Kyna’s Korner

On Tuesday, April 30, 2019, the House General Laws Committee heard Senate Bill 34, sponsored by Senator Jeanie Riddle, which is the coroner bill. The legislation contains MHPCA’s priority legislation dealing with death investigations by the coroner when a death occurs under hospice care. Those testifying in support of the legislation were: Missouri Coroners Association, Missouri Hospital Association, and Missouri Hospice and Palliative Care Association. There was no opposition. On Wednesday, the committee unanimously approved the measure. The House versions – HB447 and HB242 are still moving through the Senate and can be brought up at any time for final debate, too.

On Wednesday, May 1, 2019, the Senate Professional Registration Committee heard and voted on Senate Committee Substitute for HCS for HB301, the legislation that would provide Advanced Practice Registered Nurses a license through the Board of Nursing. Rep. Schroer, the House handler presented the legislation. Those testifying in support were: Missouri Nurses Association, Association of Missouri Nurse Practitioners, Barnes Jewish Hospital, Cox Health, Missouri Association of Rural Health Clinics, Missouri Hospital Association, SSM Healthcare, Missouri Health Care Association and Missouri Hospice and Palliative Care Association. Those testifying in opposition stating the licensure should be under the Board of Healing Arts were: Missouri State Medical Association, Missouri Association of Osteopaths, Physicians and Surgeons, and the lobbyist for the Anesthesiologists, Dermatologists, and OB/GYN’s. Senator Burlison, the Senate bill handler offered a Senate Committee Substitute which the Senate supported unanimously.

The House Committee on Aging unanimously supported a House Committee Substitute for HB 977, sponsored by Rep. Lane Roberts, which is end of life home models. This bill defines an end-of-life care home as a home-like dwelling place that provides shelter and services based on abilities, desires, and functional needs of terminally ill residents and establishes a framework for licensing and oversight, including inspections, notice of noncompliance, and license revocation by the Department of Health and Senior Services. The bill requires a resident in an end-of-life care home to have a life expectancy of six months or less and be enrolled with a hospice agency. Homes caring for no more than three persons, or persons related to the provider are exempt from licensing requirements. Testifying for the bill were Representative Roberts; Elisa Pellham, Integrity Home Care & Hospice; Sandra S. Hughes; Megan Spiering; Lynne Duffield; Liesa Matthews; Dr. Christopher Black, and Freeman Health System. There was no testimony in opposition. The bill has been placed on the House Calendar for further debate, but due to the limited time left in session, it is unlikely this bill will make final passage this session.

If you have questions, please contact Kyna Iman, at