Missouri State Register
15,122 rulemaking notices from 18 Missouri agencies — proposed, emergency, and final filings as they cross the State Register on the way into the Administrative Code.
13 CSR 70-4.120 — MO HealthNet Division This Issue
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗7 CSR 10-10.040 — Missouri Highways and Transportation Commission 51 MoReg 399R 484 Missouri Register April 1, 2026 Vol. 51, No. 7
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗7 CSR 10-10.030 — Missouri Highways and Transportation Commission 51 MoReg 399R
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗7 CSR 10-10.020 — Missouri Highways and Transportation Commission 51 MoReg 399
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗7 CSR 10-10.010 — Missouri Highways and Transportation Commission 51 MoReg 397
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗6 CSR 10-5.010 — Notice of Periodic Rule Review Commissioner of Education Commissioner of Education 51 MoReg 67
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗6 CSR 10-2.220 — 6 CSR 10-2.220
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗5 CSR 20-500.370 — Notice of Periodic Rule Review Division of Learning Services Division of Learning Services Division of Learning Services
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗5 CSR 20-500.140 — 5 CSR 20-500.140
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗5 CSR 20-400.560 — 5 CSR 20-400.560
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗5 CSR 20-400.540 — 5 CSR 20-400.540
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗5 CSR 20-300.110 — 5 CSR 20-300.110
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗5 CSR 20-100.130 — 5 CSR 20-100.130
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗3 CSR 10-7.455 — Conservation Commission
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗23 CSR 10-3.015 — State Sponsored Missouri National Guard Member EducationalAssistance Program
Apr 1, 2026
Orders of Rulemaking — MISSOURI DEPARTMENT OFTHE NATIONAL / National Guard / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗22 CSR 10-3.090 — Pharmacy Benefit Summary
Apr 1, 2026
Orders of Rulemaking — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗22 CSR 10-3.075 — Review and Appeals Procedure
Apr 1, 2026
Orders of Rulemaking — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗22 CSR 10-3.055 — Health Savings Account Plan Benefit Provisions and Covered Charges
Apr 1, 2026
Orders of Rulemaking — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / Public Entity Membership
Orders-Of-RulemakingOpen in State Register ↗22 CSR 10-2.090 — Pharmacy Benefit Summary
Apr 1, 2026
Orders of Rulemaking — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / State Membership
Orders-Of-RulemakingOpen in State Register ↗22 CSR 10-2.089 — Pharmacy Employer Group Waiver Plan for Medicare Primary Members
Apr 1, 2026
Orders of Rulemaking — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / State Membership
Orders-Of-RulemakingOpen in State Register ↗22 CSR 10-2.075 — Review and Appeals Procedure
Apr 1, 2026
Orders of Rulemaking — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / State Membership
Orders-Of-RulemakingOpen in State Register ↗22 CSR 10-2.053 — Health Savings Account Plan Benefit Provisions and Covered Charges
Apr 1, 2026
Orders of Rulemaking — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / State Membership
Orders-Of-RulemakingOpen in State Register ↗20 CSR 2117-2.080 — Issuance of Temporary Courtesy License to Nonresident Military Spouse
Apr 1, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE AND INSURANCE / Office of Statewide Electrical / Licensure Requirements
Orders-Of-RulemakingDepartment of Commerce and InsuranceOpen 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 ↗12 CSR 10-110.990 — 12 CSR 10-110.990
Apr 1, 2026
Orders of Rulemaking — DEPARTMENT OF REVENUE / Director of Revenue / Sales/Use Tax—Exemptions
Orders-Of-RulemakingDepartment of RevenueOpen in State Register ↗12 CSR 10-23.350 — Honorary Consular License Plates
Apr 1, 2026
Orders of Rulemaking — DEPARTMENT OF REVENUE / Director of Revenue / Motor Vehicle
Orders-Of-RulemakingDepartment of RevenueOpen in State Register ↗12 CSR 10-110.601 — 12 CSR 10-110.601
Apr 1, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE / State Committee of Psychologists / General Rules
Orders-Of-RulemakingDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2235-1.020 — Fees. The board is amending subsections (1) (B) and (C)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / State Committee of Psychologists / General Rules
