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 60-50.800 Meeting Procedures This proposed amendment is amending the current rule to include a form used in the CON process within the rule rather than incorporating it by reference – the Representative Registration (Form MO 580-1869). N/A N/A Volume 47, Number 15 June 30, 2022
19 CSR 60-50.700 Post-Decision Activity This proposed amendment amends the procedure for filing Periodic Progress Reports after approval of Certificate of Need (CON) applications, CONs subject to forfeiture, and the procedure for requesting a cost overrun. The proposed amendment defines what is acceptable for aboveground construction, adds budget requirements for cost overrun requests, sets forth procedures to apply for project ownership changes, project operator changes, and project site changes. The proposed amendment also adds several forms used in the CON process rather than incorporating the forms by reference. N/A N/A Volume 47, Number 15 June 30, 2022
19 CSR 60-50.500 Additional Information This proposed amendment amends the process for submitting additional information and for requesting a public hearing on Certificate of Need (CON) applications in the CON review process. Currently, the rule provides that information submitted by affected persons must be received by the committee’s principal office at least 5 calendar days before a scheduled meeting. The proposed amendment provides that supporting, neutral, and opposing information must be received within 3 business days before a scheduled committee meeting. N/A N/A Volume 47, Number 15 June 30, 2022
19 CSR 60-50.470 Criteria and Standards for Financial Feasibility This proposed amendment is amending the current rule to include two forms used in the CON process within the rule rather than incorporating them by reference – the Service-Specific Revenues and Expenses form (Form MO 580-1865) and the RS Means Cost Data form (Form MO 580-1866). N/A N/A Volume 47, Number 15 June 30, 2022
19 CSR 60-50.450 Criteria and Standards for Long-Term Care This proposed amendment modifies criteria and standards against which a project involving a long-term care facility would be evaluated in a Certificate of Need (CON) review. The proposed amendment removes language related to certain demonstration and pilot projects and changes the term “patient” to “resident”. The proposed amendment also sets forth a form used in the CON process – Form MO 580-2352 (Purchase Agreement). N/A N/A Volume 47, Number 15 June 30, 2022
19 CSR 60-50.440 Criteria and Standards for Equipment and New Hospitals This proposed amendment modifies the criteria and standards against which a project involving a long-term care facility would be evaluated in a Certificate of Need (CON) review. The proposed amendment removes certain need methodologies for new major medical units, adds three full years of utilization data for new/additional units, adds robotic surgery utilization requirements, and adds three full years of occupancy data for the construction of new hospital projects. N/A N/A Volume 47, Number 15 June 30, 2022
19 CSR 60-50.430 Application Package This proposed amendment modifies the requirements for Certificate of Need applications. The proposed amendment adds expedited equipment application requirements, requires Missouri Secretary of State business registration documentation, requires long-term care project affiliate and Medicare and/or Medicaid certification information, updates DHSS bureau name information, decreases population estimate percentages, and adds public notice requirements for affected facilities. The amendment also sets forth within the rule certain forms used in the CON process. N/A N/A Volume 47, Number 15 June 29, 2022
19 CSR 60-50.420 Review Process This proposed amendment modifies the filing deadlines used in the certificate of need process. The proposed amendment provides that full applications must be filed at least 71 days but not more than 100 days prior to a Missouri Health Facilities Review Committee meeting. The proposed amendment also removes the term “location” from consideration whether a CON application substantially conforms with the letter of intent (LOI). N/A N/A Volume 47, Number 15 June 29, 2022
19 CSR 60-50.410 Letter of Intent Package This proposed amendment deletes language contained in the current section 4 as it describes the process for seeking an exemption pursuant to a statute (§197.314) that was repealed by the legislature in 2010. The amendment also sets forth forms used in the CON process – specifically Form MO 580-1860 (Letter of Intent (LOI)) and Form MO 580-2375 (Proposed Expenditures). The remainder of the proposed amendment renumbers the sections contained in the proposed rule accordingly. N/A N/A Volume 47, Number 15 June 29, 2022
19 CSR 60-50.400 Letter of Intent Process This amendment amends the rule to restructure the wording used for the LTC bed expansion and replacement application process. The proposed rule requires an expedited CON application regardless of the amount of capital expenditure in certain LTC bed expansions and requires an expedited CON application for other bed expansions if the capital expenditure for the bed replacement exceeds $600,000. The proposed rule also replaces the term “patient” with “resident”. The amendment also sets forth forms used in the CON process - specifically Form MO 580-2351(LTC Facility Expansion Certification), Form MO 580-2352 (Purchase Agreement) and Form MO 580-1871 (Periodic Progress Report). N/A N/A Volume 47, Number 15 June 29, 2022
19 CSR 60-50.300 Definitions for the Certificate of Need Process This proposed amendment defines the terms “Affiliate” and “Request to relicense” as used in the certificate of need process. The amendment also removes verbiage that requires applicants seeking the replacement of major medical equipment not previously approved by the committee to apply for a full review and removes the definition for the term “related organization”. The proposed amendment also clarifies the non-applicability 10/10% rule and service area requirements. The proposed amendment also sets forth Form MO 580-1863 (Proposed Project Budget). N/A N/A Volume 47, Number 15 June 29, 2022
19 CSR 15-4.010 Definition of Terms This proposed amendment updates terms defined in 19 CSR 15-4. The proposed rule amendment defines the terms used by the Department and area agencies on aging in providing services to Missouri residents age sixty (60) or over and persons age eighteen (18) to fifty-nine (59) with disabilities. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.020 Administration of the Older Americans Act This proposed amendment updates the name of the Department and Division and updates references to the area agencies on aging. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.040 State Plan This proposed amendment updates the Division name and adds availability to review the state plan on aging online. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.050 Funding Formula and Fiscal Management This proposed amendment details the Department’s fiscal management responsibilities under Title III of the Older Americans Act. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.060 State Long-Term Care Ombudsman Program This proposed amendment updates the language describing how the Department operates the statewide long-term care ombudsman program. The amendment updates the statutory authority and program name. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.070 Designation of Area Agencies on Aging This proposed amendment updates the language describing the process for designation of an area agency on aging, what types of agencies may be eligible, and criteria used by the Department for designation. The amendment updates references to state and federal legal authority and references to area agencies on aging. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.080 Withdrawal of Designation This proposed amendment updates terminology and makes grammatical changes to the rule which delineates the circumstances under which the Division may withdraw designation of an area agency on aging, notify the assistant secretary of the action and provide for continuity of services. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.090 Appeal to the Assistant Secretary This proposed amendment updates the terminology and statutory authority to the rule outlining the process/procedure for when an application for designation as a planning and service area has been denied and the denial has been upheld in a Division hearing. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.100 Area Agency Governing Body This proposed amendment updates the legal authority, regulation references, and terminology used in 19 CSR 15-4.100. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.105 Area Agency Election Procedures for Governing Body Membership This proposed amendment updates the legal authority, regulation references, and terminology used in 19 CSR 15-4.105. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.110 Area Agency Advisory Council This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.110. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.120 Affirmative Action/Equal Employment Opportunity/Preference in Hiring This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.120. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.130 Area Agency Staff This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.130. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.135 Area Agency Director This proposed amendment updates the legal authority and terminology used in 19 CSR 15-4.135. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.140 Area Agency Plan This proposed amendment makes grammatical changes and updates legal authority and terminology used in 19 CSR 15-4.140. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.150 Waivers This proposed amendment updates legal authority and terminology used in 19 CSR 15-4.150. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.160 Review, Submission and Approval of Area Agency Area Plans and Plan Amendments This proposed amendment updates legal authority and terminology used in 19 CSR 15-4.160. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.170 Area Agency Fiscal Management This proposed amendment makes grammatical changes and updates the legal authority used in 19 CSR 15-4.170. N/A https://health.mo.gov/seniors/state-plan-aging.php Volume 47, Number 5 January 25, 2022
19 CSR 15-4.175 Funding Acquisition or Construction of Multipurpose Senior Centers This proposed amendment updates the purpose, legal authority, terminology, procedures, and guidance language used in 19 CSR 15-4.175. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.180 Area Agency Advocacy Responsibility This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.180. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.190 Areas Agency Development of a Comprehensive and Coordinated Service Delivery System This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.190. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.200 Area Agency Subgrants or Contracts This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.200. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.210 Area Agency Grievance Procedures This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.210. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.220 Area Agency Technical Assistance, Monitoring and Evaluation Responsibilities This proposed amendment updates the legal authority language and other terminology used in 19 CSR 15-4.220. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.230 Multipurpose Senior Center The proposed rule amendment updates terminology, regulatory references, procedural requirements, and statutory authority used in 19 CSR 15-4.230. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.240 Nutrition Service Requirements The proposed rule amendment updates terminology and statutory authority and adds dietary guidelines to 19 CSR 15-4.240. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.245 (19 CSR 15-7.060) Nutrition Service Standards The proposed rule amendment updates terminology, regulatory references, procedural requirements, and statutory authority; and the rule is being moved from Chapter 7 to Chapter 4. N/A https://www.dietaryguidelines.gov/ Volume 47, Number 5 January 25, 2022
19 CSR 15-4.250 Area Agency USDA The proposed rule amendment updates the nutrition program name, terminology, and statutory authority used in 19 CSR 15-4.250. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.260 Outreach Services The proposed rule amendment updates the terminology and statutory authority used in 19 CSR 15-4.260. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.270 Legal Assistance The proposed rule amendment updates the terminology and statutory authority used in 19 CSR 15-4.270. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.280 Ombudsman Services The proposed rule amendment updates the terminology and statutory authority used in 19 CSR 15-4.280. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.290 Information and Assistance The proposed rule amendment updates terminology, regulation references, and statutory authority used in 19 CSR 15-4.290. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.295 (19 CSR 15-7.050) Information and Assistance Service Standards The proposed rule amendment updates terminology and statutory authority; and moves the rule from Chapter 7 to Chapter 4. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.300 Record Keeping and Confidentiality The proposed rule amendment updates terminology, Department’s name, and statutory authority references used in 19 CSR 15-4.300. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.410 (19 CSR 15-7.040) Transportation Service Standards The proposed rule amendment establishes the minimum standards to be met by a transportation service provider receiving state or federal funds for the operation of transportation services for older adults aged sixty and over and adults with disabilities aged eighteen through fifty-nine and applies to all transportation service delivery systems, both direct and indirect. These standards are transferred from 19 CSR 15-7.040. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-4.440 (19 CSR 15-6.025) Division Formal Hearings The proposed rule amendment updates the hearing procedure and statutory authority; and moves the rule from Chapter 6 to Chapter 4. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 15-6.020 (Recission) Division Mediation Procedures The proposed rule rescinds the division’s mediation procedures used to resolve disagreements regarding the award of subgrants or contracts between an area agencies and service providers. N/A N/A Volume 47, Number 5 January 25, 2022
19 CSR 20-20.020
(Proposed)

