reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.090 - Contact With Communicable Diseases by First Responders or Emergency Medical Person and Mortuary Personnel

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the procedures for
				  notification to a first responder or emergency medical person and mortuary
				  personnel who are exposed to an individual who is human immunodeficiency virus
				  seropositive, hepatitis B infected or infected with any other reportable
				  communicable disease as listed in
				  19
				  CSR 20-20.020(1)-(5).
(1) The following definitions shall be used
				in administering this rule:
(A) Authorized
				personnel-any individual who has the authority to hire or fire and demote or
				promote employees for a corporation, entity or organization;
(B) Emergency medical person-a licensed
				attendant who has been specially trained in emergency cardiac and noncardiac
				care, and who has successfully completed an emergency service training program
				certified by the Department of Health as meeting the requirements of sections
				190.100-190.190, RSMo and any individual providing emergency medical services
				who is licensed under Chapters 334 and 335, RSMo;
(C) Employee-a wage earner or volunteer
				providing emergency care;
(D)
				Employer-one who provides gainful work for wage earners and volunteers in the
				emergency care area;
(E)
				Exposure-any contact with an individual who is human immunodeficiency virus
				(HIV) seropositive or infected with any other reportable communicable disease
				as listed in
				19
				CSR 20-20.020(1)-(5), when the
				contact is consistent with the known means of transmission and occurs within
				the period of communicability of the disease;
(F) Facility-a facility licensed under
				Chapter 197 or 198, RSMo.
(G) First
				responder-an individual with training in first aid or emergency medical care,
				who is associated with a police department, sheriff's department, fire service
				or ambulance service and who is routinely dispatched to the scene of an
				accident or unforeseen emergency medical incident prior to or with the arrival
				of a licensed, staffed and equipped ambulance;
(H) Mortuary personnel-those persons having
				direct contact with a corpse prior to completion of embalming, cremating or
				enclosing the corpse in a sealed casket; and
(I) To notify-within forty-eight (48) hours
				after confirming potential exposure, the facility shall report the potential
				exposure by phone or in person to the employer(s)/funeral director of the
				potentially exposed employee(s)/mortuary personnel.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.091 - Testing for Contagious or Infectious Disease

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule determines the contagious or
				  infectious diseases for which testing is reasonable and appropriate and which
				  may be administered pursuant to section
				  191.631,
				  RSMo.
(1) Tests for the
				following contagious or infectious diseases may be administered pursuant to
				sections
				191.630 to
				191.631,
				RSMo:
(A) Hepatitis B;
(B) Hepatitis C;
(C) Syphilis; and/or
(D) Human T-Cell Lymphotropic Virus (HTLV)
				I/II.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.092 - Blood-Borne Pathogen Standard Required for Occupational Exposure of Public Employees to Blood and Other Infectious Materials

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE
:
This rule establishes
				  standards for protection of public employees from occupational exposure to
				  blood-borne pathogens in the workplace.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. Therefore, the material which is so incorporated is on file with
				  the agency who filed this rule, and with the Office of the Secretary of State.
				  Any interested person may view this material at either agency's headquarters or
				  the same will be made available at the Office of the Secretary of State at a
				  cost not to exceed actual cost of copy reproduction. The entire text of the
				  rule is printed here. This note refers only to the incorporated by reference
				  material.
(1) The blood-borne
				pathogen standard governing public employers in the state of Missouri having
				employees with occupational exposure to blood or other potentially infectious
				materials shall be the standard of the Occupational Safety and Health
				Administration as codified in
				29 CFR
				1910.1030. The Occupational Safety and Health
				Administration standard as codified in
				29 CFR
				1910.1030 is incorporated herein by
				reference.
(2) As part of the
				Occupational Safety and Health Administration blood-borne pathogen standard
				codified in
				29 CFR
				1910.1030, each public employer having
				employees with occupational exposure is required to establish a written
				Exposure Control Plan. Such plan shall include a requirement that the most
				effective available needleless systems and sharps with engineered sharps injury
				protection be included as engineering and work practice controls. However, such
				engineering controls shall not be required if:
(A) None are available in the marketplace;
				or
(B) An evaluation committee, as
				described in section 191.640.5, RSMo determines by means of objective product
				evaluation criteria that use of such devices will jeopardize patient or
				employee safety with regard to a specific medical procedure.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 20 - Communicable Diseases › Section 19 CSR 20-20.100 - Tuber culosis Testing for Residents and Workers in Long-Term Care Facilities and State Correctional Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes tuberculosis testing
				  requirements for residents and workers in longterm care facilities and state
				  correctional centers.
(1)
				General Requirements. Long-term care facilities and state correctional centers
				shall screen their residents and staff for tuberculosis using the Mantoux
				method purified protein derivative (PPD) five tuberculin unit (5 TU) test. Each
				facility shall be responsible for ensuring that all test results are completed
				and that documentation is maintained for all residents, employees, and
				volunteers.
(A) In interpreting this rule,
				long-term care facilities shall include employees, volunteers, and residents of
				residential care facilities I, residential care facilities II, intermediate
				care facilities and skilled nursing facilities as defined in section
				198.006,
				RSMo.
(B) In interpreting this
				rule, state correctional centers shall include all employees and volunteers of
				the Missouri Department of Corrections and the residents of all correctional
				institutions operated by the Missouri Department of Corrections.
(C) Whenever tuberculosis is suspected or
				confirmed, or tuberculosis infection is diagnosed among residents, employees or
				volunteers, the Department of Health or local health authority shall be
				notified as required in
				19
				CSR 20-20.020(2).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 24 - Dead Bodies Infected With a Communicable Disease › Section 19 CSR 20-24.010 - Procedures to be Followed When a Person Dies While Infected with a Communicable Disease

