reglab/statecodes huggingface dataset:
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.173 - Confidentiality of information.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2018, 2 histories
190.173. Confidentiality of information. —
1. All complaints, investigatory reports, and information pertaining to any applicant, holder of any certificate, permit, or license, or other individual are confidential and shall only be disclosed upon written consent of the person whose records are involved or to other administrative or law enforcement agencies acting within the scope of their statutory authority. However, no applicant, holder of any certificate, permit, or license, or other individual shall have access to any complaints, investigatory reports, or information concerning an investigation in progress until such time as the investigation has been completed as required by subsection 1 of section 190.248.
2. Any information regarding the identity, name, address, license, final disciplinary action taken, currency of the license, permit, or certificate of an applicant for or a person possessing a license, permit, or certificate in accordance with sections 190.100 to 190.245 shall not be confidential.
3. Any information regarding the physical address, mailing address, phone number, fax number, or email address of a licensed ambulance service or a certified training entity, including the name of the medical director and organizational contact information, shall not be confidential.
4. This section shall not be construed to authorize the release of records, reports, or other information which may be held in department files for any holder of or applicant for any certificate, permit, or license that is subject to other specific state or federal laws concerning their disclosure.
5. Nothing in this section shall prohibit the department from releasing aggregate information in accordance with section 192.067.
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(L. 2016 S.B. 732, A.L. 2018 H.B. 1355 merged with S.B. 870)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.175 - Records to be maintained by licensee.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.175. Records to be maintained by licensee. —
1. Each ambulance service licensee or emergency medical response agency licensee shall maintain accurate records, which contain information concerning the care and, if applicable, the transportation of each patient.
2. Records will be retained by the ambulance service licensees and emergency medical response agency licensees for five years, readily available for inspection by the department, notwithstanding transfer, sale or discontinuance of the ambulance services or business.
3. A patient care report, approved by the department, shall be completed for each ambulance run on which are entered pertinent remarks by the emergency medical technician, registered nurse or physician and such other items as specified by rules promulgated by the department.
4. A written or electronic patient care document shall be completed and given to the ambulance service personnel by the health care facility when a patient is transferred between health care facilities. Such patient care record shall contain such information pertinent to the continued care of the patient as well as the health and safety of the ambulance service personnel during the transport. Nothing in this section shall be construed as to limit the reporting requirements established in federal law relating to the transfer of patients between health care facilities.
5. Such records shall be available for inspection by the department at any reasonable time during business hours.
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(L. 1973 S.B. 57 § 16, A.L. 1998 S.B. 743, A.L. 2002 S.B. 1107)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.176 - Data collection system.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2022, 3 histories
190.176. Data collection system. —
1. The department shall develop and administer a uniform data collection system on all ambulance runs and injured patients, pursuant to rules promulgated by the department for the purpose of injury etiology, patient care outcome, injury and disease prevention and research purposes. The department shall not require disclosure by hospitals of data elements pursuant to this section unless those data elements are required by a federal agency or were submitted to the department as of January 1, 1998, pursuant to:
(1) Departmental regulation of trauma centers; or
(2) Abstracts of inpatient hospital data; or
(3) If such data elements are requested by a lawful subpoena or subpoena duces tecum.
2. All information and documents in any civil action, otherwise discoverable, may be obtained from any person or entity providing information pursuant to the provisions of sections 190.001 to 190.245.
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(L. 1998 S.B. 743, A.L. 2008 H.B. 1790, A.L. 2011 H.B. 464, A.L. 2022 H.B. 2331)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.180 - Penalty for violation.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1998
190.180. Penalty for violation. —
1. Any person violating, or failing to comply with, the provisions of sections 190.001 to 190.245 is guilty of a class B misdemeanor.
2. Each day that any violation of, or failure to comply with, sections 190.001 to 190.245 is committed or permitted to continue shall constitute a separate and distinct offense and shall be punishable as such hereunder; but the court may, in appropriate cases, stay the cumulation of penalties.
3. The attorney general of Missouri shall have concurrent jurisdiction with any and all prosecuting attorneys to prosecute persons in violation of sections 190.001 to 190.245, and the attorney general or prosecuting attorney may institute injunctive proceedings against any person operating in violation of sections 190.001 to 190.245.
