Emergency-Ruless

19 CSR 60-50.430 — Application Package. The committee is amending paragraph (4)(B)4 and updating form MO 580-2501

Sep 1, 2026

19 CSR 60-50.410 — Letter of Intent Package. The committee is amending subsection (2)(D)

Sep 1, 2026

19 CSR 30-30.100 — General Design and New Construction Standards for Birthing Centers The Department of Health and Senior Services is amending subsections (1)(A) and (1)(B)

Sep 1, 2026

19 CSR 30-30.040 — Preparation of Plans and Specifications for Ambulatory Surgical Centers The Department of Health and Senior Services is amending subsection (1)(A)

Sep 1, 2026

19 CSR 30-30.030 — General Design and Construction Standards for Ambulatory Surgical Centers The Department of Health and Senior Services is amending subsection (1)(B)

Sep 1, 2026

19 CSR 30-20.030 — Construction Standards for New Hospitals The Department of Health and Senior Services is amending sections (2) and (3)

Sep 1, 2026

13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending sections (1) and (2)

Sep 1, 2026

13 CSR 70-15.015 — Supplemental Payments. The division is amending sections (1), (7), (8), and (9)

Sep 1, 2026

13 CSR 70-3.310 — Chiropractic Services

Sep 1, 2026

13 CSR 70-3.300 — Complementary Health and Alternative Therapies for Chronic Pain Management

Sep 1, 2026

13 CSR 70-94.020 — Provider-Based Rural Health Clinic The division is amending section (2)

Aug 3, 2026

13 CSR 70-15.110 — Federal Reimbursement Allowance (FRA). The division is amending section (1)

Jul 15, 2026

20 CSR 2117-1.070 — Fees. The Office of Statewide Electrical Contractors is proposing to amend subsection (1)(B)

Jun 15, 2026

5 CSR 25-200.060 — Eligibility and Authorization for Child Care Subsidy. The department is amending sections (1) and

Jun 15, 2026

12 CSR 10-26.231 — Maximum Dealer Administrative Fees. The department is amending the purpose statement and section (1), adding section (2), and adding the 2025 rates effective for the 2026 license year

Mar 16, 2026

12 CSR 10-26.230 — Dealer Administrative Fees and System Modernization. The department is amending section (1)

Mar 16, 2026

13 CSR 70-15.070 — Inpatient Psychiatric Services for Individuals Under Age Twenty-One. The division is amending sections (1), (2), and (4)

Feb 2, 2026

2 CSR 30-10.010 — Inspection of Meat and Poultry. The department is amending section (2)

Feb 2, 2026

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

22 CSR 10-3.090 — Pharmacy Benefit Summary The Missouri Consolidated Health Care Plan is amending subsection (1)(A)

Dec 15, 2025

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

22 CSR 10-2.090 — Pharmacy Benefit Summary. The Missouri Consolidated Health Care Plan is amending subsection (1)(A)

Dec 15, 2025

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

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

12 CSR 10-41.010 — Annual Adjusted Rate of Interest. The de- partment is amending section (1) and adding section (4)

Dec 1, 2025

19 CSR 30-1.002 — Schedules of Controlled Substances. The department is amending section (1)

Nov 17, 2025

13 CSR 35-60.010 — Family Homes Offering Foster Care. The Children’s Division is amending section (2)

Nov 17, 2025

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

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

15 CSR 50-5.035 — Grant Program

Sep 2, 2025

13 CSR 70-20.320 — Pharmacy Reimbursement Allowance. The MO HealthNet Division is amending section (2)

Aug 1, 2025

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

13 CSR 70-15.190 — Out-of-State Hospital Services Reimbursement Plan. The division is amending sections (2) –(6)

Aug 1, 2025

13 CSR 70-15.160 — Outpatient Hospital Services Reimbursement Methodology. The division is amending section (1) and adding section (2)

Aug 1, 2025

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

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

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

13 CSR 70-10.110 — Nursing Facility Reimbursement Allowance. The division is amending section (2)

Aug 1, 2025

13 CSR 70-3.200 — Ambulance Service Reimbursement Allowance. The division is amending section (2) of this regulation

Aug 1, 2025

13 CSR 35-60.040 — Physical and Environmental Standards. The Department of Social Services is amending subsection (3) (I)

Jun 2, 2025

19 CSR 30-30.062 — Complication Plans for Certain Drug- and Chemically- Induced Abortions

Apr 15, 2025

13 CSR 70-3.030 — Sanctions for False or Fraudulent Claims for Title XIX Services

Apr 1, 2025

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

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

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

12 CSR 10-26.231 — Maximum Dealer Administrative Fees. The department is amending section (1)

Mar 3, 2025

2 CSR 30-10.010 — Inspection of Meat and Poultry. The director is amending section (2)

Mar 3, 2025

5 CSR 25-200.095 — Child Care Hearings

Feb 18, 2025

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

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