reglab/statecodes huggingface dataset:
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.604 - Office established — powers and duties — report to general assembly and governor, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1990
192.604. Office established — powers and duties — report to general assembly and governor, when. —
There is hereby established in the department of health and senior services an "Office of Rural Health". The office of rural health, under the supervision of the director of the department of health and senior services, shall assume a leadership role in working or contracting with state and federal agencies, universities, private interest groups, communities, foundations, and local health centers to develop rural health initiatives and maximize the use of existing resources without duplicating existing effort. The office shall provide a central information and referral source and serve as the primary state resource in coordinating, planning and advocating for the continued access to rural health care services in Missouri for the poor, the uninsured, the underinsured, the medically indigent, maternity, newborn, child care and for the elderly. The office shall:
(1) Educate the public and recommend appropriate public policies regarding the continued viability of rural health care delivery in Missouri and the quality and cost-effectiveness of such care and identify conditions obstructing or hindering that delivery of essential health care services to rural Missouri;
(2) Monitor and work with state and federal agencies to assess the impact of proposed rules and regulations on rural areas, streamline regulations to assist in the development of service diversification of health care facilities, and target state and federal programs to rural areas;
(3) Promote and develop diverse and innovative health care service models in rural areas;
(4) Encourage the use of advanced communications technology to provide access to speciality expertise, clinical consultation and continuing education;
(5) Assist rural health care providers, communities, and individuals in applying for public and private grants and programs;
(6) Disseminate information and provide technical assistance to communities, health care providers, and individual consumers of health care services;
(7) Report to the federal Office of Rural Health Policy concerning its activities and cooperate with rural health research centers established by the federal Office of Rural Health Policy;
(8) Biennially report its activities and recommendations to the governor and members of the general assembly on or before November fifteenth of odd-numbered years.
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(L. 1990 S.B. 765 § 12)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.650 - Cancer information reporting system established — purpose — rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1999
192.650. Cancer information reporting system established — purpose — rulemaking authority. —
1. The department of health and senior services shall establish and maintain a cancer information reporting system to collect data required for the receipt of federal grant funds pursuant to the Cancer Registries Amendment Act of 1992 (42 U.S.C. 280e, et seq.), as amended.
2. The director of the department shall promulgate rules and regulations specifying the malignant neoplasms which shall be reported and accompanying information to be reported in each case. Such rules and regulations shall provide for collection of the following data:
(1) For inpatient hospital settings, the data items collected by the department of health and senior services as of August 28, 1999, and additional data items required to be collected as a condition of federal funding for state cancer registries pursuant to the Cancer Registries Amendment Act of 1992 (42 U.S.C. 280e, et seq.), as amended; and
(2) For outpatient hospital settings, physician offices, pathology laboratories, ambulatory surgical centers, residential care facilities and assisted living facilities, intermediate care facilities, skilled nursing facilities, and free-standing cancer clinics and treatment centers, the data items required to be collected as a condition of federal funding for state cancer registries pursuant to the Cancer Registries Amendment Act of 1992 (42 U.S.C. 280e, et seq.), as amended. Reports of malignant neoplasms, exclusive of nonmelanomatous cutaneous malignancies, shall be filed with the director within six months of the diagnosis or treatment. The department director shall prescribe the form and manner in which the information shall be reported.
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(L. 1983 S.B. 163 § 1, A.L. 1993 S.B. 52, A.L. 1999 H.B. 454)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.653 - Reports required from certain health care providers, content — exemptions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1999
192.653. Reports required from certain health care providers, content — exemptions. —
1. The administrator or designated representative of hospitals, pathology laboratories, physician offices, ambulatory surgical centers, residential care facilities or assisted living facilities, intermediate care facilities or skilled nursing facilities, and free-standing cancer clinics and treatment centers shall report to the department of health and senior services every case of malignant neoplasm as required pursuant to section 192.650. Physicians' offices shall be exempt from reporting cases that are directly referred to or have been previously admitted to any other facility which is required by this subsection to report malignant neoplasms.
2. The attending physician or other health care provider responsible for a patient's diagnosis or treatment for a malignant neoplasm shall provide, in writing, to the administrator or the administrator's designated representative, the information required pursuant to section 192.650.