4. The prosecuting attorney for the county in which the violation of a political subdivision's law, ordinance or regulation relating to the provision of ambulance services occurs may prosecute such violations in the circuit court of that county. The legal officer or attorney for the political subdivision may be appointed by the prosecuting attorney as special assistant prosecuting attorney for the prosecution of any such violation.
5. A person, acting as owner, agent or otherwise, who holds a valid license for an ambulance service, shall not, incident to such person's business or service of transporting patients, violate any applicable law, ordinance or regulation of any political subdivision by providing ambulance services or operating any ambulances without a franchise, contract or mutual-aid agreement in such political subdivision, or by violating any such franchise, contract or mutual-aid agreement by any political subdivision which has enacted ordinances making it unlawful to do so. If the department receives official written notification by a political subdivision that an ambulance service has been adjudicated and found to be in violation of any applicable law or ordinance, such ambulance service shall be subject to licensure action by the department.
6. No provision of this section is intended to limit or supersede a political subdivision's right to enforce any law, ordinance, regulation, franchise, contract or mutual-aid agreement.
7. The provisions of subsections 4, 5 and 6 of this section shall not apply to a city not within a county and any county with a population of over nine hundred thousand inhabitants and any licensed ambulance service when operating in a city not within a county.
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(L. 1973 S.B. 57 § 17, A.L. 1998 S.B. 743)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.185 - Rules and regulations, department to adopt — procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.185. Rules and regulations, department to adopt — procedure. —
The department shall adopt, amend, promulgate, and enforce such rules, regulations and standards with respect to the provisions of this chapter as may be designed to further the accomplishment of the purpose of this law in promoting state-of-the-art emergency medical services in the interest of public health, safety and welfare. When promulgating such rules and regulations, the department shall consider the recommendations of the state advisory council on emergency medical services. Any rule or portion of a rule promulgated pursuant to the authority of sections 190.001 to 190.245 or sections 190.525 to 190.537 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 pursuant to 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, 2002, shall be invalid and void.
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(L. 1973 S.B. 57 § 18, A.L. 1989 S.B. 337, A.L. 1993 S.B. 52, A.L. 1995 S.B. 3, A.L. 1998 S.B. 743, A.L. 2002 S.B. 1107)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.190 - Time to comply granted existing equipment and personnel.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1998
190.190. Time to comply granted existing equipment and personnel. —
1. All ambulance vehicles or aircraft that have or are qualified to have a valid license issued by the department on the day that sections 190.001 to 190.245 take effect will have their ambulance vehicle or aircraft license expiration date extended to a date that is one year after the effective date of sections 190.001 to 190.245.
2. All ambulance services shall have until August 28, 1999, to comply with the provisions of sections 190.001 to 190.245 and rules developed pursuant to sections 190.001 to 190.245. Pursuant to sections 190.001 to 190.245 the department may adjust the initial period of licensure, from one year to five years, of any ambulance service licensed pursuant to sections 190.001 to 190.245, to equalize the number of licenses that may be renewed during each year of any five-year licensure period.
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(L. 1973 S.B. 57 § 19, A.L. 1998 S.B. 743)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.196 - Employer to comply with requirements of licensure — report of charges filed against licensee, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2020, 4 histories
190.196. Employer to comply with requirements of licensure — report of charges filed against licensee, when. —
1. No employer shall knowingly employ or permit any employee to perform any services for which a license, certificate or other authorization is required by sections 190.001 to 190.245, or by rules adopted pursuant to sections 190.001 to 190.245, unless and until the person so employed possesses all licenses, certificates or authorizations that are required.
2. Any person or entity that employs or supervises a person's activities as an emergency medical responder, emergency medical dispatcher, emergency medical technician, registered nurse, physician assistant, or physician shall cooperate with the department's efforts to monitor and enforce compliance by those individuals subject to the requirements of sections 190.001 to 190.245.
3. Any person or entity who employs individuals licensed by the department pursuant to sections 190.001 to 190.245 shall report to the department within seventy-two hours of their having knowledge of any charges filed against a licensee in their employ for possible criminal action involving the following felony offenses:
(1) Child abuse or sexual abuse of a child;
(2) Crimes of violence; or
(3) Rape or sexual abuse.
