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 Title XII PUBLIC HEALTH AND WELFARE

 Chapter 192 Department of Health and Senior Services 
192.002   Department of health and senior services established. (8/28/2001)
192.005   Department of health and senior services created — division of health abolished — duties — federal Older Americans Act, implementation transferred to department, state plan. (8/28/2022)
192.006   Health and senior services, department of, rulemaking authority, procedure. (8/28/1995)
192.007   Director, appointment — compensation — qualifications. (8/28/1985)
192.011   Duties of department — monitoring environmental effects on public health — developing disease prevention plan. (8/28/1985)
192.014   State board of health and senior services to advise department. (8/28/2018)
192.015   Fees for laboratory tests authorized — deposit in general revenue. (8/28/1982)
192.016   Putative father registry — fund created. (8/28/2005)
192.019   Citation. (8/28/2004)
192.020   To safeguard the health of the people of Missouri — certain diseases to be included on communicable or infectious disease list. (8/28/2016)
192.025   To accept and disburse federal funds for health purposes. (8/28/1951)
192.031   Hepatitis C programs established by department of health and senior services. (8/28/1999)
192.033   Strategies for raising public awareness on hepatitis C. (8/28/1999)
192.036   Information on hepatitis C for physicians, health professionals and training providers. (8/28/1999)
192.040   Department to issue reports — subjects. (8/28/1988)
192.050   Department to maintain certain bureaus — establishment of others. (8/28/1945)
192.060   Department to keep vital statistics. (8/28/1945)
192.067   Patients' medical records, department may receive information from — purpose — confidentiality — immunity for persons releasing records, exception — reimbursement of costs of abstracting data — penalty. (8/28/2019)
192.068   Quality of care, access, member satisfaction and status information provided to department — standards of measurement — rulemaking authority — data not to be made public — reports to be published. (8/28/1997)
192.070   Care of babies and hygiene of children, educational literature to be issued by department. (7/10/2001)
192.072   Bureau of immunization to develop educational materials — contents, distribution. (8/28/1993)
192.080   Bureau of food and drug inspection. (8/28/1949)
192.081   Donation of canned or perishable food — definitions — procedure — immunity from liability, when — department to provide information. (8/28/2006)
192.083   Office of minority health, established — purpose, duties. (8/28/1988)
192.090   Inspection of hotels, inns and boardinghouses. (8/28/1949)
192.100   Inspection of beverages. (8/28/1945)
192.110   Department's duty as to diseases of animals. (8/28/1945)
192.131   Definitions — health care-associated infections data to be reported — confidentiality — plan to help monitoring to be developed — required standards. (8/28/2004)
192.138   Contagious or infectious disease reports by medical treatment facilities and nursing homes. (8/28/2004)
192.139   Communicable disease reporting, guidelines for department. (8/28/1988)
192.140   Public health nurse provided — public and private places disinfected. (8/28/1939)
192.150   Interference a misdemeanor — duty of mayor and county commission. (8/28/1939)
192.160   Taxpayers may petition for the appointment of a nurse. (8/28/1939)
192.170   Money appropriated from current revenue. (8/28/1939)
192.230   Department to conduct a survey of hospitals and health facilities — to recommend a state plan. (8/28/2018)
192.250   Department to receive grants. (8/28/1945)
192.260   County health officer appointed by county commission. (8/28/1949)
192.270   Deputy or assistant county health officers (certain first and second class counties). (8/28/1982)
192.280   Duties of county health officer — neglect, penalty — removal. (8/28/1949)
192.290   State regulations supersede local rules — additional local rules. (8/28/1939)
192.300   Counties may make additional health rules — fees, deposit in county treasury, purpose — individuals unable to pay not to be denied health services — records and publication — violation a misdemeanor. (6/15/2021)
192.310   City of St. Charles and cities of 75,000 or over excepted from sections 192.260 to 192.320. (8/28/2014)
192.310   Cities of 75,000 or over excepted from sections 192.260 to 192.320. (8/7/1919)
192.320   Violation of law or quarantine — penalty. (8/28/1978)