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes procedures to be
				  followed in handling a dead body infected with a communicable
				  disease.
(1) The body of a
				person having a communicable disease subject to isolation at time of death
				shall be placed in a closed ambulance pouch while in transit to be
				embalmed.
(2) The body of a person
				having a communicable disease subject to isolation at time of death shall be
				buried or cremated within twenty-four (24) hours of death unless the body is
				properly embalmed according to recognized standards and the external surface
				thoroughly washed with a disinfectant fluid or unless the body is permanently
				encased in a sealed casket.
(3)
				Direct physical contact with the body of a person having, at time of death, a
				disease transmissible by direct personal contact is prohibited except for the
				contact necessary in embalming or preparation of the body prior to burial or
				cremation.
(4) Public funeral
				services for a person having a communicable disease subject to isolation at
				time of death may be held only under the following conditions:
(A) The body is properly embalmed in
				accordance with recognized standards and the external surfaces disinfected or
				the body is encased in a sealed casket; and
(B) Household contacts and others subject to
				quarantine or isolation restrictions who attend the funeral services are
				completely segregated from the public.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 26 - Sexually Transmitted Diseases › Section 19 CSR 20-26.010 - Prevention of Blindness

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule prevents the newborn infant from
				  contracting gonococcal ophthalmia neonatorum or chlamydia ophthalmia
				  neonatorum, or both, during birth from an infected mother.
(1) It shall be the duty of every physician
				or other person in attendance upon a newborn infant or its mother to instill
				five-tenths percent (0.5%) erythromycin ophthalmic ointment or drops in
				single-use tubes or ampules; or tetracycline one percent (1%) ophthalmic
				ointment or drops in single-use tubes or ampules; or one percent (1%) silver
				nitrate solution into each eye of the newborn infant immediately after birth
				and to report this on the birth certificate.
*Original authority: 192.020, RSMo 1939, amended 1945,
					 1951.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 26 - Sexually Transmitted Diseases › Section 19 CSR 20-26.030 - Human Immunodeficiency Virus (HIV) Test Consultation and Reporting

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded October 30, 2012)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 26 - Sexually Transmitted Diseases › Section 19 CSR 20-26.040 - Physician Human Immunodeficiency Virus (HIV) Test Consultation and Reporting

