Proposed Rules

The following are summaries and other information related to Proposed Rules that the Missouri Department of Health & Senior Services has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.

Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments.

We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal
Material Incorporated
by Reference
Link to
Missouri Register
Date Posted
19 CSR 30-1.002

Schedules of Controlled Substances
The department is updating the list of controlled substances to reflect statutory changes to the schedules and actions taken by the federal Drug Enforcement Administration to modify the controlled substance schedules in accordance with Section 195.017, RSMo, and to correct typographical errors.     Missouri Register 9.30.16
19 CSR 10-10.130

Missouri Adoptee Rights
This rule provides the process for an adoptee to receive a copy of his or her original birth certificate, the process for a birth parent to state his or her preference regarding whether and how the adoptee can contact him or her, and the process for completion of a medical history form by a birth parent. Public Fiscal Note

Private Fiscal Note

Cover Sheet for the Birth Parent Contact Preference Form (August 2016)
Birth Parent Contact Preference Form (August 2016)
Birth Parent Medical History Form (August 2016)
Cover Sheet for Birth Parent Medical History Form (August 2016)
Application for Non-Certified Copy of an Original Birth Certificate Form (August 2016)

Available at:
Missouri Register 8.30.16
19 CSR 20-20.020

Reporting Communicable, Environmental and Occupational Diseases
This amendment will bring the communicable disease reporting requirements into compliance with the current federal Centers for Disease Control guidelines as required by section 192.139, RSMo 2000, and updates the rule to require reporting of Carbapenem-resistant enterobacteriaceae (CRE) infections as provided by a legislative amendment to section 192.020 that goes into effect August 28, 2016. none none Missouri Register 8.30.16
19 CSR 30-40.800
Application Form

EMT- Community Paramedic, Community Paramedic Program and Medical Director for EMT-Community Paramedic Program
This rule establishes the requirements for certification and recertification as an EMT-Community Paramedic, the scope of practice and authority to practice for an EMT-Community Paramedic, requirements for a medical director of an ambulance service which utilizes EMT-Community Paramedics and implements a community paramedic program and requirements for a community paramedic program. Public Fiscal Note

Private Fiscal Note
If you have questions regarding the materials, please contact: Les Jobe, Administrator, Bureau of Emergency Medical Services

The EMT-P National Standard Curriculum (1998), published by the U.S. Department of Transportation, National Highway Traffic Safety Administration, available at U.S. Department of Transportation, Office of Emergency Medical Services, West Building W44-314, 1200 New Jersey Ave. SE, NTI 140, Washington, DC 20590
Missouri Register 5.10.16
19 CSR 30-40.342 Application and Licensure Requirements for the Initial Licensure and Relicensure of Emergency Medical Technician-Basics, Emergency Medical Technician-Intermediate, and Emergency Medical Technician-Paramedics The department is amending section (1)(B), and sections (2), (3) and (4), and the EMS personnel license application and adding a new verification form which provides an opportunity for EMT-Basics that are current members of the United States Armed Forces including National Guard and Reserves or past members of the United States Armed Forces including National Guard and Reserves who were honorably discharged within the past two (2) years to obtain a United States Armed Forces license from the EMS Bureau. This amendment also adds this United States Armed Forces license option to the EMS Bureau application. Further, this amendment adds the requirement for EMT-Intermediate relicensure applicants who do not have a current certification with the National Registry of EMTs to attach a basic cardiac life support training card indicating training in this course to their application for relicensure. none none Missouri Register 3.11.16
19 CSR 30-40.331 Application and Accreditation or Certification Requirements for Training Entities that Conduct Training for First Responders, Emergency Medical Dispatchers, Emergency Medical Technicians-Basic, Emergency Medical Technicians-Intermediate and Emergency Medical Technicians-Paramedic The department is adding a new subsection (2)(N) and amending the rule to allow an EMT-Basic with a United States Armed Forces license from the EMS Bureau pursuant to 19 CSR 30-40.342(2)(A) and (C)2D to test with a training entity certified by the EMS Bureau in a EMT-Paramedic or EMT-Intermediate program and complete a smaller number of clinical hours if the EMT-Basic with a United States Armed Forces license from the EMS Bureau successfully passes the tests. none none Missouri Register 3.11.16