reglab/housing_qa huggingface dataset:
MO Rev Stat § 190.525 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.525 - Definitions.

Effective - 28 Aug 2002   190.525. Definitions. — As used in sections 190.525 to 190.537, the following terms mean:  (1) "Department", the department of health and senior services;  (2) "Director", the director of the department of health and senior services or the director's duly authorized representative;  (3) "Passenger", an individual needing transportation in a supine position who does not require medical monitoring, observation, aid, care or treatment during transportation, with the exception of self-administered oxygen as ordered by a physician during transportation;  (4) "Patient", an individual who is sick, injured, wounded, diseased, or otherwise incapacitated or helpless, and who may require medical monitoring, medical observation, aid, care or treatment during transportation, with the exception of self-administered oxygen as ordered by a physician;  (5) "Person", any individual, firm, partnership, copartnership, joint venture, association, cooperative organization, corporation, municipal or private, and whether organized for profit or not, state, county, political subdivision, state department, commission, board, bureau or fraternal organization, estate, public trust, business or common law trust, receiver, assignee for the benefit of creditors, trustee or trustee in bankruptcy, or any other service user or provider;  (6) "Stretcher van", any vehicle other than an ambulance designed and equipped to transport passengers in a supine position. No such vehicle shall be used to provide medical services;  (7) "Stretcher van service", any person or agency that provides stretcher van transportation to passengers who are confined to stretchers and whose conditions are such that they do not need and are not likely to need medical attention during transportation. ­­-------- (L. 2002 S.B. 1107)
MO Rev Stat § 190.534 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.534 - Violations, penalty — attorney general to have concurrent jurisdiction.

Effective - 28 Aug 2002   190.534. Violations, penalty — attorney general to have concurrent jurisdiction. — 1. Any person violating, or failing to comply with, the provisions of sections 190.525 to 190.537 is guilty of a class B misdemeanor.  2. Each day that any violation of, or failure to comply with, sections 190.525 to 190.537 is committed or permitted to continue shall constitute a separate and distinct offense, and shall be punishable as a separate offense pursuant to this section; but the court may, in appropriate cases, stay the cumulation of penalties.  3. The attorney general shall have concurrent jurisdiction with any and all prosecuting attorneys to prosecute persons in violation of sections 190.525 to 190.537, and the attorney general or prosecuting attorney may institute injunctive proceedings against any person operating in violation of sections 190.525 to 190.537. ­­-------- (L. 2002 S.B. 1107)
MO Rev Stat § 190.537 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.537 - Rulemaking authority.

Effective - 28 Aug 2002   190.537. Rulemaking authority. — Any rule or portion of a rule, as that term is defined in section 536.010, that is created pursuant to the authority of sections 190.525 to 190.537 shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2002, shall be invalid and void. ­­-------- (L. 2002 S.B. 1107)
MO Rev Stat § 190.550 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.550 - Schedule of fees established, rules — collection and deposit.

Effective - 28 Aug 2005   190.550. Schedule of fees established, rules — collection and deposit. — 1. The department of health and senior services shall by rule establish a schedule of fees to be paid by applicants for specific licensure or accreditation under sections 190.001 to 190.250 and sections 190.525 to 190.537; except that, such fee shall not be imposed for specific licensure or accreditation of persons employed by volunteer ambulance services. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2005, shall be invalid and void.  2. All fees imposed under this section shall be collected by the department and deposited in the Missouri public health services fund established in section 192.900. Moneys in the fund deposited under this section shall be used upon appropriation by the general assembly for the purpose of implementing the provisions of sections 190.001 to 190.250 and sections 190.525 to 190.537. Notwithstanding the provisions of section 33.080, moneys deposited to the credit of the fund under this section shall not revert to the credit of general revenue at the end of the biennium. ­­-------- (L. 2005 S.B. 177)
MO Rev Stat § 190.603 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.603 - Outside the hospital do-not-resuscitate order may be executed, when — maintained in medical records — transfers with patient.