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes guidelines specific to
				  physicians and other health care professionals working under physician orders
				  for HIV testing, pretest and posttest consultation (client-centered
				  counseling), and for the reporting of persons diagnosed with HIV
				  infection.
(1) The following
				definitions shall be used in administering this rule:
(A) Conduct means to direct, lead, order or
				undertake to perform or to provide guidance as a licensed physician to a
				patient;
(B) Confirmed HIV
				infection means the clinical diagnosis and conclusion that a patient is
				infected with HIV, made in the professional judgment of the physician based
				upon clinical history, physician examination, diagnostic or laboratory testing,
				or other available clinical information which allows the physician to make
				clinical and therapeutic decisions based upon this infected status;
(C) Department means the Missouri Department
				of Health and Senior Services;
(D)
				Physician means any person licensed to practice as a physician and surgeon
				under Chapter 334, RSMo; and
(E)
				Physician's delegated representative means state-licensed professional involved
				in direct patient care, other than those persons licensed as physicians under
				Chapter 334, RSMo.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 26 - Sexually Transmitted Diseases › Section 19 CSR 20-26.050 - Preventing Transmission of Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) from Health Care Workers to Patients

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes training requirements
				  relating to the prevention of transmission of human immunodeficiency virus,
				  hepatitis B virus and other bloodborne pathogens from infected health care
				  workers to patients as defined in section
				  191.694,
				  RSMo.
(1) The following
				definitions shall be used in the interpretation of this rule:
(A) Community-based means practice in any
				clinic, group practice or solo practice not licensed under Chapters 197 and
				198, RSMo where health care, including dentistry and podiatry, is
				provided;
(B) Department means the
				Missouri Department of Health;
(C)
				Director means the director of the department or his/her designee;
(D) Employed means to be professionally
				affiliated with a facility either by contract, direct employment or extension
				of professional privileges;
(E) HBV
				means hepatitis B virus;
(F) Health
				care facilities means those facilities licensed under Chapters 197 and 198,
				RSMo;
(G) Health care professional
				means a member of any of the professional groups regulated by Chapters 330, 332
				and 335, RSMo, and sections 334.010-334.265, RSMo;
(H) HIV means human immunodeficiency virus;
				and
(I) Invasive procedures shall
				be defined as in 191.650(9), RSMo. Phlebotomy and insertion of intravenous
				lines which do not involve surgical incision are not considered invasive
				procedures.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 26 - Sexually Transmitted Diseases › Section 19 CSR 20-26.070 - Notification of Results of Court-Ordered Human Immunodeficiency Virus (HIV) Testing of Sexual Offenders

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the procedure for
				  notifying victims and jail or correctional facility administrators and the
				  offenders of results when sexual offenders undergo court-ordered testing for
				  human immunodeficiency virus.
(1) If a court orders a person to undergo HIV
				testing under section
				191.663,
				RSMo, the following information shall be reported by the court to the Section
				of STD/HIV/AIDS Prevention and Care Services:
(A) The identity of the person to be
				tested;
(B) The name and address of
				the facility which will submit the sample for testing;
(C) The name and address of the laboratory
				which will conduct the testing, if known;
(D) The name, address and telephone number of
				each victim who has a right to access the HIV test results under section
				191.663,
				RSMo; and
(E) The name, address and
				telephone number of the administrator of the jail or correctional facility
				where the sexual offender is confined.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 28 - Immunization › Section 19 CSR 20-28.060 - Minimum Immunization Coverage to Be Provided by Individual and Group Health Insurance Policies

