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.
2 CSR 70-17.010 — Definitions is terminated
May 15, 2020
In Additions — DEPARTMENT OF AGRICULTURE / Plant Industries / Industrial Hemp
In-AdditionsDepartment of AgricultureOpen in State Register ↗Missouri Register — May 15, 2020 - Volume 45, Number 10
May 15, 2020
Missouri Register issue (Volume 45, Number 10), published 2020-05-15.
Issue200.0K charsOpen in State Register ↗22 CSR 10-3.055 — Health Savings Account Plan Benefit Provisions and Covered Charges . . . . . . . . . . . . . . . . . . . . . . . . . .44 MoReg 2937 . . . . .Jan. 1, 2020 . . . . .June 28, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗22 CSR 10-2.089 — Pharmacy Employer Group Waiver Plan for Medicare Primary Members . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 MoReg 2930 . . . . .Jan. 1, 2020 . . . . .June 28, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗22 CSR 10-2.053 — Health Savings Account Plan Benefit Provisions and Covered Charges . . . . . . . . . . . . . . . . . . . . . . . . . .44 MoReg 2912 . . . . .Jan. 1, 2020 . . . . .June 28, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗13 CSR 70-10.030 — Prospective Reimbursement Plan for Nonstate-Operated Facilities for ICF/IID Services . . . . . . . . . . . . . . . . . . .44 MoReg 2890 . . . .Nov. 8, 2019 . . . . .May 5, 2020 Department of Health and Senior Services Division of Community
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗13 CSR 70-10.016 — Global Per Diem Adjustments to Nursing Facility and HIV Nursing Facility Reimbursement Rates . . . . . . . . . . . . . .45 MoReg 345 . . . . .Jan. 31, 2020 . . . . .July 28, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗2 CSR 70-17.090 — Inspection of Site, Crop, and Sampling Requirements for Laboratory Analysis (Responsibilities of Registered Grower and Handler) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 MoReg 195 . . . . .Jan. 2, 2020 Term. May 30, 20
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗2 CSR 70-17.080 — Site Access for Missouri Department of Agriculture (MDA) and Law Enforcement Inspection . . . . . . . . . . . . . . . . . .45 MoReg 195 . . . . .Jan. 2, 2020 Term. May 30, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗2 CSR 70-17.050 — General Provisions for Registered Producers and Agricultural Hemp Propagule and Seed Permit Holders . . . . . . . . . . . .45 MoReg 190 . . . . .Jan. 2, 2020 Term. May 30, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗2 CSR 70-17.040 — Industrial Hemp Pilot Program Grower and Handler Registration Agreement . . . . . . . . . . . . . . . . . . . . . . . .45 MoReg 189 . . . . .Jan. 2, 2020 Term. May 30, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗2 CSR 70-17.030 — State and Federal Fingerprint Criminal History Background Check Requirements . . . . . . . . . . . . . . . . . . . . . . . . .45 MoReg 189 . . . . .Jan. 2, 2020 Term. May 30, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗1 CSR 10-3.010 — Preapproval of Claims/Accounts and Direct Deposit: Definitions/Examples . . . . . . . . . . . . . . . . . . . . . . . . .45 MoReg 415 . . . . .Feb. 27, 2020 . . . .Aug. 24, 2020
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2030-4.100 — Missouri Board for Architects, Professional Engineers, Professional Land Surveyors, and Professional Landscape Architects 44 MoReg 3202 45 MoReg 496
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2030-2.040 — Missouri Board for Architects, Professional Engineers, Professional Land Surveyors, and Professional Landscape Architects 45 MoReg 208
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗16 CSR 20-2.010 — Missouri Local Government Employees’ Retirement System (LAGERS) 44 MoReg 3066 45 MoReg 430 DEPARTMENT OF HEALTH AND SENIOR SERVICES
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗6 CSR 10-2.210 — Commissioner of Higher Education and Workforce Development 45 MoReg 203 MISSOURI DEPARTMENT OF TRANSPORTATION
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗6 CSR 10-2.190 — Commissioner of Higher Education and Workforce Development 45 MoReg 24 45 MoReg 551
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 100-300.010 — Missouri Commission for the Deaf and Hard of Hearing 44 MoReg 3192 45 MoReg 495 DEPARTMENT OF HIGHER EDUCATION AND WORKFORCE DEVELOPMENT
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 100-200.150 — Missouri Commission for the Deaf and Hard of Hearing 45 MoReg 354
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 100-200.085 — Missouri Commission for the Deaf and Hard of Hearing 45 MoReg 354
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 30-261.045 — Division of Financial and Administrative Services This Issue
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 30-261.025 — Division of Financial and Administrative Services 44 MoReg 2680 45 MoReg 495
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 20-400.440 — Division of Learning Services This IssueR
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 20-400.320 — Division of Learning Services This IssueR
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 20-400.310 — Division of Learning Services This IssueR
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗5 CSR 20-400.300 — Division of Learning Services This IssueR
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗2 CSR 80-5.010 — State Milk Board This Issue
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2220-6.055 — Non-Dispensing Activities ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2220- 6.055(6). Section (6) provides a board pharmacy permit is required if a phar- macy technician will be helping a pharmacist outside of a licensed
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / Pharmaceutical Care Standards
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2220-2.700 — Pharmacy Technician Registration ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2220- 2.700(1). Section (1) requires that a technician must be under the “direct supervision” of a pharmacist and cannot work outside of a licensed
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2220-2.650 — Standards of Operation for a Class J: Shared Services Pharmacy ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2220- 2.650. This rule prohibits a pharmacy from using another pharmacy to help
