reglab/statecodes huggingface dataset:
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.699 - Disciplinary action for health care professionals who discriminate or require HIV testing before treatment.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.699. Disciplinary action for health care professionals who discriminate or require HIV testing before treatment. —
Any health care professional who, after disclosure has been made by a patient of HIV infection, discriminates against the patient on the basis of that HIV infection or who, prior to such disclosure, makes HIV testing a condition of treatment shall be subject to administrative disciplinary action for violation of a professional trust or confidence or the commission of an act of unprofessional conduct as those terms are used in sections 330.160, 332.321, 334.100, and 335.066.
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(L. 1992 S.B. 511 & 556 § 191.694 subsec. 5)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.703 - Death of patient with infectious or contagious disease, notification to funeral director or coroner.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 1993
191.703. Death of patient with infectious or contagious disease, notification to funeral director or coroner. —
A licensed health care facility that treats a patient having HIV or HBV infection or any other reportable infectious or contagious disease as defined by the department of health and senior services shall notify the funeral establishment personnel, coroner or medical examiner involved of such disease prior to the removal of the patient, when deceased, from the licensed health care facility. Notification shall be conducted in a manner that protects the confidentiality of the deceased patient.
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(L. 1993 S.B. 233)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.710 - MO HealthNet program and SCHIPS to focus on premature infant health care.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2009
191.710. MO HealthNet program and SCHIPS to focus on premature infant health care. —
The MO HealthNet program and the health care for uninsured children program under sections 208.631 to 208.659, in consultation with statewide organizations focused on premature infant health care, shall:
(1) Examine and improve hospital discharge and follow-up care procedures for premature infants born earlier than thirty-seven weeks gestational age to ensure standardized and coordinated processes are followed as premature infants leave the hospital from either a well-baby nursery, step-down or transitional nursery, or neonatal intensive care unit and transition to follow-up care by a health care provider in the community;
(2) Urge hospitals serving infants eligible for medical assistance under the MO HealthNet and health care for uninsured children programs to report to the state the causes and incidence of all re-hospitalizations of infants born premature at earlier than thirty-seven weeks gestational age within their first six months of life; and
(3) Use guidance from the Centers for Medicare and Medicaid Services' Neonatal Outcomes Improvement Project to implement programs to improve newborn outcomes, reduce newborn health costs, and establish ongoing quality improvement for newborns.
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(L. 2009 H.B. 716 § 191.1127)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.711 - Education publications to be prepared, contents — distribution.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2009
191.711. Education publications to be prepared, contents — distribution. —
1. The department of health and senior services shall, by December 31, 2009, prepare written educational publications containing information about the possible complications, proper care and support associated with newborn infants who are born premature at earlier than thirty-seven weeks gestational age. The written information, at a minimum, shall include the following:
(1) The unique health issues affecting infants born premature, such as:
(a) Increased risk of developmental problems;
(b) Nutritional challenges;
(c) Infection;
(d) Chronic lung disease (bronchopulmonary dysplasia);
(e) Vision and hearing impairment;
(f) Breathing problems;
(g) Fine motor skills;
(h) Feeding;
(i) Maintaining body temperature;
(j) Jaundice;
(k) Hyperactivity;
(l) Infant mortality as well as long-term complications associated with growth and nutrition;
(m) Reading, writing, mathematics, and speaking; and
(n) Respiratory;
(2) The proper care needs of premature infants, developmental screenings and monitoring and health care services available to premature infants through the MO HealthNet program and other public or private health programs;
(3) Methods, vaccines, and other preventative measures to protect premature infants from infectious diseases, including viral respiratory infections;
(4) The emotional and financial burdens and other challenges that parents and family members of premature infants experience and information about community resources available to support them.
2. The publications shall be written in clear language to educate parents of premature infants across a variety of socioeconomic statuses. The department may consult with community organizations that focus on premature infants or pediatric health care. The department shall update the publications every two years.
3. The department shall distribute these publications to children's health providers, maternal care providers, hospitals, public health departments, and medical organizations and encourage those organizations to provide the publications to parents or guardians of premature infants.