192.323   Department of health and senior services document services fund created — funding by certain fees — purpose — amount from fund exempt from lapse into general revenue. (8/28/2002)
192.324   Administrative and cost allocation fund created, use of moneys. (6/29/2005)
192.326   Disaster fund created, use of moneys during a state of emergency. (6/29/2005)
LICENSURE OF MILITARY PERSONNEL
192.360   Active duty military, license to remain in good standing for duration of duty — licensing board procedure required — renewal of license. (8/28/2013)
BIRTHING FACILITIES
192.380   Neonatal care designations, criteria for — levels — rulemaking authority — facility to report level to department. (8/28/2017)
SENIOR SERVICES GROWTH AND DEVELOPMENT PROGRAM
192.385   Program established, purpose — fund created, use of moneys — disbursement to area agencies on aging, formula — rulemaking authority. (8/28/2019)
AMINO ACID-BASED ELEMENTAL FORMULAS
192.390   Cost of certain formulas to be provided — rulemaking authority. (8/28/2015)
RADIATION CONTROL
192.400   Definitions. (8/28/2006)
192.410   Powers and duties of department. (8/28/2006)
192.420   Department to make rules — procedure. (8/28/2006)
192.430   Radiation sources to be kept safe. (8/28/1963)
192.440   Unregistered use or possession of radiation producers unlawful — use or possession contrary to law or regulations unlawful. (8/28/1963)
192.450   Department to order abatement of violations — agents may inspect — data confidential. (8/28/1963)
192.460   Emergency orders — compliance required — hearing. (8/28/1963)
192.470   Judicial review. (8/28/1963)
192.480   Law not to limit medical use of radiation. (8/28/1963)
192.490   Violation of law or regulation, misdemeanor — injunctive relief. (8/28/1963)
192.500   Inspection of cone beam computed tomography systems and panoramic x-ray systems, when. (8/28/2017)
192.505   Radiation data management program to collect statistics to protect health and environment. (8/28/1985)
192.507   Radiological laboratory to be established, purpose. (8/28/1985)
192.510   Radiation emergencies, duties of department of health and senior services to cooperate with other agencies. (8/28/1985)
TELEPHONE INFORMATION ON HEALTH CARE PROVIDERS FOR CHILDREN ON MEDICAL ASSISTANCE
192.601   Toll-free telephone to be established for information on health care providers for children on medical assistance. (8/28/2014)
OFFICE OF RURAL HEALTH
192.604   Office established — powers and duties — report to general assembly and governor, when. (8/28/1990)
ADVISORY COMMITTEE ON CHILDHOOD IMMUNIZATION
192.630   Advisory committee on childhood immunization — members — public meetings, costs — appointment — duties. (8/28/1993)
CANCER INFORMATION REPORTING SYSTEM
192.650   Cancer information reporting system established — purpose — rulemaking authority. (8/28/1999)
192.653   Reports required from certain health care providers, content — exemptions. (8/28/1999)
192.655   Confidentiality of reports — release of reports, requirements — publication, when — exchange of data agreements with other registries permitted, when. (8/28/1999)
192.657   No liability for furnishing or providing access to required information, exception — department examination of individuals not intended — violations, penalty. (8/28/1999)
HEALTH CARE PROVIDERS, DATA REQUIREMENTS
192.665   Definitions. (10/24/2017)
192.667   Health care providers, financial data, submission of data on infections to be collected, rules, recommendations — federal guidelines to be implemented — collection and use of data, restrictions, penalty — public reports required, when, requirements — rulemaking authority — antimicrobial stewardship program, report. (8/28/2019)
ARTHRITIS ADVISORY BOARD AND PROGRAM REVIEW COMMITTEE
192.700   Arthritis program established — purpose. (8/28/1984)
192.703   Definitions. (8/28/1984)
192.705   Program coordinators, appointment, duties — compensation. (8/28/1984)
192.707   Arthritis advisory board established — members, terms, appointment, vacancies — meetings — chairman, term — duties, reports, reimbursement of expenses. (8/28/2018)
192.710   Arthritis program review committee created — members — qualifications — appointment — term — vacancies — meetings — duties — executive administrator. (8/28/2018)
192.712   Expenses of board and committee members to be paid, subject to appropriations. (8/28/2002)
192.714   Regional arthritis centers to be established — purpose — regions designated. (8/28/1984)
192.716   Centers to establish programs for education and improved patient care. (8/28/1984)
192.718   Fellowships to be granted in clinical rheumatology — candidates, how approved — amount. (8/28/1984)
