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 30-30.070

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  This amendment also updates outdated references to statutes and the Department of Health and Senior Services’ name.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This amendment removes or updates outdated references, reorganizes the contents of the rule, clarifies existing requirements, adds references to new and existing statutory requirements, and amends some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
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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