3. Reports filed with the director may be submitted through a data system designated by the person or organization filing the report.
4. If a facility described in subsection 1 of this section is currently submitting reports of cases to the department of health and senior services through a centralized reporting system, duplicate reporting shall not be required.
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(L. 1983 S.B. 163 § 2, A.L. 1999 H.B. 454)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.657 - No liability for furnishing or providing access to required information, exception — department examination of individuals not intended — violations, penalty.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1999
192.657. No liability for furnishing or providing access to required information, exception — department examination of individuals not intended — violations, penalty. —
1. No individual or organization providing information or access to information in accordance with sections 192.650 to 192.657 shall be deemed to be or be held liable, either civilly or criminally, for divulging or permitting access to confidential information unless such individual or organization acted in bad faith or with malicious purpose.
2. Nothing in sections 192.650 to 192.657 shall be construed to compel any individual to submit to medical or health department examination, treatment or supervision of any kind.
3. Violation of any provisions of sections 192.650 to 192.657 shall be an infraction.
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(L. 1963 S.B. 163 §§ 4, 5, A.L. 1999 H.B. 454)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.665 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 24 Oct 2017, 2 histories, see footnote
192.665. Definitions. —
As used in this section, section 192.667, and sections 197.150 to 197.165, the following terms mean:
(1)
"Charge data"
, information submitted by health care providers on current charges for leading procedures and diagnoses;
(2)
"Charges by payer"
, information submitted by hospitals on amount billed to Medicare, Medicaid, other government sources and all nongovernment sources combined as one data element;
(3)
"Department"
, the department of health and senior services;
(4)
"Financial data"
, information submitted by hospitals drawn from financial statements which includes the balance sheet, income statement, charity care and bad debt and charges by payer, prepared in accordance with generally accepted accounting principles;
(5)
"Health care provider"
, hospitals as defined in section 197.020 and ambulatory surgical centers and abortion facilities as defined in section 197.200;
(6)
"Nosocomial infection"
, as defined by the federal Centers for Disease Control and Prevention and applied to infections within hospitals, ambulatory surgical centers, abortion facilities, and other facilities;
(7)
"Nosocomial infection incidence rate"
, a risk-adjusted measurement of new cases of nosocomial infections by procedure or device within a population over a given period of time, with such measurements defined by rule of the department pursuant to subsection 3 of section 192.667 for use by all hospitals, ambulatory surgical centers, abortion facilities, and other facilities in complying with the requirements of the Missouri nosocomial infection control act of 2004;
(8)
"Other facility"
, a type of facility determined to be a source of infections and designated by rule of the department pursuant to subsection 11 of section 192.667;
(9)
"Patient abstract data"
, data submitted by hospitals which includes but is not limited to date of birth, sex, race, zip code, county of residence, admission date, discharge date, principal and other diagnoses, including external causes, principal and other procedures, procedure dates, total billed charges, disposition of the patient and expected source of payment with sources categorized according to Medicare, Medicaid, other government, workers' compensation, all commercial payors coded with a common code, self-pay, no charge and other.
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(L. 1992 H.B. 1574 § 5 merged with S.B. 721 § 1 merged with S.B. 796 § 14, A.L. 2004 S.B. 1279, A.L. 2017 2d Ex. Sess. S.B. 5)
Effective 10-24-17
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.700 - Arthritis program established — purpose.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.700. Arthritis program established — purpose. —
There is hereby established a state arthritis program. The board and the committee established by sections 192.700 to 192.727 are to administer state, federal and private grants and programs dealing with arthritis and related diseases as a part of this arthritis program. Regional arthritis centers established pursuant to sections 192.700 to 192.727 constitute part of the state arthritis program.
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(L. 1984 H.B. 1028 § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.703 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.703. Definitions. —
As used in sections 192.700 to 192.727, the following terms mean:
(1)
"Board"
, the Missouri arthritis advisory board;
(2)
"Committee"
, the arthritis program review committee;
(3)
"Director"
, director of the department of health and senior services.
