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
Note(s)
Material Incorporated
by Reference
Link to
Missouri Register
Date Posted

19 CSR 30-40.750

ST-Segment Elevation Myocardial Infarction (STEMI) Center Designation Application and Review

This amendment adds an option and establishes requirements for hospitals which are certified as STEMI centers by the Joint Commission, the American Heart Association or the American College of Cardiology to become designated as level I, II or III STEMI centers without being reviewed by DHSS (the department).  This amendment also adds an application for these hospitals which are certified as STEMI centers by the Joint Commission, the American Heart Association or the American College of Cardiology to complete in order to become designated as level I, II or III STEMI centers by the department.  This amendment also adds focus reviews to be conducted after an initial review.  Additionally, this amendment prohibits hospitals from holding themselves out as STEMI centers designated by the department until STEMI initial reviews have been completed by the department for those hospitals applying to be reviewed and designated by the department as STEMI centers during the first round of applications.  The department will give all hospitals designated as STEMI centers through sections (2) and (3) written approval of the date these hospitals may begin holding themselves out as department designated STEMI centers during the first round of applications. N/A Application for ST-Elevation Myocardial Infarction (STEMI) Certified Hospital Designation Missouri Register 2.5.18

19 CSR 30-40.420

Trauma Center Designation Requirements

This amendment adds an option and establishes requirements for hospitals which are verified as trauma centers by the American College of Surgeons to become designated as level I, II III or IV trauma centers without being reviewed by DHSS (the department). This amendment also adds an application for these hospitals which are verified as trauma centers by the American College of Surgeons to complete in order to become designated as level I, II III or IV trauma centers, by the department. This amendment also changes the EMS Bureau to the department. N/A Application for Trauma Verified Hospital Designation Missouri Register 2.5.18

19 CSR 15-4.030

Governor’s Advisory Council on Aging

This rule is being rescinded due to an Executive Order that eliminated the Governor’s Advisory Council on Aging. N/A N/A Missouri Register 1.8.18

19 CSR 15-3.050

Redemption of Credits

This rule is being rescinded as Older Volunteer Service Banks (OVSB) no longer exists. N/A N/A Missouri Register 1.8.18

19 CSR 15-3.040

Service Credits

This rule is being rescinded as Older Volunteer Service Banks (OVSB) no longer exists. N/A N/A Missouri Register 1.8.18

19 CSR 15-3.030

Volunteers

This rule is being rescinded as Older Volunteer Service Banks (OVSB) no longer exists. N/A N/A Missouri Register 1.8.18

19 CSR 15-3.020

Sponsoring Agencies

This rule is being rescinded as Older Volunteer Service Banks (OVSB) no longer exists. N/A N/A Missouri Register 1.8.18

19 CSR 15-3.010

Definitions

This rule is being rescinded as Older Volunteer Service Banks (OVSB) no longer exists. N/A N/A Missouri Register 1.8.18

19 CSR 90-2.050

Appeal Process

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-2.040

Termination or Suspension from the Program

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-2.030

Responsibilities of Enrolled Participating Pharmacies

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-2.020

Eligibility and Application Process

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-2.010

Definitions

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.090

Appeal Process

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.080

Termination from the Program

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.070

Program Identification Card

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.060

Authorized Agent

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.050

Process for Reenrollment into the Program

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.040

Claimant’s Responsibilities

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.030

General Payment Provisions

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.020

Eligibility and Application Process

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 90-1.010

Definitions

The department is rescinding this rule because sections 208.550 to 208.574, RSMo, which authorized the Missouri Senior Rx Program were repealed by SB 539 (93rd General Assembly, 1st Regular Session (2005)). N/A N/A Missouri Register 1.8.18

19 CSR 50-10.020

Patient Rights Regarding Health Care Decisions

This rule is being rescinded because the Missouri Rehabilitation Center was transferred to the curators of the University of Missouri in 1996 in accordance with sections 172.850 through 172.859, RSMo. The University of Missouri closed the Missouri Rehabilitation Center October 31, 2014. N/A N/A Missouri Register 1.8.18

19 CSR 50-10.010

Standard Means Test for Patients

This rule is being rescinded because the Missouri Rehabilitation Center was transferred to the curators of the University of Missouri in 1996 in accordance with sections 172.850 through 172.859, RSMo. The University of Missouri closed the Missouri Rehabilitation Center October 31, 2014. N/A N/A Missouri Register 1.8.18

19 CSR 50-3.010

Volunteer Health Care Workers in a School

The department is rescinding this rule because current provisions of section 105.711, RSMo, do not authorize the department to promulgate rules relating to legal expense fund coverage for volunteer health care workers in a school setting. N/A N/A Missouri Register 1.8.18

19 CSR 40-10.010

Payments for Sexual Assault Forensic Examinations

This rule is being rescinded because the Sexual Assault Forensic Examination payment program was transferred to the Department of Public Safety (DPS) per Executive Order 08-04. The DPS wrote its own rules which are now in effect under 11 CSR 30-12.010. Therefore, the DHSS rule is no longer needed. N/A N/A Missouri Register 1.8.18

19 CSR 30-70.200

Application Process and Requirements for the Licensure of Risk

Assessors Who Possessed a Valid Missouri Lead Inspector License on August 28, 1998

This rule is being rescinded as it is outdated and no longer applicable. N/A N/A Missouri Register 1.8.18

19 CSR 30-30.070

Physical Standards for Abortion Facilities

This amendment changes the regulation to reflect that it does not apply to abortion facilities that do not perform surgical abortions or surgical intervention for abortion complications. This amendment also updates outdated references to statutes and the Department of Health and Senior Services’ name. N/A N/A Missouri Register 10.25.17

19 CSR 30-30.061

Complication Plans for Certain Drug- and Chemically-Induced Abortions Via Abortion Facilities

This rule establishes the standards governing complication plans required by section 188.021, RSMo, for abortions induced by physicians via abortion facilities. This rule also explains the process for submitting such complication plans to the Department of Health and Senior Services for approval.