Effective - 28 Aug 2007   190.603. Outside the hospital do-not-resuscitate order may be executed, when — maintained in medical records — transfers with patient. — 1. A patient or patient's representative and the patient's attending physician may execute an outside the hospital do-not-resuscitate order. An outside the hospital do-not-resuscitate order shall not be effective unless it is executed by the patient or patient's representative and the patient's attending physician, and it is in the form promulgated by rule of the department.  2. If an outside the hospital do-not-resuscitate order has been executed, it shall be maintained as the first page of a patient's medical record in a health care facility unless otherwise specified in the health care facility's policies and procedures.  3. An outside the hospital do-not-resuscitate order shall be transferred with the patient when the patient is transferred from one health care facility to another health care facility. If the patient is transferred outside of a hospital, the outside the hospital DNR form shall be provided to any other facility, person, or agency responsible for the medical care of the patient or to the patient or patient's representative. ­­-------- (L. 2007 H.B. 182)
MO Rev Stat § 190.606 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.606 - Immunity from liability, what persons and entities.

Effective - 28 Aug 2020, 2 histories   190.606. Immunity from liability, what persons and entities. — The following persons and entities shall not be subject to civil, criminal, or administrative liability and are not guilty of unprofessional conduct for the following acts or omissions that follow discovery of an outside the hospital do-not-resuscitate identification upon a patient, or upon being presented with an outside the hospital do-not-resuscitate order from Missouri, another state, the District of Columbia, or a territory of the United States; provided that the acts or omissions are done in good faith and in accordance with the provisions of sections 190.600 to 190.621 and the provisions of an outside the hospital do-not-resuscitate order executed under sections 190.600 to 190.621:  (1) Physicians, persons under the direction or authorization of a physician, emergency medical services personnel, or health care facilities that cause or participate in the withholding or withdrawal of cardiopulmonary resuscitation from such patient; and  (2) Physicians, persons under the direction or authorization of a physician, emergency medical services personnel, or health care facilities that provide cardiopulmonary resuscitation to such patient under an oral or written request communicated to them by the patient or the patient's representative. ­­-------- (L. 2007 H.B. 182, A.L. 2020 H.B. 1682)
MO Rev Stat § 190.609 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.609 - Order effective, when — limitations of order.

Effective - 28 Aug 2007   190.609. Order effective, when — limitations of order. — 1. An outside the hospital do-not-resuscitate order shall only be effective when the patient has not been admitted to or is not being treated within a hospital.  2. An outside the hospital do-not-resuscitate order and the outside the hospital do-not-resuscitate protocol shall not authorize the withholding or withdrawing of other medical interventions, such as intravenous fluids, oxygen, or therapies other than cardiopulmonary resuscitation. Outside the hospital do-not-resuscitate orders and the outside the hospital do-not-resuscitate protocol shall not authorize the withholding or withdrawing of therapies deemed necessary to provide comfort care or alleviate pain. Any authorization for withholding or withdrawing interventions or therapies that is inconsistent with sections 190.600 to 190.621 and is found or included in any outside the hospital do-not-resuscitate order or in the outside the hospital do-not-resuscitate protocol shall be null, void, and of no effect. Nothing in this section shall prejudice any other lawful directives concerning such medical interventions and therapies.  3. An outside the hospital do-not-resuscitate order shall not be effective during such time as the patient is pregnant; provided, however, that physicians, persons under the direction or authorization of a physician, emergency medical services personnel, and health care facilities shall not be subject to civil, criminal, or administrative liability and are not guilty of unprofessional conduct if, while acting in accordance with the provisions of sections 190.600 to 190.621 and the provisions of an outside the hospital do-not-resuscitate order executed under sections 190.600 to 190.621, such persons and entities:  (1) Comply with an outside the hospital do-not-resuscitate order and withdraw or withhold cardiopulmonary resuscitation from a pregnant patient while believing in good faith that the patient is not pregnant; or  (2) Despite the presence of an outside the hospital do-not-resuscitate order, provide cardiopulmonary resuscitation to a nonpregnant patient while believing in good faith that the patient is pregnant. ­­-------- (L. 2007 H.B. 182)
MO Rev Stat § 190.612 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.612 - Emergency medical services personnel to comply with order, when — physician to transfer patient, when.

