reglab/housing_qa huggingface dataset:
MO Rev Stat § 190.196 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.196 - Employer to comply with requirements of licensure — report of charges filed against licensee, when.

Effective - 28 Aug 2020, 3 histories   190.196. Employer to comply with requirements of licensure — report of charges filed against licensee, when. — 1. No employer shall knowingly employ or permit any employee to perform any services for which a license, certificate or other authorization is required by sections 190.001 to 190.245, or by rules adopted pursuant to sections 190.001 to 190.245, unless and until the person so employed possesses all licenses, certificates or authorizations that are required.  2. Any person or entity that employs or supervises a person's activities as an emergency medical responder, emergency medical dispatcher, emergency medical technician, registered nurse, physician assistant, or physician shall cooperate with the department's efforts to monitor and enforce compliance by those individuals subject to the requirements of sections 190.001 to 190.245.  3. Any person or entity who employs individuals licensed by the department pursuant to sections 190.001 to 190.245 shall report to the department within seventy-two hours of their having knowledge of any charges filed against a licensee in their employ for possible criminal action involving the following felony offenses:  (1) Child abuse or sexual abuse of a child;  (2) Crimes of violence; or  (3) Rape or sexual abuse.  4. Any licensee who has charges filed against him or her for the felony offenses in subsection 3 of this section shall report such an occurrence to the department within seventy-two hours of the charges being filed.  5. The department will monitor these reports for possible licensure action authorized pursuant to section 190.165. ­­-------- (L. 1998 S.B. 743, A.L. 2002 S.B. 1107, A.L. 2010 H.B. 1977, A.L. 2018 H.B. 1355 merged with S.B. 870, A.L. 2020 H.B. 1682 merged with H.B. 2046)
MO Rev Stat § 190.200 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.200 - Public information and education.

Effective - 28 Aug 2008   190.200. Public information and education. — 1. The department of health and senior services in cooperation with local and regional EMS systems and agencies may provide public and professional information and education programs related to emergency medical services systems including trauma, STEMI, and stroke systems and emergency medical care and treatment. The department of health and senior services may also provide public information and education programs for informing residents of and visitors to the state of the availability and proper use of emergency medical services, of the value and nature of programs to involve citizens in the administering of prehospital emergency care, including cardiopulmonary resuscitation, and of the availability of training programs in emergency care for members of the general public.  2. The department shall, for STEMI care and stroke care respectively:  (1) Compile and assess peer-reviewed and evidence-based clinical research and guidelines that provide or support recommended treatment standards;  (2) Assess the capacity of the emergency medical services system and hospitals to deliver recommended treatments in a timely fashion;  (3) Use the research, guidelines, and assessment to promulgate rules establishing protocols for transporting STEMI patients to a STEMI center or stroke patients to a stroke center. Such transport protocols shall direct patients to STEMI centers and stroke centers under section 190.243 based on the centers' capacities to deliver recommended acute care treatments within time limits suggested by clinical research;  (4) Define regions within the state for purposes of coordinating the delivery of STEMI care and stroke care, respectively;  (5) Promote the development of regional or community-based plans for transporting STEMI or stroke patients via ground or air ambulance to STEMI centers or stroke centers, respectively, in accordance with section 190.243; and  (6) Establish procedures for the submission of community-based or regional plans for department approval.  3. A community-based or regional plan shall be submitted to the department for approval. Such plan shall be based on the clinical research and guidelines and assessment of capacity described in subsection 1 of this section and shall include a mechanism for evaluating its effect on medical outcomes. Upon approval of a plan, the department shall waive the requirements of rules promulgated under sections 190.100 to 190.245 that are inconsistent with the community-based or regional plan. A community-based or regional plan shall be developed by or in consultation with the representatives of hospitals, physicians, and emergency medical services providers in the community or region. ­­-------- (L. 1998 S.B. 743, A.L. 2008 H.B. 1790)
MO Rev Stat § 190.205 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.205 - Insurers' duties.