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(L. 2009 H.B. 716 § 191.1130)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.725 - Physician to counsel pregnant patients on effects of cigarettes, alcohol and controlled substances — certifying form to be signed by patient on counseling — educational materials to be furnished to physicians.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 01 Jul 1992, see footnote
191.725. Physician to counsel pregnant patients on effects of cigarettes, alcohol and controlled substances — certifying form to be signed by patient on counseling — educational materials to be furnished to physicians. —
Beginning January 1, 1992, every licensed physician who provides obstetrical or gynecological care to a pregnant woman shall counsel all patients as to the perinatal effects of smoking cigarettes, the use of alcohol and the use of any controlled substance as defined in section 195.017, schedule I, II, or III for nonmedical purposes. Such physicians shall further have all patients sign a written statement, the form of which will be prepared by the director of the department of health and senior services, certifying that such counseling has been received. All such executed statements shall be maintained as part of that patient's medical file. The director of the department of health and senior services, in cooperation with the department of mental health, division of alcohol and drug abuse, shall further provide educational materials and guidance to such physicians for the purpose of assuring accurate and appropriate patient education.
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(L. 1991 S.B. 190 § 1)
Effective 7-1-92
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.729 - School districts to be furnished information on prenatal and postnatal effects of substances, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 01 Jul 1992, see footnote
191.729. School districts to be furnished information on prenatal and postnatal effects of substances, when. —
Upon receipt of federal funds for such program, the commissioner of the department of elementary and secondary education shall develop and make available to all school districts for inclusion in their drug and alcohol education programs in grades one through twelve, age-appropriate drug education curricula concerning the physiological effects and problems before and after birth caused by the use of cigarettes, alcohol and schedules I, II and III controlled substances as listed in section 195.017.
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(L. 1991 S.B. 190 § 3)
Effective 7-1-92
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.731 - Pregnant woman referred for substance abuse to have priority for treatment — confidentiality of records.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 01 Jul 1992, see footnote
191.731. Pregnant woman referred for substance abuse to have priority for treatment — confidentiality of records. —
A pregnant woman referred for substance abuse treatment shall be a first-priority user of available treatment. All records and reports regarding such pregnant woman shall be kept confidential. The division of alcohol and drug abuse shall ensure that family-oriented substance abuse treatment be available, as appropriations allow. Substance abuse treatment facilities which receive public funds shall not refuse to treat women solely because they are pregnant.
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(L. 1991 S.B. 190 § 4)
Effective 7-1-92
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.737 - Children exposed to substance abuse, referral by physician to children's division — physician making referral immune from civil liability — confidentiality of report.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2019, 3 histories
191.737. Children exposed to substance abuse, referral by physician to children's division — physician making referral immune from civil liability — confidentiality of report. —
1. Notwithstanding the physician-patient privilege, any physician or health care provider may refer to the children's division families in which children may have been exposed to a controlled substance listed in section 195.017, schedules I, II and III, or alcohol as evidenced by a written assessment, made or approved by a physician, health care provider, or by the children's division, that documents the child as being at risk of abuse or neglect and either:
(1) Medical documentation of signs and symptoms consistent with controlled substances or alcohol exposure in the child at birth; or
(2) Results of a confirmed toxicology test for controlled substances performed at birth on the mother or the child.
2. Notwithstanding the physician-patient privilege, any physician or health care provider shall refer to the children's division families in which infants are born and identified as affected by substance abuse, withdrawal symptoms resulting from prenatal drug exposure, or a Fetal Alcohol Spectrum Disorder as evidenced by:
(1) Medical documentation of signs and symptoms consistent with controlled substances or alcohol exposure in the child at birth; or
(2) Results of a confirmed toxicology test for controlled substances performed at birth on the mother or the child.
3. Nothing in this section shall preclude a physician or other mandated reporter from reporting abuse or neglect of a child as required pursuant to the provisions of section 210.115.
4. Any physician or health care provider complying with the provisions of this section, in good faith, shall have immunity from any civil liability that might otherwise result by reason of such actions.
5. Referral and associated documentation provided for in this section shall be confidential and shall not be used in any criminal prosecution.