Effective - 28 Aug 2020, 2 histories   190.612. Emergency medical services personnel to comply with order, when — physician to transfer patient, when. — 1. Emergency medical services personnel are authorized to comply with the outside the hospital do-not-resuscitate protocol when presented with an outside the hospital do-not-resuscitate identification or an outside the hospital do-not-resuscitate order. However, emergency medical services personnel shall not comply with an outside the hospital do-not-resuscitate order or the outside the hospital do-not-resuscitate protocol when the patient or patient's representative expresses to such personnel in any manner, before or after the onset of a cardiac or respiratory arrest, the desire to be resuscitated.  2. Emergency medical services personnel are authorized to comply with the outside the hospital do-not-resuscitate protocol when presented with an outside the hospital do-not-resuscitate order from another state, the District of Columbia, or a territory of the United States if such order is on a standardized written form:  (1) Signed by the patient or the patient's representative and a physician who is licensed to practice in the other state, the District of Columbia, or the territory of the United States; and  (2) Such form has been previously reviewed and approved by the department of health and senior services to authorize emergency medical services personnel to withhold or withdraw cardiopulmonary resuscitation from the patient in the event of a cardiac or respiratory arrest. ­­Emergency medical services personnel shall not comply with an outside the hospital do-not-resuscitate order from another state, the District of Columbia, or a territory of the United States or the outside the hospital do-not-resuscitate protocol when the patient or patient's representative expresses to such personnel in any manner, before or after the onset of a cardiac or respiratory arrest, the desire to be resuscitated.  3. If a physician or a health care facility other than a hospital admits or receives a patient with an outside the hospital do-not-resuscitate identification or an outside the hospital do-not-resuscitate order, and the patient or patient's representative has not expressed or does not express to the physician or health care facility the desire to be resuscitated, and the physician or health care facility is unwilling or unable to comply with the outside the hospital do-not-resuscitate order, the physician or health care facility shall take all reasonable steps to transfer the patient to another physician or health care facility where the outside the hospital do-not-resuscitate order will be complied with. ­­-------- (L. 2007 H.B. 182, A.L. 2020 H.B. 1682)
MO Rev Stat § 190.615 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.615 - Death of a patient, not suicide or homicide — effect of order on life insurance — order does not authorize mercy killing or euthanasia.

Effective - 28 Aug 2007   190.615. Death of a patient, not suicide or homicide — effect of order on life insurance — order does not authorize mercy killing or euthanasia. — 1. A patient's death resulting from the withholding or withdrawal in good faith of cardiopulmonary resuscitation under an outside the hospital do-not-resuscitate order is not, for any purpose, a suicide or homicide.  2. The possession of an outside the hospital do-not-resuscitate identification or execution of an outside the hospital do-not-resuscitate order does not affect in any manner the sale, procurement, or issuance of any policy of life insurance, nor does it modify the terms of an existing policy of life insurance. Notwithstanding any term of a policy to the contrary, a policy of life insurance is not legally impaired or invalidated in any manner by the withholding or withdrawal of cardiopulmonary resuscitation from an insured patient possessing an outside the hospital do-not-resuscitate identification or outside the hospital do-not-resuscitate order.  3. A physician, health care facility, or other health care provider or a health care service plan, insurer issuing disability insurance, self-insured employee welfare benefit plan, or nonprofit hospital plan shall not require a patient to possess an outside the hospital do-not-resuscitate identification or execute an out of hospital do-not-resuscitate order as a condition for being insured for or receiving health care services.  4. Sections 190.600 to 190.621 do not prejudice any right that a patient has to effect the obtaining, withholding, or withdrawal of medical care in any lawful manner apart from sections 190.600 to 190.621. In that respect, the rights of patients authorized under sections 190.600 to 190.621 are cumulative.  5. The provisions of sections 190.600 to 190.621 shall not be construed to condone, authorize, or approve mercy killing or euthanasia, or to permit any affirmative or deliberate act or omission to shorten or end life. ­­-------- (L. 2007 H.B. 182)
MO Rev Stat § 190.618 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.618 - Rules — rulemaking authority.

