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.
| Proposed Rule | Summary | Fiscal Note(s) |
Material Incorporated by Reference |
Link to Missouri Register |
Date Posted |
|---|---|---|---|---|---|
| 19 CSR 15-4.010 Definition of Terms | This proposed amendment updates terms defined in 19 CSR 15-4. The proposed rule amendment defines the terms used by the Department and area agencies on aging in providing services to Missouri residents age sixty (60) or over and persons age eighteen (18) to fifty-nine (59) with disabilities. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.020 Administration of the Older Americans Act | This proposed amendment updates the name of the Department and Division and updates references to the area agencies on aging. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.040 State Plan | This proposed amendment updates the Division name and adds availability to review the state plan on aging online. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.050 Funding Formula and Fiscal Management | This proposed amendment details the Department’s fiscal management responsibilities under Title III of the Older Americans Act. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.060 State Long-Term Care Ombudsman Program | This proposed amendment updates the language describing how the Department operates the statewide long-term care ombudsman program. The amendment updates the statutory authority and program name. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.070 Designation of Area Agencies on Aging | This proposed amendment updates the language describing the process for designation of an area agency on aging, what types of agencies may be eligible, and criteria used by the Department for designation. The amendment updates references to state and federal legal authority and references to area agencies on aging. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.080 Withdrawal of Designation | This proposed amendment updates terminology and makes grammatical changes to the rule which delineates the circumstances under which the Division may withdraw designation of an area agency on aging, notify the assistant secretary of the action and provide for continuity of services. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.090 Appeal to the Assistant Secretary | This proposed amendment updates the terminology and statutory authority to the rule outlining the process/procedure for when an application for designation as a planning and service area has been denied and the denial has been upheld in a Division hearing. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.100 Area Agency Governing Body | This proposed amendment updates the legal authority, regulation references, and terminology used in 19 CSR 15-4.100. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.105 Area Agency Election Procedures for Governing Body Membership | This proposed amendment updates the legal authority, regulation references, and terminology used in 19 CSR 15-4.105. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.110 Area Agency Advisory Council | This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.110. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.120 Affirmative Action/Equal Employment Opportunity/Preference in Hiring | This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.120. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.130 Area Agency Staff | This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.130. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.135 Area Agency Director | This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.135. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.140 Area Agency Plan | This proposed amendment makes grammatical changes and updates legal authority and terminology used in 19 CSR 15-4.140. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.150 Waivers | This proposed amendment updates legal authority and terminology used in 19 CSR 15-4.150. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.160 Review, Submission and Approval of Area Agency Area Plans and Plan Amendments | This proposed amendment updates legal authority and terminology used in 19 CSR 15-4.160. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.170 Area Agency Fiscal Management | This proposed amendment makes grammatical changes and updates the legal authority used in 19 CSR 15-4.170. | N/A | https://health.mo.gov/seniors/state-plan-aging.php | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.175 Funding Acquisition or Construction of Multipurpose Senior Centers | This proposed amendment updates the purpose, legal authority, terminology, procedures, and guidance language used in 19 CSR 15-4.175. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.180 Area Agency Advocacy Responsibility | This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.180. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.190 Areas Agency Development of a Comprehensive and Coordinated Service Delivery System | This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.190. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.200 Area Agency Subgrants or Contracts | This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.200. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.210 Area Agency Grievance Procedures | This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.210. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.220 Area Agency Technical Assistance, Monitoring and Evaluation Responsibilities | This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.220. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.230 Multipurpose Senior Center | The proposed rule amendment updates terminology, regulatory references, procedural requirements, and statutory authority used in 19 CSR 15-4.230. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.240 Nutrition Service Requirements | The proposed rule amendment updates terminology and statutory authority and adds dietary guidelines to 19 CSR 15-4.240. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.245 (19 CSR 15-7.060) Nutrition Service Standards | The proposed rule amendment updates terminology, regulatory references, procedural requirements, and statutory authority; and the rule is being moved from Chapter 7 to Chapter 4. | N/A | https://www.dietaryguidelines.gov/ | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.250 Area Agency USDA | The proposed rule amendment updates the nutrition program name, terminology, and statutory authority used in 19 CSR 15-4.250. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.260 Outreach Services | The proposed rule amendment updates the terminology and statutory authority used in 19 CSR 15-4.260. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.270 Legal Assistance | The proposed rule amendment updates the terminology and statutory authority used in 19 CSR 15-4.270. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.280 Ombudsman Services | The proposed rule amendment updates the terminology and statutory authority used in 19 CSR 15-4.280. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.290 Information and Assistance | The proposed rule amendment updates terminology, regulation references, and statutory authority used in 19 CSR 15-4.290. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.295 (19 CSR 15-7.050) Information and Assistance Service Standards | The proposed rule amendment updates terminology and statutory authority; and moves the rule from Chapter 7 to Chapter 4. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.300 Record Keeping and Confidentiality | The proposed rule amendment updates terminology, Department’s name, and statutory authority references used in 19 CSR 15-4.300. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.410 (19 CSR 15-7.040) Transportation Service Standards | The proposed rule amendment establishes the minimum standards to be met by a transportation service provider receiving state or federal funds for the operation of transportation services for older adults aged sixty and over and adults with disabilities aged eighteen through fifty-nine and applies to all transportation service delivery systems, both direct and indirect. These standards are transferred from 19 CSR 15-7.040. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-4.440 (19 CSR 15-6.025) Division Formal Hearings | The proposed rule amendment updates the hearing procedure and statutory authority; and moves the rule from Chapter 6 to Chapter 4. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 15-6.020 (Recission) Division Mediation Procedures | The proposed rule rescinds the division’s mediation procedures used to resolve disagreements regarding the award of subgrants or contracts between an area agencies and service providers. | N/A | N/A | Volume 47, Number 5 | January 25, 2022 |
| 19 CSR 20-20.020 (Proposed) Reporting Infectious, Contagious, Communicable, or Dangerous Diseases |
This proposed amendment requires health care professionals, health facilities, schools, and other institutional settings to report testing results for COVID-19, whether negative or positive, to be reported to the Department of Health and Senior Services. | Private Fiscal Note | N/A | Volume 47, Number 13 | |
| 19 CSR 20-20.020 (Emergency) Reporting Infectious, Contagious, Communicable, or Dangerous Diseases |
This emergency amendment requires health care professionals, health facilities, schools, and other institutional settings to report testing results for COVID-19, whether negative or positive, to be reported to the Department of Health and Senior Services | Private Fiscal Note | N/A | Volume 47, Number 13 | |
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Duplicate License |
This amendment removes the fee and the affidavit requirement. |
N/A |
N/A |
December 1, 2021 |
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Display of License |
This amendment includes the new licensure level of the residential care and assisted living administrator, pursuant to 19 CSR 73-2.022. |
N/A |
N/A |
December 1, 2021 |
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Public Complaints |
This amendment provides clean-up language by removing State. |
N/A |
N/A |
December 1, 2021 |
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Renewal of Expired License |
This amendment provides clean-up language and adding the licensure types, 19 CSR 73-.2022, 19 CSR 73-2.023, and 19 CSR 73-2.025. |
N/A |
N/A |
December 1, 2021 |
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Fees |
This amendment removes the Duplicate license fee. |
N/A |
N/A |
December 1, 2021 |
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General Organization |
This amendment includes the two other licensure levels outlined in 19 CSR 73-2.022 and 19 CSR 73-2.023, replaces executive secretary with board office, and clean-up language. |
N/A |
N/A |
December 1, 2021 |
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General Licensure Requirements |
This amendment creates a temporary closure procedure for those Medicare and Medicaid federally certified facilities (skilled nursing facilities and intermediate care facilities) licensed in Missouri which experience staffing shortages from the COVID-19 vaccine mandate issued by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services emergency regulation 42 CFR part 483 for long term care facilities and intermediate care facilities on November 4, 2021, with an effective date of November 5, 2021. |
