reglab/housing_qa huggingface dataset:
MO Rev Stat § 197.100 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.100 - Inspections by department of health and senior services required, reports from certain other agencies accepted, when — department to determine life, safety, and building codes

Effective - 01 Jul 2018, 2 histories   197.100. Inspections by department of health and senior services required, reports from certain other agencies accepted, when — department to determine life, safety, and building codes — 1. Any provision of chapter 198 and chapter 338 to the contrary notwithstanding, the department of health and senior services shall have sole authority, and responsibility for inspection and licensure of hospitals in this state including, but not limited to, all parts, services, functions, support functions and activities which contribute directly or indirectly to patient care of any kind whatsoever. The department of health and senior services shall annually inspect each licensed hospital and shall make any other inspections and investigations as it deems necessary for good cause shown. The department of health and senior services shall accept reports of hospital inspections from or on behalf of governmental agencies, the joint commission, and the American Osteopathic Association Healthcare Facilities Accreditation Program, provided the accreditation inspection was conducted within one year of the date of license renewal. Prior to granting acceptance of any other accrediting organization reports in lieu of the required licensure survey, the accrediting organization's survey process must be deemed appropriate and found to be comparable to the department's licensure survey. It shall be the accrediting organization's responsibility to provide the department any and all information necessary to determine if the accrediting organization's survey process is comparable and fully meets the intent of the licensure regulations. The department of health and senior services shall attempt to schedule inspections and evaluations required by this section so as not to cause a hospital to be subject to more than one inspection in any twelve-month period from the department of health and senior services or any agency or accreditation organization the reports of which are accepted for licensure purposes pursuant to this section, except for good cause shown.  2. Other provisions of law to the contrary notwithstanding, the department of health and senior services shall be the only state agency to determine life safety and building codes for hospitals defined or licensed pursuant to the provisions of this chapter, including but not limited to sprinkler systems, smoke detection devices and other fire safety-related matters so long as any new standards shall apply only to new construction. ­­-------- (L. 1953 p. 631 § 10, A.L. 1988 H.B. 1134, A.L. 2013 H.B. 351, A.L. 2017 S.B. 50 merged with S.B. 501)  Effective 7-01-18
MO Rev Stat § 197.105 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.105 - Investigation of complaints, department to post on website, content.

Effective - 28 Aug 2013   197.105. Investigation of complaints, department to post on website, content. — 1. The department of health and senior services shall post on its website information regarding investigations of complaints against hospitals. The posting of such information shall comply with all of the following requirements:  (1) Complaint data shall not be posted unless the complaint has been substantiated by investigation by departmental employees to require a statement of deficiency;  (2) The posting shall include the hospital's plan of correction accepted by departmental officials;  (3) The posting shall include the dates and specific findings of the departmental investigation;  (4) The posting shall list or include a link to each facility's annualized rate of substantiated complaints per patient day;  (5) The posting shall display the complaint investigation data so as to provide for peer group comparisons of:  (a) Psychiatric hospitals or psychiatric units within hospitals;  (b) Long-term acute care hospitals as defined by 42 CFR 412.23(e);  (c) Inpatient rehabilitation facilities or units meeting the requirements of 42 CFR 412.29; and  (6) Time lines for posting such information shall be consistent with the CMS State Operations Manual, as amended.  2. This section shall not be construed to require or permit the posting of information that would violate state or federal laws or regulations governing the confidentiality of patient data or medical records or information protected under subsection 4 of section 537.035. ­­-------- (L. 2013 H.B. 351 § 1)
MO Rev Stat § 197.108 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.108 - Former employees not to inspect or survey hospital — required disclosures — conflict of interest reporting.