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(L. 1991 S.B. 190 § 7, A.L. 2014 H.B. 1299 Revision, A.L. 2018 S.B. 819, A.L. 2019 S.B. 514)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.739 - Protective and preventive services to be provided by department of social services, duties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2018, 2 histories
191.739. Protective and preventive services to be provided by department of social services, duties. —
1. The department of social services shall provide protective services for children that meet the criteria established in section 191.737. In addition the department of social services may provide preventive services for children that meet the criteria established in section 191.737.
2. No department shall cease providing services for any child exposed to substances as set forth in section 191.737 wherein a physician or health care provider has made or approved a written assessment which documents the child as being at risk of abuse or neglect until a physician or health care provider authorizes such file to be closed.
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(L. 1991 S.B. 190 § 8, A.L. 2018 S.B. 819)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.748 - Shaken baby syndrome video, required viewing, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2004
191.748. Shaken baby syndrome video, required viewing, when. —
Every hospital and any health care facility licensed in this state that provides obstetrical services shall offer to all new mothers an opportunity to view with the father and other persons of the mother's choosing a video on the dangers of shaking a baby and shaken baby syndrome before the mother's discharge from the facility. Such video shall be approved by the department of health and senior services.
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(L. 2004 H.B. 1453)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.755 - Department to post resources on website, content.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2011
191.755. Department to post resources on website, content. —
The director of the department of health and senior services shall make publicly available, by posting on the department's website, resources relating to umbilical cord blood that have been developed by the Parent's Guide to Cord Blood Foundation, or a successor organization, which includes the following information:
(1) An explanation of the potential value and uses of umbilical cord blood, including cord blood cells and stem cells, for individuals who are or are not biologically related to a mother or her newborn child;
(2) An explanation of the differences between using one's own blood cord cells and using related or unrelated cord blood stem cells in the treatment of disease;
(3) An explanation of the differences between public and private umbilical cord blood banking;
(4) The options available to a mother relating to stem cells that are contained in the umbilical cord blood after the delivery of her newborn, including:
(a) Donating the stem cells to a public umbilical cord blood bank where facilities are available;
(b) Storing the stem cells in a private family umbilical cord blood bank for use by immediate and extended family members;
(c) Storing the stem cells for immediate or extended family members through a family or sibling donor banking program that provides free collection, processing, and storage where there is an existing medical need; and
(d) Discarding the stem cells;
(5) The medical processes involved in the collection of cord blood;
(6) Medical or family history criteria that can impact a family's consideration of umbilical cord blood banking, including the likelihood of using a baby's cord blood to serve as a match for a family member who has a medical condition;
(7) Options for ownership and future use of donated umbilical cord blood;
(8) The average cost of public and private umbilical cord blood banking;
(9) The availability of public and private cord blood banks to citizens of Missouri, including:
(a) A list of public cord blood banks and hospitals served by such blood banks;
(b) A list of private cord blood banks that are available; and
(c) The availability of free family banking and sibling donor programs where there is an existing medical need by a family member; and
(10) An explanation of which racial and ethnic groups are in particular need of publicly donated cord blood samples based upon medical data developed by the United States Department of Health and Human Services, Health Resources and Services Administration.
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(L. 2011 H.B. 197)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.756 - Grants awarded by board of health and senior services — eligibility criteria.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2018
191.756. Grants awarded by board of health and senior services — eligibility criteria. —
1. For purposes of this section, the term
"board"
shall mean the state board of health and senior services established under section 191.400.
2. Subject to appropriations, the board shall establish a program to award grants for the establishment of umbilical cord blood banks to be located in this state and for the expansion of existing umbilical cord blood banks located in this state. The purposes and activities of umbilical cord blood banks eligible for grants for this program shall be directed towards gathering, collecting, and preserving umbilical cord and placental blood only from live births and providing such blood and blood components primarily to recipients who are unrelated to the donors of the blood, and towards persons and institutions conducting scientific research requiring sources of human stem cells.
3. The board shall, by rule, establish eligibility criteria for awarding grants under this section. In awarding grants, the board shall consider:
(1) The ability of the applicant to establish, operate, and maintain an umbilical cord blood bank and to provide related services;
(2) The experience of the applicant in operating similar facilities; and
(3) The applicant's commitment to continue to operate and maintain an umbilical cord blood bank after the expiration of the terms of the contract required by subsection 4 of this section.
