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.
10 CSR 20-6.015 — No-Discharge [Permits] Operations and Land Application Requirements. The department is removing forms, amending the title of the rule, the purpose, and sections (1)–(3) and (8), adding new sections (4) and (5)–(7), deleting section (4), and
Aug 15, 2025
Proposed Rules — DEPARTMENT OF NATURAL RESOURCES / Clean Water Commission / Permits
10 CSR 20-2.010 — Definitions. The department is adding new sections (8), (9), (15), (16), (18), (19), (33), (37), (41), (48), (61)–(63),
Aug 15, 2025
Proposed Rules — DEPARTMENT OF NATURAL RESOURCES / Clean Water Commission / Definitions
Missouri Register — August 15, 2025 - Volume 50, Number 16
Aug 15, 2025
Missouri Register issue (Volume 50, Number 16), published 2025-08-15.
10 CSR 25-13.010 — Polychlorinated Biphenyls
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Hazardous Waste Management / Polychlorinated Biphenyls
10 CSR 1-3.010 — . 4. Reserved. 5. Modification, total modification, or revocation of permits. A.Permitsmaybemodifiedinpartorintotal,orrevoked,
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Hazardous Waste Management / Public Participation and General
10 CSR 25-7.270 — (2)(B)1., and 10 CSR 25-7.270. B. Reserved. C. The department shall review for completeness every permit application. Each permit application submitted by a new facility should be reviewed for completeness by the
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Hazardous Waste Management / Public Participation and General
10 CSR 25-8.124 — 10 CSR 25-8.124
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Hazardous Waste Management / Public Participation and General
10 CSR 25-6.263 — 10 CSR 25-6.263
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Hazardous Waste Management / Rules Applicable to Transporters of
10 CSR 10-6.070 — New Source Performance Regulations
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Air Conservation Commission / Air Quality Standards, Definitions,
10 CSR 10-6.080 — Emission Standards for Hazardous Air Pollutants
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Air Conservation Commission / Air Quality Standards, Definitions,
10 CSR 10-6.075 — Maximum Achievable Control Technology Regulations
Aug 1, 2025
Orders of Rulemaking — DEPARTMENT OF NATURAL RESOURCES / Air Conservation Commission / Air Quality Standards, Definitions,
20 CSR 2270-4.060 — Minimum Standards for Supervision. The board is amending the Required Levels of Supervision chart
Aug 1, 2025
Proposed Rules — DEPARTMENT OF COMMERCE / Missouri Veterinary Medical Board / Minimum Standards
20 CSR 2263-2.070 — Temporary Permits for Licensed Social Workers. The committee is amending sections (1), (2), and (7), adding new section (5), and renumbering as necessary
Aug 1, 2025
Proposed Rules — DEPARTMENT OF COMMERCE AND INSURANCE / State Committee for Social Workers / Licensure Requirements
20 CSR 2263-2.031 — Acceptable Supervisors and Supervisor Responsibilities. The committee is amending section (6)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF COMMERCE AND INSURANCE / State Committee for Social Workers / Licensure Requirements
15 CSR 50-5.030 — Tax Credit Program
Aug 1, 2025
Proposed Rules — ELECTED OFFICIALS / Treasurer / Missouri Empowerment Scholarship
15 CSR 50-5.020 — Missouri Empowerment Scholarship Accounts Program
Aug 1, 2025
Proposed Rules — ELECTED OFFICIALS / Treasurer / Missouri Empowerment Scholarship
15 CSR 50-5.010 — General Organization
Aug 1, 2025
Proposed Rules — ELECTED OFFICIALS / Treasurer / Missouri Empowerment Scholarship
15 CSR 30-54.205 — Notice Filing Requirement for Regulation A–Tier 2 Offering. The secretary is adding section (6)
Aug 1, 2025
Proposed Rules — ELECTED OFFICIALS / Secretary of State / Exemptions and Federal Covered
15 CSR 30-51.172 — Dishonest or Unethical Business Practices by Investment Advisers and Investment Adviser Representatives. The secretary is deleting section (3) and renumbering as needed
Aug 1, 2025
Proposed Rules — ELECTED OFFICIALS / Secretary of State / Broker-Dealers, Agents, Investment
15 CSR 30-51.170 — Dishonest or Unethical Business Practices by Broker-Dealers and Agents. The secretary is deleting section (3) and renumbering as needed
Aug 1, 2025
Proposed Rules — ELECTED OFFICIALS / Secretary of State / Broker-Dealers, Agents, Investment
15 CSR 30-50.030 — Fees. The secretary is adding paragraphs to subsection (3)(F)
Aug 1, 2025
Proposed Rules — ELECTED OFFICIALS / Secretary of State / General
13 CSR 70-20.320 — Pharmacy Reimbursement Allowance. The division is amending section (2)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
13 CSR 70-15.220 — Disproportionate Share Hospital (DSH) Payments. The division is amending sections (1) – (5) and (7), deleting section (6), and renumbering as necessary
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan. The division is amending sections (2) and (6), deleting section (3), and renumbering sections (4), (5), and (6)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending section (1) and adding section (2)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending sections (1) and (2), and deleting sections (3)–(5)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.010 — 13 CSR 70-15.010
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.015 — [Direct Medicaid] Supplemental Payments. The division is amending the title and previous section (1) and adding sections (1)–(2) and (4)–(15)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-3.250 — Payment Policy for Early Elective Delivery. The division is amending section (4)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. The division is amending section (2)
Aug 1, 2025
Proposed Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
13 CSR 70-20.320 — Pharmacy Reimbursement Allowance. The MO HealthNet Division is amending section (2)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
13 CSR 70-15.220 — Disproportionate Share Hospital (DSH) Payments. The division is amending sections (1)–(5), deleting section (6), and renumbering and amending the current section (7)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan. The division is amending sections (2) –(6)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending section (1) and adding section (2)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending sections (1) and (2), and deleting sections (3)–(5)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
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
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology Type of Rulemaking: Emergency Amendment II. SUMMARY OF FISCAL IMPACT Affected Agency or Political Subdivision Estimated Cost of Compliance in the Aggregate
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-10.110 — Nursing Facility Reimbursement Allowance. The division is amending section (2)
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. The division is amending section (2) of this regulation
Aug 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Conditions of Provider Participation,
Missouri Register — August 1, 2025 - Volume 50, Number 15
Aug 1, 2025
Missouri Register issue (Volume 50, Number 15), published 2025-08-01.
13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
11 CSR 45-20.130 — 11 CSR 45-20.130
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering
11 CSR 45-20.120 — SW Occupational License Badge
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming CommissionOrders of Rulemaking / Sports Wagering
11 CSR 45-20.110 — Prohibition and Reporting of Certain Transactions
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering
11 CSR 45-20.100 — 11 CSR 45-20.100
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering
11 CSR 45-20.090 — 11 CSR 45-20.090
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering
11 CSR 45-20.080 — 11 CSR 45-20.080
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering
11 CSR 45-20.070 — License Issuance
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering
11 CSR 45-20.060 — 11 CSR 45-20.060
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering
11 CSR 45-20.050 — 11 CSR 45-20.050
Jul 15, 2025
Orders of Rulemaking — DEPARTMENT OF PUBLIC SAFETY / Missouri Gaming Commission / Sports Wagering