Missouri State Register
3,540 rulemaking notices from Missouri Department of Health and Senior Services.
19 CSR 100-1.200 — Marijuana Research Facilities
May 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Cannabis Regulation / Marijuana
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 100-1.190 — was revised in response to Ms. McCracken’s comment. No changes have been made to this rule as a result of this comment. Missouri Register April 15, 2026 Vol. 51, No. 8 Page 523
Apr 15, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Cannabis Regulation / Marijuana
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 100-1.060 — 19 CSR 100-1.060
Apr 15, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Cannabis Regulation / Marijuana
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 25-32.010 — State Approval of Milk-Testing Laboratories
Apr 15, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri State Public Health / Milk-Testing Laboratories
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-86.047 — Administrative, Personnel, and Resident Care Requirements for Assisted Living Facilities
Apr 1, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Residential Care Facilities and Assisted
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 20-80.010 — Training Standards Relating to the Office of the Coroner
Apr 1, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Community and Public / Coroner Standards and Training
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-1.002 — Schedules of Controlled Substances
Mar 16, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Controlled Substances
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-100.020 — Safe Place for Newborns Fund
Jan 15, 2026
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Safe Place for Newborns
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-1.006 — List of Exempt Anabolic Steroid Products
Jan 2, 2026
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Controlled Substances
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 100-1.190 — Microbusinesses. The division is amending section (1)
Dec 15, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Cannabis Regulation / Marijuana
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 100-1.060 — Facility Applications and Selection. The division is amending sections (2)–(6)
Dec 15, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Cannabis Regulation / Marijuana
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-86.047 — Administrative, Personnel, and Resident Care Requirements for Assisted Living Facilities. The department is amending section (15) and subsections (4)(A),
Dec 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Residential Care Facilities and Assisted
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 20-80.010 — Training Standards Relating to the Office of the Coroner. This rule established training standards relating to the office of county coroner
Dec 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Community and Public / Coroner Standards and Training
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-1.002 — Schedules of Controlled Substances. The department is amending section (1)
Nov 17, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Controlled Substances
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-1.002 — Schedules of Controlled Substances. The department is amending section (1)
Nov 17, 2025
Emergency Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Controlled Substances
Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.800 — Meeting Procedures. The committee is amending section (2)
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.700 — Post-Decision Activity. The committee is amending sections (3) and (6) and subsection (4)(A)
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.500 — Additional Information. The committee is amending sections (2) and (3)
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.470 — Criteria and Standards for Financial Feasibility. The committee is amending section (2)
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.430 — Application Package. The committee is amending sections (2)–(4) and updating forms MO 580-2501, MO 580-2504, and MO 580-2506
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.410 — Letter of Intent Package. The committee is amending sections (1) and (2), adding new sections (3), (4), (5), and (6), removing section (4), updating form MO 580-1860, and renumbering as needed
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.400 — Letter of Intent Process. The committee is amending sections (1), (3), and (6), removing sections (4)–
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 60-50.300 — Definitions for the Certificate of Need Process. The committee is amending sections (5) and (6), adding new sections (11), (14), and (20), and renumbering as needed
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-82.060 — Hiring Restrictions—Good Cause Waiver. The department is amending the purpose statement and sections (1), (2), (7), (8), (11), (12), (14), (17), and (18)
Oct 1, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / General Licensure Requirements
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-1.006 — List of Exempt Anabolic Steroid Products. The Department of Health and Senior Services is amending section (1) and the rule purpose
Sep 2, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Controlled Substances
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-30.062 — Complication Plans for Certain Drug- and Chemically Induced Abortions
Aug 15, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Ambulatory Surgical Centers and