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(L. 1984 H.B. 1028 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.705 - Program coordinators, appointment, duties — compensation.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.705. Program coordinators, appointment, duties — compensation. —
The director shall appoint an arthritis program coordinator to administer the state arthritis program. Compensation for this position shall be set by the director within the limit of the appropriation for that purpose.
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(L. 1984 H.B. 1028 § 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.707 - Arthritis advisory board established — members, terms, appointment, vacancies — meetings — chairman, term — duties, reports, reimbursement of expenses.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2018, 2 histories
192.707. Arthritis advisory board established — members, terms, appointment, vacancies — meetings — chairman, term — duties, reports, reimbursement of expenses. —
1. The "Missouri Arthritis Advisory Board" is established within the department of health and senior services, as a continuation of the arthritis advisory board in existence on August 13, 1984. The board shall consist of twenty-five members. The members of the board that are serving on August 13, 1984, shall continue until the expiration of this term. The board shall submit a list of names to the director as recommendations to fill expired terms on the board. The director shall fill each expired membership on the board, each of the appointees to serve for a term of four years and until his successor is appointed and confirmed. Vacancies on the board arising from reasons other than expiration of the member's term shall be filled by the director for the time remaining in the unexpired term.
2. The board shall meet semiannually and at other such times as called by the chairman of the board. The chairman shall be elected from the board membership at the first board meeting, and shall serve as chairman until a new chairman is elected, or until his term on the board expires, whichever occurs first.
3. The board shall serve in an advisory capacity to the committee, and report annually to the department and to the state board of health and senior services regarding the implementing of the statewide arthritis plan, making recommendations for necessary changes in content and direction.
4. The board shall be responsible for development and recommendations of guidelines for programs supported under the state arthritis program, and make recommendations on program relevance of grant applications funded under the state arthritis program. The board will make final recommendations to the director regarding programs and grants of the state arthritis program.
5. Any reimbursement of members of the board for their actual and necessary expenses shall be subject to appropriations.
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(L. 1984 H.B. 1028 § 4, A.L. 2002 H.B. 1953, A.L. 2018 S.B. 843)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.710 - Arthritis program review committee created — members — qualifications — appointment — term — vacancies — meetings — duties — executive administrator.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2018, 2 histories
192.710. Arthritis program review committee created — members — qualifications — appointment — term — vacancies — meetings — duties — executive administrator. —
1. The "Arthritis Program Review Committee" is hereby created within the department of health and senior services. This committee shall consist of fifteen members, two from each of the seven regions set forth in section 192.714 and one at-large member. The fourteen regional members shall be nominated to the committee by the board. The one at-large member shall be nominated by the state board of health and senior services. The members of the committee shall include at least one from each of the following categories: rheumatology educators, practicing rheumatologists, primary care practitioners, nurses, allied health professionals, arthritis patients, and members of the general public. Members of the committee shall be appointed by the director in consultation with the board of health and senior services. Of the fifteen initial members, five shall have a two-year term, five shall have a three-year term, and five shall have a four-year term. Thereafter, each member shall serve a four-year term and until his successor is appointed and confirmed. Vacancies on the committee arising from reasons other than expiration of the member's term shall be filled by the director for the time remaining in the unexpired term.
2. The committee shall meet annually and at other such times as called by the chairman of the committee. The chairman shall be elected annually from the committee membership at the first committee meeting and shall serve as chairman until a new chairman is elected, or until his term on the committee expires, whichever occurs first.
3. The committee shall review, make site visits and determine and make recommendations to the board on the merit of regional arthritis center applications. No program or other activity will be recommended for funding by the board without the favorable review of the committee.
4. The arthritis program coordinator shall serve the committee as its executive administrator.
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(L. 1984 H.B. 1028 § 5, A.L. 2018 S.B. 843)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.712 - Expenses of board and committee members to be paid, subject to appropriations.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2002
192.712. Expenses of board and committee members to be paid, subject to appropriations. —
Committee and board members shall serve without compensation, but their expenses incurred in carrying out their official duties shall, subject to appropriations, be reimbursed by the state.