Effective - 28 Aug 2019   197.108. Former employees not to inspect or survey hospital — required disclosures — conflict of interest reporting. — 1. The department of health and senior services shall not assign an individual to inspect or survey a hospital, for any purpose, if the inspector or surveyor was an employee of such hospital or another hospital within its organization or a competing hospital within fifty miles of the hospital to be inspected or surveyed in the preceding two years.  2. For any inspection or survey of a hospital, regardless of the purpose, the department shall require every newly hired inspector or surveyor at the time of hiring or any currently employed inspector or surveyor as of August 28, 2019, to disclose:  (1) The name of every hospital in which he or she has been employed in the last ten years and the approximate length of service and the job title at the hospital; and  (2) The name of any member of his or her immediate family who has been employed in the last ten years or is currently employed at a hospital and the approximate length of service and the job title at the hospital. ­­The disclosures under this subsection shall be made to the department whenever the event giving rise to disclosure first occurs.  3. For purposes of this section, the phrase "immediate family member" shall mean a husband, wife, natural or adoptive parent, child, sibling, stepparent, stepchild, stepbrother, stepsister, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, grandparent, or grandchild.  4. The information provided under subsection 2 of this section shall be considered a public record under the provisions of section 610.010.  5. Any person may notify the department if facts exist that would lead a reasonable person to conclude that any inspector or surveyor has any personal or business affiliation that would result in a conflict of interest in conducting an inspection or survey for a hospital. Upon receiving such notice, the department, when assigning an inspector or surveyor to inspect or survey a hospital, for any purpose, shall take steps to verify the information and, if the department has reason to believe that such information is correct, the department shall not assign the inspector or surveyor to the hospital or any hospital within its organization so as to avoid an appearance of prejudice or favor to the hospital or bias on the part of the inspector or surveyor. ­­-------- (L. 2019 S.B. 514)
MO Rev Stat § 197.120 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.120 - Operating hospital without license a misdemeanor — proceedings to restrain.

Effective - 28 Aug 1953   197.120. Operating hospital without license a misdemeanor — proceedings to restrain. — 1. Any person establishing, conducting, managing or operating any hospital without a license under this law shall be guilty of a misdemeanor.  2. The attorney general shall represent the department of health and senior services, who may institute an action in the name of the state for injunction or other process against any person or governmental unit to restrain or prevent the establishment, conduct, management or operation of a hospital without a license under this law. ­­-------- (L. 1953 p. 631 § 12)
MO Rev Stat § 197.150 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.150 - Procedures for compliance, requirements.

Effective - 24 Oct 2017, 2 histories   197.150. Procedures for compliance, requirements. — The department shall require that each hospital, ambulatory surgical center, abortion facility, and other facility have in place procedures for monitoring and enforcing compliance with infection control regulations and standards. Such procedures shall be coordinated with administrative staff, personnel staff, and the quality improvement program. Such procedures shall include, at a minimum, requirements for the facility's infection control program to conduct surveillance of personnel with a portion of the surveillance to be done in such manner that employees and medical staff are observed without their knowledge of such observation, provided that this unobserved surveillance requirement shall not be considered to be grounds for licensure enforcement action by the department until the department establishes clear and verifiable criteria for determining compliance. Such surveillance also may include monitoring of the rate of use of hand hygiene products. ­­-------- (L. 2004 S.B. 1279, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17
MO Rev Stat § 197.152 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.152 - Protection for reporting infection control concerns, reporting required — authority of infection control officers, review of orders — good faith reporting of infection control concerns protected.

Effective - 24 Oct 2017, 2 histories   197.152. Protection for reporting infection control concerns, reporting required — authority of infection control officers, review of orders — good faith reporting of infection control concerns protected. — 1. Infection control officers as defined in federal regulation and other hospital, ambulatory surgical center, and abortion facility employees shall be protected against retaliation by the hospital, ambulatory surgical center, or abortion facility for reporting infection control concerns pursuant to section 197.285 and shall be entitled to the full benefits of that section. Such infection control officers shall report any interference in the performance of their duties by their supervisors to the hospital, ambulatory surgical center, or abortion facility compliance officer established by and empowered to act pursuant to section 197.285.  2. Infection control officers as defined in federal regulation shall also have the authority to order the cessation of a practice that falls outside accepted practices as defined by appropriate state and federal regulatory agencies, accreditation organizations, or the standards adopted by the Centers for Disease Control and Prevention or the Association of Professionals in Infection Control and Epidemiology. The hospital, ambulatory surgical center, or abortion facility may require that such a cessation order of an infection control officer be endorsed by the hospital, ambulatory surgical center, or abortion facility chief executive officer or his or her designee before taking effect. The hospital, ambulatory surgical center, or abortion facility infection control committee shall convene as soon as possible to review such cessation order and may overrule or sustain the directive of the infection control officer. The department shall promulgate rules governing documentation of such events.  3. Members of the medical staff who report in good faith infection control concerns to the hospital, ambulatory surgical center, or abortion facility administration or medical staff leadership shall not be subject to retaliation or discrimination for doing so. Nothing in this section shall prevent or shield medical staff members from being subject to professional review actions for substandard care or breach of standards established in hospital policy, rules, or medical staff bylaws. ­­-------- (L. 2004 S.B. 1279, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17
MO Rev Stat § 197.154 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.154 - Regulation review and update required, standards.

