reglab/statecodes huggingface dataset:
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.094

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.096

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.097

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 197.080, RSMo 1953, amended 1993,
					 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.098

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995, 2013; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.100 - Pharmacy Services and Medication Management

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment adds a new section (2) which
				  allows pharmacy technicians to perform additional duties relating to the
				  authentication of medications selected by other pharmacy technicians and
				  perform other duties remotely if performed under the visual and auditory
				  supervision of a pharmacist.
(1) There shall be evidence of the education,
				training, experience, and demonstrated competency for all duties assigned in
				the pharmacy technicians' personnel records.
(2) In addition to other authorized duties, a
				pharmacy technician may perform the following duties:
(A) Authenticate medication selected by
				another pharmacy technician when a pharmacist is present for purposes of
				distribution within the hospital for subsequent administration by hospital
				staff authorized to administer medication, provided the final product is
				verified by authorized hospital staff prior to administration. A pharmacy
				technician shall not be authorized to authenticate compounded medications or
				the repackaging activities of another pharmacy technician. In order to
				authenticate medication as described in this section, the pharmacy technician
				must-
1. Hold an active pharmacy technician
				certification issued by a certification entity accredited by the National
				Commission for Certifying Agencies;
2. Have an initial and annual documented
				assessment of competency; and
3.
				Have assisted in the practice of pharmacy as a registered or licensed pharmacy
				technician in the state of Missouri or another U.S. state or territory for a
				minimum of one (1) year; and
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.102

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.104

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995 and
					 197.080, RSMo 1953, amended 1993, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.106

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.108

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995 and
					 197.080, RSMo 1953, amended 1993, 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.110

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995 and
					 197.080, RSMo 1953, amended 1993, 1995,
					 2013.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.112

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995, 2013; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.114 - Environmental Waste Management and Support Services

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule specifies the requirements for
				  environmental and support services provided by a hospital.
(1) Each hospital shall have an organized
				service which maintains a clean and safe environment.
(A) Housekeeping Services.
1. The housekeeping services shall have a
				director who is qualified by education, training, and experience in the
				principles of hospital housekeeping. This individual shall report to a
				designated administrative officer or his or her designee.
2. Approved written policies and procedures
				shall define and describe the scope of housekeeping services. These shall be
				reviewed in cooperation with the infection prevention control program, kept
				current per hospital policy, and be readily available to staff.
3. Adequate space for housekeeping services
				shall be provided.
4. There shall
				be sufficient trained personnel to meet the needs of housekeeping
				services.
5. All solid waste
				generated within the hospital shall be collected in appropriate containers for
				disposal.
6. There shall be a
				process for the review and evaluation on a regular basis of the quality of
				housekeeping services provided.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.116

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; 197.150, RSMo 2004; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.118

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995, 2013; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.120

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.124

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995, 2013; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.126

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.128

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.130

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.132

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.134

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.136

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.138

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.140

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.142

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 192.006, RSMo 1993, amended 1995;
					 197.080, RSMo 1953, amended 1993, 1995, 2013; and 197.154, RSMo
					 2004.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 20 - Hospitals › Section 19 CSR 30-20.144 - Standards and Guidelines for Essential Caregiver Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the standards and
				  guidelines regarding the essential caregiver program established under section
				  191.2290, RSMo.
(1) As used in this rule, the following terms
				and phrases shall mean-
(A) Department shall
				mean the Department of Health and Senior Services;
(B) Essential caregiver shall mean a family
				member, friend, guardian, or other individual selected by a hospital patient
				who has not been adjudged incapacitated under Chapter 475, or the guardian or
				legal representative of the patient; and
(C) Hospital shall have the same meaning
				assigned to it in 19 CSR
				30-20.011(9).
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 22 - Rehabilitation Hospitals › Section 19 CSR 30-22.010 - General Design and Construction Standards for Rehabilitation Hospitals