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-110.030 — 19 CSR 30-110.030
Jun 16, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Prescribed Pediatric Extended Care
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-110.020 — Prescribed Pediatric Extended Care Facilities Licensure Management
Jun 16, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Prescribed Pediatric Extended Care
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-110.010 — Prescribed Pediatric Extended Care Facilities Definitions
Jun 16, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Prescribed Pediatric Extended Care
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 40-10.020 — Sexual Assault Forensic Exams with Telehealth Statewide Network (SAFEvT Network) is withdrawn
Jun 2, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Maternal, Child and / Forensic Examinations for Sexual
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 10-4.060 — Substance Use Disorder Grant Program
Jun 2, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / Coordinated Health Care Services
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗13 CSR 70-15.160 — Outpatient Hospital Services Reimburse- ment Methodology
Apr 15, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Ambulatory Surgical Centers and
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-30.062 — Complication Plans for Certain Drug- and Chemically Induced Abortions
Apr 15, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Ambulatory Surgical Centers and
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-30.062 — Complication Plans for Certain Drug- and Chemically- Induced Abortions
Apr 15, 2025
Emergency Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Ambulatory Surgical Centers and
Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-1.002 — Schedules of Controlled Substances
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Controlled Substances
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 20-8.030 — Lead Poisoning Assessment, Testing, Follow-Up, and Reporting
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Community and Public / Lead Program
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 10-10.030 — Filing a Delayed Birth Certificate
Mar 3, 2025
Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / Vital Records
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 40-10.020 — Sexual Assault Forensic Exams with Telehealth Statewide Network (SAFEvT Network)
Feb 3, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Maternal, Child and Family / Forensic Examinations for Sexual
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-110.030 — Prescribed Pediatric Extended Care Facilities Operations
Feb 3, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Prescribed Pediatric Extended Care
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-110.020 — Prescribed Pediatric Extended Care Facilities Licensure Management
Feb 3, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Prescribed Pediatric Extended Care
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-110.010 — Prescribed Pediatric Extended Care Facilities Definitions
Feb 3, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Prescribed Pediatric Extended Care
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 10-4.060 — Substance Use Disorder Grant Program
Feb 3, 2025
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / Coordinated Health Care Services
Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗22 CSR 10-3.055 — Health Savings Account Plan Benefit Provisions and Covered Charges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 MoReg 1789. . . . . . Jan. 1, 2025 . . . . . . . June 29, 2025 54 Emergency Rule Table January 2, 202
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗22 CSR 10-2.140 — Strive for Wellness® Health Center Provisions, Charges, and Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 MoReg 1786. . . . . . Jan. 1, 2025 . . . . . . . June 29, 2025
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗22 CSR 10-2.089 — Pharmacy Employer Group Waiver Plan for Medicare Primary Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 MoReg 1784 . . . . . . Jan. 1, 2025 . . . . . . . June 29, 2025
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗22 CSR 10-2.053 — Health Savings Account Plan Benefit Provisions and Covered Charges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 MoReg 1777. . . . . . . Jan. 1, 2025 . . . . . . . June 29, 2025
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗22 CSR 10-2.025 — Rule for Participating Higher Education Entity Entry into the Missouri Consolidated Health Care Plan. . . . . . . 49 MoReg 1774. . . . . . . Jan. 1, 2025 . . . . . . . June 29, 2025
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗15 CSR 30-51.174 — Fraudulent Practices of Investment Advisers and Investment Adviser Representatives. . . . . . . . . . . . . . . . . . 49 MoReg 1770. . . . . . Nov. 6, 2024 . . . . . . . . May 4, 2025 Department of Health and Senior Services Division of Reg
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗15 CSR 30-51.172 — Dishonest or Unethical Business Practices by Investment Advisers and Investment Adviser Representatives. . . . . . 49 MoReg 1769. . . . . . Nov. 6, 2024 . . . . . . . . May 4, 2025
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗15 CSR 30-51.170 — Dishonest or Unethical Business Practices by Broker- Dealers and Agents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 MoReg 1768. . . . . . Nov. 6, 2024 . . . . . . . . May 4, 2025
Jan 2, 2025
Dissolutions — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
DissolutionsDepartment of Health and Senior ServicesOpen in State Register ↗