15,412 rulemaking notices from 19 Missouri agencies, proposed, emergency, and final filings as they cross the State Register on the way into the Administrative Code.
20 CSR 2220-7.080 — Pharmacist License Renewal and Continuing Pharmacy Education
Sep 1, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE / State Board of Pharmacy / Licensing
19 CSR 30-20.015 — Administration of the Hospital Licensing Program
Sep 1, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Hospitals
19 CSR 30-20.011 — Definitions Relating to Hospitals . Missouri Register
Sep 1, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Hospitals
12 CSR 40-100.010 — Fast Play Game
Sep 1, 2026
Orders of Rulemaking — DEPARTMENT OF ELEMENTARY / Office of Childhood / Early Childhood Development
5 CSR 25-100.330 — 5 CSR 25-100.330
Sep 1, 2026
Orders of Rulemaking — DEPARTMENT OF ELEMENTARY / Office of Childhood / Early Childhood Development
20 CSR 2233-1.040 — [(1)(H)]. All information shall be submitted to the state committee no later than thirty (30) days prior to a regularly scheduled state committee meeting to be reviewed Missouri Register September 1, 2026
Sep 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / State Committee of Marital / Licensure Requirements
20 CSR 2233-2.010 — Educational Requirements. The committee is amending sections (1), (4), (6), (7), (9), (11), and (12)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / State Committee of Marital / Licensure Requirements
20 CSR 2120-2.060 — Funeral Directing. The board is amending section (9)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / State Board of Embalmers and / General Rules
19 CSR 60-50.430 — Application Package. The committee is amending paragraph (4)(B)4. and updating form MO 580-2501
Sep 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH / Missouri Health Facilities Review / Certificate of Need Program
19 CSR 60-50.410 — Letter of Intent Package. The committee is amending subsection (2)(D)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH / Missouri Health Facilities / Certificate of Need Program
19 CSR 30-30.100 — General Design and New Construction Standards for Birthing Centers. The department is amending subsections (1)(A) and (1)(B)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Ambulatory Surgical Centers
19 CSR 30-30.040 — Preparation of Plans and Specifications for Ambulatory Surgical Centers)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Ambulatory Surgical Centers
19 CSR 30-30.030 — General Design and Construction Standards for Ambulatory Surgical Centers. The department is amending subsection (1)(B)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Ambulatory Surgical Centers
19 CSR 30-20.030 — Construction Standards for New Hospitals. The department is amending sections (2) and (3)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Hospitals
13 CSR 70-70.010 — Therapy Program. The division is amending section (1) and removing section (4)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Therapy Program
13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending sections (1) and (2)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-10.100 — Limitation on Allowable Capital Cost Overruns for New Institutional Health Services in Title XIX Reimbursement Rate Setting. This rule established a limitation on the allowance of capital cost overruns in the construction of new institution
Sep 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-10.010 — Prospective Reimbursement Plan for Long-Term Care. This rule established a payment plan for long-term care required by the Code of Federal Regulations, described principles to be followed by Title XIX long-term care providers in making fina
Sep 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-10.005 — Reasonable Cost-Related Reimbursement Plan for Long-Term Care. This rule established a payment plan for nursing home care required by the Code of Federal Regulations (42 CFR 447.273–447.316), described the cost principles to be followed by
Sep 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-3.120 — Limitations on Payment of Out-of-State Nonemergency Medical Services. The MO HealthNet Division is amending subsection (5)(B)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
12 CSR 40-96.030 — Digital Player Wallets
Sep 1, 2026
Proposed Rules — DEPARTMENT OF REVENUE / Director of Revenue / Financial Institutions
12 CSR 40-96.020 — Sale of Lottery Games Over the Internet
Sep 1, 2026
Proposed Rules — DEPARTMENT OF REVENUE / Director of Revenue / Financial Institutions
12 CSR 40-96.010 — Digital Lottery Instant Win Games
Sep 1, 2026
Proposed Rules — DEPARTMENT OF REVENUE / Director of Revenue / Financial Institutions
12 CSR 40-60.030 — Manner of Claiming Prizes from the Missouri Lottery. The department is adding section (4)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF REVENUE / Director of Revenue / Financial Institutions
12 CSR 40-40.200 — Political Subdivisions Prohibited from Obtaining Licenses. The department is amending section (1)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF REVENUE / Director of Revenue / Financial Institutions