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The Department of Health, Division of Health
				  Resources has the authority to establish construction standards for
				  rehabilitation hospitals. This rule provides standards for facilities to ensure
				  functional, sanitary and fire-safe facilities.
PUBLISHERS NOTE: The publication of the full text of
				  the material that the adopting agency has incorporated by reference in this
				  rule would be unduly cumbersome or expensive. Therefore, the full text of that
				  material will be made available to any interested person at both the Office of
				  the Secretary of State and the office of the adopting agency, pursuant to
				  section 536.031.4, RSMo. Such material will be provided at the cost established
				  by state law.
(1) All new
				rehabilitation hospitals and additions to and remodeling of existing licensed
				rehabilitation hospitals shall be designed to provide all of the facilities
				required by these rules and fire safety standards, arranged to accommodate with
				maximum convenience all of the functions required by these rules and arranged
				to provide comfortable, attractive, sanitary, fire-safe, secure and durable
				facilities for the patients. Any additions or alterations to a rehabilitation
				hospital shall comply with these rules and shall provide all required
				facilities proportional to the number of beds. These rules are applicable to
				rehabilitation hospitals which began operation or one which began operation or
				one which began construction or renovation of a building for the purpose of
				operating a rehabilitation hospital on any date after November 21, 1969.
(A) General Construction-Related Authorities.
1. Construction of all rehabilitation
				hospitals and additions to or remodeling of rehabilitation hospitals shall
				comply with all local and state regulations and codes. Facilities and equipment
				shall comply with the American Standards Association Specification A 117.1-1961
				(R-1971) entitled "American Standard Specifications for Making Buildings and
				Facilities Accessible to, and Usable by, the Physically Handicapped".
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 22 - Rehabilitation Hospitals › Section 19 CSR 30-22.020 - Administration Standards for Rehabilitation Hospitals (Rescinded)

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority 1953, amended 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 22 - Rehabilitation Hospitals › Section 19 CSR 30-22.030 - Standards for Registration as a Hospital Infectious Waste Generator (Rescinded)

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 197.080, RSMo 1953, amended 1993 and
					 260.203, RSMo 1986, amended 1988, 1992,
					 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 24 - [Rescinded] › Section 19 CSR 30-24.020

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 197.080, RSMo 1953, amended 1993,
					 1995.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 24 - [Rescinded] › Section 19 CSR 30-24.040 - Standards for Registration as a Hospital Infectious Waste Generator (Rescinded)

Current through Register Vol. 49, No. 14, July 15, 2024
*Original authority: 197.080, RSMo 1953, amended 1993 and
					 260.203, RSMo 1986, amended 1988, 1992,
					 1993.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 26 - Home Health Agencies › Section 19 CSR 30-26.010 - Home Health Licensure Rule