Private Fiscal Note

N/A Missouri Register 10.25.17

19 CSR 30-30.060

Standards for the Operation of Abortion Facilities

This amendment removes or updates outdated references, reorganizes the contents of the rule, clarifies existing requirements, adds references to new and existing statutory requirements, and amends some standards applicable to the operation of abortion facilities.

Private Fiscal Note

N/A Missouri Register 10.25.17

19 CSR 30-30.050

Definitions and Procedures for Licensing Abortion Facilities

This amendment updates definitions, establishes contents of licensing applications, and incorporates application forms for abortion facility licenses.

N/A

N/A Missouri Register 10.25.17

19 CSR 10-33.050

Reporting of Healthcare-Associated Infection Rates by Hospitals, Ambulatory Surgical Centers, and Abortion Facilities

This amendment adds new definitions, procedures, and metrics and changes the annual registration and reporting requirements regarding healthcare associated infections for hospitals, ambulatory surgery centers and abortion facilities.

N/A

N/A Missouri Register 10.25.17

19 CSR 10-33.010

Reporting Patient Abstract Data by Hospitals, Ambulatory Surgical Centers, and Abortion Facilities

This amendment adds abortion facilities to the types of facilities required to report patient abstract data to the department.

N/A

Patient Abstract System File Specifications” dated October 24, 2017. Missouri Register 10.25.17

19 CSR 10-15.050

Complication Plans for Certain Drug- and Chemically-Induced Abortions by Physicians via Hospitals

This rule establishes the standards governing complication plans required by section 188.021, RSMo, for abortions induced by physicians via hospitals. This rule also explains the process for submitting such complication plans to the Department of Health and Senior Services for approval.

Private Fiscal Note

N/A Missouri Register 10.25.17

19 CSR 10-15.040

Induced Termination of Pregnancy Consent Form

This rule is being rescinded because the required content of the model form is contained in the informed consent checklist disseminated by the department. The checklist is available on the department’s website.

N/A

N/A Missouri Register 10.24.17

19 CSR 10-15.030

Content and Filing of Tissue Report

This amendment updates the regulation to reflect the required content of the tissue report and provides the address to which the report shall be sent.

N/A

N/A Missouri Register 10.24.17

19 CSR 10-15.020

Complication Report for Post-Abortion Care

This amendment updates the regulation to reflect the content of the complication report currently being used, states the timeframe for filing the report, and provides the address to which the report shall be sent.

N/A

Complication Report for Post-Abortion Care, published October 2017, available at www.health.mo.gov or by calling (573) 751-6387. Missouri Register 10.24.17

19 CSR 10-15.010

Report of Induced Termination of Pregnancy

This amendment updates the regulation to reflect the content of the induced termination of pregnancy report form that is currently being used, states the timeframe for filing the report, and provides the address to which the report shall be sent.

N/A

Report of Induced Termination of Pregnancy, published October 2017, available at www.health.mo.gov or by calling (573) 751-6387. Missouri Register 10.24.17

19 CSR 20-1.040

Good Manufacturing Practices

This amendment updates state food manufacturing standards to be consistent with the U.S. Food and Drug Administration’s (FDA) current good manufacturing practices regulation.

N/A

N/A Missouri Register 10.13.17

19 CSR 30-40.720

Stroke Center Designation Application and Review

This amendment adds an option for hospitals which are certified as stroke centers by the Joint Commission, DNV-GL Healthcare or Healthcare Facilities Accreditation Program to become designated as level I, II or III stroke centers without being reviewed by the department. This amendment also adds an application for these hospitals which are certified as stroke centers by the Joint Commission, DNV-GL Healthcare or Healthcare Facilities Accreditation Program to complete in order to become designated as level I, II or III stroke centers by the department. This amendment establishes requirements for the hospitals to meet that are certified as stroke centers by the Joint Commission, DNV-GL Healthcare or Healthcare Facilities Accreditation Program and choose to be designated as level I, II or III stroke centers by the department. This amendment also adds focus reviews to be conducted after an initial review.

N/A

N/A Missouri Register 8.11.17

19 CSR 30-40.365

Reasons and Methods the Department Can Use to Take Administrative Licensure Actions

This amendment reflects statutory changes to reasons the department can use to take administrative licensure actions against emergency medical technicians.

N/A

N/A Missouri Register 8.11.17

19 CSR 30-81.030

Evaluation and Assessment Measures for Title XIX Recipients and Applicants in Long Term Care Facilities

This amendment changes the point levels used in making determinations as to level of care.

Public Fiscal Note

Private Fiscal Note

N/A Missouri Register 7.6.17

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