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule identifies the immunizations which
				  individual and group health insurance policies, as enumerated in H.B. 904, must
				  provide for children from birth to five years of age.
(1) This rule requires that all individual
				and group health insurance policies providing coverage on an expense-incurred
				basis, individual and group service or indemnity-type contracts issued by a
				health services corporation, individual and group service contracts issued by a
				health maintenance organization and all self-insured group arrangements to the
				extent not preempted by federal law and all managed health care delivery
				entities of any type or description shall provide coverage for immunizations
				for children, birth to five (5) years of age, for all immunizations listed in
				section (2) of this rule.
(2) All
				immunization within the latest Recommended Childhood Immunization
				Schedule-United States, approved by the Advisory Committee on Immunization
				Practices (ACIP), shall be required under this rule. As the schedule is
				updated, it will be available from and distributed by the Department of Health.
				The immunizations required under this rule and manner and frequency of their
				administration shall conform to recognized standards of medical
				practice.
*Original authority: 376.215, RSMo
					 1996.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 43 - HIV/AIDS Medications Program › Section 19 CSR 20-43.010 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the terms used in this
				  chapter.
(1) AIDS is Acquired
				Immune Deficiency Syndrome, a medical condition that develops from the
				progression of human immunodeficiency virus (HIV) disease.
(2) Client is a Missouri resident with HIV
				disease (including AIDS) who has enrolled in the HIV/AIDS Service Coordination
				Program.
(3) Department is the
				Missouri Department of Health.
(4)
				Director is the director of the department.
(5) HIV/AIDS Service Coordination Program is
				a program administered by the department that provides client assessment and
				evaluation services, plus assistance in locating, coordinating, and monitoring
				medical, psychological, and other supportive services for persons with HIV
				disease, including AIDS.
(6)
				Missouri HIV/AIDS Medications Advisory Committee is an advisory committee
				composed of medical professionals and representatives of the
				HIV-infected/affected populations from across the state, the Medicaid agency
				pharmacy consultant, and department staff.
(7) Rural county is any county in the state
				which is not an urban county, as defined in section (12) of this
				rule.
(8) Service coordinator or
				coordinator is an employee of the department, or an employee of a local health
				department or community-based organization under contract to the department,
				who evaluates the status and healthcare and supportive service needs of clients
				and locates, coordinates, and monitors such services to persons with HIV or
				AIDS.
(9) Service plan is a written
				set of future actions pertaining to identified services that is developed by
				the service coordinator to meet the needs of a specific client.
(10) Service provider or provider is an
				individual or agency that provides services to persons with HIV
				disease.
(11) Services are medical,
				psychological, or other services necessary for the treatment of HIV, AIDS,
				and/or related conditions.
(12)
				Urban counties include Bates, Benton, Cass, Clay, Clinton, Franklin, Henry,
				Jackson, Jefferson, Johnson, Lafayette, Lincoln, Platte, Ray, St. Charles, St.
				Louis (including the City of St. Louis), and Warren counties.
*Original authority: 192.006, RSMo 1993, amended 1995 and
					 192.020, RSMo 1939, amended 1945, 1951.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 43 - HIV/AIDS Medications Program › Section 19 CSR 20-43.020 - Administration of the HIV/AIDS Medications Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies payment standards,
				  confidentiality provisions, termination of clients from the program,
				  antidiscrimination policy, distribution of funding, and delivery of
				  services.
(1) The department
				shall not pay for any item or service if payment has been made or is expected
				to be made under any state compensation plan, including Medicaid, insurance,
				federal, or state health benefits programs or by an entity that provides health
				services on a prepaid basis.
(A) The
				department shall be billed only after all third party sources have been
				eliminated as payors.
(B) The
				department shall only reimburse providers for medications that are listed on
				the department's current Human Immunodeficiency Virus/Acquired Immune
				Deficiency Syndrome (HIV/AIDS) formulary on the date of the claim.
1. The department shall include medications
				on the formulary which it has determined are-
A. FDA approved;
B. Medically effective for HIV infected
				person; and
C. Cost effective as
				determined by the department.
2. The department shall determine which
				medications are medically effective and appropriate for inclusion on the
				formulary based upon advice provided by the Missouri HIV/AIDS Medications
				Advisory Committee, the department's medical consultants, and department
				staff.
(C) Reimbursement
				payments will only be made on behalf of enrolled clients as specified in
				19 CSR
				20-43.030, and will only be made for claims submitted
				within contractual time limits.
1. If a
				client becomes ineligible for medications assistance and the pharmacy or agent
				supplying medications should reasonably have been aware at the time the
				services were provided, as specified in the provider's contract, that the
				client was ineligible, reimbursement will not be made.
2. The department or its agents may review
				client records and program invoices to ensure compliance with the
				program.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 43 - HIV/AIDS Medications Program › Section 19 CSR 20-43.030 - Eligibility for the HIV/AIDS Medications Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the requirements for
				  assistance from the HIV/AIDS Medications Program.
(1) Individuals may be admitted to the
				program at any time during any stage of Human Immunodeficiency Virus (HIV)
				infection.
(2) Individuals may be
				provided assistance by the medications program only pursuant to available
				funding, as delineated in
				19 CSR
				20-43.020. An individual is eligible if s/he meets the
				following criteria:
(A) Is a Missouri
				resident;
(B) Is not incarcerated
				in a state correctional facility nor an inpatient in a licensed heath care
				facility as defined in Chapter 197, RSMo;
(C) Is HIV infected and has provided written
				medical evidence of HIV status to a service coordinator;
(D) Is enrolled in the Human Immunodeficiency
				Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) service coordination
				program;
(E) Has an income at or
				below three hundred percent (300%) of the federal poverty standard published
				annually in the
Federal Register
by the U.S. Department of
				Health and Human Services. A client shall provide updated documentation of
				income and other medications assistance from other sources such as private
				insurance, other third-party insurance or Medicaid annually, or at any time
				when requested by the department or its contractors; and
(F) Is ineligible for medications assistance
				from other sources such as private insurance, other third-party insurance or
				Medicaid.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 44 - Emergency Response and Terrorism › Section 19 CSR 20-44.010 - Volunteer Dispensing of Strategic National Stockpile Medications During Governor-Declared Disasters