Effective - 28 Aug 2007   190.618. Rules — rulemaking authority. — 1. By June 30, 2008, the department shall promulgate rules relating to the outside the hospital do-not-resuscitate protocol, the outside the hospital do-not-resuscitate identification, and the outside the hospital do-not-resuscitate forms under sections 190.600 to 190.621.  2. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2007, shall be invalid and void. ­­-------- (L. 2007 H.B. 182)
MO Rev Stat § 190.621 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.621 - Penalty for concealing or falsifying an order.

Effective - 01 Jan 2017, 2 histories   190.621. Penalty for concealing or falsifying an order. — 1. Any person who knowingly conceals, cancels, defaces, or obliterates the outside the hospital do-not-resuscitate order or the outside the hospital do-not-resuscitate identification of another person without the consent of the other person, or who knowingly falsifies or forges a revocation of the outside the hospital do-not-resuscitate order or the outside the hospital do-not-resuscitate identification of another person, is guilty of a class A misdemeanor.  2. Any person who knowingly executes, falsifies, or forges an outside the hospital do-not-resuscitate order or an outside the hospital do-not-resuscitate identification of another person without the consent of the other person, or who knowingly conceals or withholds personal knowledge of a revocation of an outside the hospital do-not-resuscitate order or an outside the hospital do-not-resuscitate identification of another person, is guilty of a class E felony. ­­-------- (L. 2007 H.B. 182, A.L. 2014 S.B. 491)  Effective 1-01-17
MO Rev Stat § 190.800 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.800 - Imposition of tax — definitions.

Effective - 28 Aug 2009   190.800. Imposition of tax — definitions. — 1. Each ground ambulance service, except for any ambulance service owned and operated by an entity owned and operated by the state of Missouri, including but not limited to any hospital owned or operated by the board of curators, as defined in chapter 172, or any department of the state, shall, in addition to all other fees and taxes now required or paid, pay an ambulance service reimbursement allowance tax for the privilege of engaging in the business of providing ambulance services in this state.  2. For the purpose of this section, the following terms shall mean:  (1) "Ambulance", the same meaning as such term is defined in section 190.100;  (2) "Ambulance service", the same meaning as such term is defined in section 190.100;  (3) "Engaging in the business of providing ambulance services in this state", accepting payment for such services;  (4) "Gross receipts", all amounts received by an ambulance service licensed under section 190.109 for its own account from the provision of all emergency services, as defined in section 190.100, to the public in the state of Missouri, but shall not include revenue from taxes collected under law, grants, subsidies received from governmental agencies, or the value of charity care. ­­-------- (L. 2009 S.B. 307)  Expires 9-30-24
MO Rev Stat § 190.803 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.803 - Formula for tax based on gross receipts — maximum rate — challenge of validity of rules.

Effective - 28 Aug 2009   190.803. Formula for tax based on gross receipts — maximum rate — challenge of validity of rules. — 1. Each ambulance service's reimbursement allowance shall be based on its gross receipts using a formula established by the department of social services by rule. The determination of tax due shall be the monthly gross receipts reported to the department of social services multiplied by the tax rate established by rule by the department of social services. Such tax rate may be a graduated rate based on gross receipts and shall not exceed a rate of six percent per annum of gross receipts.  2. Notwithstanding any other provision of law to the contrary, any action respecting the validity of the rules promulgated under this section or section 190.815 or 190.833 shall be filed in the circuit court of Cole County. The circuit court of Cole County shall hear the matter as the court of original jurisdiction. ­­-------- (L. 2009 S.B. 307)  Expires 9-30-24
MO Rev Stat § 190.806 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.806 - Record-keeping requirements, confidentiality.

Effective - 28 Aug 2009   190.806. Record-keeping requirements, confidentiality. — Each ambulance service shall keep such records as may be necessary to determine the amount of its reimbursement allowance. On or before the first day of October of each year, every ambulance service shall submit to the department of social services a statement that accurately reflects such information as is necessary to determine such ambulance service's reimbursement allowance tax. Each licensed ambulance service shall report gross receipts to the department of social services. The information obtained by the department of social services shall be confidential. ­­-------- (L. 2009 S.B. 307)  Expires 9-30-24