4. Any licensee who has charges filed against him or her for the felony offenses in subsection 3 of this section shall report such an occurrence to the department within seventy-two hours of the charges being filed.
5. The department will monitor these reports for possible licensure action authorized pursuant to section 190.165.
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(L. 1998 S.B. 743, A.L. 2002 S.B. 1107, A.L. 2010 H.B. 1977, A.L. 2018 H.B. 1355 merged with S.B. 870, A.L. 2020 H.B. 1682 merged with H.B. 2046)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.205 - Insurers' duties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 1998
190.205. Insurers' duties. —
1. Health carriers and managed care plans shall pay benefits directly to ambulance services or emergency medical response agencies.
2. Health carriers and managed care plans shall not prohibit or discourage the use of the 911 system when emergency services are needed as defined in section 190.100.
3. If a request for emergency services is made to an ambulance service which is not the 911 provider or the recognized emergency provider in areas not covered by 911 ambulance services, then the 911 provider or the recognized emergency provider shall be notified immediately by the ambulance service receiving the request.
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(L. 1998 S.B. 743)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.240 - At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2016
190.240. At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when. —
1. Any hospital, as such term is defined in section 197.020, or any nursing home facility licensed under chapter 198 shall have policies and procedures that require the hospital or facility to give advance notification to emergency medical services personnel prior to the transportation of any at-risk behavioral health patient.
2. Any emergency medical services personnel licensed under this chapter who conduct interfacility transfers of at-risk behavioral health patients may be properly trained as determined by the medical director for the ambulance services or emergency medical response agency as required under section 190.103, with regard to proper restraining procedures and nonmedical management techniques, such as verbal de-escalation techniques, to handle such patients before their transportation.
3. Any physician treating an at-risk behavioral patient in an emergency situation who, after assessing the patient, determines that there is reasonable cause to believe there is a likelihood that the patient may cause an imminent serious harm to himself, herself, or others unless the patient is immediately transported to another appropriate facility may, upon initiation as soon as possible by either the sending facility or the receiving facility, place the patient on a temporary involuntary hold for a period of time necessary to effectuate the patient's transport. The provisions of section 632.440 shall apply to such physicians. During the transport, the emergency medical services personnel may rely on the physician's hold order as a basis for implied consent to treat and transport the patient and shall not be liable for any claims of negligence, false imprisonment, or invasion of privacy based on such temporary hold, treatment, or transport of the patient.
4. Nothing in this section shall be construed to limit the patient's rights under the federal Mental Health Patient's Bill of Rights under 42 U.S.C. Section 9501(1)(A) and (F).
5. For the purposes of this section,
"at-risk behavioral health patient"
shall mean any patient who displays violent, homicidal, or suicidal ideation or behavior.
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(L. 2016 S.B. 732)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.242 - Emergency medical services data, hospitals not required to obtain, when — trauma, STEMI, and stroke center regulations, interpretation of, hospitals not required to comply with, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2017
190.242. Emergency medical services data, hospitals not required to obtain, when — trauma, STEMI, and stroke center regulations, interpretation of, hospitals not required to comply with, when. —
1. In order to ensure that hospitals can be free from excessive regulation that increases health care costs without increasing patient safety, any rules and regulations promulgated by the department of health and senior services under section
*
190.185, 190.241, or 192.006; chapter 197; or any other provision of Missouri law shall not require hospitals, as a condition of designation under section 190.241, to obtain emergency medical services data under section 190.241, unless such data may be obtained from the state database for emergency medical services. The provisions of this subsection shall not be construed to limit in any way the requirements of any person or entity to submit emergency medical services data to any person or entity.
2. A hospital shall not be required to comply with an interpretation of a specific provision in any regulation concerning trauma, STEMI, or stroke centers if such hospital can demonstrate that the specific provision in the regulation has been interpreted differently for a similarly situated hospital. The department may require compliance if the specific provision in the regulation has been subsequently interpreted consistently for similarly situated hospitals.
