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 30-82.050 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

https://www.sos.mo.gov/adrules/moreg/moreg

September 1, 2021

19 CSR 30-20.100 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

Volume 46, Number 15

June 29, 2021

19 CSR 30-85.042
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

https://www.sos.mo.gov/adrules/moreg/moreg

June 21, 2021

19 CSR 30-84.010
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.

Public Fiscal Note

 

Private Fiscal Note

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)

https://www.sos.mo.gov/adrules/moreg/moreg

June 21, 2021

19 CSR 20-1.030 - 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
19 CSR 10-4.020 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

19 CSR 30-81.030 Evaluation and Assessment Measures for Title XIX Recipients and Applicants in Long-Term Care Facilities

The amendment to this rule changes the title of the rule and purpose statement, lowers the assessed need points requirement from twenty-four (24) to eighteen (18) points for determination to meet nursing home level of care, updates assessment forms, level of care criteria, and the assessed needs point count value. The amendment also includes the algorithm utilized by the department’s Home and Community Based Services program for its level of care determination.

Public Fiscal Note

  1. Nursing Facility Level Of Care Assessment Form
  2. Level One Nursing Facility Pre-Admission Screening For Mental Illness/Intellectual Disability Or Related Condition Form
  3. Missouri Department Of Health And Senior Services Home and Community Based Services InterRAI Home Care Assessment System (HC), © InterRAI Level of Care Algorithm Form

Volume 46, Number 4

1.12.21

19 CSR 30-1.080
Electronic Prescribing Waiver
(Proposed)

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.

Proposed Fiscal Note

N/A

Volume 46, Number 2

12.29.20

19 CSR 30-1.080
Electronic Prescribing Waiver
(Emergency)

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.

Emergency Fiscal Note

N/A

Volume 46, Number 2

12.29.20

19 CSR 30-1.002 - Emergency
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

Volume 45, Number 23

10.30.20

19 CSR 30-1.002 - Proposed
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

Volume 45, Number 23

10.30.20

19 CSR 30-1.026 – Proposed
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

Volume 45, Number 23

10.30.20

19 CSR 30-1.064 - Proposed
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

Volume 45, Number 23

10.30.20

19 CSR 30-1.074 – Emergency
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

Volume 45, Number 23

10.30.20

19 CSR 30-1.074 – Proposed
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

Volume 45, Number 23

10.30.20

19 CSR 15-9.200
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
19 CSR 15-9.100
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
19 CSR 30-63.050
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
19 CSR 30-63.050
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
19 CSR 30-63.040
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
19 CSR 30-63.020
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
19 CSR 30-63.020
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
19 CSR 30-63.010
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
19 CSR 30-63.010
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
19 CSR 30-62.102
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
19 CSR 30-62.052
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
19 CSR 30-62.052
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
19 CSR 30-62.042
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
19 CSR 30-62.010
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
19 CSR 30-61.105
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
19 CSR 30-61.055
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
19 CSR 30-61.055
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
19 CSR 30-61.045
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
19 CSR 30-61.010
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
19 CSR 30-91.010 Authorized Electronic Monitoring

This proposed rule sets forth requirements to implement HB 1387 regarding the use of electronic monitoring devices in long-term care facilities. This legislation gives residents of long-term care facilities the right to place electronic monitoring devices in their rooms. Sections 198.610 -198.632, RSMo, outline the parameters of electronic monitoring and requires the department to promulgate rules to implement authorized electronic monitoring and to develop an electronic monitoring device acknowledgment and consent form which must be completed and signed by residents and roommates prior to an electronic monitoring devices being installed and utilized.

Public Fiscal Note

Private Fiscal Note
Electronic Monitoring Device Acknowledgment and Request Form Volume 45 Number 19 8.21.20
19 CSR 30-91.010 Authorized Electronic Monitoring

This emergency rule sets forth requirements to implement HB 1387 regarding the use of electronic monitoring devices in long-term care facilities. This legislation gives residents of long-term care facilities the right to place electronic monitoring devices in their rooms. Sections 198.610 -198.632, RSMo, outline the parameters of electronic monitoring and requires the department to promulgate rules to implement authorized electronic monitoring and to develop an electronic monitoring device acknowledgment and consent form which must be completed and signed by residents and roommates prior to an electronic monitoring devices being installed and utilized.

