15,122 rulemaking notices from 13 Missouri agencies — proposed, emergency, and final filings as they cross the State Register on the way into the Administrative Code.
13 CSR 70-15.070 — Inpatient Psychiatric Services for IndividualsUnderAgeTwenty-One.Thedivisionisamending sections (1), (2), and (4)
Feb 2, 2026
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
2 CSR 30-10.010 — Inspection of Meat and Poultry. The department is amending section (2)
Feb 2, 2026
Emergency Rules — DEPARTMENT OF AGRICULTURE / Animal Health / Food Safety and Meat Inspection
11 CSR 70-2.100 — Report of Brewers, Beer Manufacturers, Solicitors, and Beer Wholesalers. The division is adding a new section (4)
Jan 2, 2026
Emergency Rules — DEPARTMENT OF PUBLIC SAFETY / Division of Alcohol and Tobacco / Rules and Regulations
22 CSR 10-3.090 — Pharmacy Benefit Summary The Missouri Consolidated Health Care Plan is amending subsection (1)(A)
Dec 15, 2025
Emergency Rules — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / Public Entity Membership
22 CSR 10-3.055 — Health Savings Account Plan Benefit Provisions and Covered Charges. The Missouri Consolidated Health Care Plan is revising section (1) and subsection (3)(A)
Dec 15, 2025
Emergency Rules — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / Public Entity Membership
22 CSR 10-2.090 — Pharmacy Benefit Summary. The Missouri Consolidated Health Care Plan is amending subsection (1)(A)
Dec 15, 2025
Emergency Rules — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / State Membership
22 CSR 10-2.089 — Pharmacy Employer Group Waiver Plan for Medicare Primary Members. The Missouri Consolidated Health Care Plan is amending subsection (1)(F)
Dec 15, 2025
Emergency Rules — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / State Membership
22 CSR 10-2.053 — Health Savings Account Plan Benefit Provisions and Covered Charges. The Missouri Consolidated Health Care Plan is amending section (1) and subsection (3)(A)
Dec 15, 2025
Emergency Rules — MISSOURI CONSOLIDATED HEALTH CARE / Health Care Plan / State Membership
12 CSR 10-41.010 — Annual Adjusted Rate of Interest. The de- partment is amending section (1) and adding section (4)
Dec 1, 2025
Emergency Rules — DEPARTMENT OF REVENUE / Director of Revenue / General Tax Provisions
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
13 CSR 35-60.010 — Family Homes Offering Foster Care. The Children’s Division is amending section (2)
Nov 17, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Licensing of Foster Family Homes
13 CSR 35-34.080 — Children’s Income Disbursement System (KIDS). This rule established the procedures for the handling of monies which are received on behalf of a child in the custody of the Children’s Division
Nov 17, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Homeless, Dependent and Neglected
5 CSR 20-300.110 — Individuals with Disabilities Education Act, Part B. The State Board of Education (board) is amending the incorporation by reference materials
Nov 3, 2025
Emergency Rules — DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION / Division of Learning Services / Office of Special Education
15 CSR 50-5.035 — Grant Program
Sep 2, 2025
Emergency Rules — ELECTED OFFICIALS / Treasurer / Missouri Empowerment Scholarship
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,
13 CSR 35-60.040 — Physical and Environmental Standards. The Department of Social Services is amending subsection (3) (I)
Jun 2, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Licensing of Foster Family Homes
19 CSR 30-30.062 — Complication Plans for Certain Drug- and Chemically- Induced Abortions
Apr 15, 2025
Emergency Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Ambulatory Surgical Centers and
13 CSR 70-3.030 — Sanctions for False or Fraudulent Claims for Title XIX Services
Apr 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
13 CSR 70-15.010 — (2)(F), 13 CSR 70-15.010(5), and Missouri’s supplemental cost report schedules.] Fiscal Year (FY). The clinic's fiscal reporting period that corresponds with the fiscal year of the hospital where the clinic is based. (H) [Provider or facili
Apr 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
13 CSR 70-94.020 — Provider-Based Rural Health Clinic. The division is amending sections (1), (2), (3), (4), (5), and (6) and removing sections (7), (8), (9), (10), and (11)
Apr 1, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic
13 CSR 70-10.020 — Prospective Reimbursement Plan for Nursing Facility and HIV Nursing Facility Services. The division is amending sections (4), (10), (11), and (12)
