MO Register Vol. 43 No. 6. (Pages 505-658)
| Library | Missouri Register |
| Enactment Date | 01 January 2018 |
Volume 43, Number 6
Pages 505-658
March 15, 2018
The Missouri Register is an official publication of the state of Missouri, under the authority granted to the secretary of state by sections 536.015 and 536.033, RSMo 2016. Reproduction of rules is allowed; however, no reproduction shall bear the name Missouri Register or "official" without the express permission of the secretary of state.
The Missouri Register and Code of State Regulations (CSR) are available on the Internet. The Register address is www.sos.mo.gov/adrules/moreg/moreg and the CSR is www.sos.mo.gov/adrules/csr/csr. These websites contain rulemakings and regulations as they appear in the paper copies of the Registers and CSR. The Administrative Rules Division may be contacted by email at rules@sos.mo.gov.
The secretary of state's office makes every effort to provide program accessibility to all citizens without regard to disability. If you desire this publication in alternate form because of a disability, please contact the Division of Administrative Rules, PO Box 1767, Jefferson City, MO 65102, (573) 751-4015. Hearing impaired citizens should contact the director through Missouri relay, (800) 735-2966.
emergency rules
Department of Health and Senior Services
Division of Regulation and Licensure...............509
executive orders ...................519
proposed rules
Office of Administration
Missouri Ethics Commission ....................522
Department of Conservation
Conservation Commission......................523
Department of Transportation
Missouri Highways and Transportation Commission .....529
Department of Natural Resources
Petroleum storage Tank insurance Fund Board of Trustees .................................534
Department of Health and Senior Services
Division of Regulation and Licensure...............546
Department of Insurance, Financial Institutions
and Professional Registration
Missouri Dental Board ........................555
State Board of Nursing........................558
State Board of Pharmacy.......................583
orders of rulemaking
Department of Conservation
Conservation Commission......................587
Department of Transportation
Missouri Highways and Transportation Commission .....588
Department of Natural Resources
Clean Water Commission ......................590
Department of Revenue
Director of Revenue..........................617
Department of Health and Senior Services
Office of the Director.........................617
Division of Community and Public Health............621
Division of Regulation and Licensure...............621
Department of Insurance, Financial Institutions and Professional Registration
Missouri State Board of Accountancy...............625
in additions
Department of Health and Senior Services
Missouri Health Facilities Review Committee .........626
dissolutions .........................627
source guides
RULE CHANGES SINCE UPDATE ................634
EMERGENCY RULES IN EFFECT................644
EXECUTIVE ORDERS.........................645
REGISTER INDEX ...........................647
| Register Filing Deadlines
| Register Publication Date
| Code Publication Date
| Code Effective Date
|
| November 1, 2017
| December 1, 2017
| December 31, 2017
| January 30, 2018
|
| November 15, 2017
| December 15, 2017
| December 31, 2017
| January 30, 2018
|
| December 1, 2017
| January 2, 2018
| January 29, 2018
| February 28, 2018
|
| December 15, 2017
| January 16, 2018
| January 29, 2018
| February 28, 2018
|
| January 2, 2018
| February 1, 2018
| February 28, 2018
| March 30, 2018
|
| January 16, 2018
| February 15, 2018
| February 28, 2018
| March 30, 2018
|
| February 1, 2018
| March 1, 2018
| March 31, 2018
| April 30, 2018
|
| February 15, 2018
| March 15, 2018
| March 31, 2018
| April 30, 2018
|
| March 1, 2018
| April 2, 2018
| April 30, 2018
| May 30, 2018
|
| March 15, 2018
| April 16, 2018
| April 30, 2018
| May 30, 2018
|
| April 2, 2018
| May 1, 2018
| May 31, 2018
| June 30, 2018
|
| April 16, 2018
| May 15, 2018
| May 31, 2018
| June 30, 2018
|
| May 1, 2018
| June 1, 2018
| June 30, 2018
| July 30, 2018
|
| May 15, 2018
| June 15, 2018
| June 30, 2018
| July 30, 2018
|
| June 1, 2018
| July 2, 2018
| July 31, 2018
| August 30, 2018
|
| June 15, 2018
| July 16, 2018
| July 31, 2018
| August 30, 2018
|
| July 2, 2018
| August 1, 2018
| August 31, 2018
| September 30, 2018
|
| July 16, 2018
| August 15, 2018
| August 31, 2018
| September 30, 2018
|
Documents will be accepted for filing on all regular workdays from 8:00 a.m. until 5:00 p.m. We encourage early filings to facilitate the timely publication of the Missouri Register. Orders of Rulemaking appearing in the Missouri Register will be published in the Code of State Regulations and become effective as listed in the chart above. Advance nofice of large volume filings will facilitate their timely publication. We reserve the right to change the schedule due to special circumstances. Please check the latest publication to verify that no changes have been made in this schedule. To review the entire year's schedule, please check out the website at www.sos.mo.gov/adrules/pubsched.