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the minimum requirements
				  for the provision of home health services by state licensed home health
				  programs.
PUBLISHER'S NOTE: The publication of the full text of
				  the material that the adopting agency has incorporated by reference in this
				  rule would be unduly cumbersome or expensive. Therefore, the full text of that
				  material will be made available to any interested person at both the Office of
				  the Secretary of State and the office of the adopting agency, pursuant to
				  section 536.031.4, RSMo. Such material will be provided at the cost established
				  by state law.
(1) State
				Licensure Requirements.
(A) This rule
				incorporates by reference 42 CFR 484,
Medicare Conditions of
				Participation
:
Home Health Agencies
, for Missouri
				licensed home health agencies. Missouri licensed home health agencies shall
				strictly meet the currently applicable
Medicare Conditions of
				Participation
and surveys performed for state licensure will be
				conducted per Medicare standards.
(B) Licensed home health agencies shall
				provide dementia-specific training about Alzheimer's disease and related
				dementias to their employees and those persons working as independent
				contractors who provide direct care to or may have daily contact with
				residents, patients, clients, or consumers with Alzheimer's disease or related
				dementias.
1. The training required for
				persons providing direct care shall address the following areas, at a minimum:
A. An overview of Alzheimer's disease and
				related dementias;
B. Communicating
				with persons with dementia;
C.
				Behavior management;
D. Promoting
				independence in activities of daily living; and
E. Understanding and dealing with family
				issues.
2. Employees or
				independent contractors who do not provide direct care for, but may have daily
				contact with, persons with Alzheimer's disease or related dementias shall
				receive dementia-specific training that includes, at a minimum:
A. An overview of Alzheimer's disease and
				related dementias; and
B.
				Communicating with persons with dementia.
3. Dementia-specific training about
				Alzheimer's disease and related dementias shall be incorporated into
				orientation for new employees with direct patient contact and independent
				contractors with direct patient contact. The training shall be presented by an
				instructor who is qualified by education, experience, and knowledge in the
				current standards of practice regarding individuals with Alzheimer's disease
				and other related dementias. The training shall be provided annually and
				updated as needed.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities › Section 19 CSR 30-30.030 - General Design and Construction Standards for Ambulatory Surgical Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The Division of Health Resources, Department
				  of Health has the authority to establish construction standards for ambulatory
				  surgical centers. This rule provides standards for facilities to ensure
				  sanitary and fire-safe facilities.
PUBLISHER'S NOTE: The publication of the full text of
				  the material that the adopting agency has incorporated by reference in this
				  rule would be unduly cumbersome or expensive. Therefore, the full text of that
				  material will be made available to any interested person at both the Office of
				  the Secretary of State and the office of the adopting agency, pursuant to
				  section 536.031.4, RSMo. Such material will be provided at the cost established
				  by state law.
(1) All new
				ambulatory surgical centers and additions to and remodeling of existing
				licensed ambulatory surgical centers shall be designed to provide all of the
				facilities required by this rule and fire-safety standards, arranged to
				accommodate with maximum convenience all of the functions required by this rule
				and arranged to provide comfortable, attractive, sanitary, fire-safe, secure
				and durable facilities for the patients. This rule is applicable to ambulatory
				surgical centers which began operation or construction or renovation of a
				building to operate an ambulatory surgical center on any date after April 12,
				1990. Existing ambulatory surgical centers licensed by the Department of Health
				prior to April 12, 1990 shall be maintained in compliance with the rules under
				which they were initially licensed and are not required to comply with the
				construction requirements for new ambulatory surgical centers until they are
				remodeled or expanded. The Department of Health, within its discretion and for
				good reason, may grant exceptions to this rule. These exceptions shall be in
				writing and shall be made a part of the Department of Health records for the
				facility.
(A) General Construction-Related
				Authorities.
1. Construction of all
				ambulatory surgical centers and additions to or remodeling of ambulatory
				surgical centers shall comply with all local and state regulations and
				codes.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities › Section 19 CSR 30-30.040 - Preparation of Plans and Specifications for Ambulatory Surgical Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The Division of Health Resources, Department
				  of Health has the authority to establish construction standards for ambulatory
				  surgical centers. This rule provides procedures to follow in the submission of
				  plans and specifications for new construction.
(1) Preliminary Plans and Sketches.
(A) When construction is contemplated, either
				for new buildings additions to existing buildings or material alterations to
				existing buildings, the preliminary plans or sketches shall be submitted in
				duplicate to the Department of Health for review and approval before the
				preparation of working drawings is undertaken. The preliminary plans may be
				reviewed by the Department of Health in schematic form, but before they are
				declared acceptable for procedure with working drawings and specifications,
				they should also include the following information, stated briefly and not in
				detailed form required in working drawings and specifications:
1. Site plan showing scale, orientation,
				street names, topography, walks, drives, fire lanes, parking areas and
				utilities including fire hydrant location;
2. Plans and elevations of the buildings at a
				scale of not less than one-eighth inch to one foot no inches (1/8":1'
				0");
3. Rooms and corridors,
				designated by name and number;
4.
				Windows. Note, wired glass where it is required;
5. Doors, including door swings. Identify
				fire doors by time rating and Underwriters' Laboratories label;
6. Plumbing fixtures. Show fixtures in proper
				shape and scale for positive recognition. Identify special types such as
				service sinks and clinic sinks;
7.
				Plans of rooms shall indicate principal items of furniture accurately
				scaled;
8. All other principal
				items of equipment such as boilers, chiller, cooling tower, electrical
				substations, tanks, air handlers, fan-coil units, kitchen equipment, laundry
				equipment, cabinets, counters and any other items which take up space and
				affect the final layout;
9. Fire
				and smoke-barrier partition designations;
10. Floor lines, top ceiling line and grade