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The Division of Community and Public Health,
				  Department of Health and Senior Services has the authority to establish rules
				  for dispensing medications according to the Strategic National Stockpile Plan
				  during a governor-declared state of emergency. This rule defines specific terms
				  and procedures to follow when dispensing medications according to the Strategic
				  National Stockpile Plan during a governor-declared state of
				  emergency.
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material, which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in the rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) Definitions.
(A) Department-The Missouri Department of
				Health and Senior Services or its designee.
(B) Dispense-To deliver a drug to an ultimate
				user by or pursuant to the lawful order of a practitioner including the
				prescribing, administering, packaging, labeling, or compounding necessary to
				prepare the substance for such delivery.
(C) Licensed health care provider-Any person
				authorized to dispense medication under Missouri law.
(D) Point of Dispensing (POD)-A
				pre-identified mass medication dispensing site(s) that allows community members
				to quickly and easily receive treatment according to the state Strategic
				National Stockpile plan.
(E)
				Volunteer-A person who, of his or her own free will, performs any assigned
				duties for the department with no monetary or material compensation.
(F) Supervision-General oversight and the
				authorization to direct in any given situation. This includes orientation,
				initial and ongoing direction, procedural guidance, and periodic inspection and
				evaluations.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 50 - Prescription Drug Repository Program › Section 19 CSR 20-50.005 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains definitions which
				  establish the intended meaning of certain terms used throughout this
				  chapter.
(1) As used in this
				chapter, the following terms shall have the meanings specified:
(A) "Dispenser" means a pharmacy, hospital,
				prescriber or other person who is licensed and authorized to independently
				dispense prescription drugs in Missouri;
(B) "Institutional facility" means a
				long-term care, mental care or other licensed facility that provides health
				care to resident patients;
(C)
				"Original sealed and tamper evident unit-dose packaging" means sealed and
				tamper-evident unit of use packaging by the original manufacturer, by a
				federally registered repackager, or by a licensed pharmacy in compliance with 4
				CSR 220-2.130 and 4 CSR 220-3.040;
(D) "Program" means the Prescription Drug
				Repository Program established by the Department of Health and Senior Services
				pursuant to sections
				196.970 through
				196.984,
				RSMo to accept and dispense prescription drugs donated for the purpose of being
				dispensed to persons who are residents of Missouri and who meet eligibility
				requirements of the program.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 50 - Prescription Drug Repository Program › Section 19 CSR 20-50.010 - Eligibility Requirements for Pharmacies, Hospitals and Nonprofit Clinics to Receive Donated Prescription Drugs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains the criteria by which
				  pharmacies, hospitals and nonprofit clinics will be determined eligible to
				  receive donated drugs under the Prescription Drug Repository
				  Program.
(1) Pharmacies,
				hospitals or nonprofit clinics may elect to participate in the Prescription
				Drug Repository Program pursuant to sections
				196.970 to
				196.984,
				RSMo.
(2) Any participating
				pharmacy shall be licensed as a pharmacy by the Missouri State Board of
				Pharmacy.
(3) Any participating
				hospital shall be licensed as a hospital by the Department of Health and Senior
				Services when required by law to be so licensed.
(4) Any participating nonprofit clinic shall
				be under the supervision of a physician licensed by the Missouri State Board of
				Registration for the Healing Arts.
(5) All participating pharmacies, hospitals
				or nonprofit clinics shall comply with all federal and state laws, rules and
				regulations applicable to the storage and distribution of drugs.
(6) All participating pharmacies, hospitals
				or nonprofit clinics shall comply with all state laws, rules and regulations
				applicable to the Prescription Drug Repository Program.
*Original authority: 196.984, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 50 - Prescription Drug Repository Program › Section 19 CSR 20-50.015 - Eligibility Requirements for Recipients in the Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains the criteria by which
				  pharmacies, hospitals and nonprofit clinics will determine eligibility of
				  individual patients to receive donated drugs under the Prescription Drug
				  Repository Program.
(1) A
				pharmacy, hospital, or nonprofit clinic that elects to participate in the
				Prescription Drug Repository Program shall determine if a person is eligible to
				receive drugs. A person shall meet the following requirements to become an
				eligible recipient of drugs from the Prescription Drug Repository Program:
(A) Is a resident of Missouri;
(B) Has a net family income below three
				hundred percent (300%) of the federal poverty level; and
(C) Has no active third party prescription
				drug reimbursement coverage for the drug prescribed.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 50 - Prescription Drug Repository Program › Section 19 CSR 20-50.020 - Standards and Procedures for Donating Prescription Drugs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains the criteria by which
				  pharmacies, hospitals and nonprofit clinics will determine a person eligible to
				  donate drugs under the Prescription Drug Repository Program.
(1) The following may donate a prescription
				drug, pursuant to 19 CSR 30-5.025, to a pharmacy, hospital, or nonprofit clinic
				that elects to participate in the Prescription Drug Repository Program:
(A) A licensed dispenser of prescription
				drugs;
(B) A licensed wholesale
				distributor of prescription drugs; or
(C) A person who was legally dispensed a
				prescription drug pursuant to a patient-specific prescription or drug
				order.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 50 - Prescription Drug Repository Program › Section 19 CSR 20-50.025 - Standards and Procedures for Accepting Donated Prescription Drugs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains the criteria by which
				  pharmacies, hospitals and nonprofit clinics will determine drugs to be
				  acceptable for donation under the Prescription Drug Repository
				  Program.
(1) No controlled
				substances or drugs that require storage temperatures other than normal room
				temperature as specified by the manufacturer and/or
United States
				Pharmacopoeia
shall be donated or accepted as part of the Prescription
				Drug Repository Program.
(A) Controlled
				substances shall not be donated or accepted because a pharmacy, hospital or
				nonprofit clinic cannot accept controlled substances from a person to whom they
				have been dispensed, according to applicable state and federal law.
(B) Drugs that require storage temperatures
				other than normal room temperature as specified by the manufacturer and/or
United States Pharmacopoeia
shall not be donated or accepted
				because of the potential for these drugs to become adulterated.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 50 - Prescription Drug Repository Program › Section 19 CSR 20-50.035 - Standards and Procedures for Dispensing Donated Prescription Drugs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains the criteria by which
				  pharmacies, hospitals and nonprofit clinics will dispense donated drugs under
				  the Prescription Drug Repository Program.
(1) A pharmacy, hospital or nonprofit clinic
				shall dispense donated prescription drugs in compliance with applicable federal
				and state laws and regulations for dispensing prescription drugs.
(2) A pharmacy, hospital or nonprofit clinic
				shall dispense donated prescription drugs in compliance with section
				338.059,
				RSMo Prescriptions, how labeled; 4 CSR 220-2.130 Drug Repackaging; and 4 CSR
				220-3.040 Return and Reuse of Drugs and Devices.
(3) A pharmacy, hospital or nonprofit clinic
				shall have an established mechanism to notify recipients in the event of a drug
				recall.
(4) A pharmacy, hospital or
				nonprofit clinic shall remove the original donor's identification from the
				package when the drug is dispensed.
(5) Recipients of a donated drug from the
				drug repository program shall sign an immunity acceptance record form stating
				they understand the criminal and civil immunity provisions of the program
				pursuant to section
				196.981,
				RSMo. The immunity acceptance record shall also include at least the following:
(A) The printed name and address of the
				recipient;
(B) The signature of the
				recipient;
(C) The date the form
				was signed by the recipient;
(D)
				The brand name of the drug received; or the generic name and either the name of
				the manufacturer or the national drug code number (NDC #);
(E) The lot number of the drug if
				available;
(F) The strength of the
				drug received by the recipient;
(G)
				The quantity of the drug received by the recipient;
(H) The name and address of the dispensing
				pharmacy, hospital or nonprofit clinic; and
(I) The dispenser's initials.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 50 - Prescription Drug Repository Program › Section 19 CSR 20-50.040 - Record Keeping Requirements

