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-SECOND REGULAR SESSION
-HOUSE BILL NO. 2488
-103RD GENERAL ASSEMBL Y
-INTRODUCED BY REPRESENT A TIVE WEBER.
-4394H.01I JOSEPH ENGLER, Chief Clerk
-AN ACT
-T o repeal sections 197.200 and 197.215, RSMo, and to enact in lieu thereof two new sections
-relating to birthing centers.
-Be it enacted by the General Assembly of the state of Missouri, as follows:
-Section A. Sections 197.200 and 197.215, RSMo, are repealed and two new sections
-2 enacted in lieu thereof, to be known as sections 197.200 and 197.215, to read as follows:
-197.200. As used in sections 197.200 to 197.240, unless the context clearly indicates
-2 otherwise, the following terms mean:
-3 (1) "Abortion facility", as such term is defined in section 188.015;
-4 (2) "Ambulatory surgi cal center"[ , ] :
-5 (a) Any birthing center; or
-6 (b) Any public or private establishment that is operated primarily for the purpose of
-7 performing sur gical procedures [ or primarily for the purpose of performing childbirths, ] and
-8 [ which ] that does not provide services or other accommodations for patients to stay more
-9 than twenty-three hours within the establishment, provided, however , that nothing in this
-10 definition shall be construed to include the of fices of dentists currently licensed pursuant to
-11 chapter 332;
-12 (3) "Birthing center", any public or private establishment that is operated
-13 primarily for the purpose of performing childbirths and that does not provi de services
-14 or other accommodations for patients to stay mor e than twenty-three hours within the
-15 establishment;
-16 (4) "Dentist", any person currently licensed to practice dentistry pursuant to chapter
-17 332;
-EXPLANA TION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
-intended to be omitted from the law . Matter in bold-face type in the above bill is proposed language.
-18 [ (4) ] (5) "Department", the department of health and senior services;
-19 [ (5) ] (6) "Governmental unit", any city , county or other political subdivision of this
-20 state, or any department, division, board or other agency of any political subdivision of this
-21 state;
-22 [ (6) ] (7) "Person", any individual, firm, partnership, corporation, company , or
-23 association and the legal successors thereof;
-24 [ (7) ] (8) "Physician", any person currently licensed to practice medicine pursuant to
-25 chapter 334;
-26 [ (8) ] (9) "Podiatrist", any person currently licensed to practice podiatry pursuant to
-27 chapter 330.
-197.215. 1. Upon receipt of an application for a license, the department of health and
-2 senior services shall issue a license if the applicant and ambulatory sur gical center facilities or
-3 abortion facilities meet the requirements established under sections 197.200 to 197.240, and
-4 have provided af firmative evidence that:
-5 (1) Each member of the sur gical staf f is a physician, dentist or podiatrist currently
-6 licensed to practice in Missouri, and each person authorized to perform or induce abortions is
-7 a physician currently licensed to practice in Missouri;
-8 (2) Sur gical procedures in ambulatory surgi cal centers shall be performed only by
-9 physicians, dentists or podiatrists, who at the time are privileged to perform surg ical
-10 procedures in at least one licensed hospital in the community in which the ambulatory
-11 sur gical center is located, thus providing assurance to the public that patients treated in the
-12 center shall receive continuity of care should the services of a hospital be required;
-13 alternatively , the applicant shall submit a copy of a current working agreement with at least
-14 one licensed hospital in the community in which the ambulatory surgic al center is located,
-15 guaranteeing the transfer and admittance of patients for emer gency treatment whenever
-16 necessary . The pr ovisions of this subdivision shall not apply to birthing centers ;
-17 (3) Continuous physician services or registered professional nursing services are
-18 provided whenever a patient is in the facility;
-19 (4) Adequate medical records for each patient are to be maintained.
-20 2. Upon receipt of an application for a license, or the renewal thereof, the department
-21 shall issue or renew the license if the applicant and program meet the requirements
-22 established under sections 197.200 to 197.240. Each license shall be issued only for the
-23 persons and premises named in the application. A license, unless sooner suspended or
-24 revoked, shall be issued for a period of one year .
-25 3. Each license shall be issued only for the premises and persons or governmental
-26 units named in the application, and shall not be transferable or assignable except with the
-HB 2488 2
-27 written consent of the department. Licenses shall be posted in a conspicuous place on the
-28 licensed premises.
-29 4. If, during the period in which an ambulatory sur gical center license or an abortion
-30 facility license is in ef fect, the license holder or operator legally transfers operational
-31 responsibilities by any process to another person as defined in section 197.200, an application
-32 shall be made for the issuance of a new license to become ef fective on the transfer date.
-✔
-HB 2488 3
+HB 2488 -- BIRTHING CENTERS
+SPONSOR:  Weber
+This bill adds a definition of "birthing center" and modifies the
+definition of "ambulatory surgical center" to include birthing
+centers for the purposes of Section 197.200, RSMo.  However, the
+bill exempts birthing centers from the requirement that health
+care providers performing surgical procedures in any ambulatory
+surgical center also have privileges to perform surgical
+procedures at a licensed hospital within the community.
+This bill is similar to HB 1333 (2025).