Missouri Department of Health and Senior Services

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 January 2018, 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

Proposed Rules

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