3. The department shall attend meetings with trauma, STEMI, and stroke centers for the benefit of improved communication, best-practice identification, and facilitation of improvements to the designation process.
4. As used in this section, the term "hospital" shall have the same meaning as in section 197.020.
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(L. 2017 S.B. 50)
*Word "sections" appears in original rolls.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.243 - Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2022, 2 histories
190.243. Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized. —
1. Severely injured patients shall be transported to a trauma center. Patients who suffer a STEMI, as defined in section 190.100, shall be transported to a STEMI center. Patients who suffer a stroke, as defined in section 190.100, shall be transported to a stroke center.
2. A physician, physician assistant, or registered nurse authorized by a physician who has established verbal communication with ambulance personnel shall instruct the ambulance personnel to transport a severely ill or injured patient to the closest hospital or designated trauma, STEMI, or stroke center, as determined according to estimated transport time whether by ground ambulance or air ambulance, in accordance with transport protocol approved by the medical director and the department of health and senior services, even when the hospital is located outside of the ambulance service's primary service area. When initial transport from the scene of illness or injury to a trauma, STEMI, or stroke center would be prolonged, the STEMI, stroke, or severely injured patient may be transported to the nearest appropriate facility for stabilization prior to transport to a trauma, STEMI, or stroke center.
3. Transport of the STEMI, stroke, or severely injured patient shall be governed by principles of timely and medically appropriate care; consideration of reimbursement mechanisms shall not supersede those principles.
4. Patients who do not meet the criteria for direct transport to a trauma, STEMI, or stroke center shall be transported to and cared for at the hospital of their choice so long as such ambulance service is not in violation of local protocols.
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(L. 1987 S.B. 31 & 29 § 5, A.L. 1998 S.B. 743, A.L. 2008 H.B. 1790, A.L. 2022 H.B. 2331)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.245 - Medical records and quality improvement documentation, penalty for failure to provide, purpose for use, names not to be released.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2022, 2 histories
190.245. Medical records and quality improvement documentation, penalty for failure to provide, purpose for use, names not to be released. —
Failure of a hospital to provide all medical records and quality improvement documentation necessary for the department to implement provisions of sections 190.241 to 190.245 shall result in the revocation of the hospital's designation as a trauma center, STEMI center, or stroke center. Any medical records obtained by the department shall be used only for purposes of implementing the provisions of sections 190.241 to 190.245 and the names of hospitals, physicians and patients shall not be released by the department or members of review teams.
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(L. 1987 S.B. 31 & 29 § 6, A.L. 1998 S.B. 743, A.L. 2008 H.B. 1790, A.L. 2022 H.B. 2331)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.246 - Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2018, 2 histories
190.246. Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty. —
1. As used in this section, the following terms shall mean:
(1)
"Eligible person, firm, organization or other entity"
, an ambulance service or emergency medical response agency, an emergency medical responder, or an emergency medical technician who is employed by, or an enrolled member, person, firm, organization or entity designated by, rule of the department of health and senior services in consultation with other appropriate agencies. All such eligible persons, firms, organizations or other entities shall be subject to the rules promulgated by the director of the department of health and senior services;
(2)
"Emergency health care provider"
:
(a) A physician licensed pursuant to chapter 334 with knowledge and experience in the delivery of emergency care; or
(b) A hospital licensed pursuant to chapter 197 that provides emergency care.
2. Possession and use of epinephrine auto-injector devices shall be limited as follows:
(1) No person shall use an epinephrine auto-injector device unless such person has successfully completed a training course in the use of epinephrine auto-injector devices approved by the director of the department of health and senior services. Nothing in this section shall prohibit the use of an epinephrine auto-injector device:
(a) By a health care professional licensed or certified by this state who is acting within the scope of his or her practice; or
(b) By a person acting pursuant to a lawful prescription;
(2) Every person, firm, organization and entity authorized to possess and use epinephrine auto-injector devices pursuant to this section shall use, maintain and dispose of such devices in accordance with the rules of the department;
(3) Every use of an epinephrine auto-injector device pursuant to this section shall immediately be reported to the emergency health care provider.
3. (1) Use of an epinephrine auto-injector device pursuant to this section shall be considered first aid or emergency treatment for the purpose of any law relating to liability.