				lines, designated and preferably dimensioned, and with basic elevations
				shown;
11. Ceiling heights of
				principal rooms and also of each room for which the rules establish a minimum
				ceiling height. Only one
(1) typical room of a
				group need be so shown;
12. Area of each room for which the rules
				establish a minimum area. Only one
(1)
				typical room of a group need be so noted; and
13. Brief noted descriptions of the general
				construction and finish; the structural system; the heating, ventilating and
				air-conditioning systems, including the fuel supply; the plumbing system
				including the water supply and sewage disposal; and the electrical
				system.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities › Section 19 CSR 30-30.061 - Complication Plans for Certain Drug- and Chemically-Induced Abortions Via Abortion Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes the standards
				  governing complication plans required by section
				  188.021,
				  RSMo, for abortions induced by physicians via abortion facilities. This rule
				  also explains the process for submitting such complication plans to the
				  Department of Health and Senior Services for approval.
(1) For purposes of this rule, the following
				terms mean:
(A) Abortion-The act of using or
				prescribing any instrument, device, drug, or any other means or substance
				resulting in the intentional destruction of an embryo or fetus in a woman's
				uterus or the intentional termination of a pregnancy of a woman with intent
				other than to increase the probability of a live birth or to remove a dead or
				dying embryo or fetus;
(B) Abortion
				facility-Any clinic, physician's office, or any other place or facility in
				which abortions are performed or induced other than a hospital;
(C) Complication-Includes, but is not limited
				to, incomplete abortion, excessive hemorrhage, endometritis, parametritis,
				pyrexia, pelvic abscess, uterine perforation, failed abortion, retained
				products, cervical lacerations, or psychiatric issues;
(D) Department-The Missouri Department of
				Health and Senior Services;
(E)
				Drug-A drug or chemical used to induce an abortion for which the federal Food
				and Drug Administration (FDA) label includes any clinical study in which more
				than one percent (1%) of those administered the drug required surgical
				intervention after its administration;
(F) OB/GYN-
1. A physician who is board-certified or
				board-eligible by the American Osteopathic Board of Obstetrics and Gynecology,
				or who is in a residency approved by that board; or
2. A physician who is board-certified by the
				American Board of Obstetrics and Gynecology (ABOG); or who is an ABOG
				Registered Residency Graduate or an ABOG Active Candidate; or who is in an
				ABOG-approved residency;
(G) Physician-A person licensed to practice
				medicine pursuant to Chapter 334, RSMo.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities › Section 19 CSR 30-30.080 - Definitions Relating to Birthing Centers and Procedures for Licensing Birthing Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines terminology used in this
				  chapter and establishes procedures for licensing birthing
				  centers.
(1) The following
				definitions shall be used in the interpretation and enforcement of
				19
				CSR 30-30.090 through
				19
				CSR 30-30.110:
(A)
				Administrator-A person who is designated to provide daily supervision and the
				administration of the birthing center;
(B) Birthing center-A facility, not licensed
				as part of a hospital, which provides maternity care away from the mother's
				usual residence and where low risk births are planned to occur following a
				normal uncomplicated pregnancy;
(C)
				Certified nurse-midwife (CNM)-A person licensed to practice professional
				nursing under section
				335.046,
				RSMo and currently certified by examination by the American College of
				Nurse-Midwives;
(D) Complication-A
				condition according to written risk criteria of the birthing center that
				contraindicates continued care in the birthing center;
(E) Department-The Missouri Department of
				Health;
(F) Discharge plan-A plan
				for continuing maternal and infant health care following birth;
(G) Health assessment-A determination of a
				patient's physical and mental status;
(H) Low risk-Normal, uncomplicated prenatal
				course as determined by adequate prenatal care and prospects for a normal,
				uncomplicated birth as defined by reasonable and currently accepted criteria of
				maternal and fetal health;
(I)
				Person-Any individual, firm, partnership, corporation or association;
(J) Physician-A person licensed to practice
				medicine under Chapter 334, RSMo who has admitting privileges at a
				hospital;
(K) Primary care giver-A
				physician or a certified nurse-midwife who has attended the mother during the
				prenatal period, will be present at delivery and will be responsible for care
				during the puerperium period; and
(L) Qualified personnel-A person trained and
				competent in the services which s/he provides and is licensed or certified as
				required by statute or professional standard.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities › Section 19 CSR 30-30.090 - Organization and Management Standards for Birthing Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule establishes standards for the
				  operation of birthing centers in order to provide care in a safe
				  environment.
(1) The center
				shall have a governing body which may be individual owner(s), partnership,
				corporate body, association or public agency.
(A) The governing body shall have full legal
				responsibility for determining, implementing and monitoring policies governing
				the center's total operation and for ensuring that the policies are
				administered in a manner to provide acceptable care in a safe
				environment.
(B) The governing body
				shall select and employ one (1) of the following as an administrator: a
				physician licensed in Missouri, a certified nurse-midwife (CNM), a registered
				nurse licensed in Missouri or an individual with a bachelor's degree in a
				related field and at least one (1) year of administrative experience in health
				care.
(C) The governing body shall
				require that an individual who complies with subsection (1)(B) of this rule
				shall be in charge when the administrator is unavailable in person or by
				telecommunications.
(D) Governing
				body bylaws shall acknowledge that duly appointed representatives of the
				department shall be allowed to inspect the center operation at any time, with
				consideration for client privacy and confidentiality.
(E) Bylaws of the governing body shall
				require that the clinical staff, center personnel and all auxiliary
				organizations directly or indirectly be responsible to the governing body
				through the administrator.
(F) The
				governing body, through the administrator, shall establish criteria for the
				content of patients' records, provision for their timely completion and
				disciplinary action on occasion of noncompliance.
(G) The governing body shall ensure that the
				birthing center abides by all applicable state and local laws.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities › Section 19 CSR 30-30.110 - General Design and Construction Standards for Existing Birthing Centers