4. Recipients of grants awarded shall enter into contracts under which each recipient agrees to:
(1) Operate and maintain an umbilical cord blood bank in this state at least until the eighth anniversary of the date of the award of the grant;
(2) Gather, collect, and preserve umbilical cord blood only from live births; and
(3) Comply with any financial or reporting requirements imposed on the recipient under rules adopted by the board.
5. The grants authorized under this section shall be awarded subject to funds specifically appropriated for that purpose.
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(L. 2005 S.B. 323, A.L. 2018 S.B. 843)
Transferred 2018; formerly § 196.1129.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.758 - Information to be made available by physician to pregnant women, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2011
191.758. Information to be made available by physician to pregnant women, when. —
Beginning October 1, 2011, every licensed physician who provides obstetrical or gynecological care to a pregnant woman may, prior to the beginning of the pregnant woman's third trimester of pregnancy or, if later, at the first visit of such pregnant woman to the physician, make available to the patient information developed under section 191.755 relating to the woman's options with respect to umbilical cord blood banking.
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(L. 2011 H.B. 197)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.761 - Umbilical cord blood samples, department to provide courier service to nonprofit umbilical cord blood bank — rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2014
191.761. Umbilical cord blood samples, department to provide courier service to nonprofit umbilical cord blood bank — rulemaking authority. —
1. Beginning July 1, 2015, the department of health and senior services shall provide a courier service to transport collected, donated umbilical cord blood samples to a nonprofit umbilical cord blood bank located in a city not within a county in existence as of August 28, 2014. The collection sites shall only be those facilities designated and trained by the blood bank in the collection and handling of umbilical cord blood specimens.
2. The department may promulgate rules to implement the provisions of this section. 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 under 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, 2014, shall be invalid and void.
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(L. 2014 S.B. 567 merged with S.B. 716 merged with S.B. 754)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.765 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.765. Definitions. —
As used in sections 191.765 to 191.773 and section 290.145, the following terms mean:
(1)
"Bar"
or
"tavern"
, any licensed establishment which serves liquor on the premises for which not more than ten percent of the gross sales receipts of the business are supplied by food purchases, either for consumption on the premises or elsewhere;
(2)
"Other person in charge"
, the agent of the proprietor authorized to give administrative directions to and general supervision of the activities within the public place, work place or public meeting at any given time;
(3)
"Proprietor"
, the party who ultimately controls, governs or directs the activities within the public place, work place or public meeting, regardless of whether he is the owner or lessor of such place or site. The term does not mean the owner of the property unless he ultimately controls, governs or directs the activities within the public place or public meeting. The term "proprietor" shall apply to a corporation as well as an individual;
(4)
"Public meeting"
, a gathering in person of members of a governmental body, whether an open or closed session, as defined in chapter 610;
(5)
"Public place"
, any enclosed indoor area used by the general public or serving as a place of work including, but not limited to:
(a) Any retail or commercial establishments;
(b) Health care facilities, health clinics or ambulatory care facilities including, but not limited to, laboratories associated with health care treatment, hospitals, nursing homes, physicians' offices and dentists' offices;
(c) Any vehicle used for public transportation including, but not limited to, buses, taxicabs and limousines for hire;
(d) Rest rooms;
(e) Elevators;
(f) Libraries, educational facilities, day care facilities, museums, auditoriums and art galleries;
(g) All public areas and waiting rooms of public transportation facilities including, but not limited to, bus and airport facilities;
(h) Any enclosed indoor place used for entertainment or recreation including, but not limited to, gymnasiums, theater lobbies, concert halls, arenas and swimming pools;
(i) Any other enclosed indoor areas used by the general public including, but not limited to, corridors and shopping malls;
(6)
"Restaurant"
, any building, structure or area used, maintained or advertised as or held out to the public to be an enclosure where meals for consideration of payment are made available to be consumed on the premises;
(7)
"Smoking"
, possession of burning tobacco in the form of a cigarette, cigar, pipe or other smoking equipment.