Effective - 28 Aug 2004   197.154. Regulation review and update required, standards. — No later than July 1, 2005, the department shall review and update its current regulations governing hospital and ambulatory surgical center infection control programs. Such standards shall be based upon nationally recognized standards and shall include, but not be limited to, standards for:  (1) Maintaining databases to be used for infection tracking;  (2) Developing hospital protocols related to aseptic technique and infection control practices including but not limited to hand washing, isolation, and other infection control policies;  (3) Developing appropriate corrective action plans and follow-ups for any deficiencies identified in hospital infection control practices;  (4) Conducting root cause analysis and follow-up of sentinel events, as defined by the Joint Commission on Accreditation of Health Organizations, attributable to nosocomial infections; and  (5) Ensuring that hospital and ambulatory surgical center policies and medical staff bylaws are in place to promote and enforce compliance with infection control policies. ­­-------- (L. 2004 S.B. 1279)
MO Rev Stat § 197.156 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.156 - Definition of nosocomial infection outbreaks.

Effective - 28 Aug 2004   197.156. Definition of nosocomial infection outbreaks. — For purposes of reporting nosocomial infection outbreaks as required by department rule, the term "nosocomial infection outbreaks" shall mean infections as defined by the national Centers for Disease Control and Prevention within a defined time period. The time period shall be defined by the department based upon the number of infected patients in a facility. ­­-------- (L. 2004 S.B. 1279)
MO Rev Stat § 197.158 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.158 - Complaint procedure to be provided to patients.

Effective - 24 Oct 2017, 2 histories   197.158. Complaint procedure to be provided to patients. — Every hospital, ambulatory surgery center, and abortion facility shall, beginning June 1, 2006, provide each patient an opportunity to submit to the hospital, ambulatory surgical center, or abortion facility administration complaints, comments, and suggestions related to the care they received or their personal observations related to the quality of care provided. The department shall promulgate rules to implement this section. ­­-------- (L. 2004 S.B. 1279, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17
MO Rev Stat § 197.160 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.160 - Infection data to be available to department of health and senior services, violation, effect, state payments suspended, when.

Effective - 24 Oct 2017, 2 histories   197.160. Infection data to be available to department of health and senior services, violation, effect, state payments suspended, when. — The department of health and senior services shall have access to all data and information held by hospitals, ambulatory surgical centers, abortion facilities, and other facilities related to their infection control practices, rates, or treatments of infections. Failure to provide such access shall be grounds for full or partial licensure suspension or revocation pursuant to section 197.293, sections 197.010 to 197.100, or sections 197.200 to 197.240. If the department determines that the hospital, ambulatory surgical center, abortion facility, or other facility is willfully impeding access to such information, the department shall be authorized to direct all state agencies to suspend all or a portion of state payments to such entity until such time as the desired information is obtained by the department. ­­-------- (L. 2004 S.B. 1279, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17
MO Rev Stat § 197.162 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.162 - Infection control practices to be considered in licensure process, annual report required.

Effective - 24 Oct 2017, 2 histories   197.162. Infection control practices to be considered in licensure process, annual report required. — The department shall in its licensure of hospitals, ambulatory surgical centers, and abortion facilities give special attention to infection control practices and shall direct hospitals, ambulatory surgical centers, and abortion facilities to set quantifiable measures of performance for reducing the incidence of nosocomial infections in Missouri. The department shall prepare an annual report on infection control standards and compliance, which shall be shared with the governor and the general assembly. ­­-------- (L. 2004 S.B. 1279, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17
MO Rev Stat § 197.165 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.165 - Infection control advisory panel appointed — members — expenses, fund created.