Reporting Infectious, Contagious, Communicable, or Dangerous Diseases
This proposed amendment requires health care professionals, health facilities, schools, and other institutional settings to report testing results for COVID-19, whether negative or positive, to be reported to the Department of Health and Senior Services. Private Fiscal Note N/A Volume 47, Number 13  
19 CSR 20-20.020
(Emergency)

Reporting Infectious, Contagious, Communicable, or Dangerous Diseases
This emergency amendment requires health care professionals, health facilities, schools, and other institutional settings to report testing results for COVID-19, whether negative or positive, to be reported to the Department of Health and Senior Services Private Fiscal Note N/A Volume 47, Number 13  

19 CSR 73-2.120

Duplicate License

This amendment removes the fee and the affidavit requirement.

N/A

N/A

Volume 47, Number 1

December 1, 2021

19 CSR 73-2.110

Display of License

This amendment includes the new licensure level of the residential care and assisted living administrator, pursuant to 19 CSR 73-2.022.

N/A

N/A

Volume 47, Number 1

December 1, 2021

19 CSR 73-2.085

Public Complaints

This amendment provides clean-up language by removing State.

N/A

N/A

Volume 47, Number 1

December 1, 2021

19 CSR 73-2.055

Renewal of Expired License

This amendment provides clean-up language and adding the licensure types, 19 CSR 73-.2022, 19 CSR 73-2.023, and 19 CSR 73-2.025.

N/A

N/A

Volume 47, Number 1

December 1, 2021

19 CSR 73-2.015

Fees

This amendment removes the Duplicate license fee.

N/A

N/A

Volume 47, Number 1

December 1, 2021

19 CSR 73-1.010

General Organization

This amendment includes the two other licensure levels outlined in 19 CSR 73-2.022 and 19 CSR 73-2.023, replaces executive secretary with board office, and clean-up language.

N/A

N/A

Volume 47, Number 1

December 1, 2021

19 CSR 30-82.010

General Licensure Requirements

This amendment creates a temporary closure procedure for those Medicare and Medicaid federally certified facilities (skilled nursing facilities and intermediate care facilities) licensed in Missouri which experience staffing shortages from the COVID-19 vaccine mandate issued by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services emergency regulation 42 CFR part 483 for long term care facilities and intermediate care facilities on November 4, 2021, with an effective date of November 5, 2021.

N/A

State Operations Manual

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

October 20, 2021

19 CSR 30-81.030

Evaluation and Assessment Measures for Title XIX Recipients and Applicants

This amendment adds the level-of-care evaluation and assessment requirements back that were effective prior to October 31, 2021, in order for those individuals who would have qualified for Title XIX funded services prior to October 31, 2021, to be eligible to receive services funded through the American Rescue Plan Act. The amendment also removes the words “an Intellectual Disability/” on the DHSS-DRL-110 (10-20) form included herein in sections (2) and (3).

Public Fiscal Note

N/A

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

October 20, 2021

19 CSR 30-30.060

Standards for the Operation of Abortion Facilities

Proposed Amendment

Emergency Amendment

This proposed and emergency amendment updates the list of laws, regulations, and standards that governing bodies of abortion facilities must ensure that their facilities abide by or otherwise comply with.

N/A

N/A

Volume 46, Number 21

September 30, 2021

19 CSR 30-1.002

Schedules of Controlled Substances

This proposed and emergency amendment updates the Schedules of Controlled Substances to be consistent with 21 CFR Part 1308.

N/A

N/A

Volume 46, Number 21

September 28, 2021

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 30-1.080

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 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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