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule contains the criteria by which
				  pharmacies, hospitals and nonprofit clinics will maintain records required
				  under the Prescription Drug Repository Program.
(1) All records required to be maintained as
				a part of the Prescription Drug Repository Program shall be maintained for a
				minimum of five (5) years by participating pharmacies, hospitals, nonprofit
				clinics and institutional facilities.
(2) Records required as part of the program
				shall be maintained separate from other records.
*Original authority: 196.984, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 51 - Hemp Extract Registration › Section 19 CSR 20-51.010 - State Children's Health Insurance Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the application
				  process for a hemp extract registration card.
(1) Definitions. For the purposes of this
				rule, the following definitions apply:
(A)
				"Applicant," a Missouri resident eighteen (18) years of age or older with
				intractable epilepsy or a Missouri resident eighteen (18) years of age or older
				who is the parent or legal guardian responsible for the medical care of a minor
				with intractable epilepsy, who is applying for a hemp extract registration card
				under this rule;
(B) "Department,"
				the Department of Health and Senior Services;
(C) "Hemp extract," an extract from a
				cannabis plant or a mixture or preparation containing cannabis plant material
				that-
1. Is composed of no more than three
				tenths percent (0.3%) tetrahydrocannabinol by weight;
2. Is composed of at least five percent (5%)
				cannabidiol by weight; and
3.
				Contains no other psychoactive substance.
(D) "Hemp extract registration card," a card
				issued by the department under section
				192.945,
				RSMo;
(E) "Intractable epilepsy,"
				epilepsy that as determined by a neurologist does not respond to three (3) or
				more treatment options overseen by the neurologist;
(F) "Neurologist," a physician who is
				licensed under Chapter 334, RSMo, and board certified in neurology;
(G) "Parent," a parent or legal guardian of a
				minor who is responsible for the minor's medical care;
(H) "Registrant," an individual to whom the
				department issues a hemp extract registration card under section
				192.945,
				RSMo.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 20 - Division of Community and Public Health › Chapter 60 - Maternal and Neonatal Care › Section 19 CSR 20-60.010 - Levels of Maternal and Neonatal Care Designations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the method through
				  which birthing facilities submit their LOCATe assessment to the department and
				  replaces ACOG with the Joint Commission as an entity who may verify the results
				  of the LOCATe assessment.
(1)
				The following definitions shall apply throughout this rule:
(A) "Birthing facility" means any hospital,
				as defined under section
				197.020 RSMo, with
				more than one licensed obstetric bed or a neonatal intensive care unit, a
				hospital operated by a state university, or a birthing center licensed under
				sections
				197.200 to
				197.240,
				RSMo;
(B) "Department" means the
				Missouri Department of Health and Senior Services; and
(C) "LOCATe" or "CDC Maternal and Neonatal
				Levels of Care Assessment Tool" refers to a web-based tool created by the
				Centers for Disease Control and Prevention (CDC) that assists in creating
				standardized assessments of levels of maternal and neonatal care. LOCATe is
				based on the most recent guidelines and policy statements issued by the
				American Academy of Pediatrics, the American College of Obstetricians and
				Gynecologists, and the Society for Maternal-Fetal Medicine.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 25 - Missouri State Public Health Laboratory › Chapter 30 - Determination of Blood Alcohol by Blood, Breath, Saliva, and Urine Analysis; and Determination for the Presence of Drugs in Blood, Saliva, and Urine › Section 19 CSR 25-30.021 - Type I Permit