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2232-1.040 — Fees. The committee is amending subsection (1)(B)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / Missouri State Committee of / General Rules
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2220-2.010 — must be posted during the pharmacist’s temporary absence
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / State Board of Pharmacy / General Rules
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2220-2.197 — Prescription Dispensing During a Pharmacist Temporary Absence
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / State Board of Pharmacy / General Rules
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2205-1.050 — Fees. The board is amending section (1) and replacing section (2)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE AND INSURANCE / Missouri Board of Occupational / General Rules
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2145-1.040 — Fees. The board is amending subsection (1) (F)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / Missouri Board of Geologist / General Rules
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2063-2.005 — Application for Licensure. The board is amending sections (2), (3), and (5)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE AND INSURANCE / Behavior Analyst Advisory Board / Licensure Requirements
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2063-1.015 — Fees. The board is adding new subsection
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE / Behavior Analyst Advisory Board / General Rules
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 200-9.800 — Annual Filings Due by March 1. The department is amending the rule purpose and section (1), and adding sections (2)–(4)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF COMMERCE AND INSURANCE / Insurance Solvency and Company / Third-Party Administrators (TPAs)
Proposed-RulesDepartment of Commerce and InsuranceOpen in State Register ↗13 CSR 70-94.030 — Transformation of Rural Community Health (ToRCH). The division is amending section (6)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.030 — Payment and Payment Limitations for Inpatient Hospital Care. The division is amending sections
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.015 — The net fiscal impact is estimated based on the DRG modeling and updates to the data used to calculate the inpatient per diems. There was an increase in the FRA tax rate which increased the inpatient per diems. There was also an increase to
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology Type of Rulemaking: Proposed Amendment II. SUMMARY OF FISCAL IMPACT Estimate of the number of
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗13 CSR 70-4.120 — Department is the Payer of Last Resort, Department’s Claim for Recovery, Participant’s Duty of Cooperation. The division is amending sections (1) and (2)
Apr 1, 2026
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Participant Participation,
Proposed-RulesDepartment of Social ServicesOpen in State Register ↗3 CSR 10-12.110 — Use of Boats and Motors. The commission proposes to remove subsection (2)(N), add subsection (4)(D), and re-letter subsequent subsections of this rule
Apr 1, 2026
Proposed Rules — DEPARTMENT OF CONSERVATION / Conservation Commission / Wildlife Code: Special Regulations for
Proposed-RulesDepartment of ConservationOpen in State Register ↗Missouri Register — April 1, 2026 - Volume 51, Number 7
Apr 1, 2026
Missouri Register issue (Volume 51, Number 7), published 2026-04-01.
Issue200.0K charsOpen in State Register ↗20 CSR 4240-10.165 — 20 CSR 4240-10.165
Mar 16, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE AND INSURANCE / Public Service Commission / Utilities
Orders-Of-RulemakingDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 4240-10.035 — 20 CSR 4240-10.035
Mar 16, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE AND INSURANCE / Public Service Commission / Utilities
Orders-Of-RulemakingDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2245-3.005 — Trainee Real Estate Appraiser Registration
Mar 16, 2026
Orders of Rulemaking — DEPARTMENT OF COMMERCE / Real Estate Appraisers / Applications for Certification and
Orders-Of-RulemakingDepartment of Commerce and InsuranceOpen 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 ↗16 CSR 50-20.120 — Additional Provisions
Mar 16, 2026
Orders of Rulemaking — RETIREMENT SYSTEMS / The County Employees’ Retirement / County Employees’ Deferred
Orders-Of-RulemakingOpen in State Register ↗16 CSR 50-20.050 — Limitations on Deferral
Mar 16, 2026
Orders of Rulemaking — RETIREMENT SYSTEMS / The County Employees’ Retirement / County Employees’ Deferred
Orders-Of-RulemakingOpen in State Register ↗