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(L. 1984 H.B. 1028 § 6, A.L. 2002 H.B. 1953)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.714 - Regional arthritis centers to be established — purpose — regions designated.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.714. Regional arthritis centers to be established — purpose — regions designated. —
1. Beginning October 1, 1984, there shall be established within this state, and within the department of health and senior services, a network of regional arthritis centers designed to demonstrate and stimulate the prompt and effective application of available knowledge for the treatment of patients with arthritis and related musculoskeletal diseases, and to develop new knowledge essential for the control of these disorders.
2. The arthritis centers established pursuant to sections 192.700 to 192.727 shall operate programs in the area of education of patients, their families, and the public.
3. At least one regional arthritis center shall be established in each of the following seven regions, the boundaries of which shall be determined by the board:
(1) Greater St. Louis area;
(2) Southeast;
(3) Northeast;
(4) Central;
(5) Southwest;
(6) Northwest; and
(7) Greater Kansas City area.
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(L. 1984 H.B. 1028 § 7)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.716 - Centers to establish programs for education and improved patient care.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.716. Centers to establish programs for education and improved patient care. —
Beginning upon receipt of appropriations for that purpose and subject to the availability of appropriations, but not before October 1, 1984, the arthritis centers established pursuant to section 192.714 shall operate programs in the following areas:
(1) Education at all levels for various health professionals; and
(2) Improved patient care and other arthritis control activities aimed at benefitting communities served by the center.
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(L. 1984 H.B. 1028 § 8)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.718 - Fellowships to be granted in clinical rheumatology — candidates, how approved — amount.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.718. Fellowships to be granted in clinical rheumatology — candidates, how approved — amount. —
1. Beginning upon receipt of appropriations for that purpose and subject to the availability of appropriations, but not before October 1, 1984, each year the board may grant three one-year, state-supported clinical rheumatology fellowships which might include four to six months of a community-based experience in one or more of the regional arthritis centers and six to eight months at an academic institution in this state which is willing and qualified to train rheumatology fellows.
2. A candidate for a fellowship granted pursuant to this section shall be approved by the director, the board, the academic institution, and the regional arthritis center director.
3. Each fellowship granted pursuant to this section shall consist of an appropriate stipend and either adequate housing or a housing allowance in an amount to be determined by the board.
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(L. 1984 H.B. 1028 § 9)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.720 - Support for rheumatology trainees — amount — approval of candidates.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.720. Support for rheumatology trainees — amount — approval of candidates. —
1. Beginning upon receipt of appropriations for that purpose and subject to the availability of appropriations, but not before October 1, 1984, support shall be provided for three academic rheumatology trainees annually, for pursuit of training with academic institutions in the state.
2. Such support shall consist of an appropriate stipend and an additional budget for expenses for each trainee each year as recommended by the board.
3. A candidate for academic rheumatology training granted pursuant to this section shall be approved by the director, the board and the academic institution.
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(L. 1984 H.B. 1028 § 10)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.723 - Research feasibility studies to be carried out by regional centers.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.723. Research feasibility studies to be carried out by regional centers. —
Beginning upon receipt of appropriations for that purpose and subject to the availability of appropriations, but not before July 1, 1985, innovative research feasibility studies which cannot be funded by traditional mechanisms and which have significance for having impact on the state arthritis problem may be carried out by arthritis centers established pursuant to section 192.714.
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(L. 1984 H.B. 1028 § 11)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.725 - Arthritis information network to be established — staff.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1984
192.725. Arthritis information network to be established — staff. —
Beginning upon receipt of appropriations for that purpose and subject to the availability of appropriations, but not before July 1, 1985, a statewide "Arthritis Information Network" shall be established, consisting of a statewide WATS telephone system, staffed by volunteers insofar as possible.
