Pre-Rulemaking – Stakeholder Feedback

These following documents are in draft form and have not been approved by the department to begin the formal rulemaking process to establish a new rule or amend an existing rule. The purpose of providing these drafts to the public, and seeking feedback, is to obtain feedback and work with stakeholders in a collaborative way to increase our understanding of potential impacts, provide clarity regarding the intended objective and work to resolve issues prior to the formal rulemaking process.

Regulation Summary Draft
Language		 Fiscal Note(s) Deadline for Comments Comments

19 CSR 30-1.002

The amendment (emergency and proposed amendment) updates the Schedules of Controlled Substances to be consistent with 21 CFR Part 1308. The amendment updates the rule to reflect changes made to the federal controlled substance schedule since the rule was last updated in September of 2024. This is an existing regulation but needs to be updated to reflect DEA Scheduling Actions.

Section 195.015, RSMo charges the department with similarly scheduling controlled substances as they are controlled under federal law. Section 195.015.4 requires the Department of Health and Senior Services to submit emergency rules to the Secretary of State within thirty days of a federal scheduling action to allow for similar inclusion, rescheduling, or deletion of controlled substances with this schedule.

Emergency Amendment

Proposed Amendment

 N/A Aug. 29, 2025 Submit

19 CSR 30-82.060
Amendment

Family Care Safety Registry
Hiring Restrictions - Good Cause Waiver
The proposed amendment removes references to repealed statutes and replaces those references with the correct statutes.

 PDF N/A July 22, 2025 Submit