(2) Purchase, acquisition, possession or use of an epinephrine auto-injector device pursuant to this section shall not constitute the unlawful practice of medicine or the unlawful practice of a profession.
(3) Any person otherwise authorized to sell or provide an epinephrine auto-injector device may sell or provide it to a person authorized to possess it pursuant to this section.
4. Any person, firm, organization or entity that violates the provisions of this section is guilty of a class B misdemeanor.
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(L. 2002 S.B. 1107, A.L. 2018 H.B. 1355 merged with S.B. 870)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.248 - Investigations of allegations of violations, completed when — access to records.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.248. Investigations of allegations of violations, completed when — access to records. —
1. All investigations conducted in response to allegations of violations of sections 190.001 to 190.245 shall be completed within six months of receipt of the allegation.
2. In the course of an investigation the department shall have access to all records directly related to the alleged violations from persons or entities licensed pursuant to this chapter or chapter 197 or 198.
3. Any department investigations that involve other administrative or law enforcement agencies shall be completed within six months of notification and final determination by such administrative or law enforcement agencies.
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(L. 2002 S.B. 1107)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.250 - Ambulance services to have same statutory lien rights as hospitals — recovery of lien, net proceeds to be shared with patient, when — release of claimant from liability, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2002
190.250. Ambulance services to have same statutory lien rights as hospitals — recovery of lien, net proceeds to be shared with patient, when — release of claimant from liability, when. —
1. As used in this section, the following terms mean:
(1)
"Claim"
, a claim of a patient for:
(a) Damages from a tort-feasor; or
(b) Benefits from an insurance carrier;
(2)
"Insurance carrier"
, any person, firm, corporation, association or aggregation of persons conducting an insurance business pursuant to chapter 375, 376, 377, 378, 379, 380, 381, or 383;
(3)
"Patient"
, any person to whom an ambulance service delivers treatment, care, or transportation for sickness or injury caused by a tort-feasor from whom such person seeks damages or any insurance carrier which has insured such tort-feasor.
2. Ambulance services shall have the same rights granted to hospitals in sections 430.230 to 430.250.
3. If the liens of such ambulance services or hospitals exceed fifty percent of the amount due the patient, every ambulance service or hospital giving notice of its lien, as aforesaid, shall share in up to fifty percent of the net proceeds due the patient, in the proportion that each claim bears to the total amount of all other liens of ambulance services or hospitals.
"Net proceeds"
, as used in this section, means the amount remaining after the payment of contractual attorney fees, if any, and other expenses of recovery.
4. In administering the lien of the ambulance service, the insurance carrier may pay the amount due secured by the lien of the ambulance service directly, if the claimant authorizes it and does not challenge the amount of the customary charges or that the treatment provided was for injuries caused by the tort-feasor.
5. Any ambulance service electing to receive benefits hereunder releases the claimant from further liability on the cost of the services and treatment provided to that point in time.
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(L. 2002 S.B. 1107 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.255 - Opioid overdose drugs and devices, first responder may administer, when — definition.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
Effective - 28 Aug 2023, 2 histories
190.255. Opioid overdose drugs and devices, first responder may administer, when — definition. —
1. Any qualified first responder may obtain and administer naloxone, or any other drug or device approved by the United States Food and Drug Administration, that blocks the effects of an opioid overdose and is administered in a manner approved by the United States Food and Drug Administration to a person suffering from an apparent narcotic or opiate-related overdose in order to revive the person.
2. Any licensed drug distributor or pharmacy in Missouri may sell naloxone, or any other drug or device approved by the United States Food and Drug Administration, that blocks the effects of an opioid overdose and is administered in a manner approved by the United States Food and Drug Administration to qualified first responder agencies to allow the agency to stock naloxone or other such drugs or devices for the administration of such drug or device to persons suffering from an apparent narcotic or opiate overdose in order to revive the person.