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: Section
				  197.225,
				  RSMo authorizes the Department of Health to establish physical standards for
				  birthing centers in order to provide care in a safe environment. Birthing
				  centers are considered ambulatory surgical centers as defined by section
				  197.200(1),
				   RSMo and are subject to licensure as
				  required by 197.205, RSMo. This rule establishes physical plant requirements
				  for licensing existing birthing centers. Existing birthing centers are those
				  birthing facilities already in operation at the time these rules are
				  adopted.
PUBLISHER'S NOTE: The publication of the full text of
				  the material that the adopting agency has incorporated by reference in this
				  rule would be unduly cumbersome or expensive. Therefore, the full text of that
				  material will be made available to any interested person at both the Office of
				  the Secretary of State and the office of the adopting agency, pursuant to
				  section 536.031.4, RSMo. Such material will be provided at the cost established
				  by state law.
(1) General
				Standards.
(A) Any birthing center existing
				and in continuous operation prior to the date of the adoption of this rule will
				be inspected by the Department of Health to determine compliance with this
				rule. Existing birthing centers shall comply with all applicable local
				regulations and codes and shall hold a certificate of occupancy from the local
				building authority.
(B) Requests
				for deviations from requirements on physical facilities shall be requested in
				writing to the Department of Health and must contain information which
				determines that the respective intent or objectives of this rule have been met.
				Approvals for deviations shall be requested in writing and both requests and
				approvals shall be made a part of the permanent Department of Health records
				for the birthing center.
(C)
				References in this rule to, National Fire Protection Association (NFPA),
				publications are those contained in the twelve (12)-volume 1994 compilation of
National Fire Codes
. Where there are discrepancies between
				referenced NFPA publication requirements and this rule, the requirements of
				this rule shall apply.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 35 - Hospices › Section 19 CSR 30-35.010 - Levels of Maternal and Neonatal Care Designations