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment adds back to the rule an
				  accreditation that is currently held by one (1) of the laboratories in Missouri
				  that upon further review has been deemed an acceptable
				  accreditation.
(1) A Type I
				permit, included herein, authorizes an individual to perform analyses of blood,
				saliva, or urine for blood alcohol content and to perform analyses of blood,
				saliva, or urine for the presence of drugs.
(2) An applicant for a Type I permit shall
				not be less than twenty-one (21) years of age and shall possess a baccalaureate
				degree in chemical, physical, or biological science from an accredited college
				or university. The applicant shall also complete an application for a Type I
				permit, included herein.
(A) To perform
				analyses of blood, saliva, or urine for drugs or blood alcohol content, the
				applicant shall have performed a biennial forensic proficiency test provided by
				an outside company for each type of substance, alcohol, or drugs, for which a
				permit is requested. A copy of the proficiency test results achieved shall
				accompany the permit application.
(B) If the applicant does not perform
				proficiency tests, the applicant may qualify for a permit to perform analysis
				of blood, saliva, or urine for blood alcohol content by satisfactorily
				analyzing three (3) check specimens provided from the department. The results
				reported on the three (3) samples shall be within five percent (5%) of the true
				value. A second set of three (3) check samples shall be sent to the applicant
				if the results from the first set were unsatisfactory. If the results from the
				second set of check samples are unsatisfactory, the department shall return the
				application. Any further efforts to meet this condition for completion of the
				application shall be made at the discretion of the department based on the
				nature of the problem; the ability of the applicant; and the facility,
				equipment, and methods that were employed. A copy of the check specimen results
				achieved shall accompany the permit application.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 25 - Missouri State Public Health Laboratory › Chapter 30 - Determination of Blood Alcohol by Blood, Breath, Saliva, and Urine Analysis; and Determination for the Presence of Drugs in Blood, Saliva, and Urine › Section 19 CSR 25-30.031 - Type II Permit