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(L. 1992 S.B. 509, et al. § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.767 - Persons not to smoke in public places or meetings, except in designated smoking areas — designation of space for smoking area, requirements.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.767. Persons not to smoke in public places or meetings, except in designated smoking areas — designation of space for smoking area, requirements. —
1. A person shall not smoke in a public place or in a public meeting except in a designated smoking area.
2. A smoking area may be designated by persons having custody or control of public places, except in places in which smoking is prohibited by the fire marshal or by other law, ordinance or regulation.
3. No public place shall have more than thirty percent of its entire space designated as a smoking area.
4. A designated smoking area where state employees may smoke during the work day shall be provided by each state executive department and institution of higher education, provided such area can be adequately ventilated at minimum cost, within the physical confines of each facility.
5. A proprietor or other person in charge of a restaurant shall designate an area of sufficient size to accommodate usual and customary demand for nonsmoking areas by customers or patrons.
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(L. 1992 S.B. 509, et al. § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.769 - Areas not considered public places.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.769. Areas not considered public places. —
The following areas are not considered a public place:
(1) An entire room or hall which is used for private social functions, provided that the seating arrangements are under the control of the sponsor of the function and not of the proprietor or other person in charge;
(2) Limousines for hire and taxicabs, where the driver and all passengers agree to smoking in such vehicle;
(3) Performers on the stage, provided that the smoking is part of the production;
(4) A place where more than fifty percent of the volume of trade or business carried on is that of the blending of tobaccos or sale of tobaccos, cigarettes, pipes, cigars or smoking sundries;
(5) Bars, taverns, restaurants that seat less than fifty people, bowling alleys and billiard parlors, which conspicuously post signs stating that "Nonsmoking Areas are Unavailable";
(6) Private residences; and
(7) Any enclosed indoor arena, stadium or other facility which may be used for sporting events and which has a seating capacity of more than fifteen thousand persons.
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(L. 1992 S.B. 509, et al. § 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.771 - Person in control of public places or public meetings, duties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.771. Person in control of public places or public meetings, duties. —
The person having custody or control of a public place or public meeting shall:
(1) Make reasonable efforts to prevent smoking in the public place or public meeting by posting appropriate signs indicating no-smoking or smoking area and arrange seating accordingly. These signs shall be placed at a height and location easily seen by a person entering the public place or public meeting and not obscured in any way;
(2) Arrange seating and utilize available ventilation systems and physical barriers to isolate designated smoking areas;
(3) Make a reasonable request of persons smoking to move to a designated smoking area;
(4) Allow smoking in designated areas of theater lobbies only.
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(L. 1992 S.B. 509, et al. § 4)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.773 - Violators, guilty of infraction.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.773. Violators, guilty of infraction. —
The following persons shall be guilty of an infraction:
(1) A person who smokes in those areas where smoking is prohibited pursuant to the provisions of sections 191.765 to 191.773 and section 290.145;
(2) A proprietor or other person in charge of a public place or public meeting who permits, causes, suffers or allows a person to smoke in those areas where smoking is prohibited pursuant to sections 191.765 to 191.773 and section 290.145.
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(L. 1992 S.B. 509, et al. § 5)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.775 - Public schools and school buses — smoking, or tobacco or vapor product use prohibited — permissible use of tobacco, where.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2020, 2 histories
191.775. Public schools and school buses — smoking, or tobacco or vapor product use prohibited — permissible use of tobacco, where. —
No person shall smoke or otherwise use tobacco, tobacco products, or vapor products, as such term is defined in section 407.925, in any indoor area of a public elementary or secondary school building or educational facility, excluding institutions of higher education, or on buses used solely to transport students to or from school or to transport students to or from any place for educational purposes. Any school board of any school district may set policy on the permissible uses of tobacco products or vapor products in any other nonclassroom or nonstudent occupant facility, and on the school grounds or outdoor facility areas as the school board deems proper.
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(L. 1993 H.B. 348 § 1, A.L. 2020 H.B. 1682)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.776 - Child day care facilities, smoking or tobacco use when children are present, prohibited, penalty.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1993
191.776. Child day care facilities, smoking or tobacco use when children are present, prohibited, penalty. —
No person shall smoke or otherwise use tobacco products in any area of a child care facility licensed by the department of health and senior services pursuant to the provisions of sections 210.201 to 210.245 during the period of time when the children cared for under that license are present. Any person who violates the provisions of this section shall be guilty of an infraction.
