

HB 720 - Labor

HB 721 - Environment and Energy

HB 722 - Children, Families and Health

HB 723 - Utilities Regulation

HB 724 - Criminal Law

HB 725 - Education-Elementary and Secondary

HB 726 - Local Government and Related Matters

HB 727 - Local Government and Related Matters

HB 728 - Local Government and Related Matters

HB 729 - Motor Vehicle and Traffic Regulations

HB 730 - Local Government and Related Matters

HB 731 - Public Safety, Law Enforcement and Veteran Affairs

HB 732 - Public Safety, Law Enforcement and Veteran Affairs

HB 733 - Public Safety, Law Enforcement and Veteran Affairs

HB 734 - Transportation

HB 739 - Critical Issues, Consumer Protection and Housing

HB 740 - Ways and Means

HB 741 - Ways and Means

HB 742 - Correctional and State Institutions

HB 743 - Transportation

HB 748 - Local Government and Related Matters

HB 749 - Local Government and Related Matters

HB 750 - Retirement

HB 752 - Professional Registration and Licensing

HB 753 - Motor Vehicle and Traffic Regulations

HB 755 - Motor Vehicle and Traffic Regulations

HB 756 - Transportation

HB 757 - Professional Registration and Licensing

HB 758 - Commerce and Economic Development

HB 760 - Urban Affairs

HB 761 - Utilities Regulation

HB 763 - Education-Elementary and Secondary

HB 764 - Insurance

HB 765 - Motor Vehicle and Traffic Regulations

HB 766 - Utilities Regulation

HB 767 - Commerce and Economic Development

HB 768 - Workers Compensation and Employment Security

HB 769 - Education-Higher

HB 770 - Municipal Corporations

HB 771 - Judiciary

HB 772 - Elections

HB 773 - Local Government and Related Matters

HB 774 - Criminal Law

HB 775 - Miscellaneous Bills & Resolutions

HB 776 - Motor Vehicle and Traffic Regulations

HB 777 - Criminal Law

HB 778 - Utilities Regulation

HB 779 - Correctional and State Institutions

HB 780 - Commerce and Economic Development

HB 781 - Commerce and Economic Development

HB 782 - Elections

HB 783 - Urban Affairs

HB 784 - Social Services, Medicaid and the Elderly

HB 785 - Professional Registration and Licensing

HB 786 - Judiciary

HB 788 - Motor Vehicle and Traffic Regulations

HB 789 - Ways and Means

HB 790 - Ways and Means

HB 791 - Ways and Means

HB 792 - Criminal Law

HB 793 - Insurance

HB 794 - Education-Elementary and Secondary

HB 795 - Education-Elementary and Secondary

HB 796 - Children, Families and Health

HB 797 - Motor Vehicle and Traffic Regulations

HB 800 - Motor Vehicle and Traffic Regulations



COMMITTEE REPORTS



Committee on Environment and Energy, Chairman Lawson reporting:



Mr. Speaker: Your Committee on Environment and Energy, to which was referred HCR 16, begs leave to report it has examined the same and recommends that it Do Pass.

House Concurrent Resolution No. 16



WHEREAS, on January 29, 2001, the United States District Court for the District of Columbia in the case of Sierra Club v. Browner ordered the United States Environmental Protection Agency to decide by March 12, 2001, whether the St. Louis area is in serious violation of standards for ozone air pollution; and



WHEREAS, since the court was barred from ordering the Environmental Protection Agency to find the St. Louis area in "serious" violation, the question of what the EPA will ultimately decide to do is still open; and

WHEREAS, a "serious" designation by the Environmental Protection Agency for the St. Louis area would be significant for the region because it could deter the development of new industries in the region by requiring more costly and restrictive air pollution controls on industry aimed at improving air quality as well as imposing penalties, such as the withholding of federal highway dollars; and