N/A |
October 20, 2021 |
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Evaluation and Assessment Measures for Title XIX Recipients and Applicants |
This amendment adds the level-of-care evaluation and assessment requirements back that were effective prior to October 31, 2021, in order for those individuals who would have qualified for Title XIX funded services prior to October 31, 2021, to be eligible to receive services funded through the American Rescue Plan Act. The amendment also removes the words “an Intellectual Disability/” on the DHSS-DRL-110 (10-20) form included herein in sections (2) and (3). |
N/A |
October 20, 2021 |
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19 CSR 30-30.060 Standards for the Operation of Abortion Facilities |
This proposed and emergency amendment updates the list of laws, regulations, and standards that governing bodies of abortion facilities must ensure that their facilities abide by or otherwise comply with. |
N/A |
N/A |
September 30, 2021 |
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Schedules of Controlled Substances |
This proposed and emergency amendment updates the Schedules of Controlled Substances to be consistent with 21 CFR Part 1308. |
N/A |
N/A |
September 28, 2021 |
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Transfer and Discharge Procedures |
This amendment transitions transfer and discharge hearings from the Department of Social Services to the Department of Health and Senior Services, updates the mailing address and adds a fax number, a phone number and email address about where to send transfer or discharge appeals and motions and where to contact the Department of Health and Senior Services. |
N/A |
N/A |
September 1, 2021 |
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Pharmacy Services and Medication Management |
This proposed amendment adds a new section (2) which allows pharmacy technicians to authenticate medications selected by other pharmacy technicians when pharmacists are present for purposes of distribution within the hospital for subsequent administration by authorized hospital staff. The proposed amendment also authorizes pharmacy technicians to perform other assigned duties remotely if performed under the visual and auditory supervision of a pharmacist (remote supervision). |
N/A |
N/A |
June 29, 2021 |
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Administration and Resident Care Requirements for New and Existing Intermediate Care and Skilled Nursing Facilities |
This amendment clarifies and updates the requirements regarding the nursing assistant training program as a result of revisions made to regulation set 19 CSR 30-84.010 Nursing Assistant Training Program. |
N/A |
N/A |
June 21, 2021 |
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Nursing Assistant Training Program |
This amendment updates and adds requirements for the basic course curricula content and adds requirements for update training for instructors. Clarifies student requirements and who is eligible to challenge the final examination. Clarifies requirements for employees of a long-term care facility. Updates instructor/clinical supervisor/student ratios. Add requirements for a RN Instructor Trainer. Revises requirements to allow for a department approved third party proctor to administer the final examination test. Updates and adds requirements for training and certifying agencies. Clarifies and adds requirements for instructors and clinical supervisors. Updates definitions, removes redundancy, outdated language, and makes grammatical changes. |
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580-2473 Certified Nurse Assistant Competency Score Sheet (For Use Only With 2001 Manual (12-07)
DHSS-DRL-111 Classroom and On-The-Job Training Record (08-20)
DHSS-DRL-2469 Application for Approval as a Nursing Assistant Training Agency (8-20) |
June 21, 2021 |
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Sanitation and Production Standards for Frozen Desserts |
This proposed amendment updates the process for frozen dessert licensing. The proposed amendment cleans up the regulation to make expectations clearer. The proposed amendment updates the definitions employed in the regulation, sets forth inspection criteria, and updates the licensing procedure for obtaining or renewing a license to engage in the frozen desserts industry. | N/A | N/A | Volume 46, Number 14 | 6.2.21 |
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J-1 Visa Waiver Program |
This amendment clarifies the information necessary to be included with applications for J-1 Visa Waivers for physicians, as required by the United States Department of State, J-1 Visa Program. This amendment authorizes the use of electronic submission for J-1 Visa applications and sets forth the requirement to verify the receipt of such submissions by the applicant to the department. This amendment requires physicians who received waivers under this program to provide employment verification within thirty days after the department requests such verification, which will occur at least once per calendar year. It also amends the rule that regulates J-1 Visa Waiver Selections. | N/A | N/A | Volume 46, Number 8 | 3.15.21 |
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Electronic Prescribing Waiver |
This rule creates a process by which providers can request a waiver from the electronic prescribing requirement under section 195.550, RSMo. The waiver process is not mandatory, but is available to those who have an economic hardship, technological limitation, or other exceptional circumstance preventing them from using electronic prescribing. |