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(L. 1984 H.B. 1028 § 12)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.735 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2011
192.735. Definitions. —
As used in sections 192.735 to 192.745, unless the context clearly indicates otherwise, the following terms shall mean:
(1)
"Brain injury"
or
"traumatic brain injury"
, a sudden insult or damage to the brain or its coverings, not of a degenerative nature. Such insult or damage may produce an altered state of consciousness and may result in a decrease of one or more of the following: mental, cognitive, behavioral or physical functioning resulting in partial or total disability. Cerebral vascular accidents, aneurisms and congenital deficits are specifically excluded from this definition;
(2)
"Department"
, the department of health and senior services;
(3)
"Spinal cord injury"
, an injury that occurs as a result of trauma, which may involve spinal vertebral fracture, and where the injured person suffers two or more of the following effects either immediately or within forty-eight hours of injury:
(a) Effects on the sensory system including numbness, tingling or loss of sensation in the body or in one or more extremities;
(b) Effects on the motor system including weakness or paralysis in one or more extremities;
(c) Effects on the visceral system including bowel or bladder dysfunction or hypotension.
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(L. 1986 H.B. 1243 § 1, A.L. 2011 H.B. 464)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.737 - Data analysis and needs assessment.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2016, 2 histories
192.737. Data analysis and needs assessment. —
The department of health and senior services shall use patient abstract data under section 192.667, the department's trauma registry, motor vehicle crash and outcome data, and other publicly available data sources to provide information and create reports for the purpose of data analysis and needs assessment of traumatic brain and spinal cord injured persons.
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(L. 1986 H.B. 1243 § 2, A.L. 2011 H.B. 464, Repealed L. 2016 S.B. 732 and A.L. 2016 S.B. 635)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.739 - Confidentiality of reports — release of reports, requirements.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2011
192.739. Confidentiality of reports — release of reports, requirements. —
1. All reports and records made pursuant to sections 192.735 to 192.744 and maintained by the department and other appropriate persons, officials and institutions pursuant to sections 192.735 to 192.744 shall be confidential. Information shall not be made available to any individual or institution except to:
(1) Appropriate staff of the department;
(2) Any person engaged in a bona fide research project, with the permission of the director of the department, except that no information identifying the subjects of the reports or the reporters shall be made available to researchers unless the department requests and receives consent for such release pursuant to the provisions of this section;
(3) The Missouri brain injury advisory council, except that no information identifying the subjects of the reports or the reporters shall be made available to the council unless consent for release is requested and received pursuant to the provisions of this section. Only information pertaining to brain injuries as defined in section 192.735 shall be released to the council.
2. The department shall not reveal the identity of a patient, a reporting physician or hospital, except that the identity of the patient may be released upon written consent of the patient, parent or guardian, the identity of the physician may be released upon written consent of the physician, and the identity of the hospital may be released upon written consent of the hospital.
3. The department shall request consent for release from a patient, a reporting physician or hospital only upon a showing by the applicant for such release that obtaining the identities of certain patients, physicians or hospitals is necessary for his research.
4. The department shall at least annually compile a report of the data accumulated through the reporting system established under section 192.737 and shall submit such data relating to brain injuries as defined in section 192.735 and in accordance with confidentiality restrictions established pursuant to sections 192.735 to 192.744 to the director of the Missouri brain injury advisory council.
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(L. 1986 H.B. 1243 § 3, A.L. 2011 H.B. 464)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.740 - No liability for furnishing required information, exception.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1986
192.740. No liability for furnishing required information, exception. —
No individual or organization providing information to the department in accordance with sections 192.735 to 192.744 shall be held liable in a civil or criminal action for divulging confidential information unless such individual or organization acted in bad faith or with malicious purpose.
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(L. 1986 H.B. 1243 § 4)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.742 - Promulgation of rules, authority for, consultation with council.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 2011
192.742. Promulgation of rules, authority for, consultation with council. —
The department, in consultation with the Missouri brain injury advisory council, shall promulgate rules and regulations necessary to carry out the provisions of sections 192.735 to 192.744, pursuant to the provisions of section 192.006 and chapter 536.
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(L. 1986 H.B. 1243 § 5, A.L. 1993 S.B. 52, A.L. 2011 H.B. 464)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.744 - Department examination or treatment of individual not intended — violations, penalty.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1986
192.744. Department examination or treatment of individual not intended — violations, penalty. —
1. Nothing in sections 192.735 to 192.744 shall be construed to compel any individual to submit to any medical or department of health and senior services examination, treatment or supervision of any kind.