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(L. 1993 H.B. 348 § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.777 - More stringent ordinances or rules may be adopted by governing bodies or school boards.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 1993
191.777. More stringent ordinances or rules may be adopted by governing bodies or school boards. —
Nothing in sections 191.775 and 191.776 shall prohibit local political subdivisions or local boards of education from enacting more stringent ordinances or rules.
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(L. 1993 H.B. 348 § 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.800 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.800. Definitions. —
As used in sections 191.800 to 191.815, the following terms mean:
(1)
"Hunger"
, the lack of sufficient nutritious food to maintain health or morale or to achieve optimal human potential;
(2)
"Outreach"
, a public education activity the purpose of which is to inform:
(a) Hungry people about available food programs and how to gain access to them;
(b) The general public about the nature and extent of hunger problems in the state and specific communities and the programs which address them.
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(L. 1992 S.B. 449 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.803 - Boards of education to establish breakfast program — rules — waiver, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.803. Boards of education to establish breakfast program — rules — waiver, procedure. —
1. By July 1, 1993, the board of education of each school in this state in which thirty-five percent or more of the students enrolled in the school on October first of the preceding school year were eligible for free or reduced price meals shall establish a school breakfast program.
2. The department of elementary and secondary education may promulgate rules and regulations necessary for implementation of sections 191.800 to 191.815 in compliance with federal guidelines pursuant to the provisions of 42 U.S.C. 1773.
3. A school shall receive a waiver from the requirements of this section if the school board of the school district by majority vote adopts a resolution requesting a waiver.
4. A school district requesting a waiver must file in writing notification that it has adopted a resolution which excuses the district from the requirements of this section. Such writing shall be filed with the Missouri department of elementary and secondary education. Such a waiver shall be valid for a period of three years.
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(L. 1992 S.B. 449 § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.805 - Hardship grant program, distribution of, rules.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.805. Hardship grant program, distribution of, rules. —
1. Subject to appropriations, the state board of education shall establish a hardship grant program. Hardship grants shall be distributed to provide state supplemental funding of the federal school breakfast program. Hardship grants shall be awarded to schools based on the highest need factor. The department of elementary and secondary education shall promulgate rules and regulations necessary for the implementation of a formula to determine need factor, and such rules and regulations shall be consistent with federal guidelines for the school breakfast program as authorized by 42 U.S.C. 1773.
2. Any school that participates, or is eligible to participate, in the federal school breakfast program may apply for a hardship grant. The combined amount received by a school from the federal school breakfast program and the hardship grant shall not exceed the cost of the actual operation of the school breakfast program.
3. No money from the public school fund shall be used to provide hardship grants.
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(L. 1992 S.B. 449 § 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.807 - Supplemental funding, women, infants and children supplemental food program — funding of certain county health offices, use, maximum amount of grants — rules and regulations.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.807. Supplemental funding, women, infants and children supplemental food program — funding of certain county health offices, use, maximum amount of grants — rules and regulations. —
1. State supplemental funding for the Special Supplemental Food Program or Women, Infants and Children Special Supplemental Food Program (WIC) is hereby authorized, subject to appropriations, with the goal to be one hundred percent coverage of all eligible women and children by the year 2002.
2. One percent of the state supplemental funding authorized by this section shall be set aside in a separate fund to be used by the department of health and senior services to fund grants to county health offices that operate a Special Supplemental Food Program for Women, Infants and Children
*
(WIC). Grants from this fund shall be used by such county health offices for extending hours of service in order that services will be available to WIC clients during evening hours or on Saturdays. The maximum grant allowable pursuant to this program is ten thousand dollars per county, and no county may receive a grant for more than three consecutive years. The department of health and senior services shall establish rules and regulations to administer the grant program which would ensure distribution of grants according to county poverty levels and projected increase in participation in counties.