12 CSR 10-10.050 — Statute of Limitations for Credit Institutions Tax. This rule provided for the statute of limitations for the assessment of Credit Institutions Tax as set out in Chapter 148, RSMo
Sep 1, 2026
Proposed Rules — DEPARTMENT OF REVENUE / Director of Revenue / Financial Institutions
12 CSR 10-10.040 — Statute of Limitations for Credit Institution Tax and Credit Union and Savings and Loan Association Tax. The department is amending the purpose statement and sections (4) and (6)
Sep 1, 2026
Proposed Rules — DEPARTMENT OF REVENUE / Director of Revenue / Financial Institutions
19 CSR 60-50.430 — Application Package. The committee is amending paragraph (4)(B)4 and updating form MO 580-2501
Sep 1, 2026
Emergency Rules — DEPARTMENT OF HEALTH / Missouri Health Facilities Review / Certificate of Need Program
19 CSR 60-50.410 — Letter of Intent Package. The committee is amending subsection (2)(D)
Sep 1, 2026
Emergency Rules — DEPARTMENT OF HEALTH / Missouri Health Facilities Review / Certificate of Need Program
19 CSR 30-30.100 — General Design and New Construction Standards for Birthing Centers The Department of Health and Senior Services is amending subsections (1)(A) and (1)(B)
Sep 1, 2026
Emergency Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Hospital Program
19 CSR 30-30.040 — Preparation of Plans and Specifications for Ambulatory Surgical Centers The Department of Health and Senior Services is amending subsection (1)(A)
Sep 1, 2026
Emergency Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Hospital Program
19 CSR 30-30.030 — General Design and Construction Standards for Ambulatory Surgical Centers The Department of Health and Senior Services is amending subsection (1)(B)
Sep 1, 2026
Emergency Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Hospital Program
19 CSR 30-20.030 — Construction Standards for New Hospitals The Department of Health and Senior Services is amending sections (2) and (3)
Sep 1, 2026
Emergency Rules — DEPARTMENT OF HEALTH / Division of Regulation and Licensure / Hospital Program
13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending sections (1) and (2)
Sep 1, 2026
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.015 — Supplemental Payments. The division is amending sections (1), (7), (8), and (9)
Sep 1, 2026
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-3.310 — Chiropractic Services
Sep 1, 2026
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
13 CSR 70-3.300 — Complementary Health and Alternative Therapies for Chronic Pain Management
Sep 1, 2026
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
20 CSR 2205-1.050 — Fees
Aug 17, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE / Missouri Board of Occupational / General Rules
20 CSR 2110-2.130 — Dental Hygienists
Aug 17, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE / Missouri Dental Board / General Rules
20 CSR 2110-2.120 — Dental Assistants
Aug 17, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE / Missouri Dental Board / General Rules
20 CSR 200-9.800 — Annual Filings Due by March 1
Aug 17, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE / Insurance Solvency and Company / Third-Party Administrators (TPAs)
13 CSR 35-35.130 — 13 CSR 35-35.130
Aug 17, 2026
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Alternative Care
10 CSR 23-2.010 — Fee Structure is withdrawn
Aug 17, 2026
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Well Installation / Fee Structure, Certification, and
7 CSR 10-10.090 — Reservation of Rights to Recommend or Declare Persons or Contractors Nonresponsible on Other Grounds
Aug 17, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OF TRANSPORTATION / Missouri Highways and / Contractor Performance Rating to
7 CSR 10-10.080 — Determination of Nonresponsibility
Aug 17, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OF TRANSPORTATION / Missouri Highways and / Contractor Performance Rating to
7 CSR 10-10.070 — Procedure for Annual Rating of Contractors
Aug 17, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OF TRANSPORTATION / Missouri Highways and / Contractor Performance Rating to
7 CSR 10-10.060 — Explanation of Standard Deviation Rating System for All Contractors
Aug 17, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OF TRANSPORTATION / Missouri Highways and / Contractor Performance Rating to
7 CSR 10-10.050 — Procedure and Schedule for Completing the Contractor Performance Project Evaluation
Aug 17, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OF TRANSPORTATION / Missouri Highways and / Contractor Performance Rating to
7 CSR 10-10.040 — Contractor Performance Project Evaluation Used For Determining Contractor Performance
Aug 17, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OF TRANSPORTATION / Missouri Highways and / Contractor Performance Rating to
7 CSR 10-10.030 — Rating Categories for Evaluating the Performance of a Contractor
Aug 17, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OF TRANSPORTATION / Missouri Highways and / Contractor Performance Rating to