2. Violation of any provisions of sections 192.735 to 192.739 shall be an infraction.
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(L. 1986 H.B. 1243 § 6)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.760 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1992
192.760. Definitions. —
As used in sections 192.760 and 192.762 and sections 208.175 and 208.176, the following terms mean:
(1)
"General license"
, a license, effective pursuant to rules promulgated by the department of health and senior services, without the filing of an application, to transfer, acquire, own, possess, or use quantities of, or devices or equipment utilizing, radioactive material;
(2)
"Ionizing radiation"
, gamma rays and X rays, alpha particles, beta particles, high-speed electrons, neutrons, protons, high-speed ions and other high-speed nuclear particles;
(3)
"Mammography"
, radiography of the breast for the purpose of enabling a physician to determine the presence, size, location and extent of cancerous or potentially cancerous tissue in the breast;
(4)
"Mammography authorization"
, authorization under section 208.176 to use a radiation machine for mammography;
(5)
"Mammography system"
, the radiation machine used for mammography; automatic exposure control devices; films, screens, and cassettes; image processor; darkroom; and view boxes;
(6)
"Person"
, any person, firm, partnership, limited partnership, corporation, association, institution, political subdivision or other organization;
(7)
"Radiation machine"
, a machine, other than those exempted by department rule, that emits ionizing radiation;
(8)
"Radiation physicist"
, a person who is certified by the American Board of Radiology in radiological physics or one of the specialties of radiological physics;
(9)
"Radioactive material"
, a solid, liquid, or gas which emits ionizing radiation spontaneously;
(10)
"Radiography"
, the making of a film or other record of an internal structure of the body by passing X rays or gamma rays through the body to act on film or other image receptor;
(11)
"Registration"
, registration of a source of ionizing radiation in writing with the department of health and senior services;
(12)
"Source of ionizing radiation"
, a device or material that emits ionizing radiation;
(13)
"Specific license"
, a license issued to use, manufacture, produce, transfer, receive, acquire, own, or possess quantities of, or devices or equipment utilizing, radioactive material.
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(L. 1992 S.B. 721 § 5)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.762 - Department to license materials used to perform mammography — minimum training and performance standards — rules, procedure, review.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1993
192.762. Department to license materials used to perform mammography — minimum training and performance standards — rules, procedure, review. —
1. The department of health and senior services shall promulgate rules providing for general or specific licenses or registration, or exemption from licensing or registration, for radioactive materials and other sources of ionizing radiation used to perform mammography, pursuant to the provisions of section 192.006 and chapter 536. The rules shall provide for amendment, suspension or revocation of licenses. In connection with those rules, the department of health and senior services may promulgate rules to establish requirements for record keeping, permissible levels of exposure, notification and reports of accidents, protective measures, technical qualifications of personnel, handling, transportation, interpretation, storage, waste disposal, posting and labeling of hazardous sources and areas, surveys and monitoring. The department shall promulgate rules and regulations specifying a patient notification/recall system when deficiencies are found in mammography. These rules and regulations shall be fairly consistent with recall criteria of national accrediting programs where available.
2. The rules promulgated pursuant to sections 192.760 to 192.766 shall not limit the intentional exposure of patients to radiation for the purpose of lawful therapy or research, as authorized by law.
3. The department of health and senior services shall promulgate rules specifying the minimum training and performance standards for an individual using a radiation machine for mammography as set forth in section 192.766.
4. In promulgating rules pursuant to sections 192.760 to 192.766, the department shall avoid requiring dual licensing, insofar as practical. Rules promulgated by the department may provide for recognition of other state or federal licenses as the department considers desirable, subject to registration requirements prescribed by the department.
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(L. 1992 S.B. 721 § 6, A.L. 1993 S.B. 52)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.764 - Schedule of fees to be established — nonrefundable fees — waiver of fees — mammography fund.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 28 Aug 1993
192.764. Schedule of fees to be established — nonrefundable fees — waiver of fees — mammography fund. —
1. The department of health and senior services shall promulgate rules to establish a schedule of fees to be paid by an applicant for a specific license for sources of ionizing radiation and the renewal of the specific license, or by a person possessing sources of ionizing radiation which are subject to registration pursuant to sections 192.760 to 192.766, pursuant to the provisions of section 192.006 and chapter 536. The department may accept a written certification from the licensee or registrant that the items of noncompliance have been corrected instead of a follow-up inspection. If the department does not inspect a source of ionizing radiation for a period of five consecutive years, the licensee or registrant of the source of ionizing radiation shall be excused from payment of further license or registration fees as to that source of ionizing radiation until the first license or registration renewal date following the time an inspection of the source of ionizing radiation is made.
