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 20-24.010 | To update the current regulations and requirements for how to handle dead bodies affected by specific criteria. The prior rule was last updated more than 30 years, and the science has changed over the years requiring an update that has been moved into 19 CSR 20-24.020. | Draft language | N/A | Oct. 23, 2026 | Anyone may file a statement in support of or in opposition to this proposed rule with the Missouri Department of Health and Senior Services, Division of Community and Public Health, Jonathan Garoutte, Assistant Deputy Division Director, PO Box 570, Jefferson City, MO 65102-0570; or via email to Jonathan.Garoutte@health.mo.gov; or via fax to 573-526-5348. |
| 19 CSR 20-24.020 | This rule establishes criteria for the handling of dead bodies. | Draft language | Fiscal note | Oct. 23, 2026 | Anyone may file a statement in support of or in opposition to this proposed rule with the Missouri Department of Health and Senior Services, Division of Community and Public Health, Jonathan Garoutte, Assistant Deputy Division Director, PO Box 570, Jefferson City, MO 65102-0570; or via email to Jonathan.Garoutte@health.mo.gov; or via facsimile to 573-526-5348. |
19 CSR 20.3055 Proposed Rule | This rule establishes the application requirements for a wastewater construction application, the new fees for onsite wastewater construction applications as set forth in 701.046, RSMo., the procedures for the issuance or denial of a permit, and an appeals process for those applications that are denied. | Draft language | Nov. 2, 2026 | Anyone may file a statement in support of or in opposition to this proposed rule with the Missouri Department of Health and Senior Services, Division of Regulation Licensure, John Campbell, Onsite Wastewater Program, PO Box 570, Jefferson City, MO 65102-0570; or via email to onsiteprogram@health.mo.gov; or via facsimile to 573-526-5348. | |
19 CSR 20.3055 Emergency Rule | When 701.046, RSMo, was updated, the fee structure went from being in statute to being assigned to the Department to set reasonable fees set at aa level to produce revenue not to exceed the cost and expense of administering provisions of 701.025 to 701.059 RSMo. As such, as they were removed from the statute, and there is currently no fee structure in place for these applications. | Draft language | Nov. 2, 2026 | Anyone may file a statement in support of or in opposition to this proposed rule with the Missouri Department of Health and Senior Services, Division of Regulation Licensure, John Campbell, Onsite Wastewater Program, PO Box 570, Jefferson City, MO 65102-0570; or via email to onsiteprogram@health.mo.gov; or via facsimile to 573-526-5348. |