MO SB810

Replaces nine existing sections of Missouri tuberculosis law with fourteen new sections, consolidating and updating terminology and procedures related to tuberculosis testing, treatment, and commitment.

Shifts authority for determining treatment completion from attending physicians to local public health authorities or the Department of Health and Senior Services.

Establishes directly observed therapy (DOT) as the standard of care for all tuberculosis patients and creates procedures for court-ordered DOT or commitment for patients who pose an immediate threat to public health.

Creates criminal penalties including Class D felony charges (Class C if victim contracts tuberculosis) for knowingly exposing others to active pulmonary or laryngeal tuberculosis, reporting to work with active contagious tuberculosis, or violating commitment orders.

Requires all health care facility employees and volunteers to receive tuberculin skin tests or interferon gamma release assay tests upon employment, and mandates all Missouri college and university students receive targeted tuberculosis testing upon enrollment or face dismissal.