N/A |
12.29.20 |
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Electronic Prescribing Waiver |
This rule creates a process by which providers can request a waiver from the electronic prescribing requirement under section 195.550, RSMo. The waiver process is not mandatory, but is available to those who have an economic hardship, technological limitation, or other exceptional circumstance preventing them from using electronic prescribing. |
N/A |
12.29.20 |
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Schedules of Controlled Substances |
This amendment allows Schedule II drugs to be partially filled for up to 60 days after the original prescription was issued. |
N/A |
N/A |
10.30.20 |
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Schedules of Controlled Substances |
This amendment updates the Schedules of Controlled Substances to be consistent with 21 CFR Part 1308. In addition, the regulation reclassifies some items currently scheduled as Schedule I Stimulants as Schedule I Hallucinogenic Substances to be consistent with 19 CSR 1308.11. |
N/A |
N/A |
10.30.20 |
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Separate Registrations |
This amendment changes requirements related to controlled substance registrations for separate locations of emergency medical services vehicles to comply with the Protecting Patient Access to Emergency Medications Act, which amended 21 U.S.C. § 823(j). The Protecting Patient Access to Emergency Medications Act (PPAEMA) amended 21 U.S.C. § 823(j) such that the United States Drug Enforcement Administration now only requires one controlled substance registration only at an EMS headquarters, and not require additional registrations at other locations they have. By amending this rule to comply with 21 U.S.C. § 823(j), Missouri will only require one registration per EMS ambulance service. |
N/A |
N/A |
10.30.20 |
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Partial Filling of Controlled Substances |
This amendment allows Schedule II drugs to be partially filled for up to 60 days after the original prescription was issued. |
N/A |
N/A |
10.30.20 |
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Dispensing Without a Prescription |
This emergency amendment updates the requirements for the sale, dispensation, or distribution of methamphetamine precursor products to be consistent with section 195.417, RSMo. |
N/A |
N/A |
10.30.20 |
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Dispensing Without a Prescription |
This emergency amendment updates the requirements for the sale, dispensation, or distribution of methamphetamine precursor products to be consistent with section 195.417, RSMo. |
N/A |
N/A |
10.30.20 |
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Electronic Visit Verification |
This rescission rescinds the rule which establishes the minimum necessary criteria of the telephone tracking system required of in-home services providers and consumer-directed services vendors in sections 660.023 and 208.909, RSMo, respectively. | N/A | N/A | Volume 45 Number 17 | 9.2.20 |
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Definitions |
This rescission rescinds the rule that defined terms used in establishing procedures for the Electronic Visit Verification requirements for in-home service providers and consumer-directed services vendors. | N/A | N/A | Volume 45 Number 17 | 9.2.20 |
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Process for Appeal Required in Section 210.1080, RSMo |
This rule is being amended to update the appeal process for a prospective child care staff member or child care staff member of a licensed facility consistent with section 210.1080.9 RSMo, 2020. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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Process for Appeal Required in Section 210.1080, RSMo |
This emergency rule is being amended to update the appeal process for a prospective child care staff member or child care staff member of a licensed facility consistent with section 210.1080.9 RSMo, 2020. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
| 19 CSR 30-63.040 Background Screening Findings |
This rule is being amended to add criteria that would cause a child care staff member to be ineligible for employment or presence at a family child care home, group child care home, child care center, or license-exempt facility consistent with section 210.1080.4 RSMo, 2020. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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Background Screening Findings |
This emergency rule is being amended to add criteria that would cause a child care staff member to be ineligible for employment or presence at a family child care home, group child care home, child care center, or license-exempt facility consistent with section 210.1080.4 RSMo, 2020. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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General Requirements |
This rule is being amended to make changes consistent with recent changes to section 210.1080, RSMo. for when a person may begin working in a child care facility and who is required to have a fingerprint based background check on file. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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General Requirements |
This emergency rule is being amended to make changes consistent with recent changes to section 210.1080, RSMo. for when a person may begin working in a child care facility and who is required to have a fingerprint based background check on file. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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Definitions |