3. For the purposes of this section,
"qualified first responder"
shall mean any fire department personnel, fire district personnel, or licensed emergency medical technician who is acting under the directives and established protocols of a medical director of a local licensed ground ambulance service licensed under section 190.109, or any state or local law enforcement agency staff member, who comes in contact with a person suffering from an apparent narcotic or opiate-related overdose and who has received training in recognizing and responding to a narcotic or opiate overdose and the administration of naloxone, or any other drug or device approved by the United States Food and Drug Administration, that blocks the effects of an opioid overdose and is administered in a manner approved by the United States Food and Drug Administration to a person suffering from an apparent narcotic or opiate-related overdose.
"Qualified first responder agencies"
shall mean any state or local law enforcement agency, fire department, or ambulance service that provides documented training to its staff related to the administration of naloxone or other such drugs or devices in an apparent narcotic or opiate overdose situation.
4. A qualified first responder shall only administer naloxone, or any other drug or device approved by the United States Food and Drug Administration, that blocks the effects of an opioid overdose and is administered in a manner approved by the United States Food and Drug Administration by such means as the qualified first responder has received training for the administration of naloxone or other such drugs or devices.
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(L. 2014 H.B. 2040, A.L. 2023 S.B. 24 merged with S.B. 45 & 90 merged with S.B. 70 merged with S.B. 157 merged with S.B. 186)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.260 - Citation — definitions — training for broadcast engineers and technical personnel — credentialing — access to disaster areas.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
Effective - 28 Aug 2016
190.260. Citation — definitions — training for broadcast engineers and technical personnel — credentialing — access to disaster areas. —
1. This section shall be known and may be cited as the "First Informer Broadcasters Act".
2. As used in this section, the following terms shall mean:
(1)
"Broadcaster"
, a radio broadcasting station or television broadcasting station licensed by the Federal Communications Commission and subject to participation in the Emergency Alert System (EAS), which is primarily engaged in and deriving income from the business of facilitating speech via over-the-air-communications, both as pure speech and commercial speech;
(2)
"First informer broadcaster"
, a person who has been certified as a first informer broadcaster under this section.
3. The department of public safety, in cooperation with any statewide organization or any member of a statewide organization that represents broadcasters, shall establish a program for training and certifying broadcast engineers and technical personnel as first informer broadcasters. Upon completion of the program, broadcasters shall receive statewide recognized credentials to certify that such broadcasters are first informer broadcasters. The program established under this section shall provide training and education concerning:
(1) The restoration, repair, and resupply of any facilities and equipment of a broadcaster in an area affected by an emergency or disaster; and
(2) The personal safety of a first informer broadcaster in an area affected by an emergency or disaster.
4. To the extent practicable and consistent with not endangering public safety or inhibiting recovery efforts, state and local governmental agencies shall allow first informer broadcasters access to areas affected by an emergency or disaster for the purposes of restoring, repairing, or resupplying any facility or equipment critical to the ability of a broadcaster to acquire, produce, and transmit essential emergency or disaster-related public information programming including, without limitation, repairing and maintaining transmitters and generators, and transporting fuel for generators.
5. The statewide association involved in establishing a program in accordance with this section shall pay the costs of developing and implementing the training program.
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(L. 2016 S.B. 732)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.265 - Helipads, hospitals not required to have fencing or barriers.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
Effective - 05 Jul 2016, see footnote
190.265. Helipads, hospitals not required to have fencing or barriers. —
1. In order to ensure that the skids of a helicopter do not get caught in a fence or other barriers and cause a potentially catastrophic outcome, any rules and regulations promulgated by the department of health and senior services pursuant to sections 190.185, 190.241, and 192.006, chapter 197, or any other provision of Missouri law shall not require hospitals to have a fence, or other barriers, around such hospital's helipad. Any regulation requiring fencing, or other barriers, or any interpretation of such regulation shall be null and void.
2. In addition to the prohibition in subsection 1 of this section, the department shall not promulgate any rules and regulations with respect to the operation or construction of a helipad located at a hospital.
3. Hospitals shall ensure that helipads are free of obstruction and safe for use by a helicopter while on the ground, during approach, and takeoff.
4. As used in this section, the term "hospital" shall have the same meaning as in section 197.020.
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(L. 2016 S.B. 635 merged with S.B. 732 merged with S.B. 988)
Effective 7-05-16 (S.B. 988); 8-28-16 (S.B. 732); 8-28-16 (S.B. 635)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.270 - Citation of law.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2014
190.270. Citation of law. —
Sections 190.270 to 190.285 shall be known and may be cited as the "Facilitating Business Rapid Response to State-Declared Disasters Act".