2. Except as otherwise provided in subsection 3 of this section, the department of health and senior services shall assess the following nonrefundable fees in connection with mammography authorization:
(1)
Initial inspection, per radiation machine
$100.00
(2)
Annual inspection, per radiation machine
$100.00
(3)
Reinspection for reinstatement of mammography authorization, per radiation machine
$100.00
(4)
Department evaluation of compliance with subdivision (1) of subsection 2 of section 192.762, first radiation machine
$500.00
(5)
Each additional radiation machine
$400.00
3. If an applicant for mammography authorization submits an accreditation certificate issued by the American College of Radiology that evidences compliance with subdivision (1) of subsection 2 of section 192.766, the department shall waive the fee under subsection 2 of this section for department evaluation of compliance with that provision.
4. All fees provided for in this section shall be collected by the director of the department of health and senior services who shall deposit the same with the state treasurer in a fund to be known as the "Mammography Fund". The provisions of section 33.080 to the contrary notwithstanding, money in this fund shall not be transferred and placed to the credit of general revenue at the end of the biennium, but shall be used, upon appropriation by the general assembly, for the sole purpose of carrying out the provisions of sections 192.760 to 192.766.
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(L. 1992 S.B. 721 § 7, A.L. 1993 S.B. 52)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.769 - Notice to patients upon completion of a mammogram — effective date.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
Effective - 28 Aug 2014
192.769. Notice to patients upon completion of a mammogram — effective date. —
1. On completion of a mammogram, a mammography facility certified by the United States Food and Drug Administration (FDA) or by a certification agency approved by the FDA shall provide to the patient the following notice:
"If your mammogram demonstrates that you have dense breast tissue, which could hide abnormalities, and you have other risk factors for breast cancer that have been identified, you might benefit from supplemental screening tests that may be suggested by your ordering physician. Dense breast tissue, in and of itself, is a relatively common condition. Therefore, this information is not provided to cause undue concern, but rather to raise your awareness and to promote discussion with your physician regarding the presence of other risk factors, in addition to dense breast tissue. A report of your mammography results will be sent to you and your physician. You should contact your physician if you have any questions or concerns regarding this report.".
2. Nothing in this section shall be construed to create a duty of care beyond the duty to provide notice as set forth in this section.
3. The information required by this section or evidence that a person violated this section is not admissible in a civil, judicial, or administrative proceeding.
4. A mammography facility is not required to comply with the requirements of this section until January 1, 2015.
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(L. 2014 S.B. 639 merged with S.B. 754)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.775 - Physician referral not required for screening mammogram, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
Effective - 28 Aug 2023
192.775. Physician referral not required for screening mammogram, when. —
A mammography facility certified by the United States Food and Drug Administration (FDA) or by a certification agency approved by the FDA shall not require any person to obtain a referral from a primary care provider or other physician in order to receive a screening mammogram at the facility if providing the mammogram for the person is consistent with the recommendations in the most current breast cancer screening guidelines established by the American College of Radiology.
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(L. 2023 S.B. 106)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.895 - Covid-19 tests, no cost, when — department duties — use of federal funds — no reduction in health insurance coverage, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
Effective - 13 Jul 2020, see footnote
192.895. Covid-19 tests, no cost, when — department duties — use of federal funds — no reduction in health insurance coverage, when. —
1. Subject to appropriation, any Missouri resident whose health care provider recommends that he or she receive an active COVID-19 test shall receive such test and the results of the test at no cost. The department of health and senior services shall be authorized to utilize available federal funds to pay for the portion of the expense of such test and resulting analysis that is not covered by the resident's health insurance provider, provided that such expenses do not exceed one hundred fifty dollars per test.