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies and updates
				  definitions and the minimum requirements for the provision of hospice services
				  by state-certified hospices. These proposed changes enhance the state minimum
				  requirements to reflect current industry standards and federal minimum
				  standards for hospice operations in order to enhance the health and safety of
				  Missourians receiving state-certified hospice services.
(1) General Provisions.
(A) Definitions Relating to Hospice Care
				Agencies.
1. Attending physician-a person who-
A. Is licensed as a doctor of medicine or
				osteopathy in Missouri or a bordering state; or
B. Is recognized by Missouri as a nurse
				practitioner and who complies with the requirements of Chapter 335, RSMo,
				20 CSR
				2200-4.200, and
				42 CFR
				410.75; or
C. Is licensed as a physician assistant (PA)
				in Missouri and who complies with the requirements in Chapter 334, RSMo,
				20 CSR
				2150-7.135, and
				42 CFR
				410.74(c); and
D. Is identified by the patient, at the time
				the patient elects to receive hospice care, as having the most significant role
				in the determination and delivery of the patient's medical
				care.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 35 - Hospices › Section 19 CSR 30-35.020 - Hospice Providing Direct Care in a Hospice Facility

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the minimum requirements
				  necessary for the construction and operation of hospice inpatient facilities in
				  order to be certified as part of the hospice program.
(1) A hospice that delivers care in a
				facility operated by the hospice and not otherwise licensed shall comply with
				this rule in addition to
				19 CSR
				30-35.010 and
				19 CSR
				30-35.030.
(2) Each patient shall receive treatment,
				medications and diet as prescribed and shall be kept comfortable, clean,
				well-groomed and protected from accident, injury and infection.
(3) Organization and Management of Hospice
				Facilities.
(A) 24-Hour Staffing.
1. The hospice shall provide 24-hour staffing
				which is sufficient to meet the patients' total needs in accordance with the
				patient plan of care.
2. All
				hospices shall employ qualified staff at the ratio of no less than one for
				every ten (1:10) patients per shift, per patient unit, 24 hours a
				day.
3. Staffing personnel shall be
				on duty at all times on each patient-occupied floor, with no less than two
				staff personnel in a facility at all times.
4. Minimum staff personnel shall be no less
				qualified than one home health aide or companion/volunteer and one licensed
				practical nurse.
5. A registered
				nurse shall be available for telephone consultation or on-site visit as needed,
				24 hours a day.
6. Facility
				personnel shall have a telephone access to administrative staff, 24 hours a
				day.
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.005 - Abbreviations and Definitions Relating to Ambulance Regulations

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.010 - Staffing of Ambulances

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.020 - Ambulance Vehicle Configuration and Equipment Requirements for Licensure

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.025 - Ambulance Markings

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.030 - Insurance Requirements for Ambulance Licensure

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.035 - Reporting Fire and Motor Vehicle Accidents Involving Ambulances

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.040 - Patient Care Equipment

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.045 - Communicable Disease Policy

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded: February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.048 - Training for Emergency Response Personnel and Good Samaritans on the Communicable Disease Reporting Regulation

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.050 - Mobile Emergency Medical Technicians

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.060 - Emergency Medical Service Personnel Application

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.070 - Public Convenience and Necessity Hearings

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.080 - Records and Forms

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.090 - Examination Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.100 - Relicensure Procedures

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.110 - Procedures for EMS Course Approvals

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.115 - Requirements for Mobile Emergency Medical Technician (MEMT) Continuing Education/Quality Improvement (CE/QI) Programs

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.120 - Instructor Qualifications for EMT Courses

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.130 - Use of Obturators by EMTs

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.140 - Criteria for Revocation, Suspension, Probation and/or Denial of Initial or Renewal Application for Ambulance Attendant, Attendant/Driver and Mobile Emergency Medical Technician Licenses

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.150 - Restriction on Licensure Actions Without Thorough Investigation and Administrative Review

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.152 - Criminal Background Checks by Department of Health for Licensure and Renewal Applications

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.160 - Physician Medical Advisor Required for All Ambulance Services

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.170 - Misrepresenting the Level of Ambulance Service or Training, a Violation of Law

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)
Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations › Section 19 CSR 30-40.175 - Minimum Training Level of Personnel Using Emergency Medical Equipment

Current through Register Vol. 49, No. 14, July 15, 2024
(Rescinded February 28, 1999)