Missouri School Requirements for Children's Vision

  • Missouri requires a vision examination
  • Frequency: Children enrolling in kindergarten or 1st grade

and

  • Requires a vision screening
  • Frequency: Children in the public school districts before the completion of 1st and 3rd grades

States that public school personnel may provide Early Periodic Screening, Diagnosis, and Treatment (EPSDT) services. Missouri Statute §167.606

Requires every child enrolling in kindergarten or first grade shall receive one comprehensive vision examination performed by a state licensed optometrist or physician. The Department of Elementary and Secondary Education and the Department of Health and Senior Services shall compile and maintain a list of sources to which children who may need vision examinations or children who have been found to need further examination or vision correction may be referred for treatment on a free or reduced cost basis. A child may be excused from taking a vision examination by submitting a written request to the appropriate school administrator. All public school districts shall conduct an eye screening for each student once before the completion of first grade and again before the completion of third grade. The eye screening method shall be approved by the Missouri Children's Vision Commission and shall be performed by an appropriately trained school nurse or other trained and qualified employee of the school district. The screening results, with all identifying information removed, shall be sent, via electronic form, to the Department of Health and Senior Services. This act shall sunset in 2012. Missouri State Bill SCS 16

Requires all public school districts shall conduct an eye screening for each student once before the completion of first grade and again before the completion of third grade. The eye screening method utilized shall be one approved by the Children's Vision Commission and shall be performed by an appropriately trained school nurse or other trained and qualified employee of the school district. Results of each eye screening shall be recorded on a form provided by the department of health and senior services, developed and approved by the Children's Vision Commission established under this section. The screening results, with all individual identifying information removed, shall be sent to the state department of health and senior services via electronic form and shall compile the data contained in the reports for review and analysis by the Commission or other interested parties. When a student fails the eye screening, the school district shall send a notice developed by the Commission to the parent or guardian notifying them of the results of the eye screening and propose that the student receive a complete eye examination from an optometrist or physician. Such notice shall have a place for the parent to acknowledge receipt along with an indication as to whether the student has received a complete eye examination and the results of the examination. Evidence of an examination provided by an optometrist or physician within the year preceding the school eye screening shall be sufficient for meeting the requirements of this section. The notice completed by the parent or guardian is to be returned to the school and shall be retained in the student's file and a copy shall be sent to the department of health and senior services. In the event that a parent or legal guardian of a child objects to the child's participation in the eye screening program, the child shall be excused upon receipt by the appropriate school administrator of a written request. Missouri Statute §167.195

Requires every child enrolling in kindergarten or first grade in a public elementary school in this state shall receive one comprehensive vision examination performed by a state licensed optometrist or physician. Evidence of the examination shall be submitted to the school no later than January first of the first year in which the student is enrolled at the school. The form or other proof of such examination shall include but not be limited to identifying the result of the examinations performed, the cost for the examination, the examiner's qualifications, and method of payment. The department of elementary and secondary education, in conjunction with the department of health and senior services, shall compile and maintain a list of sources to which children who may need vision examinations or children who have been found to need further examination or vision correction may be referred for treatment on a free or reduced-cost basis. The sources may include individuals, and federal, state, local government, and private programs. The department of elementary and secondary education shall ensure that the superintendent of schools, the principal of each elementary school, the school nurse or other person responsible for school health services, and the parent organization for each district elementary school receives an updated copy of the list each year prior to school opening. Professional and service organizations concerned with vision health may assist in gathering and disseminating the information, at the direction of the department of elementary and secondary education.

The comprehensive vision examinations shall include but not be limited to complete case history, visual acuity at distance (aided and unaided), external examination and internal examination (ophthalmoscopic examination), and subjective refraction to best visual acuity. Findings from the evidence of examination shall be provided to the department of health and senior services and kept by the optometrist or physician for a period of seven years. In the event that a parent or legal guardian of a child subject to this section shall submit to the appropriate school administrator a written request that the child be excused from taking a vision examination as provided in this section, that child shall be so excused. The provisions of the new program authorized under this section shall automatically sunset on June 30, 2012, unless reauthorized by an act of the general assembly, in which case it shall automatically sunset eight years after the effective date of the reauthorization of this section; and this section shall terminate on September first of the calendar year immediately following the calendar year in which the program authorized under this section is sunset. Missouri Statute §167.194.1

Sources:

http://www.moga.mo.gov/statutes/C100-199/1670000606.HTM

http://www.senate.mo.gov/07info/BTS_Web/Bill.aspx?SessionType=r&BillID=34

http://www.moga.mo.gov/statutes/C100-199/1670000195.HTM

http://www.moga.mo.gov/statutes/c100-199/1670000194.htm