Effective - 28 Aug 1998   190.205. Insurers' duties. — 1. Health carriers and managed care plans shall pay benefits directly to ambulance services or emergency medical response agencies.  2. Health carriers and managed care plans shall not prohibit or discourage the use of the 911 system when emergency services are needed as defined in section 190.100.  3. If a request for emergency services is made to an ambulance service which is not the 911 provider or the recognized emergency provider in areas not covered by 911 ambulance services, then the 911 provider or the recognized emergency provider shall be notified immediately by the ambulance service receiving the request. ­­-------- (L. 1998 S.B. 743)
MO Rev Stat § 190.240 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.240 - At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when.

Effective - 28 Aug 2016   190.240. At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when. — 1. Any hospital, as such term is defined in section 197.020, or any nursing home facility licensed under chapter 198 shall have policies and procedures that require the hospital or facility to give advance notification to emergency medical services personnel prior to the transportation of any at-risk behavioral health patient.  2. Any emergency medical services personnel licensed under this chapter who conduct interfacility transfers of at-risk behavioral health patients may be properly trained as determined by the medical director for the ambulance services or emergency medical response agency as required under section 190.103, with regard to proper restraining procedures and nonmedical management techniques, such as verbal de-escalation techniques, to handle such patients before their transportation.  3. Any physician treating an at-risk behavioral patient in an emergency situation who, after assessing the patient, determines that there is reasonable cause to believe there is a likelihood that the patient may cause an imminent serious harm to himself, herself, or others unless the patient is immediately transported to another appropriate facility may, upon initiation as soon as possible by either the sending facility or the receiving facility, place the patient on a temporary involuntary hold for a period of time necessary to effectuate the patient's transport. The provisions of section 632.440 shall apply to such physicians. During the transport, the emergency medical services personnel may rely on the physician's hold order as a basis for implied consent to treat and transport the patient and shall not be liable for any claims of negligence, false imprisonment, or invasion of privacy based on such temporary hold, treatment, or transport of the patient.  4. Nothing in this section shall be construed to limit the patient's rights under the federal Mental Health Patient's Bill of Rights under 42 U.S.C. Section 9501(1)(A) and (F).  5. For the purposes of this section, "at-risk behavioral health patient" shall mean any patient who displays violent, homicidal, or suicidal ideation or behavior. ­­-------- (L. 2016 S.B. 732)
MO Rev Stat § 190.242 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.242 - Emergency medical services data, hospitals not required to obtain, when — trauma, STEMI, and stroke center regulations, interpretation of, hospitals not required to comply with, when.

Effective - 28 Aug 2017   190.242. Emergency medical services data, hospitals not required to obtain, when — trauma, STEMI, and stroke center regulations, interpretation of, hospitals not required to comply with, when. — 1. In order to ensure that hospitals can be free from excessive regulation that increases health care costs without increasing patient safety, any rules and regulations promulgated by the department of health and senior services under section* 190.185, 190.241, or 192.006; chapter 197; or any other provision of Missouri law shall not require hospitals, as a condition of designation under section 190.241, to obtain emergency medical services data under section 190.241, unless such data may be obtained from the state database for emergency medical services. The provisions of this subsection shall not be construed to limit in any way the requirements of any person or entity to submit emergency medical services data to any person or entity.  2. A hospital shall not be required to comply with an interpretation of a specific provision in any regulation concerning trauma, STEMI, or stroke centers if such hospital can demonstrate that the specific provision in the regulation has been interpreted differently for a similarly situated hospital. The department may require compliance if the specific provision in the regulation has been subsequently interpreted consistently for similarly situated hospitals.  3. The department shall attend meetings with trauma, STEMI, and stroke centers for the benefit of improved communication, best-practice identification, and facilitation of improvements to the designation process.  4. As used in this section, the term "hospital" shall have the same meaning as in section 197.020. ­­-------- (L. 2017 S.B. 50) *Word "sections" appears in original rolls.
MO Rev Stat § 190.243 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.243 - Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized.