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(L. 2014 H.B. 1190)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.275 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2014
190.275. Definitions. —
As used in sections 190.270 to 190.285, unless the context clearly indicates otherwise, the following terms shall mean:
(1)
"Declared state disaster"
or
"emergency"
, a disaster or emergency event for which a governor's state of emergency proclamation has been issued or that the President of the United States has declared to be a major disaster or emergency;
(2)
"Disaster period"
, the period of time that begins ten days before the governor's proclamation of a state of emergency or the declaration by the President of the United States of a major disaster or emergency, whichever occurs first, and extending for a period of sixty calendar days following the end of the period specified in the proclamation or declaration or sixty calendar days from the proclamation or declaration if no end is provided. The governor may extend the disaster period as warranted;
(3)
"Infrastructure"
, property and equipment owned or used by a public utility, communications network, broadband and internet service provider, cable and video service provider, gas distribution system, or water pipeline that provides service to more than one customer or person, including related support facilities. Infrastructure includes real and personal property such as buildings, offices, power lines, cable lines, poles, communication lines, pipes, structures, and equipment;
*
(4)
"Out-of-state business"
, a business entity:
(a) That does not have a presence in the state;
(b) That does not conduct business in the state;
(c) That has no registrations, tax filings, or nexus in the state before the declared disaster or emergency; and
(d) Whose assistance in repairing, renovating, installing, or building infrastructure related to a declared state disaster or emergency is requested by the state, a county, city, town, or other political subdivision of the state or a registered business that owns or uses infrastructure as defined in this section.
­­Out-of-state business includes a business entity that is affiliated with a registered business solely through common ownership as long as that business entity does not have any registrations, tax filings, or nexus in the state before the declared state disaster or emergency. For purposes of this section, a prior registration as an out-of-state business for a declared disaster or emergency shall not be considered a registration in this state;
(5)
"Out-of-state employee"
, an individual who does not work in the state except for disaster or emergency-related work during a disaster period;
(6)
"Registered business"
, a business entity that is registered or licensed to do business in the state before the declared state disaster or emergency.
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(L. 2014 H.B. 1190)
*Word "and" appears here in original rolls.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.280 - Out-of-state businesses not subject to certain state or local requirements — out-of-state employee not a resident for tax purposes — limitations.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2014
190.280. Out-of-state businesses not subject to certain state or local requirements — out-of-state employee not a resident for tax purposes — limitations. —
1. An out-of-state business that conducts operations within the state for purposes of assisting in repairing, renovating, installing, or building infrastructure related to a declared state disaster or emergency during the disaster period shall not be considered to have established a level of presence that would subject the business or any of its out-of-state employees to any of the following state or local employment, licensing, or registration requirements:
(1) Except as set forth in section 190.285, registration with the secretary of state;
(2) Withholding or income tax registration, filing, or remitting requirements; and
(3) Use tax on equipment used or consumed during the disaster period if such equipment does not remain in the state after the disaster period.
2. An out-of-state employee shall not be considered to have established residency or a presence in the state that would require that person or that person's employer to file and pay income taxes, to be subjected to tax withholdings, or to file and pay any other state or local income or withholding tax or fee for work repairing, renovating, installing, or building infrastructure during the disaster period.
3. After the conclusion of a disaster period, an out-of-state business or out-of-state employee that remains in the state is fully subject to the state or local employment, licensing, or registration requirements listed in this section or that were otherwise suspended under sections 190.270 to 190.285 during the disaster period.
­­--------
(L. 2014 H.B. 1190)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.285 - Notification to secretary of state by out-of-state business required, when, content — information provided to department of revenue, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2014
190.285. Notification to secretary of state by out-of-state business required, when, content — information provided to department of revenue, when. —
1. An out-of-state business shall provide notification to the secretary of state within ten days after entry to the state during a disaster period that the out-of-state business is in the state for purposes of responding to the declared state disaster or emergency. The out-of-state business shall provide to the secretary of state information related to the out-of-state business including, but not limited to, the following:
(1) Name;
(2) State of domicile;
(3) Principal business address;
(4) Federal employer identification number;
(5) The date when the out-of-state business entered the state; and
(6) Contact information while the out-of-state business is in this state.
