MO Rev Stat § 191.231 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 191 - Health and Welfare|Section 191.231 - Community-based integrated delivery system, qualification, powers — organization, board of directors, powers — plans.

Effective - 28 Aug 1993   191.231. Community-based integrated delivery system, qualification, powers — organization, board of directors, powers — plans. — 1. The county commission may, by a majority vote, designate the county as a community-based integrated delivery system or a member of a community-based integrated delivery system. A standard metropolitan statistical area, or any part thereof, which contains more than one million persons shall not be designated as a community-based integrated delivery system.  2. In order to qualify for a designation under this section, a community-based integrated delivery system shall be established and operated in accordance with this section. A community-based integrated delivery system may:  (1) Improve access to health care for residents of the district;  (2) Coordinate the development of new health services in the district; and  (3) Consider various alternatives for integrating the services of the health care delivery system in the district.  3. The boundaries of a community-based integrated delivery system may be coextensive with the boundaries of a county or a group of member counties.  4. The community-based integrated delivery system shall be organized as a not-for-profit corporation and shall be governed by a board of directors of not more than eleven persons, except that, if a system includes more than eleven counties, then the board of directors shall be comprised of one member from each county. The members of the board shall represent a cross section of community interests. The board of directors of a system shall be chosen by the governor from lists submitted by county commissioners whose districts are included in the community-based integrated delivery system.  5. The board of directors of the community-based integrated delivery system shall possess and exercise all of its legislative and executive powers. Within thirty days after the appointment of the initial directors, the board shall meet. At its first meeting the board shall elect a chairman from its members and select a secretary and treasurer and such officers or employees as it deems expedient or necessary for the accomplishment of its corporate objectives. The secretary and treasurer need not be members of the board. At the meeting, the board shall define the first and subsequent fiscal years of the system and shall adopt a corporate seal and bylaws, which shall determine the times for the annual election of officers and of other regular and special meetings of the board and shall contain the rules for the transaction of other business of the system and for amending the bylaws. Each director of any system shall serve without compensation.  6. A community-based integrated delivery system shall develop plans for access to health care for residents of the system and shall determine system health care needs. The community-based integrated delivery system shall not have the power to tax. ­­-------- (L. 1993 H.B. 564 § 28)