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 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
19 CSR 40-12.010

Critical Congenital Heart Disease Screeening for Newborns
This section defines the terms used and establishes the screening guidelines and information reporting required to assure the provision of crticial congenital heart disease screening (CCHD). Private Fiscal Note

Strategies for Implementing Screening for Critical Congenital Heart Disease” published in Pediatrics® Official Journal of the American Academy of Pediatrics, Volume 128, No. 5 on November 1, 2011, available at www.health.mo.gov/cchd or by contacting the Missouri Department of Health and Senior Services (DHSS) at 800-877-6246.

Missouri Electronic Vital Records Critical Congenital Heart Disease Screening Results User Manual published September 2016, and the Critical Congenital Heart Disease Reporting Form published April 2016, available at www.health.mo.gov/cchd or by contacting the Missouri Department of Health and Senior Services (DHSS) at 800-877-6246.

MO580-3125 (April 2016) Critical Congenital Heart Disease Reporting Form (front page | back page), available at www.health.mo.gov/cchd or by contacting the Missouri Department of Health and Senior Services (DHSS) at 800-877-6246.

Missouri Register 3.20.17
19 CSR 30-40.309

Application and Licensure Requirements Standards for the Licensure and Relicensure of Ground Ambulance Services
This amendment adds the Commission on Accreditation of Ambulance Services Ground Vehicle Standard for Ambulances v.1.0 edition and the National Fire Protection Association 1917 Standard for Automotive Ambulances 2016 edition as acceptable standards/specifications for vehicles specifically designed, manufactured and equipped for use as an ambulance. Public Fiscal Note

Private Fiscal Note

U.S. Department of Transportation KKK-A-1822

Commission on Accreditation of Ambulance Services Ground Vehicle Standard for Ambulances v.1.0 edition (2016), available at the Ground Vehicle Standard, 1926 Waukegan Road Suite 300, Glenview Il 60025-1770

National Fire Protection Association 1917 Standard for Automotive Ambulances 2016 Edition, available at the National Fire Protection Association, 1 Batterymarch Park, Quincy, Massachusetts 02169-7471

Missouri Register 3.20.17

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