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Missouri State Register, Rulemaking Pipeline

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Your Policy Risk Impact Agent

Missouri/State Register

← All Missouri coverage

Missouri State Register

3,568 rulemaking notices from Missouri Department of Health and Senior Services.

All filings3,568 In-Additions1,075 Orders-Of-Rulemaking976 Dissolutions765 Constructions348 Proposed-Rules313 Emergency-Rules91

All agencies3,568 Department of Commerce and Insurance4,195 Department of Health and Senior Services3,568 Department of Social Services689 Department of Public Safety674 Department of Conservation623

3,568 rulemaking notices·Filtered byMissouri Department of Health and Senior Services✕

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
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗
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
Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗
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

Showing 1–50 of 3,568

Page 1 of 72

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Department of Natural Resources

602

Department of Revenue496

Department of Elementary and Secondary Education480

Department of Agriculture388

Department of Mental Health282

Department of Transportation140

Department of Economic Development129

Department of Higher Education and Workforce Development100

Department of Labor and Industrial Relations93

Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Proposed-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

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

Emergency-RulesDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 30-86.042 — Administrative, Personnel, and Resident Care Requirements for New and Existing Residential Care Facilities

Jun 15, 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 30-100.020 — Safe Place for Newborns Fund is withdrawn

May 15, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Safe Place for Newborns

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

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

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 60-50.800 — Meeting Procedures

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.700 — Post-Decision Activity is withdrawn

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.500 — Additional Information

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.470 — Criteria and Standards for Financial Feasibility

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.450 — Criteria and Standards for Long-Term Care

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.430 — 19 CSR 60-50.430

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.420 — Review Process is withdrawn

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.410 — 19 CSR 60-50.410

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.400 — Letter of Intent Process

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 60-50.300 — 19 CSR 60-50.300

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 30-82.060 — Hiring Restrictions—Good Cause Waiver

Mar 2, 2026

Orders of Rulemaking — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / General Licensure Requirements

Orders-Of-RulemakingDepartment of Health and Senior ServicesOpen in State Register ↗

19 CSR 30-86.042 — Administrative, Personnel, and Resident Care Requirements for New and Existing Residential Care Facilities. The department is amending the purpose statement, subsections (11)(A)-(C), and sections (13) and (21), deleting subsection (21)(I),

Mar 2, 2026

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 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 ↗