WHEREAS, the state of Missouri and its citizens have worked hard to improve the St. Louis area's air quality though such steps as the use of reformulated gasoline, the implementation of stricter industry controls on emissions, improvements in mass transit, a vehicle inspection program that started in April 2000 and the placement of nozzles on gas pumps to collect gas fumes; and



WHEREAS, last year, the Environmental Protection Agency agreed to give the St. Louis area until November of 2003 to meet the ozone standards and any reduction in that time frame would be unfair to the citizens of St. Louis and the state who have worked so diligently to improve the air quality:



NOW, THEREFORE, BE IT RESOLVED that the members of the House of Representatives of the Ninety-first General Assembly, First Regular Session, the Senate concurring therein, hereby urge the United States Environmental Protection Agency to provide the St. Louis area with the time promised last year to meet the ozone standards before making its determination as to whether the area is in serious violation of standards for ozone air pollution; and



BE IT FURTHER RESOLVED that the Chief Clerk of the Missouri House of Representatives be instructed to prepare properly inscribed copies of this resolution for President George Bush, EPA Administrator Christine Todd Whitman, Governor Bob Holden and each member of the Missouri congressional delegation.



Committee on Fiscal Review and Government Reform, Chairman Hollingsworth reporting:



Mr. Speaker: Your Committee on Fiscal Review and Government Reform, to which was referred HB 309, begs leave to report it has examined the same and recommends that it Do Pass by Consent.



INTRODUCTION OF HOUSE BILLS



The following House Bills were read the first time and copies ordered printed:



HB 826, introduced by Representative Mays (50), relating to emergency telephone service.



HB 827, introduced by Representative Shields, relating to the neighborhood assistance act.



HB 828, introduced by Representative Skaggs, relating to special license plates.



HB 829, introduced by Representatives Ford, Hosmer, O'Connor, Bowman, Ross, Gambaro, Troupe and Haywood, et al, relating to fraudulent use of a credit card and identifying information.

HB 830, introduced by Representatives Phillips, Harding and Shields, et al, relating to transient guest tax.



HB 831, introduced by Representatives Carnahan, Smith, Selby, Kelly (36), Ross, Kelly (27) and Hosmer, et al, relating to the crime victims' compensation fund.



HB 832, introduced by Representative Gaskill, relating to defense of the United States flag.



HB 833, introduced by Representative Smith, relating to certified court reporters.



HB 834, introduced by Representative Barry, relating to the Missouri health professional student loan repayment program.



HB 835, introduced by Representatives Britt, Hosmer, Crowell, Richardson and Merideth, relating to crime reduction.



HB 836, introduced by Representatives Mays (50), Richardson, Hegeman and Koller, et al, relating to retail electric choice.



HB 837, introduced by Representatives Foley, Hanaway, Scheve, O'Toole, Coleman, O'Connor and Rizzo, relating to certain sports facilities.



HB 838, introduced by Representative Murphy, relating to motor vehicle registration.



HB 839, introduced by Representative Secrest, relating to workers' compensation.



HB 840, introduced by Representative Secrest, relating to workers' compensation.



HB 841, introduced by Representative Secrest, relating to workers' compensation.



HB 842, introduced by Representative Secrest, relating to workers' compensation.



MESSAGES FROM THE SENATE



Mr. Speaker: I am instructed by the Senate to inform the House of Representatives that the Senate has taken up and passed SB 185, entitled:



An act to repeal section 301.131, RSMo 2000, relating to historic motor vehicles, and to enact in lieu thereof one new section relating to the same subject.



In which the concurrence of the House is respectfully requested.











Mr. Speaker: I am instructed by the Senate to inform the House of Representatives that the Senate has taken up and passed SB 224, entitled:



An act to amend chapter 67, RSMo, by adding thereto twenty new sections relating to law enforcement districts, with an emergency clause.



Emergency clause adopted.



In which the concurrence of the House is respectfully requested.