This rule is being amended to revise and add definitions consistent with section 210.1080.1, RSMo. This amendment revises the definitions for child care provider and child care staff member and adds a definition for qualifying result. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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Definitions |
This emergency rule is being amended to revise and add definitions consistent with section 210.1080.1, RSMo. This amendment revises the definitions for child care provider and child care staff member and adds a definition for qualifying result. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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Personnel |
This rule is being amended to add a requirement that staff report suspected child abuse or neglect to DSS Children’s Division; update the group home provider / center director approval process, including new forms; and update general requirements for background screening requirements for child care staff members. | N/A | Center Director or Group Child Care Home Provider Approval Request form Center Director or Group Child Care Home Provider Certification Request form |
Volume 45 Number 19 | 8.31.20 |
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License Renewal |
This rule is being amended to replace the group child care home and child care center license renewal process with a similar annual compliance process and adds the new Annual Declaration for Licensed Facilities form. | Public Fiscal Note | The amendment adds the new Annual Declaration for Licensed Facilities form | Volume 45 Number 19 | 8.31.20 |
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License Renewal |
This emergency rule is being amended to replace the group child care home and child care center license renewal process with a similar annual compliance process and adds the new Annual Declaration for Licensed Facilities form. | Public Fiscal Note | The amendment adds the new Annual Declaration for Licensed Facilities form | Volume 45 Number 19 | 8.31.20 |
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Initial Licensing Information |
This rule is being amended to remove exemptions for related children, revise procedures for the child care licensing process to accommodate non-expiring licenses now allowed by HB 1414, and updates the license application form. The initial licensing process will no longer require an initial inquiry to the department; background screening requirements have been updated to comply with changes to section 210.1080; a requirement for posting contact information of key individuals has been added; and references to license renewal and change of owner processes have been removed. This amendment also replaces the term “day care” with “child care” throughout the rule. | N/A | See Application for License to Operate a Child Care Facility form | Volume 45 Number 19 | 8.31.20 |
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Definitions |
This rule is being amended to update the existing definitions and terms used in the licensing rules for group child care homes and child care centers. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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The Day Care Provider and Other Day Care Personnel |
This rule is being amended to add a requirement that providers and assistants report suspected child abuse or neglect to DSS Children’s Division, update general requirements for assistants and background screening requirements for child care staff members, and add details regarding staff/child ratios. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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License Renewal |
This rule is being amended to replace the family child care home license renewal process with a similar annual compliance process and adds the new Annual Declaration for Licensed Facilities form. | Public Fiscal Note | See Annual Declaration for Licensed Facilities form | Volume 45 Number 19 | 8.31.20 |
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License Renewal |
This emergency rule is being amended to replace the family child care home license renewal process with a similar annual compliance process and adds the new Annual Declaration for Licensed Facilities form. | Public Fiscal Note | See Annual Declaration for Licensed Facilities form | Volume 45 Number 19 | 8.31.20 |
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Initial Licensing Information |
This rule is being amended to remove exemptions for related children, revise procedures for the child care licensing process to accommodate non-expiring licenses now allowed by HB 1414, and update the license application form. | N/A | See Application for License to Operate a Child Care Facility form | Volume 45 Number 19 | 8.31.20 |
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Definitions |
This rule is being amended to update the existing definitions and terms used in the licensing rules for family child care homes. | N/A | N/A | Volume 45 Number 19 | 8.31.20 |
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Definitions |
This rule is being rescinded as the rule has expired and 19 CSR 40-7.040 now defines the terms used in this chapter. |
N/A | N/A | Volume 45 Number 11 | |
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Complication Report for Post-Abortion Care |
This amendment modifies the Complication Report for Post-Abortion Care to distinguish between failed abortions that are failed medication abortions, failed surgical abortions where the failure is recognized immediately, and failed surgical abortions where the recognition of the failure is delayed. It also amends the publication date of the Complication Report for Post-Abortion Care. | N/A | Complication Report for Post-Abortion Care | 2.27.20 | |