Effective - 28 Aug 2008   190.243. Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized. — 1. Severely injured patients shall be transported to a trauma center. Patients who suffer a STEMI, as defined in section 190.100, shall be transported to a STEMI center. Patients who suffer a stroke, as defined in section 190.100, shall be transported to a stroke center.  2. A physician or registered nurse authorized by a physician who has established verbal communication with ambulance personnel shall instruct the ambulance personnel to transport a severely ill or injured patient to the closest hospital or designated trauma, STEMI, or stroke center, as determined according to estimated transport time whether by ground ambulance or air ambulance, in accordance with transport protocol approved by the medical director and the department of health and senior services, even when the hospital is located outside of the ambulance service's primary service area. When initial transport from the scene of illness or injury to a trauma, STEMI, or stroke center would be prolonged, the STEMI, stroke, or severely injured patient may be transported to the nearest appropriate facility for stabilization prior to transport to a trauma, STEMI, or stroke center.  3. Transport of the STEMI, stroke, or severely injured patient shall be governed by principles of timely and medically appropriate care; consideration of reimbursement mechanisms shall not supersede those principles.  4. Patients who do not meet the criteria for direct transport to a trauma, STEMI, or stroke center shall be transported to and cared for at the hospital of their choice so long as such ambulance service is not in violation of local protocols. ­­-------- (L. 1987 S.B. 31 & 29 § 5, A.L. 1998 S.B. 743, A.L. 2008 H.B. 1790)
MO Rev Stat § 190.245 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.245 - Peer review systems, required when — powers of department — medical records, penalty for failure to provide, purpose for use, names not to be released.

Effective - 28 Aug 2008   190.245. Peer review systems, required when — powers of department — medical records, penalty for failure to provide, purpose for use, names not to be released. — The department shall require hospitals, as defined by chapter 197, designated as trauma, STEMI, or stroke centers to provide for a peer review system, approved by the department, for trauma, STEMI, and stroke cases, respective to their designations, under section 537.035. For purposes of sections 190.241 to 190.245, the department of health and senior services shall have the same powers and authority of a health care licensing board pursuant to subsection 6 of section 537.035. Failure of a hospital to provide all medical records necessary for the department to implement provisions of sections 190.241 to 190.245 shall result in the revocation of the hospital's designation as a trauma, STEMI, or stroke center. Any medical records obtained by the department or peer review committees shall be used only for purposes of implementing the provisions of sections 190.241 to 190.245 and the names of hospitals, physicians and patients shall not be released by the department or members of review committees. ­­-------- (L. 1987 S.B. 31 & 29 § 6, A.L. 1998 S.B. 743, A.L. 2008 H.B. 1790)
MO Rev Stat § 190.246 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.246 - Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty.

Effective - 28 Aug 2018, 2 histories   190.246. Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty. — 1. As used in this section, the following terms shall mean:  (1) "Eligible person, firm, organization or other entity", an ambulance service or emergency medical response agency, an emergency medical responder, or an emergency medical technician who is employed by, or an enrolled member, person, firm, organization or entity designated by, rule of the department of health and senior services in consultation with other appropriate agencies. All such eligible persons, firms, organizations or other entities shall be subject to the rules promulgated by the director of the department of health and senior services;  (2) "Emergency health care provider":  (a) A physician licensed pursuant to chapter 334 with knowledge and experience in the delivery of emergency care; or  (b) A hospital licensed pursuant to chapter 197 that provides emergency care.  2. Possession and use of epinephrine auto-injector devices shall be limited as follows:  (1) No person shall use an epinephrine auto-injector device unless such person has successfully completed a training course in the use of epinephrine auto-injector devices approved by the director of the department of health and senior services. Nothing in this section shall prohibit the use of an epinephrine auto-injector device:  (a) By a health care professional licensed or certified by this state who is acting within the scope of his or her practice; or  (b) By a person acting pursuant to a lawful prescription;  (2) Every person, firm, organization and entity authorized to possess and use epinephrine auto-injector devices pursuant to this section shall use, maintain and dispose of such devices in accordance with the rules of the department;  (3) Every use of an epinephrine auto-injector device pursuant to this section shall immediately be reported to the emergency health care provider.  3. (1) Use of an epinephrine auto-injector device pursuant to this section shall be considered first aid or emergency treatment for the purpose of any law relating to liability.  (2) Purchase, acquisition, possession or use of an epinephrine auto-injector device pursuant to this section shall not constitute the unlawful practice of medicine or the unlawful practice of a profession.  (3) Any person otherwise authorized to sell or provide an epinephrine auto-injector device may sell or provide it to a person authorized to possess it pursuant to this section.  4. Any person, firm, organization or entity that violates the provisions of this section is guilty of a class B misdemeanor. ­­-------- (L. 2002 S.B. 1107, A.L. 2018 H.B. 1355 merged with S.B. 870)
MO Rev Stat § 190.248 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.248 - Investigations of allegations of violations, completed when — access to records.