Mr. Speaker: I am instructed by the Senate to inform the House of Representatives that the Senate has taken up and passed SB 275, entitled:



An act to amend chapter 302, RSMo, by adding thereto one new section relating to hearing impaired drivers.



In which the concurrence of the House is respectfully requested.



COMMITTEE CHANGES



The Speaker submitted the following Committee changes:



Representative Champion is no longer a member of the Children, Families and Health Committee.



Representative May (149) has been appointed a member of the Children, Families and Health Committee.



Representative Bartle is no longer a member of the Judiciary Committee.



Representative Gaskill has been appointed a member of the Judiciary Committee.



Representative Curls has been appointed a member of the Civil and Administrative Law Committee.



Representative Hosmer has been appointed a member of the Civil and Administrative Law Committee.



Representative Britt has been appointed a member of the Civil and Administrative Law Committee.



Representative Crowell has been appointed a member of the Civil and Administrative Law Committee.



Representative Mayer has been appointed a member of the Civil and Administrative Law Committee.



Representative Levin has been appointed a member of the Civil and Administrative Law Committee.



WITHDRAWAL OF HOUSE BILL



February 19, 2001



The Honorable Jim Kreider, Speaker

Missouri House of Representatives

State Capitol, Room 308

Jefferson City, MO 65101



Dear Mr. Speaker:



I respectfully request the withdrawal of House Bill 799. Thank you.



Sincerely,



/s/ Richard G. Byrd



The following member's presence was noted: Vogel.



ADJOURNMENT



On motion of Representative Crump, the House adjourned until 10:00 a.m., Wednesday, February 21, 2001.



COMMITTEE MEETINGS



AGRICULTURE

Wednesday, February 21, 2001, 3:00 pm. Hearing Room 7. AMENDED NOTICE.

To be considered - HB 308, HB 411, HB 581, Executive Session - HB 306,

Executive Session - HB 307, Executive Session - HB 473



APPROPRIATIONS - CORRECTIONS AND PUBLIC SAFETY

Wednesday, February 21, 2001, 8:00 am. Hearing Room 1.

Mark-up HB 8 and HB 9. Possible Executive Session.

Hearing may continue upon adjournment. AMENDED.



APPROPRIATIONS - CORRECTIONS AND PUBLIC SAFETY

Thursday, February 22, 2001, 8:00 am. Hearing Room 1.

Executive Session.



APPROPRIATIONS - SOCIAL SERVICES

Wednesday, February 21, 2001, 8:00 am. Hearing Room 3.

Hearing will continue upon adjournment. HB 11.

Mark-up and possible Executive Session.



APPROPRIATIONS - SOCIAL SERVICES

Thursday, February 22, 2001, 8:00 am. Hearing Room 3.

Hearing will continue upon adjournment.

Mark-up and possible Executive Session.

To be considered - HB 11



APPROPRIATIONS - TRANSPORTATION

Wednesday, February 21, 2001, 8:00 am. Hearing Room 7.

Mark-up.



APPROPRIATIONS - TRANSPORTATION

Thursday, February 22, 2001, 8:00 am. Hearing Room 7.

Mark-up if needed.



BANKS AND FINANCIAL INSTITUTIONS

Wednesday, February 21, 2001, 3:00 pm. Hearing Room 6.

Executive Session may follow.

To be considered - HB 96, HB 348, HB 360, HB 432, HB 736, HB 738, HB 801



BUDGET

Wednesday, February 21, 2001, 3:00 pm. Hearing Room 3.

To be considered - HB 2, HB 3, HB 4, HB 5



CIVIL AND ADMINISTRATIVE LAW

Wednesday, February 21, 2001, 3:00 pm. Hearing Room 1.

To be considered - HB 403, HB 442, HB 464, HB 467, Executive Session - HB 237,

Executive Session - HB 399, Executive Session - HB 403, Executive Session - HB 442



COMMERCE AND ECONOMIC DEVELOPMENT

Thursday, February 22, 2001. Hearing Room 6 upon adjournment.