2. A registered business shall provide the notification required in subsection 1 of this section for an affiliate of the registered business that enters the state as an out-of-state business. The notification under this subsection also must include contact information for the registered business in the state.
3. An out-of-state business that remains in the state after a disaster period shall notify the secretary of state within ten days after the end of the disaster period and shall meet all registration, licensing, and filing requirements resulting from any business presence or activity in the state.
4. The secretary of state shall provide information received from out-of-state businesses or registered businesses under this section to the department of revenue within thirty days after receipt of notification.
­­--------
(L. 2014 H.B. 1190)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.286 - Inapplicability to certain out-of-state businesses.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
Effective - 28 Aug 2014
190.286. Inapplicability to certain out-of-state businesses. —
The provisions of sections 190.270 to 190.285 shall not grant exemptions authorized by the facilitating business rapid response to state-declared disasters act to any out-of-state business performing work pursuant to a request for bid or request for proposal by a state agency or political subdivision.
­­--------
(L. 2014 H.B. 1190)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.290 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2004
190.290. Definitions. —
As used in sections 190.290 to 190.296, the following terms shall mean:
(1)
"Emergency telephone service"
, a telephone system utilizing a single three digit number, "911", for reporting police, fire, medical, or other emergency situations;
(2)
"Emergency services board"
or
"board"
, those persons appointed or elected pursuant to section 190.292;
(3)
"Person"
, any individual, firm, partnership, copartnership, joint venture, association, cooperative organization, corporation, municipal or private, and whether organized for profit or not, state, county, political subdivision, state department, commission, board, bureau, or fraternal organization, estate, trust, business, or common law trust, receiver, assignee for the benefit of creditors, trustee or trustee in bankruptcy, or any other service user;
(4)
"Public agency"
, any city, county, city not within a county, municipal corporation, public district or public authority located in whole or in part within this state which provides or has authority to provide fire fighting, law enforcement, ambulance, emergency medical, or other emergency services.
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(L. 2004 S.B. 1329 § 190.342)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 190 - Emergency Services › Section 190.296 - Board may borrow money and issue bonds — ballot language — duration of loans, rate of interest (Warren County).

Title XII PUBLIC HEALTH AND WELFARE
Chapter 190
• Effective - 28 Aug 2004
190.296. Board may borrow money and issue bonds — ballot language — duration of loans, rate of interest (Warren County). —
1. For the purpose of purchasing any property or equipment necessary or incidental to the operation of central dispatching of emergency services, the board may borrow money and issue bonds for the payment thereof in the manner provided herein. The question of the loan shall be decided by the submission of the question to the eligible voters of the county at the first municipal election held in a calendar year.
2. The question shall be submitted in substantially the following form:
Shall the ______ emergency services board borrow money in the amount of ______ dollars for the purpose of ______ and issue bonds for the payment thereof?
3. If the constitutionally required percentage of the votes cast are for the loan, the board shall, subject to the restrictions of subsection 4 of this section, be vested with the power to borrow money in the name of the board, to the amount and for the purposes specified on the ballot, and issue the bonds of the board for the payment thereof.
4. The loans authorized by this section shall not be contracted for a period longer than twenty years, and the entire amount of the loan shall at no time exceed, including the existing indebtedness of the board, in the aggregate, ten percent of the value of taxable tangible property therein, as shown by the last completed assessment for state and county purposes, the rate of interest to be agreed upon by the parties, but in no case to exceed the highest legal rate allowed by contract; when effected, it shall be the duty of the directors to direct a portion of the tax collected pursuant to section 190.292 in an amount sufficient to pay the interest on the indebtedness as it falls due, and also to constitute a sinking fund for the payment of the principal thereof within the time the principal becomes due.
5. This section shall only apply to any county of the third classification without a township form of government and with more than twenty-four thousand five hundred but less than twenty-four thousand six hundred inhabitants.
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(L. 2004 S.B. 1329 § 190.348)