192.720   Support for rheumatology trainees — amount — approval of candidates. (8/28/1984)
192.723   Research feasibility studies to be carried out by regional centers. (8/28/1984)
192.725   Arthritis information network to be established — staff. (8/28/1984)
192.727   DMSO — definition — use for treatment of arthritis — authorized — no liability for persons prescribing, administering, dispensing, when — label requirements. (8/28/1984)
BRAIN AND SPINAL CORD INJURIES
192.735   Definitions. (8/28/2011)
192.737   Data analysis and needs assessment. (8/28/2016)
192.739   Confidentiality of reports — release of reports, requirements. (8/28/2011)
192.740   No liability for furnishing required information, exception. (8/28/1986)
192.742   Promulgation of rules, authority for, consultation with council. (8/28/2011)
192.744   Department examination or treatment of individual not intended — violations, penalty. (8/28/1986)
192.745   Advisory council established — members, terms, appointment, meetings, expenses — chairman — duties. (8/28/2023)
MAMMOGRAPHY SYSTEMS AUTHORIZATION
192.760   Definitions. (8/28/1992)
192.762   Department to license materials used to perform mammography — minimum training and performance standards — rules, procedure, review. (8/28/1993)
192.764   Schedule of fees to be established — nonrefundable fees — waiver of fees — mammography fund. (8/28/1993)
192.766   Machine not registered shall not be used for mammography — department to authorize machines, when — nonrenewable temporary authorizations — application form, information required — annual inspections — withdrawal of authorization, emergency order authorized — administrative penalty — injunctive relief. (8/28/1992)
192.769   Notice to patients upon completion of a mammogram — effective date. (8/28/2014)
192.775   Physician referral not required for screening mammogram, when. (8/28/2023)
COVID-19 TESTING
192.895   Covid-19 tests, no cost, when — department duties — use of federal funds — no reduction in health insurance coverage, when. (7/13/2020)
MISSOURI PUBLIC HEALTH SERVICES FUND
192.900   Missouri public health services fund, established, purposes. (6/29/2005)
OVER-THE-COUNTER WEIGHT LOSS PILLS EDUCATION AND AWARENESS PROGRAM
192.915   Over-the-counter weight loss pills, education and awareness program established — strategies — rulemaking authority. (8/28/2016)
AWARENESS PROGRAM FOR ELDER ABUSE, NEGLECT, AND FINANCIAL EXPLOITATION
192.925   Awareness program established — focus of program — cooperation with department of social services, distribution of program information. (8/28/2009)
MONEY FOLLOWS THE PERSON DEMONSTRATION PROGRAM
192.926   Committee established to assess continuation of demonstration program — duties of committee, members — recommendations — termination date. (8/28/2015)
OFFICE ON WOMEN'S HEALTH
192.965   Office on women's health created, duties. (8/28/2000)
192.968   Committee to advise the office on women's health created, duties. (8/28/2000)
PREGNANCY-ASSOCIATED MORTALITY REVIEW BOARD
192.990   Board established, purpose — definitions — members, duties — report — data to be provided to department — confidentiality — use of grant funds. (8/28/2019)
BONE MARROW REGISTRY
192.1120   Bone marrow registry, providers may inquire whether certain patients are registered — department to disseminate information. (8/28/2018)
SENIOR SERVICES
192.2000   Division of aging created — duties — inspectors of nursing homes, training and continuing education requirements — promulgation of rules, procedure — dementia-specific training requirements established. (8/28/2014)
192.2005   Definitions. (8/28/2014)
192.2010   Shared care program established, goals — department duties. (8/28/2014)
192.2015   Shared care tax credit available, when — eligibility requirements — rulemaking authority — penalty provision. (8/28/2014)
192.2020   Area agencies for aging duties — advisory council, duties — agency records audited, when. (8/28/2014)
192.2025   Budget allotment tables provided to each area agency on aging, when — area plan submitted, when — on-site monitoring by department. (8/28/2014)
192.2100   Alzheimer's disease and related disorders respite care program — definitions. (8/28/2014)
192.2105   Respite care program for Alzheimer's purposes. (8/28/2014)
192.2110   Rules and regulations for respite care program, procedure. (8/28/2014)
192.2150   Department to use services of certain organizations, when. (8/28/2014)
ADULT DAY CARE
192.2200   Definitions. (8/28/2014)
192.2205   License required to operate day care program — forms — documents — review — license validity period — temporary operating permit, when. (8/28/2014)
