Proposed Rules

19 CSR 30-20.011
Definitions Relating to Hospitals (proposed amendment)

This rule deletes definitions that will no longer be used, updates definitions for terminology used throughout this chapter, and adds new definitions for other terminology used throughout this chapter.

19 CSR 30-20.015
Administration of the Hospital Licensing Program (proposed amendment)

This amendment describes the license application, survey and reporting process for a hospital, as well as the process for disciplining a hospital license.

42 CFR Part 482

42 CFR Part 485

For this material, contact the Missouri Department of Health and Senior Services, Division of Regulation and Licensure, Dean Linneman, Division Director, PO Box 570, Jefferson City, MO 65102-0570.

19 CSR 30-20.030
Construction Standards for New Hospitals (proposed rescission)

The Department of Health and Senior Services is rescinding this rule and replacing it with more up-to-date construction standards for hospitals that reflect current construction practices.

19 CSR 30-20.030
Construction Standards for New Hospitals (proposed rule)

This rule establishes up-to-date construction standards for new hospitals to help ensure accessible, functional, fire-safe and sanitary facilities.

42 CFR Part 482 (2017)

42 CFR Part 485 (2017)

The content of the Guidelines documents incorporated by reference is copyrighted by the Facility Guidelines Institute, Inc. To review copies of these copyrighted materials held by the Missouri Department of Health and Senior Services, please contact the Division of Regulation and Licensure, Dean Linneman, Division Director, PO Box 570, Jefferson City, MO 65102-0570.

19 CSR 30-20.050
Standards for the Operation of Long-Term Care Units (proposed amendment)

This amendment updates language throughout and eliminates the language regarding nurse assistant orientation and training. This amendment also updates referenced rule numbers throughout and places additional requirements on the frequency of physician visits to residents.

42 CFR Part 482 (2017)

For this material, contact the Missouri Department of Health and Senior Services, Division of Regulation and Licensure, Dean Linneman, Division Director, PO Box 570, Jefferson City, MO 65102-0570.

19 CSR 30-20.092
Diversion [Emergency Services in Hospitals] (proposed amendment)

This amendment adds clarifying language related to the concept of diversion.

19 CSR 30-20.100
Pharmacy Services and Medication Management (proposed rescission)

The Department of Health and Senior Services is rescinding this rule and replacing it with more up-to-date standards that include additional requirements.

19 CSR 30-20.100
Pharmacy Services and Medication Management (proposed rule)

This rule establishes the requirements for pharmacy services and medication management in a hospital to ensure optimal selection, safe use, and security of medications.

19 CSR 30-24.010
General Design and Construction Standards for Psychiatric Hospitals (proposed rescission)

The Department of Health is rescinding this rule as psychiatric hospitals are incorporated into the construction standards for hospitals at 19 CSR 30-20.030.

19 CSR 30-24.020
Administration Standards for Psychiatric Hospitals (proposed rescission)

The Department of Health is rescinding this rule as psychiatric hospitals are incorporated into the standards for hospitals at 19 CSR 30-20.013 and 19 CSR 30-20.015.

19 CSR 30-24.030
Preparation of Plans and Specifications for Psychiatric Hospitals (proposed rescission)

The Department of Health is rescinding this rule as psychiatric hospitals are incorporated into the construction standards for hospitals at 19 CSR 30.20-030.

19 CSR 30-20.001 Anesthesiologist Assistants in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.040
Definitions Relating to Long-Term Care Units in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.060
Construction Standards for New Long-Term Care Units in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.080
Governing Body of Hospitals (propose rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.082
Chief Executive Officer in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.084
Patients' Rights in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.086
Medical Staff in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.088
Central Services (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.090
Food and Nutrition Services (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.094
Medical Records (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.096
Nursing Services (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.097
Safe Patient Handling and Movement in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.098
Pathology and Medical Laboratory Services (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.116
Infection Prevention and Control (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.120
Anesthesia Services in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

19 CSR 30-20.130
Post-Anesthesia Recovery Services in Hospitals (proposed rescission)

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule is being rescinded based on the provisions of Senate Bill 50 (2017) (197.005).

This rule provides definitions to be used in the interpretation and enforcement of 19 CSR 30-63.

This rule establishes who is ineligible for employment and who cannot be present at a family child care home, group child care home, child care center, or license-exempt facility not subject to 210.1080.9, RSMo.

Public Fiscal Note

Public Fiscal Note

This rule establishes who is ineligible for employment and who cannot be present at a family child care home, group child care home, child care center, or license-exempt facility not subject to 210.1080.9, RSMo.

This rule establishes who is responsible for the cost of the criminal background check.

This rule sets forth the process for the appeal required in section 210.1080, RSMo.

This amendment changes references of Child Care Licensing Unit to the department and includes language to accommodate legal entities. This amendment also removes child abuse and neglect language in an effort to not conflict with section 210.1080, RSMo.

This amendment changes references of 19 CSR 40 to 19 CSR 30. It deletes the outdated application form from the Department of Social Services. A statement has been added to show that an application will be provided by the department upon the completion of an inquiry orientation. Language has been updated to change references of the Child Care Licensing Unit to the department. This amendment deletes references to the Day-Care Licensing Review Board as this entity no longer exists. This amendment also adds background screening requirements to comply with section 210.1080, RSMo. Changes of ownership requirements were added. This amendment deletes language about the 60 day temporary license and adds language regarding a short-term license.