Public Fiscal Note

Private Fiscal Note
Electronic Monitoring Device Acknowledgment and Request Form Volume 45 Number 19 8.20.20
19 CSR 30-35.010
Hospice Program Operations

This rule adds advanced practice registered nurses and physician assistants as health care professionals who will qualify as an attending physician to hospice patients in that these individuals will have the most significant role in the determination and delivery of the hospice patient’s medical care. This amendment is made in accordance with a change to the federal law. This amendment also extends the amount of time hospice providers can conduct emergent visits from one hour to ninety (90) minutes from when the need is identified.

N/A N/A Volume 45 Number 16 7.10.20
19 CSR 40-7.010
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  
19 CSR 10-15.020 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

Volume 45 Number 6

2.27.20
19 CSR 25-30.060
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

Volume 44 Number 21

10.4.19
19 CSR 25-30.041
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

Volume 44 Number 21

10.4.19
19 CSR 25-30.031
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

Volume 44 Number 21

10.4.19
19 CSR 25-30.021
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

Volume 44 Number 21

10.4.19
19 CSR 25-30.011
General Provisions for the Determination of Blood, Breath, Saliva, or Urine Analysis and Drug Testing

19 CSR 25-30.050
Approved Breath Analyzers

19 CSR 25-30.051
Breath Analyzer Calibration and Accuracy Verification Standards

19 CSR 25-30.070
Approval of Methods for the Determination of Blood Alcohol Content From Samples of Blood, Saliva, or Urine

19 CSR 25-30.080
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

Volume 44 Number 21

10.4.19
19 CSR 60-50.900
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.800
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.700
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.600
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.500
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.470
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.450
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.440
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.430
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.420
Review Process
The committee proposes to amend this rule for verbiage updates. N/A

Contact Person Correction
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.410
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.400
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax: 573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 60-50.300
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
Expedited LTC Bed Replacement Expansion Application
LTC Facility Expansion Certification
Letter of Intent
Request for Extension Word Document
New Hospital Application
New or Additional Long Term Care Bed Application
New or Additional Equipment Application
Replacement Equipment Application
Periodic Progress Report
Proposed Expenditures
Proposed Project Budget
Purchase Agreement
Representative Registration
RS Means Cost Data

Alison Dorge, Program Coordinator
Certificate of Need Program
3418 Knipp Drive, Suite F
Jefferson City, MO 65109
573-751-6700    Fax:  573-751-7894

alison.dorge@health.mo.gov

Scheduled publication date is Sept. 16, 2019

Volume 44 Number 18

8.19.19
19 CSR 30-30.060
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
19 CSR 30-95.110
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
19 CSR 30-95.100
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
19 CSR 30-95.090
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
19 CSR 30-95.080
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
19 CSR 30-95.070
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
19 CSR 30-95.060
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
19 CSR 30-95.050
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
19 CSR 30-95.040
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
19 CSR 30-95.025
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
19 CSR 30-95.010 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
19 CSR 73-2.011
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
19 CSR 25-36.010
Testing for Metabolic and Genetic Disorders

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

Public Fiscal Note

Private Fiscal Note

  Volume 44, Number 5 1.28.19
19 CSR 30-95.020
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
19 CSR 30-1.002 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  

Missouri
Register

10.29.18
19 CSR 30-1.078
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
19 CSR 30-1.064
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
19 CSR 30-1.023
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
19 CSR 10-10.130 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.

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)

Adoptee Contact Preference Form (August 2018)
Volume 43 Number 20  

19 CSR 73-2.060

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  

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.

n/a   Volume 43 Number 19  

19 CSR 73-2.051

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  

19 CSR 73-2.050

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  

19 CSR 73-2.023

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  

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