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Operating Procedures for Breath Analyzers |
19 CSR 25-30.060: PURPOSE: This amendment removes the references to two (2) instruments that are no longer used for evidential testing in Missouri. | N/A | Form Number 8 Form Number 11 Form Number 12 Form Number 13 |
10.4.19 | |
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Type III Permit |
19 CSR 25-30.041: PURPOSE: This amendment updates the permit and application forms that follow the rule. | N/A | Application Permit |
10.4.19 | |
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Type II Permit |
19 CSR 25-30.031: PURPOSE: This amendment removes two forms from the rule as well as removes the references to two instruments that are no longer used for evidential testing in Missouri. | N/A | Application Permit Report Number 1 Report Number 3 Report Number 7 |
10.4.19 | |
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Type I Permit |
19 CSR 25-30.021: PURPOSE: This amendment updates the accreditation standard, clarifies the responsibilities of the laboratories and permittees, and updates the proficiency standard requirements for laboratories and permittees. | N/A | Application Permit |
10.4.19 | |
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General Provisions for the Determination of Blood, Breath, Saliva, or Urine Analysis and Drug Testing Approved Breath Analyzers Breath Analyzer Calibration and Accuracy Verification Standards Approval of Methods for the Determination of Blood Alcohol Content From Samples of Blood, Saliva, or Urine Approval of Methods for the Analysis of Blood, Saliva, and Urine for the Presence of Drugs |
19 CSR 25-30.011: PURPOSE: This amendment updates the statutory references to those statutes that are now applicable, removes the address and expands the records that are available from the department. 19 CSR 25-30.050: PURPOSE: This amendment removes two instruments that are no longer used for evidential testing in Missouri. 19 CSR 25-30.051: PURPOSE: This amendment further defines the required certification of breath alcohol simulators, the reporting of simulator certification on maintenance checks, adds a new supplier of compressed gas mixtures, and removes a reference to restrictions that only applied to instruments no longer used for evidential breath alcohol testing in Missouri. 19 CSR 25-30.070: PURPOSE: This amendment combines two similar rules and updates the statutory references and analytical methodologies that are now applicable. 19 CSR 25-30.080: PURPOSE: This rule is being rescinded as relevant portions of this rule have been merged with 19 CSR 25-30.070. |
N/A | N/A |
10.4.19 | |
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Administration |
The committee proposes to amend the title of the CONP director. The term “director” is assigned to the leader of a division. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Meeting Procedures |
The committee proposes to amend this rule for verbiage updates and require addition of agenda items to be received by the CONP office in a specific timeframe. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Post-Decision Activity |
The committee proposes to amend periodic progress reporting requirements and requiring an extension form to be filled out when submitting an extension request. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Certificate of Need Decisions |
The committee proposes to amend this rule to reduce the timeframe a committee member can submit their expedited CON ballot. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Additional Information |
The committee proposes to amend this rule for verbiage updates and reduce the timeframe an applicant can submit their written response to an incomplete application and information submitted by affected persons before a scheduled committee meeting. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Criteria and Standards for Financial Feasibility |
The committee proposes to amend this rule to require skilled nursing and intermediate care facilities to provide Medicaid eligible admission information. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Criteria and Standards for Long-Term Care |
The committee proposes to amend this rule for statute and verbiage updates and increase the population projected year used for new or additional long term care beds. Additionally, the committee proposes to require licensed facilities adding beds to their facility to state if the facility received any class I patient care deficiencies in the last 18 months. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Criteria and Standards for Equipment and New Hospitals |
The committee proposes to amend this rule for verbiage updates and increase the population projected year used for new and additional equipment projects and new hospital projects. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Application Package |
The committee proposes to amend this rule for statute and verbiage updates and add the requirement for the application package to include a timeline of events for the project proposal. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Review Process |
The committee proposes to amend this rule for verbiage updates. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Letter of Intent Package |
This committee proposes to amend this rule for statute updates and expand items to be included on the Letter of Intent. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
|
Letter of Intent Process |