192.2210   Deficiencies, operator informed in exit interview, requirements — plan of correction — categories of standards established — inspection reports made available — notices required. (8/28/2014)
192.2215   Revocation of license, when — notification of operator. (8/28/2014)
192.2220   Exceptions to licensure requirements for adult day care centers. (8/28/2014)
192.2225   Right to enter premises for compliance inspections or to investigate complaints — failure to permit, effect. (8/28/2022)
192.2230   Fee for license or renewal, limitation. (8/28/2014)
192.2235   Adult daycare program manual — regional training sessions. (8/28/2014)
192.2240   Inspections, when — refusal to permit access, court order issued when — injunction authorized. (8/28/2014)
192.2245   License denied — suspended — revoked — hearing procedure — appeals. (8/28/2014)
192.2250   Rulemaking authority. (8/28/2014)
192.2255   Rules, authority, procedure. (8/28/2014)
192.2260   Violations, penalties. (1/1/2017)
192.2265   Inspections and plans of correction to be provided on department website, exceptions. (8/28/2014)
192.2270   Dispute resolution, department may contract with third parties — definitions — requirements — rulemaking authority. (8/28/2014)
192.2275   Cost-based uniform rate for services, budget line item. (8/28/2014)
STATE OMBUDSMAN FOR LONG-TERM CARE FACILITY RESIDENTS
192.2300   Definitions. (8/28/2014)
192.2305   Office of state ombudsman for long-term care facility and veterans' home residents created in department of health and senior services — purpose — powers and duties. (8/28/2020)
192.2310   Confidentiality of ombudsman's files and records, exceptions, violations, penalty. (8/28/2014)
192.2315   Immunity from liability for official duties for staff and volunteers — information furnished office, no reprisals against employees of facilities or residents, violations, penalty. (8/28/2014)
PROTECTIVE SERVICES FOR ADULTS
192.2400   Definitions. (8/28/2016)
192.2405   Mandatory reporters--penalty for failure to report. (8/28/2023)
192.2410   Reports, contents — department to maintain telephone for reporting. (1/1/2017)
192.2415   Investigations of reports of eligible adults, department procedures. (8/28/2014)
192.2420   Investigations of reports of eligible adults between eighteen and fifty-nine, department procedures. (8/28/2014)
192.2425   Investigation of elder abuse — report. (1/1/2017)
192.2430   Duty to report, immunity. (1/1/2017)
192.2435   Records, what confidential, what subject to disclosure — procedure — central registry to receive complaints of abuse and neglect. (8/28/2014)
192.2440   Assistance to be given. (8/28/2014)
192.2445   Procedure when abuse, neglect, or physical harm may be involved — remedies. (8/28/2014)
192.2450   Interference with delivery of services, effect — remedy. (8/28/2014)
192.2455   Recipient unable to give consent, procedure, remedy. (8/28/2014)
192.2460   Director may proceed under other law, when — legal counsel may be retained, when. (8/28/2014)
192.2465   Peace officer may act, when, how — involuntary treatment may be ordered, how, where rendered — religious beliefs to be observed. (8/28/2014)
192.2470   Discontinuance of services, when — exception. (8/28/2014)
192.2475   Report of abuse or neglect of in-home services or home health agency client, duty — penalty — contents of report — investigation, procedure — confidentiality of report — immunity — retaliation prohibited, penalty — employee disqualification list — safe at home evaluations, procedure. (8/28/2016)
192.2480   In-home services client, misappropriation of property, report — investigation — penalty — confidentiality of report — immunity — retaliation prohibited — employee disqualification list. (8/28/2014)
192.2485   Alteration of in-home services provider agency contracts, procedure — letters of censure — staying of suspensions — appeal process. (8/28/2014)
192.2490   Employee disqualification list, notification of placement, contents — challenge of allegation, procedure — hearing, procedure — appeal — removal of name from list — list provided to whom — prohibition of employment. (8/28/2016)
192.2495   Criminal background checks of employees, required when — persons with criminal history not to be hired, when, penalty — failure to disclose, penalty — improper hirings, penalty — definitions — rules to waive hiring restrictions. (8/28/2018)
192.2500   Prohibition against disclosure of reports, exceptions — employment security provided reports upon request. (8/28/2014)
192.2505   Confidentiality of records, records disclosed, when. (8/28/2014)
