HCS#2 HB 2106 -- UNIFORM ANATOMICAL GIFT ACT

SPONSOR:  Cooper (155)

COMMITTEE ACTION:  Voted "do pass" by the Committee on Health
Care Policy by a vote of 6 to 3.

This substitute changes the laws regarding the Uniform Anatomical
Gift Act, promotes uniformity of the law among states, and
defines "anatomical gift" as a donation of all or part of a human
body after death.  In its main provisions, the substitute:

(1)  Establishes requirements for coroners when two counties are
involved in the determination and investigation of a death;

(2)  Requires coroners and medical examiners to cooperate with a
procurement organization to maximize the opportunity to recover
anatomical gifts;

(3)  Specifies additional requirements for coroners and medical
examiners to follow regarding anatomical gifts;

(4)  Requires the Department of Health and Senior Services to
establish or contract for the establishment of a first person
consent organ and tissue donor registry.  The registry is
required to include records of, amendments to, revocations of,
and refusals of anatomical gifts;

(5)  Specifies which documents are acceptable to make an
anatomical gift;

(6)  Specifies how an anatomical gift can be revoked;

(7)  Allows an individual to refuse to make an anatomical gift;

(8)  Specifies who is authorized to make an anatomical gift of a
deceased individual's body and to whom an anatomical gift can be
made;

(9)  Allows emergency personnel and hospital staff to search a
deceased or near-death individual for documentation as a donor;

(10)  Specifies that, upon referral of a potential donor, a
procurement organization will search a donor registry and other
applicable records to determine if the individual has made an
anatomical gift;

(11)  Allows a procurement organization to conduct a medical exam
to ensure medical suitability of the donation;

(12)  Prohibits the attending physician at death or the physician
who determines the time of death from participating in the
removal or transplantation of a body part of the deceased;

(13)  Specifies that a person who knowingly purchases or sells a
body part for transplantation will be guilty of a felony and
subject to a fine of up to $50,000, imprisonment not exceeding
five years, or both;

(14)  Specifies that a person who knowingly falsifies, forges,
conceals, defaces, or obliterates a document of gift, an
amendment or revocation of a document of gift, or a refusal will
be guilty of a felony and subject to a fine of up to $50,000,
imprisonment not exceeding five years, or both;

(15)  Requires the donor registry to provide educational
materials to donors or other persons authorized to make
anatomical gifts regarding the making, amending, or revoking of
an anatomical gift or a refusal to make an anatomical gift; and

(16)  Requires the Department of Revenue to cooperate with a
state-established donor registry.

FISCAL NOTE:  No impact on state funds in FY 2009, FY 2010, and
FY 2011.

PROPONENTS:  Supporters say that the bill uses updated language
that will promote uniformity among states, establishes a first
person consent organ donor registry, and will facilitate
identification of potential donors.

Testifying for the bill were Representatives Cooper (155) and
Grisamore; Rob Linderer, Midwest Transplant Network; Department
of Health and Senior Services; BJC HealthCare; Missouri Kidney
Program; Aging Federation; and Missouri Hospital Association.

OPPONENTS:  Those who oppose the bill say that there needs to be
separation between treating and transplant teams, medical
decisions should be made in the patient's best interest, and that
the bill needs to contain a duty of care.

Testifying against the bill were Missouri Catholic Conference;
Campaign Life Missouri; and Missouri Association of Trial
Attorneys.

Missouri House of Representatives
94th General Assembly, 2nd Regular Session
Last Updated October 15, 2008 at 3:11 pm