The committee proposes to amend this rule for statute updates and to expand the cost definition. | N/A | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Definitions for the Certificate of Need Process |
The committee proposes to amend this rule for statute and verbiage updates. | Private Fiscal Note | Contact Person Correction Alison Dorge, Program Coordinator |
Scheduled publication date is Sept. 16, 2019 |
8.19.19 |
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Standards for the Operation of Abortion Facilities |
This proposed amendment requires the physician who will perform or induce an abortion to perform a pelvic examination at least 72 hours before an abortion unless—in the clinical judgment of that physician—such pelvic examination is not medically indicated at such time for that individual patient, with such determination being documented in detail in the patient’s medical record. A pelvic examination would remain required before all abortions. | N/A | N/A | Scheduled publication date is Aug. 1, 2019 Volume 44 Number 15 |
6.27.19 |
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Physicians |
Under Article XIV of the Missouri Constitution, patients with qualifying medical conditions have the right to discuss freely with their physicians the possible benefits of medical marijuana use, and physicians have the right to provide professional advice concerning the same. This rule explains how the department will implement provisions of Article XIV related to Physicians. | Private Fiscal Note | If you have questions regarding the materials, contact: http://medicalmarijuana.mo.gov. For questions, contact the Section for Medical Marijuana Regulation medicalmarijuanainfo@health.mo.gov |
Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Transportation Facility |
Under Article XIV of the Missouri Constitution, the Department of Health and Senior Services has the authority to regulate and control Medical Marijuana Facilities. This rule explains what regulations apply only to Transportation Facilities | Private Fiscal Note | n/a | Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Seed to Sale Tracking |
Under Article XIV of the Missouri Constitution, the Department of Health and Senior Services has the authority to regulate and control Medical Marijuana Facilities. This rule explains what regulations apply to certification of Seed-to-Sale tracking systems. | Public Fiscal Note Private Fiscal Note |
If you have questions regarding the materials, contact: http://medicalmarijuana.mo.gov. For questions, contact the Section for Medical Marijuana Regulation medicalmarijuanainfo@health.mo.gov |
Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Dispensary Facility |
Under Article XIV of the Missouri Constitution, the Department of Health and Senior Services has the authority to regulate and control Medical Marijuana Facilities. This rule explains what regulations apply only to Dispensary Facilities. | Private Fiscal Note | If you have questions regarding the materials, contact: http://medicalmarijuana.mo.gov. For questions, contact the Section for Medical Marijuana Regulation medicalmarijuanainfo@health.mo.gov |
Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Testing Facility |
Under Article XIV of the Missouri Constitution, the Department of Health and Senior Services has the authority to regulate and control Medical Marijuana Facilities. This rule explains what regulations apply only to Testing Facilities. | Private Fiscal Note | n/a | Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Infused Products Manufacturing Facility |
Under Article XIV of the Missouri Constitution, the Department of Health and Senior Services has the authority to regulate and control Medical Marijuana Facilities. This rule explains what regulations apply only to Infused Products Manufacturing Facilities. | Private Fiscal Note | n/a | Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Cultivation Facility |
Under Article XIV of the Missouri Constitution, the Department of Health and Senior Services has the authority to regulate and control Medical Marijuana Facilities. This rule explains what regulations apply only to Cultivation Facilities. | Private Fiscal Note | n/a | Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Medical Marijuana Facilities Generally |
Under Article XIV of the Missouri Constitution, the Department of Health and Senior Services is authorized to regulate and control the operations of Cultivation, Infused Product Manufacturing, Dispensary, Testing, and Transportation facilities, and to grant, refuse, suspend, fine, restrict, or revoke the licenses and certifications for such facilities. This rule explains how this authority will be exercised. | Public Fiscal Note Private Fiscal Note |
If you have questions regarding the materials, contact: http://medicalmarijuana.mo.gov. For questions, contact the Section for Medical Marijuana Regulation medicalmarijuanainfo@health.mo.gov |
Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
| 19 CSR 30-95.030 Qualifying Patient / Primary Caregiver |
Under Article XIV of the Missouri Constitution, patients with qualifying medical conditions have the right to discuss freely with their physicians the possible benefits of medical marijuana use and the right to use medical marijuana for treatment under the supervision of a physician. Pursuant to the same Article, the Department of Health and Senior Services is tasked with ensuring patient access to medical marijuana, subject to reasonable restrictions. This rule explains how the department will implement provisions of Article XIV related to Qualifying Patients and Primary Caregivers. | Public Fiscal Note Private Fiscal Note |