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(L. 1992 S.B. 449 § 4)
*Words "Children's Program" appear here in original rolls.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.810 - Department of health and senior services to establish standards for summer food service program — where established — order of priority — waiver, filing required.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.810. Department of health and senior services to establish standards for summer food service program — where established — order of priority — waiver, filing required. —
1. By January 1, 1993, the department of health and senior services shall establish standards for a summer food service program for eligible children pursuant to the provisions of 42 U.S.C. 1761.
2. By July 1, 1993, those areas of the state whose perimeters are defined by school districts which have fifty percent or more of their children eligible for free or reduced price lunches, and where more than forty children congregate at a service institution, shall have at least one summer food service program in operation providing meals to all children, both breakfast and lunch, if practicable. For the purposes of this section:
(1)
"Program"
means the summer food service program for children authorized by 42 U.S.C. 1761;
(2)
"Service institution"
means public or private nonprofit school food authorities, local, municipal, or county governments, public or private nonprofit higher education institutions participating in the National Youth Sports Program, and residential public or private nonprofit summer camps that develop special summer or school vacation programs providing food service similar to that made available to children during the school year under the school lunch program or the school breakfast program under the Child Nutrition Act of 1966, 42 U.S.C. 1771 et seq.
3. The following order of priority shall be used in determining participation where more than one service institution is eligible to serve the same area:
(1) Local schools or service institutions that have demonstrated successful program performance in a prior year;
(2) Service institutions that prepare meals at their own facilities or operate only one site;
(3) Service institutions that use local school food facilities for the preparation of meals;
(4) Other service institutions that have demonstrated ability for successful program operation;
(5) Service institutions that plan to integrate the program with federal, state or local employment programs; and
(6) Private nonprofit organizations eligible under 42 U.S.C. 1761(7).
4. A school shall receive a waiver from the requirements of this section if the school board of the school district by majority vote adopts a resolution requesting a waiver.
5. A school district requesting a waiver must file in writing notification that it has adopted a resolution which excuses the district from the requirements of this section. Such writing shall be filed with the Missouri department of elementary and secondary education. Such a waiver shall be valid for a period
*
of three years.
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(L. 1992 S.B. 449 § 5)
*Word "period" inadvertently omitted from original rolls.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.813 - Agencies to coordinate outreach programs — specific programs — public service announcements to be designed.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1992
191.813. Agencies to coordinate outreach programs — specific programs — public service announcements to be designed. —
1. Those agencies responsible for administering emergency and supplemental food programs shall collaborate in designing and implementing outreach programs focused on populations at risk of hunger, that effectively describe the programs, their purposes and how to apply for them.
2. Those programs for which outreach will be designed and implemented are food stamps, school breakfast, summer food service programs and the special supplemental food program for women, infants and children.
3. Outreach programs shall be culturally and linguistically appropriate for the populations most at risk.
4. In addition to brochures and other written materials, the designated agencies shall design public service announcements for distribution to the electronic media and instructional videos to help persons understand the opportunities, rights, limitations, and obligations under the programs and how to apply for them.
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(L. 1992 S.B. 449 § 6)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.815 - Administrative rules, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1995
191.815. Administrative rules, procedure. —
No rule or portion of a rule promulgated under the authority of sections 191.800 to 191.813 shall become effective unless it has been promulgated pursuant to the provisions of section 536.024.
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(L. 1992 S.B. 449 § 7, A.L. 1993 S.B. 52, A.L. 1995 S.B. 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.828 - Evaluations, effect of initiatives.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2023, 2 histories
191.828. Evaluations, effect of initiatives. —
1. The following departments shall conduct on-going evaluations of the effect of the initiatives enacted by the following sections:
(1) The department of commerce and insurance shall evaluate the effect of revising section 376.782 and sections 143.999, 208.178
*
, 374.126
**
, and 376.891 to 376.894;
(2) The department of health and senior services shall evaluate the effect of revising sections 105.711 and 191.600 and enacting section 191.411, and sections 167.600 to 167.621, 191.231, 208.177
***
, 431.064, and 660.016
****
. In collaboration with the state board of registration for the healing arts, the state board of nursing, and the state board of pharmacy, the department of health and senior services shall also evaluate the effect of revising section 195.070, section 334.100, and section 335.016, and of sections 334.104 and 334.112, and section 338.095 and 338.198;
(3) The department of social services shall evaluate the effect of revising section 198.090, and sections 208.151, 208.152 and 208.215, and section 383.125, and of sections 167.600 to 167.621, 208.177
***
, 208.178
*
, 208.179
****
, 208.181, and 211.490;
(4) The office of administration shall evaluate the effect of revising sections 105.711 and 105.721;
(5) The Missouri consolidated health care plan shall evaluate the effect of section 103.178; and
(6) The department of mental health shall evaluate the effect of section 191.831 as it relates to substance abuse treatment and of section 191.835.
