This paper
provides a summary and analysis of the Medicaid provisions of Senate
Bill 539, which was recently passed by the Missouri Senate. SB 539
is the enabling legislation that would allow the State to implement
many of the proposals that were included in the Governor’s proposed
budget for the Missouri Medicaid program. The bill also includes
Medicaid proposals that go beyond the scope of what was proposed in
the Governor’s budget and a number of provisions that do not relate
to the Governor’s proposed Medicaid cuts. For example, the bill
revises Missouri’s Senior Rx Program to adapt to the new Medicare
Modernization Act, which changes the way that “dually eligible”
individuals (people who receive both Medicare and Medicaid) would
obtain prescription drugs. The bill also changes the way “personal
care assistance” is provided and adds new financial eligibility
requirements to Missouri’s Adoption Assistance program.
287.067. 1.
In this chapter the term "occupational disease" is hereby defined to
mean, unless a different meaning is clearly indicated by the
context, an identifiable disease arising with or without human fault
out of and in the course of the employment. Ordinary diseases of
life to which the general public is exposed outside of the
employment shall not be compensable, except where the diseases
follow as an incident of an occupational disease as defined in this
section. The disease need not to have been foreseen or expected
but after its contraction it must appear to have had its origin in a
risk connected with the employment and to have flowed from that
source as a rational consequence.
The following diseases are reportable and must be communicated
to the health department within certain time frames. This list is
very extensive, and is broken down by the time allotted for
reporting the disease (depending on how serious or infectious
the diseases or conditions)
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