If you have questions regarding the materials, contact: http://medicalmarijuana.mo.gov. For questions, contact the Section for Medical Marijuana Regulation medicalmarijuanainfo@health.mo.gov |
Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Generally Applicable Provisions |
The Department of Health and Senior Services has the authority to promulgate rules for the enforcement of Article XIV. This rule explains what general provisions are necessary for the enforcement of the Article. | Public Fiscal Note | If you have questions regarding the materials, contact: http://medicalmarijuana.mo.gov. For questions, contact the Section for Medical Marijuana Regulation medicalmarijuanainfo@health.mo.gov |
Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Definitions |
This rule defines terms used in Chapter 95. | n/a | n/a | Scheduled publication date is July 1, 2019 https://www.sos.mo.gov/adrules/moreg/moreg |
6.11.19 |
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Fee Waiver for Military Families and Low-Income Individuals |
This rule complies with section 324.015.6, RSMo, which requires the Board of Nursing Home Administrators to promulgate rules to implement the provisions of section 324.015, RSMo, the waiver of occupational fees for military families and low-income individuals for a period of two (2) years. |
n/a | n/a |
Vol. 44, No. 7 | 2.27.19 |
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Testing for Metabolic and Genetic Disorders |
This amendment makes grammatical changes, clarifies wording for consistency, and increases the fee ceiling for the specimen screening. |
Volume 44, Number 5 | 1.28.19 | ||
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General Provisions |
This rule explains where and when licensing application fees may be pre-filed with the Department of Health and Senior Services and provides the form for pre-filing licensing application fees. |
n/a | Pre-files License Application Fees | January 15, 2019 issue; Volume 44, Number 2 | 1.11.19 |
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Schedules of Controlled Substances |
This amendment updates the list of all drugs falling within the purview of controlled substances to match the corresponding list promulgated by the Drug Enforcement Agency (DEA) | n/a | 10.29.18 | ||
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Disposing of Unwanted Controlled Substances |
This amendment establishes the process for authorized registrants to collect unwanted controlled substances through collection receptacles or a mail-back program and amends requirements for destruction of controlled substances by registrants. | n/a | Missouri Register | 10.17.18 | |
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Partial Filling of Controlled Substance Prescription |
This amendment establishes conditions under which the partial filling of prescriptions in Schedules II, III, IV, or V is permissible | n/a | Missouri Register | 10.17.18 | |
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Registration Changes |
This amendment allows authorized registrants to modify their registration to allow the collection of unwanted controlled substances. | n/a | Missouri Register | 10.17.18 | |
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Missouri Adoptee Rights |
This rule provides the process for an adoptee, an adoptee’s attorney, and the birth parents of an adoptee to receive a copy of the adoptee’s original birth certificate, the process for a birth parent and the adoptee to state his or her contact preference regarding whether and how the adoptee/birth parent can contact him or her, the process for completion of a medical history form by a birth parent, and the process for lineal descendants of a deceased adoptee to receive a copy of the adoptee’s original birth certificate. | Cover Sheet for Birth Parent Contact Preference Form (August 2018) Birth Parent Contact Preference Form (August 2018) Cover Sheet for Birth Parent Medical History Form (August 2018) Birth Parent Medical History Form (August 2018) Cover Sheet for Adoptee Contact Preference Form (August 2018) Adoptee Contact Preference Form (August 2018) |
Volume 43 Number 20 | ||
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Registration of Training Agencies and Single Offering Providers |
This amendment allows a two-year training agency status versus the one (1) year and less time constraints on submission of continuing education offerings. | n/a | Volume 43 Number 19 | ||
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Inactive Licensure Status |
This amendment removes the requirement for notarization of requests for inactive status and clarifies the procedures to put the license in inactive status, renew inactive status, and reactivate the license. |
n/a | Volume 43 Number 19 | ||
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Retired Licensure Status |
This amendment deletes the notarization requirement and clarifies the procedures to retire or reactivate the license. |
n/a | Volume 43 Number 19 | ||
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Renewal of Licenses |
This amendment allows the Missouri Board of Nursing Home Administrators to notify its licensees of renewals and for licensees to renew their licenses by electronic means according to the provisions of section 344.040, RSMo, and allows licensees to carry over continuing education hours from one licensure period to another. | n/a | Volume 43 Number 19 | ||
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Procedures and Requirements for Limited Licensure of Administrators |
This rule specifies the minimum requirements for limited licensure as a nursing home administrator in Missouri as outlined in section 344.030.3, RSMo. | n/a | Volume 43 Number 19 |