JUSTICE FOR SURVIVORS ACT
192.2520   Citation of law — definitions — telehealth network for victims of sexual offenses, requirements — contracts — report, contents — fund established, use of moneys — rulemaking authority. (8/28/2021)
PRESCRIBED PEDIATRIC EXTENDED CARE FACILITIES
192.2550   Definitions. (8/28/2024)
192.2552   License required — inapplicability, when. (8/28/2024)
192.2554   Department powers and duties — inspections and investigations — rule variance request — rules. (8/28/2024)
192.2556   Child care facility license required — employees considered child care staff members, when. (8/28/2024)
192.2558   Sanction of license procedure — immediate suspension, when — court action, when. (8/28/2024)
192.2560   Confidentiality of records — inspection and investigation reports available to public, when. (8/28/2024)
 - Cross References
ABLE program, semiannual review, 209.640
Advance health care directives registry, 459.250
AIDS, duties of department, 191.650 to 191.703
Air quality, nonattainment areas, carbon emissions, implementation impact report, submitted with other departments, 640.090
Amber alert system created, 210.1012
Amber alert system oversight committee, director to be a member, 210.1014
Blood tests of pregnant women, department to make rules and approve tests, 210.030
Breast feeding, written information provided to physicians, hospitals and ambulatory surgical centers, when, 191.915
Breast implants, department of health and senior services to provide written summary on risks and effects, 376.1250
Cervical cancer and HPV, department to develop informational brochure, contents, 167.182
Child death review teams, department's duties, 210.192 to 210.196
Comprehensive emergency medical services systems act, 190.001 to 190.255
Conflict resolution materials to be developed and made available, 170.046
Controlled substances, waiver of registration and record-keeping requirements during emergencies, 195.041
Convalescent and nursing homes, department of health and senior services to inspect, license, Chap. 198
County option dumping ground law, duties, 64.470, 64.477
Department to approve techniques and issue permits for chemical analysis of breath to determine alcoholic content of blood, 577.020
Eating disorders, education and awareness programs established, 630.580
Elderly health and nutrition act, 208.600 to 208.627
Electronic vital records system, department to notify certain medical professionals on use of for purposes of death certificates, 193.145
Essential community providers, letter of designation, 354.654
Exchange of information for the protection of individuals serviced by health care providers regulated by the departments of health and senior services or social services, 191.005
Hepatitis B vaccine for at-risk state employees, department's duties, 292.650
Hospital and health facility inspection reports may be made available to public, duties of department, 197.477
Information system coordination for tracking of individual children, 210.865
Juvenile information governance commission, members, duties, meetings, annual report, 210.870
Lead abatement and prevention of lead poisoning, 701.300 to 701.349
Medical school loan repayment program, duties, 191.600 to 191.615
Missouri Achieving a Better Life Experience (ABLE) board, membership on, 209.605
Missouri National Guard members offered interview for state positions, when, 36.221, 105.1204
New state programs to sunset after six years, Missouri sunset act, 23.250 to 23.298
On-site sewage disposal systems regulations, duties of department of health and senior services, 701.025 to 701.039
Organ donor program and registry, duties, 194.304, of health, 701.025 to 701.035
Penalties assessed by state agencies for delinquent reports or fees, limitations, 33.202
Personal care assistance program for disabled persons, 208.900 to 208.930
Pregnant women, using drugs, alcohol, cigarettes, effect on women and children, treatment and education program, department's duties, 191.725 to 191.748
Rules and regulations of department as to immunization of school children, 167.181
Social Security numbers on file with vital statistics may be used by department for statistical purposes, 193.075
Summer food service program, 191.810
Uniform claim forms, health care reporting, 374.184
Unsafe children's products, child care facilities, disposal of, inspections, 210.1007
Veterans, state agency forms to include veteran data, information on agency's veteran services provided, when, 42.051
Water resources interagency task force, to be member, 640.430

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