306 rulemaking notices from Missouri Department of Health and Senior Services in the Proposed-Rules stage.
19 CSR 100-1.200 — Marijuana Research Facilities
May 1, 2026
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Cannabis Regulation / Marijuana
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
19 CSR 30-40.600 — Outside the Hospital Do-Not-Resuscitate (OHDNR). The department is amending sections (1)–(4), adding a new section (3), updating and adding forms, and renumbering as necessary
Jul 1, 2024
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Comprehensive Emergency Medical
19 CSR 20-80.010 — Training Standards Relating to the Office of the Coroner
Jul 1, 2024
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Community and Public / Coroner Standards and Training
19 CSR 60-50.450 — Criteria and Standards for Long-Term Care. The committee is amending section (1)
Jun 3, 2024
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
19 CSR 60-50.440 — Criteria and Standards for Equipment and New Hospitals. The committee is amending subsection (4)(D)
Jun 3, 2024
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
19 CSR 60-50.430 — Application Package. The committee is amending subsection (4)(D) and updating forms MO 580-2501 and MO 580-2502
Jun 3, 2024
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Health Facilities Review / Certificate of Need Program
19 CSR 30-40.810 — Ground Ambulance Transport of Patients to Locations That Are Not Hospitals
Apr 1, 2024
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Comprehensive Emergency Medical
19 CSR 30-1.064 — Partial Filling of Controlled Substance Prescriptions. The Department of Health and Senior Services is amending the purpose statement and sections (1) and (2)
Apr 1, 2024
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Controlled Substances
19 CSR 10-3.060 — Health Professional Loan Repayment Program
Nov 15, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / General and Family Physician Loan and
19 CSR 30-1.002 — Schedules of Controlled Substances. The department is amending section (1)
Nov 1, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Controlled Substances
19 CSR 30-20.013 — Incorporation of Medicare Conditions of Participation. The department is amending section (1) of this rule by adding a new subsection (D)
Oct 2, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Hospitals
19 CSR 30-20.011 — Definitions Relating to Hospitals. The department is amending section (9) of this rule
Oct 2, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Hospitals
19 CSR 15-8.400 — Vendors. The department is amending the
Oct 2, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Senior and Disability / Consumer-Directed Services
19 CSR 15-8.200 — Eligibility. The department is amending the
Oct 2, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Senior and Disability / Consumer-Directed Services
19 CSR 15-1.010 — Organization and Operation. This rule provided a description of the organization and general courses and methods of the Missouri Division of Aging’s operation and the methods and procedures where the public may obtain information or make su
Oct 2, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Senior and Disability / Organization
19 CSR 10-3.040 — Rural Primary Care Physician Grant Program
Sep 1, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / General and Family Physician Loan and
19 CSR 20-70.010 — Community-Based Faculty Preceptor Tax Credit
Jul 17, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Community and / Community-Based Faculty Preceptor
19 CSR 30-20.125 — Unlicensed Assistive Personnel Training Program. The department is amending subsections (2)(A) and (D), (3)(F), and section (6), and adding a new subsection (3)(H)
Jul 3, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Hospitals
19 CSR 73-2.080 — Temporary Emergency Licenses. The department is deleting sections (3) and (5), renumbering as necessary, and amending sections (1)–(3)
Jun 1, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Missouri Board of Nursing Home / General Rules
19 CSR 73-2.020 — or 19 CSR 73-2.022. [(8)](7) Applicants for licensure by reciprocity [shall] must not act or serve in the capacity of an administrator in this state without first procuring a license from this board as pro- vided in [sections 344.010–344.10
Jun 1, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Missouri Board of Nursing Home / General Rules
19 CSR 73-2.025 — Licensure by Reciprocity. The department is deleting section (3), renumbering thereafter, and amending sections (1)–(7)
Jun 1, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Missouri Board of Nursing Home / General Rules
19 CSR 10-10.110 — Amending or Correcting Vital Records. The department is amending the rule title, purpose statement, sections (1) – (4), and the chart
Apr 17, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / Vital Records
19 CSR 30-105.070 — Quarterly Rate and Charge Reporting Requirements
Mar 15, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Supplemental Health Care Services
19 CSR 30-105.060 — Denial, Suspension, or Revocation of Registration
Mar 15, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Supplemental Health Care Services
19 CSR 30-105.050 — Inspections
Mar 15, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Supplemental Health Care Services
19 CSR 30-105.040 — Requirements for changes to a registered agency Type of Rulemaking: Proposed II. SUMMARY OF FISCAL IMPACT
Mar 15, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Supplemental Health Care Services
19 CSR 30-105.030 — Procedures and Requirements for Registration of a Supplemental Health Care Services Agency
Mar 15, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Supplemental Health Care Services
19 CSR 30-105.020 — Registration Fees
Mar 15, 2023
Proposed Rules — DEPARTMENT OF HEALTH AND SENIOR SERVICES / Division of Regulation and Licensure / Supplemental Health Care Services