RULES
The rules are codified in the Code of State Regulations in this system-
| Title
| Division
| Chapter
| Rule
| |
| 3 Department
| CSR Code of State Regulations
| 10-Agency Division
| 4 General area regulated
| .115 Specific area regulated
|
and should be cited in this manner: 3 CSR 10-4.115.
Each department of state government is assigned a title. Each agency or division in the department is assigned a division number. The agency then groups its rules into general subject matter areas called chapters and specific areas called rules. Within a rule, the first breakdown is called a section and is designated as (1). Subsection is (A) with further breakdown into paragraphs 1., subparagraphs A., parts (I), subparts (a), items I. and subitems a.
The rule is properly cited by using the full citation, for example, 3 CSR 10-4.115 Not Rule 10-4.115.
Citations of RSMo are to the Missouri Revised Statutes as of the date indicated.
The Code of State Regulations and Missouri Register are available on the Internet.
The Code address is www.sos.mo.gov/adrules/csr/csr
The Register address is www.sos.mo.gov/adrules/moreg/moreg
These websites contain rulemakings and regulations as they appear in the Code and Registers.
Rules appearing under this heading are filed under the authority granted by section 536.025, RSMo 2000. An emergency rule may be adopted by an agency if the agency finds that an immediate danger to the public health, safety, or welfare, or a compelling governmental interest requires emergency action; follows procedures best calculated to assure fairness to all interested persons and parties under the circumstances; follows procedures which comply with the profections extended by the Missouri and the United States Constitutions; limits the scope of such rule to the circumstances creating an emergency and requiring emergency procedure, and at the time of or prior to the adoption of such rule files with the secretary of state the text of the rule together with the specific facts, reasons, and findings which support its conclusion that there is an immediate danger to the public health, safety, or welfare which can be met only through the adoption of such rule and its reasons for concluding that the procedure employed is fair to all interested persons and parties under the circumstances.
Rues filed as emergency rules may be effective not less than ten (10) days after filing or at such later date as may be specified in the rule and may be terminated at any time by the state agency by filing an order with the secretary of state fixing the date of such termination, which order shall be published by the secretary of state in the Missouri Register as soon as practicable.
ll emergency rules must state the period during which they are in effect, and in no case can they be in effect more than one hundred eighty (180) calendar days or thirty (30) legislative days, whichever period is longer. Emergency rules are not renewable, although an agency may at any time adopt an identical rule under the normal rulemaking procedures.
19 CSR 30-40.420 Trauma Center Designation Requirements.
The department is amending sections (1)-(4) and relettering throughout; adding new sections (3) and (4); and adding the form included after the rule.
PURPOSE: This amendment adds an option and establishes requirements for hospitals which are verified as trauma centers by the American College of Surgeons to become designated as level I, II, III, or IV trauma centers without being reviewed by DHSS (the department). This amendment also adds an application for these hospitals which are verified as trauma centers by the American College of Surgeons to...
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