Effective - 24 Oct 2017, 2 histories   197.165. Infection control advisory panel appointed — members — expenses, fund created. — 1. The department shall appoint an "Infection Control Advisory Panel" for the purposes of implementing sections 192.131 and 192.667.  2. Members of the infection control advisory panel shall include:  (1) Two public members;  (2) Three board-certified or board-eligible physicians licensed pursuant to chapter 334 who are affiliated with a Missouri hospital or medical school, active members of the Society for Health Care Epidemiology of America, and have demonstrated interest and expertise in health facility infection control;  (3) One physician licensed pursuant to chapter 334 who is active in the practice of medicine in Missouri and who holds medical staff privileges at a Missouri hospital;  (4) Four infection control practitioners certified by the certification board of infection control and epidemiology, at least two of whom shall be practicing in a rural hospital or setting and at least two of whom shall be registered professional nurses licensed under chapter 335;  (5) A medical statistician with an advanced degree in such specialty;  (6) A clinical microbiologist with an advanced degree in such specialty;  (7) Three employees of the department, representing the functions of hospital, ambulatory surgical center, and abortion facility licensure, epidemiology and health data analysis, who shall serve as ex officio nonvoting members of the panel.  3. Reasonable expenses of the panel shall be paid from private donations made specifically for that purpose to the "Infection Control Advisory Panel Fund", which is hereby created in the state treasury. If such donations are not received from private sources, then the provisions of this act shall be implemented without the advisory panel. ­­-------- (L. 2004 S.B. 1279, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17
MO Rev Stat § 197.168 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.168 - Influenza vaccination offered to certain inpatients prior to discharge.

Effective - 28 Aug 2014   197.168. Influenza vaccination offered to certain inpatients prior to discharge. — Each year between October first and March first and in accordance with the latest recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, each hospital licensed under this chapter shall offer, prior to discharge and with the approval of the attending physician or other practitioner authorized to order vaccinations or as authorized by physician-approved hospital policies or protocols for influenza vaccinations pursuant to state hospital regulations, immunizations against influenza virus to all inpatients sixty-five years of age and older unless contraindicated for such patient and contingent upon the availability of the vaccine. ­­-------- (L. 2014 S.B. 567 merged with S.B. 716 merged with S.B. 754)
MO Rev Stat § 197.200 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.200 - Definitions.

Effective - 24 Oct 2017, 2 histories   197.200. Definitions. — As used in sections 197.200 to 197.240, unless the context clearly indicates otherwise, the following terms mean:  (1) "Abortion facility", as such term is defined in section 188.015;  (2) "Ambulatory surgical center", any public or private establishment operated primarily for the purpose of performing surgical procedures or primarily for the purpose of performing childbirths, and which does not provide services or other accommodations for patients to stay more than twenty-three hours within the establishment, provided, however, that nothing in this definition shall be construed to include the offices of dentists currently licensed pursuant to chapter 332;  (3) "Dentist", any person currently licensed to practice dentistry pursuant to chapter 332;  (4) "Department", the department of health and senior services;  (5) "Governmental unit", any city, county or other political subdivision of this state, or any department, division, board or other agency of any political subdivision of this state;  (6) "Person", any individual, firm, partnership, corporation, company, or association and the legal successors thereof;  (7) "Physician", any person currently licensed to practice medicine pursuant to chapter 334;  (8) "Podiatrist", any person currently licensed to practice podiatry pursuant to chapter 330. ­­-------- (L. 1975 S.B. 1 § 1, A.L. 1986 H.B. 1162, A.L. 1991 H.B. 444, A.L. 2007 H.B. 1055, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17 (2016) Surgical center requirement is substantially similar to Texas statute held to violate the federal Constitution by placing a substantial obstacle in path of women seeking a previability abortion and by constituting an undue burden on abortion access. Whole Woman's Health v. Hellerstedt, Case No. 15-274, 579 U.S. _____ (2016), (U.S.Sup.Ct.).
MO Rev Stat § 197.205 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 197 - Medical Treatment Facility Licenses|Section 197.205 - License required to operate.

Effective - 24 Oct 2017, 2 histories   197.205. License required to operate. — 1. No person or governmental unit acting severally or jointly with any other person or governmental unit shall establish, conduct or maintain an ambulatory surgical center or abortion facility in this state without a license under sections 197.200 to 197.240 issued by the department of health and senior services.  2. Nothing in sections 197.200 to 197.240 shall be construed to impair or abridge the authority of a governmental unit to license ambulatory surgical centers or abortion facilities, provided that any ordinance of a governmental unit shall require compliance with all rules, regulations, and standards adopted by the department to implement the provisions of sections 197.200 to 197.240. ­­-------- (L. 1975 S.B. 1 § 2, A.L. 1986 H.B. 1162, A.L. 2017 2d Ex. Sess. S.B. 5) Effective 10-24-17