If you have questions regarding the materials, contact:

• https://health.mo.gov/safety/childcare/forms.php

This amendment changes references from rescinded 19 CSR 40 to current 19 CSR 30, requires legal entities to submit documentation required by the Missouri Secretary of State and state law to the department. This amendment also adds background screening requirements to comply with section 210.1080, RSMo.

This amendment changes references of rescinded 19 CSR 40 to current 19 CSR 30, updates child abuse and neglect reporting options, specifies facility orientation requirements, clarifies training requirements, and requires electronic record keeping of clock-hour trainings in the Missouri Professional Development System (MOPD). This amendment also adds background screening requirements to comply with section 210.1080, RSMo.

If you have questions regarding the materials, contact:

• https://health.mo.gov/safety/childcare/forms.php
• American Academy of Pediatrics

This amendment changes references of rescinded 19 CSR 40 to current 19 CSR 30 and removes outdated and duplicate rules. This amendment also changes background screening record retention requirements to comply with section 210.1080, RSMo.

This amendment changes references of rescinded 19 CSR 40 to current 19 CSR 30 and removes outdated and duplicate rules. This amendment also changes background screening record retention requirements to comply with section 210.1080, RSMo.

This amendment specifies that policies and procedures are to be written, changes references of Child Care Licensing Unit to the department and includes language to accommodate legal entities. This amendment also removes child abuse and neglect language in an effort to not conflict with section 210.1080, RSMo 2018.

This amendment requires evidence of compliance with sanitation requirements, corrects references of rescinded 19 CSR 40 to current 19 CSR 30, and requires legal entities to submit documentation required by the Missouri Secretary of State and state law to the department. Language was added requiring providers to submit a Safety Plan form when a sex offender resides within a 1,000 feet of the facility. This amendment also adds background screening requirements to comply with section 210.1080 RSMo.

If you have questions regarding the materials, contact: https://health.mo.gov/safety/childcare/forms.php

This amendment changes references of rescinded 19 CSR 40 to current 19 CSR 30 and removes obsolete and duplicate rules. This amendment also adds background screening record retention requirements to comply with section 210.1080 RSMo.

This amendment corrects obsolete references to 19 CSR 40, the Application Form with Department of Social Services letterhead, and Child Care Licensing unit to the current 19 CSR 30, the current form, and the department. This amendment also adds background screening requirements to comply with section 210.1080 RSMo. A statement has been added to show that an application will be provided by the department upon orientation completion. Language was added requiring providers to submit a Safety Plan form when a sex offender resides within a 1,000 feet of the facility. Changes of ownership requirements were added. This amendment deletes language about the 60 day temporary license and adds language regarding a short-term license.

If you have questions regarding the materials, contact: https://health.mo.gov/safety/childcare/forms.php

This amendment changes references of rescinded 19 CSR 40 to current 19 CSR 30 and removes obsolete and duplicate rules. This amendment also adds background screening record retention requirements to comply with section 210.1080 RSMo.

This amendment changes references of 19 CSR 40 to 19 CSR 30, updates child abuse and neglect reporting options, specifies facility orientation requirements, clarifies training requirements, and requires electronic record keeping of clock-hour trainings in the Missouri Professional Development System (MOPD). This amendment also adds background screening requirements to comply with section 210.1080 RSMo.

If you have questions regarding the materials, contact:

• https://health.mo.gov/safety/childcare/forms.php
• American Academy of Pediatrics

This amendment removes rule language that the Department of Health and Senior Services has no statutory authority to enforce and adds background screening language requirements to comply with 210.1080 RSMo.

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This amendment changes the Department of Health to the Department of Health and Senior Services and removes the “or officials of a local fire district” and the child abuse/neglect screening requirement. This amendment also adds background screening language to comply with section 210.1080, RSMo. This amendment adds the Notice of Parental Responsibility required by section 210.254, RSMo which requires child care facility operated by a religious organization to provide notice to parents of certain aspects of the program, including the conducting of background screenings.

If you have questions regarding the materials, contact: https://health.mo.gov/safety/childcare/forms.php

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.

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This rule incorporates the Medicare Conditions of Participation into the Hospital regulations.

42 CFR Part 482

42 CFR Part 485

This rule establishes criteria and procedures for reporting standardized assessments and levels of maternal and neonatal care designations for birthing facilities.

Public Fiscal Note

Private Fiscal Note

This amendment makes grammatical changes, clarifies wording for consistency, and increases the fee ceiling for the specimen screening.

Public Fiscal Note

Private Fiscal Note

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.

Missouri
Register

Public Fiscal Note

Private Fiscal Note

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)

Application for Non-Certified Copy of an Original Birth Certificate by Adoptee, Adoptee’s
Attorney, or Birth Parent (August 2018)

Application for Non-Certified Copy of an Original Birth Certificate by Lineal Descendant (August 2018)

Cover Sheet for Adoptee Contact Preference Form (August 2018)

19 CSR 73-2.060

Registration of Training Agencies and Single Offering Providers

19 CSR 73-2.053

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.

19 CSR 73-2.051

Retired Licensure Status

This amendment deletes the notarization requirement and clarifies the procedures to retire or reactivate the license.

19 CSR 73-2.050

Renewal of Licenses

19 CSR 73-2.023

Procedures and Requirements for Limited Licensure of Administrators