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 30-30.050 - Definitions and Procedures for Licensing Abortion Facilities

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates definitions, establishes
				  contents of licensing applications, and incorporates application forms for
				  abortion facility licenses.
PURPOSE: This rule defines terminology used in
				  19
				  CSR 30-30.060 and
				  19
				  CSR 30-30.070, and establishes the procedures for
				  applying for an abortion facility license.
(1) The following definitions shall be used
				in the interpretation and enforcement of
				19
				CSR 30-30.060 and
				19
				CSR 30-30.070:
(A)
				Abortion-The act of using or prescribing any instrument, device, medicine,
				drug, or any other means or substance with the intent to destroy the life of an
				embryo or fetus in his or her mother's womb; or, the intentional termination of
				the pregnancy of a mother by using or prescribing any instrument, device,
				medicine, drug, or other means or substance with an intention other than to
				increase the probability of a live birth or to remove a dead or dying unborn
				child;
(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) Administrator-A person who is designated
				by an abortion facility to provide daily supervision over the abortion facility
				and who is a physician licensed in Missouri, a registered nurse licensed in
				Missouri, or an individual who has at least one (1) year of administrative
				experience in health care;
(D)
				Complication-Includes, but is not limited to, incomplete abortion, hemorrhage,
				endometritis, parametritis, pyrexia, pelvic abscess, uterine perforation,
				failed abortion, cervical lacerations, retained products, or diagnosable
				psychiatric condition;
(E)
				Department-The Missouri Department of Health and Senior Services;
(F) Discharge summary-A statement completed
				by a physician or registered nurse regarding the condition of the patient at
				the time of discharge;
(G) First
				trimester-The first thirteen (13) weeks of gestation, based upon gestational
				age;
(H) Gestational age-The length
				of pregnancy measured from the onset of the last menstrual period, and except
				in the case of a medical emergency as defined in section
				188.015, RSMo,
				determined by a physician in a manner consistent with accepted obstetrical and
				neonatal practices and standards after performing or causing to be performed
				such medical examinations, imaging studies, and tests as a reasonably prudent
				physician, knowledgeable about the medical facts and conditions of both the
				woman and the unborn child involved, would consider necessary to perform and
				consider in making an accurate diagnosis;
(I) Health assessment-A determination of a
				patient's physical and mental status;
(J) Licensed practical nurse (LPN)-A person
				licensed to practice practical nursing pursuant to Chapter 335, RSMo;
(K) OB/GYN-A physician who is board-certified
				or board-eligible by the American Board of Obstetrics and Gynecology or the
				American Osteopathic Board of Obstetrics and Gynecology;
(L)
				Person-Any individual, firm, partnership, corporation, association, or other
				business entity;
(M) Physician-Any person licensed to practice medicine
				pursuant to Chapter 334, RSMo;
(N) Registered
				professional nurse-An individual who is a graduate of an approved school of
				nursing and who is licensed to practice professional nursing under Chapter 335,
				RSMo; and
(O) Surgical technologist-An individual who is
				certified by the National Board of Surgical Technology and Surgical
				Assisting.