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. 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.
Section 536.175, RSMo, requires a five year rolling review by all departments of their existing rules. DHSS was required to begin their review no later than July 1, 2018, and to complete said review no later than June 30, 2019. As a result, the department reviewed 759 rules, received zero comments, and prepared the above report, which was timely filed with the Joint Committee on Administrative Rules.
- DHSS Periodic Rule Review - 2024
- Appendix - Comments Received from Public on Department of Health and Senior Services Rules
Section 536.175, RSMo, requires a five year rolling review by all departments of their existing rules. DHSS was required to begin their review no later than July 1, 2023, and to complete said review no later than June 30, 2024. As a result, the department reviewed approximately 804 rules, received four (4) public comments, and prepared the above report and appendix, which was timely filed with the Joint Committee on Administrative Rules.
To submit feedback on a draft rule that is not yet in the formal rulemaking process, please visit the Pre-Rulemaking – Stakeholder Feedback page.
| Proposed Rule | Summary | Fiscal Note(s) |
Material Incorporated by Reference |
Link to Missouri Register |
Date Posted |
|---|---|---|---|---|---|
19 CSR 30-86.042 Administrative, Personnel and Resident Care Requirements for New and Existing Residential Care Facilities |
The proposed amendment updates a rule regarding residential care facility requirements by updating the language for criminal background checks, corrects the statutory reference for the employee disqualification list check, corrects the subsection reference regarding meeting criminal background checks via the FCSR, updates the department’s website reference for the employee disqualification list and family care safety registry, removes the requirement for a written statement from a licensed physician or physician’s designee indicating a person can work in a long-term care facility, and corrects various typographical errors and intersectional references. | N/A | N/A | Volume 50, Number 5 | Mar. 3, 2026 |
19 CSR 100-1.190 Microbusiness |
The proposed amendment adds clarification about expectations for application, ownership, and operation of a microbusiness license. Under the proposed amendment, the designated contact for a microbusiness must be an eligible individual with ownership interest in the microbusiness license. The owners, agents, or representatives of a microbusiness application or license denied or revoked pursuant to the ownership and operation requirements are prohibited from holding a voting or financial interest in any other microbusiness license, in whole or in part, subject to a variance or waiver. The proposed amendment makes other changes with respect to the criteria governing the application process for owning and operating a microbusiness. | N/A | N/A | Volume 50, Number 24 | Nov. 6, 2025 |
19 CSR 100-1.060 Facility Applications and Selection |
The proposed amendment adds application requirements to ensure consistency between rule, Constitutional requirements, and license applications. This amendment also adds requirements for applying for and being approved for microbusiness licensure to address concerns that arose during the first two rounds of microbusiness license issuance. | N/A | N/A | Volume 50, Number 24 | Nov. 6, 2025 |
19 CSR 20-80.010 Training Standards Relating to the Office of the Coroner |
The proposed rescission rescinds 19 CSR 20-80.010 (Training Standards Relating to the Office of the Coroner). The current rule establishes training standards relating to the office of county coroner. The proposed rescission is necessary as a result of legislation that passed in the 2025 legislative session. The newly passed legislation established the Coroner Standards and Training Commission in which the training standards will be established. | N/A | N/A | Volume 50, Number 23 | Nov. 3, 2025 |
19 CSR 25-32.010 State Approval of Milk-Testing Laboratories |
The proposed rescission rescinds 19 CSR 25-32.010. The rule currently establishes up-to-date minimum requirements for laboratory approval, using the current recommendations of the federal Food and Drug Administration. The department’s rule is being rescinded as the program is being moved from the Department. The Missouri Department of Agriculture will be promulgating a new rule for Evaluation of Milk Laboratories program. | N/A | N/A | Volume 50, Number 23 | Nov. 3, 2025 |
19 CSR 30-86.047 Administrative, Personnel, and Resident Care Requirements for Assisted Living Facilities |
The proposed amendment removes a regulatory requirement that currently requires an assisted living facility employee personnel record include a written statement signed by a licensed physician indicating the person can work in an assisted living facility and indicating any limitations. The proposed amendment also corrects a typographical error contained in the rule, updates website addresses, and corrects statutory references relating to the employee disqualification list and criminal background check. | N/A | N/A | Volume 50, Number 23 | Nov. 3, 2025 |