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2220-2.200 — Sterile Compounding ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2220- 2.200(10)(B). Subsection (10)(B) provides pharmacy staff engaged in sterile com- pounding must complete three (3) media fill tests before the staff
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2220-2.010 — Pharmacy Standards of Operation ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2220- 2.010(1)(A) and (1)(B). Subsection (1)(A) requires that a pharmacist must be present when- ever medication is compounded, dispensed, or provided to the
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2210-2.030 — License Renewal ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2210- 2.030(10)(E). Subsection (10)(E) limits the number of continuing education hours that a licensee can obtain via online or distance learning. The waiv-
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Optometry / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2200-4.200 — Collaborative Practice ACTION TAKEN: This NOTICE OF SUSPENSION OF RULE 20 CSR 2200-4.200(2)(B)(2). The rule that require an advanced practice registered nurse (APRN) and collaborating physician to practice within seventy-five (75) miles
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Nursing / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2200-4.020 — Requirements for Licensure ACTION TAKEN: This NOTICE OF SUSPENSION OF RULE 20 CSR 2200-4.020(1)(G), (3), and (6). Subsection (1)(G) and section (3) will be suspended to remove the requirement that graduating nurses must take their first lic
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Nursing / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2150-5.100 — Collaborative Practice Arrangement with Nurses ACTION TAKEN: This NOTICE OF SUSPENSION OF RULE 20 CSR 2150-5.100(2)(B) The rule that require a collaborating physician and an advanced
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Registration for the / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2085-12.010 — General Rules and Application Require- ments for All Schools ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2085- 12.010(11). Subsection (11) prohibits external training and coursework unless
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / Board of Cosmetology and Barber / Schools and Student Rules—Barber and
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2010-2.150 — Examination Procedures ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2010- 2.150. This rule requires CPA candidates with a Notice to Sit (NTS) for examination to complete the examination within a six (6)-month peri-
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / Missouri State Board of Accountancy / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗20 CSR 2010-2.140 — Granting of Credit for the Examination ACTION TAKEN: This NOTICE OF SUSPENSION OF 20 CSR 2010- 4.140. This rule requires CPA candidates who initially pass one (1) or more sections of the CPA examination to pass any remaining sections with-
May 1, 2020
In Additions — DEPARTMENT OF COMMERCE AND INSURANCE / Missouri State Board of Accountancy / General Rules
In-AdditionsDepartment of Commerce and InsuranceOpen in State Register ↗19 CSR 30-40.309 — (2)(B) Application and Licensure Require- ments Standards for the Licensure and Relicensure of Ground Ambulance Services ACTION TAKEN: This NOTICE OF SUSPENSION OF RULE 19 CSR 30-40.309(2)(B) and section 190.243.4, RSMo
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Comprehensive Emergency Medical
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-20.092 — Diversion ACTION TAKEN: This NOTICE OF SUSPENSION OF 19 CSR 30- 20.092
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Hospitals
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-20.050 — (2)(C) Standards for the Operation of Long- Term Care Units ACTION TAKEN: This NOTICE OF SUSPENSION OF RULE 19 CSR 30-20.050(2)(C) shall be waived or suspended to the extent to allow hospitals to adopt policies restricting the presence of v
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Hospitals
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-20.030 — Construction Standards for New Hospitals ACTION TAKEN: NOTICE OF SUSPENSION OF 19 CSR 30-20.030
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Hospitals
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-20.015 — (2) Administration of the Hospital Licensing Program ACTION TAKEN: NOTICE OF SUSPENSION OF 19 CSR 30- 20.015(2)
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Hospitals
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 30-1.042 — Inventory Requirements ACTION TAKEN: NOTICE OF SUSPENSION OF 19 CSR 30- 1.042(3)
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Controlled Substances
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 20-20.040 — Measures to Determine the Prevalence and Prevent the Spread of Diseases which are Infectious, Contagious, Communicable, or Dangerous in their Nature ACTION TAKEN: NOTICE OF SUSPENSION OF 19 CSR 20- 20.040
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Community and Public Health / Communicable Diseases
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 20-20.020 — Reporting Infectious, Contagious, Communi- cable, or Dangerous Diseases ACTION TAKEN: NOTICE OF SUSPENSION OF 19 CSR 20- 20.020(1), (6), and (8)
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Division of Community and Public Health / Communicable Diseases
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 10-6.010 — Nurse Loan and Nurse Loan Repayment Programs ACTION TAKEN: NOTICE OF SUSPENSION OF 19 CSR 10- 6.010(3)(A)
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / Professional and Practical Nursing Student
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗19 CSR 10-4.010 — Primary Care Resource Initiative for Missouri (PRIMO) Program ACTION TAKEN: NOTICE OF SUSPENSION OF 19 CSR 10- 4.010(2)(B).7
May 1, 2020
In Additions — DEPARTMENT OF HEALTH AND SENIOR / Office of the Director / Coordinated Health Care Services
In-AdditionsDepartment of Health and Senior ServicesOpen in State Register ↗