The following are summaries and other information related to Proposed Rules that the Missouri Department of Health & Senior Services has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.

Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments.

We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal
Note(s)
Material Incorporated
by Reference
Link to
Missouri Register
Date Posted
19 CSR 20-20.020 Reporting [Communicable, Environmental, and Occupational] Infectious, Contagious, Communicable or Dangerous Diseases. This rule designates the diseases which are infectious, contagious, communicable or dangerous and must be reported to the local health authority or the Department of Health and Senior Services. It also establishes when they must be reported. N/A N/A Scheduled publication date is Aug. 1, 2019
Volume 44 Number 15
6.27.19
19 CSR 20-20.040 [Measure for the Control of Communicable, Environmental and Occupational Diseases] Measures to Determine the Prevalence and Prevent the Spread of Diseases which are Infectious, Contagious, Communicable or Dangerous in their Nature. This rule sets forth methods to determine the prevalence and to prevent the spread of diseases which are infectious, contagious, communicable or dangerous in their nature within Missouri including notification of the public and potentially exposed individuals and the issuance of orders. N/A N/A Scheduled publication date is Aug. 1, 2019
Volume 44 Number 15
6.27.19
19 CSR 10-15.060 Prohibition on Expenditure of Funds This rule defines terms used in House Bill 10, 100th General Assembly, First Regular Session, for purposes of expenditures by the Department of Health and Senior Services. N/A N/A Scheduled publication date is Aug. 1, 2019
Volume 44 Number 15
6.27.19
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, please 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, please 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, please 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, please 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, please 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, please 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 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.

n/a n/a Volume 44 Number 9 3.22.19

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.

n/a

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.

Volume 44 Number 9 3.22.19

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.

n/a n/a Volume 44 Number 9 3.22.19

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.

n/a

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.

Volume 44 Number 9 3.22.19

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.

n/a

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.

Volume 44 Number 9 3.22.19

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

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

n/a n/a Volume 44 Number 9 3.22.19

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.

n/a n/a Volume 44 Number 9 3.22.19

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.

n/a n/a Volume 44 Number 9 3.22.19

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.

n/a n/a Volume 44 Number 9 3.22.19

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.

n/a n/a Volume 44 Number 9 3.22.19

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.

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.102
Radiology Services in Hospitals (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.104
Social Services (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.106
Inpatient Care Units in Hospitals (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.108
Fire Safety, General Safety and Operating Features (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.110
Orientation and Continuing Education (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.112
Quality Assessment and Performance Improvement Program (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.118
Outpatient Services in Hospitals (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.124
Medical Services (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.126
Obstetrical and Newborn Services in Hospitals (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.128
Pediatric Services in Hospitals (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19

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).

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.132
Psychiatric Services in Hospitals (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.134
Rehabilitation Services in Hospitals (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.136
Respiratory Care Services (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.138
Specialized Inpatient Care Services (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.140 Surgical Services (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-20.142
Variance Requests (proposed rescission)

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

n/a n/a Volume 44 Number 9 3.22.19
19 CSR 30-63.010
Definitions

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

n/a n/a Missouri Register 3.15.19
19 CSR 30-63.020
General Requirements

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

n/a Missouri Register 3.15.19
19 CSR 30-63.040
Background Screening Findings

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-63.030
Criminal Background Screening Cost

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

n/a n/a Missouri Register 3.15.19
19 CSR 30-63.050
Process for Appeal Required in Section 210.1080, RSMo.

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

n/a n/a Missouri Register 3.15.19
19 CSR 30-62.032
Organization and Administration

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-62.042
Initial Licensing Information

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.

n/a

If you have questions regarding the materials, contact:

Missouri Register 3.15.19
19 CSR 30-62.052
License Renewal

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-62.102
Personnel

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.

n/a

If you have questions regarding the materials, contact:

Missouri Register 3.15.19
19 CSR 30-62.222
Records and Reports

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-62.222
Records and Reports

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-61.025
Organization and Administration

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-61.055
License Renewal

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.

n/a

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

Missouri Register 3.15.19
19 CSR 30-61.210
Records and Reports

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-61.045
Initial Licensing Information

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.

n/a

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

Missouri Register 3.15.19
19 CSR 30-61.210
Records and Reports

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.

n/a n/a Missouri Register 3.15.19
19 CSR 30-61.105
The Day Care Provider and Other Day Care Personnel

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.

n/a

If you have questions regarding the materials, contact:

Missouri Register 3.15.19
19 CSR 30-60.050
Staffing Requirements

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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Missouri Register 3.15.19
19 CSR 30-60.020
Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures

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.

n/a

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

Missouri Register 3.15.19
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.

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Vol. 44, No. 7 2.27.19
19 CSR 30-20.013
Incorporation of Medicare Conditions of Participation

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

n/a

42 CFR Part 482

42 CFR Part 485

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
March 15, 2019. Vol. 44, No. 6. 2.20.19
19 CSR 20-60.010
Levels of Maternal and Neonatal Care Designations

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

The LOCATe tool (version 0.80) Volume 44, Number 3 2.1.19
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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