2. A health insurance provider shall not reduce a Missouri resident's health insurance coverage that is related to the testing for severe acute respiratory syndrome coronavirus 2 during a state of emergency declared by the governor. The provisions of this subsection shall not apply to any reduction in health insurance coverage that is a result of nonpayment of premiums.
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(L. 2020 H.B. 1682 § 1)
Effective 7-13-20
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.900 - Missouri public health services fund, established, purposes.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
• Effective - 29 Jun 2005, see footnote
192.900. Missouri public health services fund, established, purposes. —
The "Missouri Public Health Services Fund" is hereby created. All moneys deposited in the Missouri public health services fund, subject to appropriation, shall be used for public health purposes, including the contracting for the accomplishment of such purposes by local health departments. Notwithstanding the provisions of section 33.080, moneys in the fund shall not lapse to the credit of general revenue at the end of the biennium. Any interest earned on the fund shall accrue to the fund.
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(L. 1992 H.B. 894 merged with H.B. 995, A.L. 2005 S.B. 74 & 49)
Effective 6-29-05
CROSS REFERENCE:
Moneys are deposited in the fund pursuant to the provisions of sections 191.331, 192.068, 193.265, 701.040, 701.046, 701.049, 701.051, and 701.052
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.915 - Over-the-counter weight loss pills, education and awareness program established — strategies — rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
Effective - 28 Aug 2016, 2 histories
192.915. Over-the-counter weight loss pills, education and awareness program established — strategies — rulemaking authority. —
1. To increase awareness of the risks associated with use of over-the-counter weight loss pills by persons under the age of eighteen, the department of health and senior services shall implement an education and awareness program. Such program shall provide accurate information regarding weight loss and the dangers of using over-the-counter weight loss pills by the teenage population without the consultation of a licensed physician. Such program shall focus on education and awareness programs for teenagers, parents, siblings and other family members of teenagers, teachers, school counselors, superintendents and principals.
2. The department of health and senior services may use the following strategies for raising public awareness of the risks associated with use of over-the-counter weight loss pills by persons under the age of eighteen:
(1) An outreach campaign utilizing print, radio, and television public service announcements, advertisements, posters, and other materials;
(2) Community forums; and
(3) Health information and risk-factor assessment at public events.
3. The department of elementary and secondary education, in conjunction with the department of health and senior services, shall distribute information pursuant to this program.
4. The department may promulgate rules and regulations to implement the provisions of this section. No rule or portion of a rule promulgated pursuant to the authority of this section shall become effective unless it has been promulgated pursuant to chapter 536.
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(L. 1999 S.B. 8 & 173 § 7, A.L. 2016 H.B. 2428)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 192 - Department of Health and Senior Services › Section 192.925 - Awareness program established — focus of program — cooperation with department of social services, distribution of program information.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 192
Effective - 28 Aug 2009
192.925. Awareness program established — focus of program — cooperation with department of social services, distribution of program information. —
1. To increase public awareness of the problem of elder abuse and neglect and financial exploitation of the elderly, the department of health and senior services shall implement an education and awareness program. Such program shall have the goal of reducing the incidences of elder abuse and neglect and financial exploitation of the elderly, and may focus on:
(1) The education and awareness of mandatory reporters on their responsibility to report elder abuse and neglect and financial exploitation of the elderly;
(2) Targeted education and awareness for the public on the problem, identification and reporting of elder abuse and neglect and financial exploitation of the elderly;
(3) Publicizing the elder abuse and neglect hotline telephone number;
(4) Education and awareness for law enforcement agencies and prosecutors on the problem and identification of elder abuse and neglect and financial exploitation of the elderly, and the importance of prosecuting cases pursuant to chapter 565; and
(5) Publicizing the availability of background checks prior to hiring an individual for caregiving purposes.
2. The department of social services and facilities licensed pursuant to chapters 197 and 198 shall cooperate fully with the department of health and senior services in the distribution of information pursuant to this program.
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(L. 1999 H.B. 316, et al. § 1 merged with S.B. 8 & 173 § 1, A.L. 2009 H.B. 62)