JEFFERSON CITY, Mo. -- Missouri public school students would need training in CPR as a graduation requirement under legislation approved by the state House.

Wednesday's 105-32 House vote sent the bill to the Senate.

The CPR training would be based on national guidelines for emergency cardiovascular care and include hands-on practice and testing. First responders could provide the training under agreements with individual schools, but the legislation doesn't require that instructors be specially certified.

The requirement would take effect starting in the fall of 2014. Supporters say it could save lives by increasing the number of people who know how to perform CPR.