Effective - 28 Aug 2002   190.248. Investigations of allegations of violations, completed when — access to records. — 1. All investigations conducted in response to allegations of violations of sections 190.001 to 190.245 shall be completed within six months of receipt of the allegation.  2. In the course of an investigation the department shall have access to all records directly related to the alleged violations from persons or entities licensed pursuant to this chapter or chapter 197 or 198.  3. Any department investigations that involve other administrative or law enforcement agencies shall be completed within six months of notification and final determination by such administrative or law enforcement agencies. ­­-------- (L. 2002 S.B. 1107)
MO Rev Stat § 190.250 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.250 - Ambulance services to have same statutory lien rights as hospitals — recovery of lien, net proceeds to be shared with patient, when — release of claimant from liability, when.

Effective - 28 Aug 2002   190.250. Ambulance services to have same statutory lien rights as hospitals — recovery of lien, net proceeds to be shared with patient, when — release of claimant from liability, when. — 1. As used in this section, the following terms mean:  (1) "Claim", a claim of a patient for:  (a) Damages from a tort-feasor; or  (b) Benefits from an insurance carrier;  (2) "Insurance carrier", any person, firm, corporation, association or aggregation of persons conducting an insurance business pursuant to chapter 375, 376, 377, 378, 379, 380, 381, or 383;  (3) "Patient", any person to whom an ambulance service delivers treatment, care, or transportation for sickness or injury caused by a tort-feasor from whom such person seeks damages or any insurance carrier which has insured such tort-feasor.  2. Ambulance services shall have the same rights granted to hospitals in sections 430.230 to 430.250.  3. If the liens of such ambulance services or hospitals exceed fifty percent of the amount due the patient, every ambulance service or hospital giving notice of its lien, as aforesaid, shall share in up to fifty percent of the net proceeds due the patient, in the proportion that each claim bears to the total amount of all other liens of ambulance services or hospitals. "Net proceeds", as used in this section, means the amount remaining after the payment of contractual attorney fees, if any, and other expenses of recovery.  4. In administering the lien of the ambulance service, the insurance carrier may pay the amount due secured by the lien of the ambulance service directly, if the claimant authorizes it and does not challenge the amount of the customary charges or that the treatment provided was for injuries caused by the tort-feasor.  5. Any ambulance service electing to receive benefits hereunder releases the claimant from further liability on the cost of the services and treatment provided to that point in time. ­­-------- (L. 2002 S.B. 1107 § 1)
MO Rev Stat § 190.255 (2021)
2021 Missouri Revised Statutes|Title XII - Public Health and Welfare|Chapter 190 - Emergency Services|Section 190.255 - Naloxone, first responder may administer, when — definition.

Effective - 28 Aug 2014   190.255. Naloxone, first responder may administer, when — definition. — 1. Any qualified first responder may obtain and administer naloxone to a person suffering from an apparent narcotic or opiate-related overdose in order to revive the person.  2. Any licensed drug distributor or pharmacy in Missouri may sell naloxone to qualified first responder agencies to allow the agency to stock naloxone for the administration of such drug to persons suffering from an apparent narcotic or opiate overdose in order to revive the person.  3. For the purposes of this section, "qualified first responder" shall mean any state and local law enforcement agency staff, fire department personnel, fire district personnel, or licensed emergency medical technician who is acting under the directives and established protocols of a medical director of a local licensed ground ambulance service licensed under section 190.109 who comes in contact with a person suffering from an apparent narcotic or opiate-related overdose and who has received training in recognizing and responding to a narcotic or opiate overdose and the administration of naloxone to a person suffering from an apparent narcotic or opiate-related overdose. "Qualified first responder agencies" shall mean any state or local law enforcement agency, fire department, or ambulance service that provides documented training to its staff related to the administration of naloxone in an apparent narcotic or opiate overdose situation.  4. A qualified first responder shall only administer naloxone by such means as the qualified first responder has received training for the administration of naloxone. ­­-------- (L. 2014 H.B. 2040)