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment removes two forms from the
				  rule as well as removes the references to two instruments that are no longer
				  used for evidential testing in Missouri.
(1) A Type II permit, included herein,
				authorizes an individual to operate a breath analyzer and to perform any of the
				following duties: to conduct training courses for the operation of breath
				analyzers that are approved by the department, to conduct training courses
				approved by the department to qualify for a Type II permit, to perform field
				service and repairs on breath analyzers as indicated on the permit, to perform
				maintenance checks on breath analyzers as required by the department, and to
				supervise operators of breath analyzers.
(2) An applicant for a Type II permit shall
				not be less than twenty-one (21) years of age. In addition, the applicant
				successfully shall complete a training course approved by the department for
				obtaining a Type II permit and complete an application for a Type II permit,
				included herein.
(3) A Type II
				permittee shall perform maintenance checks on breath analyzers under his/her
				supervision at intervals not to exceed thirty-five (35) days. The permittee
				shall retain the original report of the maintenance check and submit a copy of
				the report so that it shall be received by the department within fifteen (15)
				days from the date the maintenance check was performed. In addition,
				maintenance checks shall be completed when-
(A) A new instrument is placed into service;
				or
(B) The instrument has been
				serviced, repaired, or recalibrated.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 25 - Missouri State Public Health Laboratory › Chapter 30 - Determination of Blood Alcohol by Blood, Breath, Saliva, and Urine Analysis; and Determination for the Presence of Drugs in Blood, Saliva, and Urine › Section 19 CSR 25-30.041 - Type III Permit

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates the permit and
				  application forms that follow the rule.
(1) A Type III permit, included herein,
				authorizes an individual to operate breath analyzers.
(2) An applicant for a Type III permit shall
				not be less than twenty-one (21) years of age. The applicant shall have
				successfully completed a training course approved by the department for
				operation of breath analyzers or shall offer proof of equivalent qualifications
				to the satisfaction of the department. The applicant must also complete an
				application for a Type III permit, included herein.
(3) To renew a Type III permit, the applicant
				shall have performed at least ten (10) tests on drinking subjects in the past
				year on each instrument for which renewal is requested. If this condition is
				not met or the permit has expired for more than thirty (30) days, the applicant
				shall complete a two- (2-) hour refresher training course under the supervision
				of an individual with a valid Type II permit. The refresher training course
				shall include the performance of the five (5) self-administered tests for each
				breath analyzer for which renewal is requested. Copies of the completed
				operational checklists and printout for the self-administered tests shall
				accompany the renewal application.
(4) Type III permits issued prior to the
				effective date of this rule shall be considered valid under the conditions of
				this rule.
(5) Type III permit
				applications completed prior to the effective date of this rule shall be
				considered valid under the conditions of this rule.
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*Original authority: 192.006, RSMo 1993, amended 1995;
					 306.114, RSMo 1993, amended 2004, 2005, 2008; 306.117, RSMo 1993, amended 2005,
					 2008; 577.020, RSMo 1977, amended 1982, 1983, 1996, 1998, 2001, 2006; 577.026,
					 RSMo 1982; and 577.037, RSMo 1982, amended 1983, 1988, 1993, 1996, 2001.