Mar 3, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Nursing Home Program
12 CSR 10-26.231 — Maximum Dealer Administrative Fees. The department is amending section (1)
Mar 3, 2025
Emergency Rules — DEPARTMENT OF REVENUE / Director of Revenue / Dealer Licensure
2 CSR 30-10.010 — Inspection of Meat and Poultry. The director is amending section (2)
Mar 3, 2025
Emergency Rules — DEPARTMENT OF AGRICULTURE / Animal Health / Food Safety and Meat Inspection
5 CSR 25-200.095 — Child Care Hearings
Feb 18, 2025
Emergency Rules — DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION / Office of Childhood / Child Care Subsidy
12 CSR 10-41.010 — Annual Adjusted Rate of Interest. The Director of Revenue proposes to amend section (1) to reflect the interest to be charged on unpaid, delinquent taxes in 2025
Jan 15, 2025
Emergency Rules — DEPARTMENT OF REVENUE / Director of Revenue / General Tax Provisions
7 CSR 60-2.030 — Standards and Specifications. The Missouri Highways and Transportation Commission is amending paragraphs (1)(C)2. through (1)(C)5
Jan 15, 2025
Emergency Rules — MISSOURI DEPARTMENT OF TRANSPORTATION / Highway Safety and Traffic Division / Breath Alcohol Ignition Interlock Device
7 CSR 60-2.010 — Definitions. The Missouri Highways and Transportation Commission is amending paragraph (1)(A)41
Jan 15, 2025
Emergency Rules — MISSOURI DEPARTMENT OF TRANSPORTATION / Highway Safety and Traffic Division / Breath Alcohol Ignition Interlock Device
13 CSR 70-20.075 — 340B Drug Pricing Program. The division is amending sections (1)–(5), and adding new section (6)
Jan 2, 2025
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Pharmacy Program
13 CSR 70-15.230 — Upper Payment Limit (UPL) Payment Methodology The division is amending section (2) and the
Sep 3, 2024
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending section (1), deleting section (2), renumbering sections (3) and (4), and adding section (5)
Sep 3, 2024
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
13 CSR 70-15.010 — Inpatient Hospital Services Reimbursement Methodology The division is amending sections (2), (6), (8), and
Sep 3, 2024
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Hospital Program
20 CSR 2232-1.040 — Fees. The State Committee of Interpreters is amending section (1)
Jul 15, 2024
Emergency Rules — DEPARTMENT OF COMMERCE AND INSURANCE / Missouri State Committee of / General Rules
13 CSR 35-38.010 — Adoption and Guardianship Subsidy. The division is amending sections (1), (10), and (12)
Jul 15, 2024
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / Children’s Division / Adoption and Guardianship Subsidy
20 CSR 2197-2.010 — Application for Licensure. The board is amending section (1)
Jul 1, 2024
Emergency Rules — DEPARTMENT OF COMMERCE AND INSURANCE / Board of Therapeutic Massage / Massage Therapist Licensure
9 CSR 45-7.010 — Developmental Disabilities Health Home
Jul 1, 2024
Emergency Rules — Division of Developmental Disabilities
20 CSR 2120-2.106 — Preneed Funeral Contract Audit Fee Waiver
Jun 3, 2024
Emergency Rules — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Embalmers / General Rules
13 CSR 70-94.030 — Transformation of Rural Community Health (ToRCH)
Jun 3, 2024
Emergency Rules — DEPARTMENT OF SOCIAL SERVICES / MO HealthNet Division / Rural Health Clinic Program
19 CSR 30-40.810 — Ground Ambulance Transport of Patients to Locations That Are Not Hospitals
Apr 1, 2024
Emergency Rules — DEPARTMENT OF HEALTH AND SENIOR / Division of Regulation and Licensure / Comprehensive Emergency Medical
20 CSR 2200-6.030 — Intravenous Infusion Treatment Administration by Qualified Practical Nurses; Supervision by a Registered Professional Nurse. The Board of Nursing proposes to amend section (6)(D) and (E) to approve the ad- ministration of medications via th
Feb 15, 2024
Emergency Rules — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Nursing / Intravenous Infusion Treatment
2 CSR 110-4.050 — Process for Approval
Feb 15, 2024
Emergency Rules — DEPARTMENT OF AGRICULTURE / Office of the Director / Registration of
5 CSR 25-100.340 — Early Childhood Education Standards
Jan 16, 2024
Emergency Rules — DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION / Office of Childhood / Early Childhood Development
20 CSR 2220-2.410 — Class B Hospital Pharmacy Compounding for Drug Shortages is terminated
Nov 15, 2023
Emergency Rules — DEPARTMENT OF COMMERCE AND INSURANCE / State Board of Pharmacy / General Rules