2. The department of revenue and office of administration shall make biannual reports to the general assembly and the governor concerning the income received into the health initiatives fund and the level of funding required to operate the programs and initiatives funded by the health initiatives fund at an optimal level.
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(L. 1993 H.B. 564 § 22, A.L. 2015 S.B. 58, A.L. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 70 merged with S.B. 106 merged with S.B. 157)
*Section 208.178 was repealed by S.B. 975 & 1024 Revision, 2018.
**Section 374.126 was repealed by S.B. 732, 1994.
***Section 208.177 was repealed by S.B. 613 Revision, 2007.
****Sections 208.179 and 660.016 were repealed by H.B. 1608, 2012.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.835 - Community 2000 grants program — local commissions, members — goals, objectives — evaluations, funding.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1993
191.835. Community 2000 grants program — local commissions, members — goals, objectives — evaluations, funding. —
1. The division of alcohol and drug abuse of the department of mental health shall establish a community grants program, to be known as "Community 2000", which shall make funds available to municipalities for the purpose of preventing alcohol and drug abuse.
2. To be eligible for grant moneys, municipalities shall establish local commissions to coordinate and evaluate local alcohol and drug abuse prevention programs and strategies. Such commissions shall represent law enforcement, education, health, mental health, clergy, civic organizations, parents, elected officials and other community residents having a special interest in prevention and early intervention in substance abuse problems. The commissions shall participate in a statewide coalition of local commissions for information sharing, coordination of resources and mutual support. Grant awards shall be based on an impartial review of applications submitted to the division of alcohol and drug abuse, and amounts shall be based on population.
3. The goals of each local commission shall be:
(1) The reduction of prenatal and perinatal exposure to alcohol and other drugs;
(2) Reduction of alcohol and other drug use by children and youth by increasing school children's understanding of effects and by employing basic strategies of resistance, coping skills and healthy alternatives;
(3) The development of social structures which promote health and well-being and support healthy behavior; and
(4) Maximizing opportunities for early intervention and access to appropriate treatment services for persons who need such services.
4. The local commission's objectives shall be to assess the appropriateness of and coordinate the community's alcohol and other drug education and prevention activities, such as drug awareness resistance education (DARE) programs, school curricula, community-based services and juvenile justice programs. The commission shall develop an annual plan and report of progress for the city council or other municipal authority. The plan shall describe educational needs and resources, and referral resources for individuals and families who need intervention services. Funds may be used to support coordinating staff, community training, media, policy analysis and development, and other related local program functions.
5. The division of alcohol and drug abuse shall conduct annual evaluations of the effectiveness of the community 2000 program. Up to ten percent of the funds appropriated for the program may be used for evaluation.
6. Funding for the community 2000 program shall be appropriated annually by the general assembly from revenues available in the health initiatives fund established in section 191.831.
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(L. 1993 H.B. 564 § 24)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.839 - Education programs for persons with no or inadequate health insurance.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1993
191.839. Education programs for persons with no or inadequate health insurance. —
The department of social services, in cooperation with the department of health and senior services, shall design and implement an ongoing public education program for those with no health insurance or inadequate health insurance. The purpose of the program shall be to identify and inform eligible citizens of the existence, eligibility criteria, means of access, and geographic location of existing federal and state health service programs. The program may be designed to:
(1) Offer grants to not-for-profit service agencies to provide public education activities;
(2) Disseminate brochures and other publications;
(3) Conduct informational seminars at appropriate geographic locations with a disproportionate concentration of low-income persons.
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(L. 1993 H.B. 564 § 25)