To be considered - Executive Session - HB 189, Executive Session - HB 215,

Executive Session - HB 327, Executive Session - HB 332, Executive Session - HB 397



CONSERVATION, STATE PARKS AND MINING

Wednesday, February 21, 2001, 3:00 pm. Hearing Room 2.

To be considered - HB 616, Executive Session - HB 239, Executive Session - HCR 6



EDUCATION - HIGHER

Wednesday, February 21, 2001, 3:00 pm. Hearing Room 5.

Possible Executive Session.

To be considered - HB 424, HB 435, HB 489



ENVIRONMENT AND ENERGY

Thursday, February 22, 2001, 8:30 am. Hearing Room 5.

To be considered - HB 597



JOINT COMMITTEE ON LEGISLATIVE RESEARCH

Wednesday, February 21, 2001, 12:00 pm. Hearing Room 6.

Organizational meeting. Presentation of Oversight Program Evaluation Reports.



MISCELLANEOUS BILLS AND RESOLUTIONS

Wednesday, February 21, 2001, 8:00 am. Hearing Room 6.

Executive Session may follow.

To be considered - HB 313, HB 501, HB 555



MOTOR VEHICLE AND TRAFFIC REGULATIONS

Thursday, February 22, 2001, 9:45 am. Side Gallery

Executive Session.

To be considered - HB 120



MUNICIPAL CORPORATIONS

Wednesday, February 21, 2001, 3:00 pm. Hearing Room 4.

Executive Session may follow. AMENDED NOTICE.

To be considered - HB 293, HB 491, HB 557, HB 596



PROFESSIONAL REGISTRATION AND LICENSING

Wednesday, February 21, 2001, 5:00 pm. Hearing Room 5.

Executive Session will be held first. AMENDED NOTICE.

To be considered - HB 416, HB 465, HB 544, HB 588, HB 607, HB 631, HB 695, HB 744



SOCIAL SERVICES, MEDICAID AND THE ELDERLY

Wednesday, February 21, 2001, 9:30 am. Side gallery.

Executive Session.



HOUSE CALENDAR



THIRTIETH DAY, WEDNESDAY, FEBRUARY 21, 2001



HOUSE BILLS FOR SECOND READING

HB 826 through HB 842



HOUSE BILL FOR PERFECTION - APPROPRIATIONS

HCS HB 15 - Green (73)



HOUSE BILLS FOR PERFECTION

1 HB 287 - Williams

2 HCS HB 567, as amended, HA 2, pending - Treadway

3 HCS HB 241 - Smith

4 HB 80 - Ross

5 HCS HB 50 - Relford



HOUSE BILLS FOR PERFECTION - INFORMAL

1 HCS HB 113 - Hickey

2 HB 381 - Hoppe



HOUSE BILLS FOR PERFECTION - CONSENT



(February 19, 2001)



1 HB 133 - Gambaro

2 HB 288 - Campbell

3 HB 266 - Treadway

4 HB 236 - Smith

5 HB 48 - Relford

6 HB 180 - Thompson

7 HB 78 - Kennedy

8 HB 262 - Linton



HOUSE CONCURRENT RESOLUTION FOR ADOPTION



HCR 16, (2-20-01) - Green (15)



HOUSE BILLS FOR THIRD READING

1 HCS HB 144 & 46, (Fiscal Review 2-14-01) - Bonner

2 HS HCS HB 328 & 88, (Fiscal Review 2-15-01) - Harlan

3 HCS HB 205, 323 & 549 - Relford

4 HB 219 - Townley

5 HCS HB 441, 94 & 244 - Holt

6 HCS HB 207, E.C. (Fiscal Review 2-20-01) - Ross

7 HB 163 - Berkowitz



SENATE BILLS FOR SECOND READING

1 SB 185

2 SB 224

3 SB 275




Missouri House of Representatives