Title XII — PUBLIC HEALTH AND WELFARE

190.328. Election of board, Christian and Scott counties, when — terms. — 1. Beginning in 1997, within the area from which voters and the commission have approved the provision of central dispatching for emergency services by a public agency for an area containing third or fourth…

190.329. Election of board, exceptions, when — terms. — 1. Except in areas from which voters and the commission have approved the provision of central dispatching for emergency services by a public agency for an area containing third or fourth class cities located in counties of …

190.334. Performance and fiscal audits authorized. — The state auditor shall have the authority to conduct performance and fiscal audits of any board, dispatch center, joint emergency communications entity, or trust fund established under section 190.327, 190.328, 190.329, 190.33…

190.335. Central dispatch for emergency services, alternative funding by county sales tax, procedure, ballot form, rate of tax — collection, limitations — adoption of alternate tax, telephone tax to expire, when — board appointment and election, qualification, terms — continuatio…

*190.336. Recall, board members subject to — procedure. — 1. Each member of an emergency services board established pursuant to section 190.335 shall be subject to recall from office by the registered voters of the election district from which he or she was elected. Proceedings m…

190.337. Revenue, purpose for which shall be used — procedure to terminate tax, ballot form — reestablishing emergency service using telephone tax, procedure. — 1. The sales tax established by a county according to the provisions of section 190.335 shall be permanent and revenues…

190.339. Emergency services board, powers and duties — officers — removal of board members, reasons, hearing procedure — vacancies — employment by board, limitations. — 1. The powers and duties of the emergency services board shall include, but not be limited to: (1) Planning a 9…

190.340. Emergency services board, officers duties, rules and regulations. — 1. It shall be the duty of the chairperson to preside at all board meetings, to act as official head of the emergency services board and to execute all contracts required to be executed by the board. In …

190.353. Powers and duties of department of health and senior services — establishment of regional poison information center — center to provide certain services. — 1. The department of health and senior services shall: (1) Provide for the establishment of a "Missouri Regional Po…

190.355. Use of existing resources required. — The Missouri regional poison information center shall fully utilize existing institutions and services for the control and treatment of poisons. ­­-------- (L. 1985 H.B. 435 § 3, A.L. 2006 H.B. 1437)

190.400. Definitions — interoperability service agreements, what agencies. — 1. As used in sections 190.400 to 190.460, the following words and terms shall mean: (1) "Active telephone number", a ten-digit North American Numbering Plan number that has been assigned to a subscriber…

190.420. Fund established. — 1. There is hereby established a special trust fund to be known as the "Missouri 911 Service Trust Fund". All fees collected pursuant to sections 190.400 to 190.460 shall be remitted to the director of the department of revenue. 2. The director of the…

190.450. Department to complete study, issue plan for provision of best 911 technology and services statewide. — By December 31, 2017, the department of public safety shall complete a study of the number of public safety answering points necessary to provide the best possible 911…

190.455. Subscriber fees — election, ballot — deposit of moneys — confidentiality of proprietary information — immunity from liability, when — limitations on fees. — 1. Except as provided under subsection 10 of this section, in lieu of the tax levy authorized under section 190.30…

190.460. Prepaid wireless emergency telephone service charge — definitions — amount, how collected — deposit and use of moneys — rates, how set — effective date. — 1. As used in this section, the following terms mean: (1) "Board", the Missouri 911 service board established under …

190.462. Pre-emption of taxes by declaratory ruling — definitions — effect of — expiration date. — 1. As used in this section, the following terms mean: (1) "All retail sales subject to sales tax", tangible personal property and services subject to the tax imposed by section* 190…

190.465. Consolidation of emergency communications operations — joint entity established, when. — 1. In order to provide the best possible 911 technology and service to all areas of the state in the most efficient and economical manner possible, it is the public policy of this st…

190.470. Alternate consolidation — petition, election — board appointed, requirements. — 1. As an alternative to the procedure provided in section 190.465, two or more 911 central dispatch centers that are organized under sections 190.327 to 190.329 or section 190.335 and funded …

190.475. Centralized database to be maintained, updates. — The director of the department of revenue shall maintain a centralized database, which shall be made available to the Missouri 911 service board established under section 650.325, specifying the current monthly fee or tax…

190.500. Temporary license — qualified health care professions — declared emergency. — 1. Notwithstanding any other provision of law to the contrary, a temporary license may be issued for no more than a twelve-month period by the appropriate licensing board to any otherwise quali…

190.525. Definitions. — As used in sections 190.525 to 190.537, the following terms mean: (1) "Department", the department of health and senior services; (2) "Director", the director of the department of health and senior services or the director's duly authorized representative;…

190.528. License required — political subdivisions not precluded from governing operation of service or enforcing ordinances — responsibilities and restrictions on operation of stretcher van services — rules. — 1. No person, either as owner, agent or otherwise, shall furnish, ope…

190.531. Refusal to issue or denial of renewal of licenses permitted — complaint procedure — rules — immunity from liability, when — suspension of license, when. — 1. The department may refuse to issue or deny renewal of any license required pursuant to sections 190.525 to 190.53…

190.534. Violations, penalty — attorney general to have concurrent jurisdiction. — 1. Any person violating, or failing to comply with, the provisions of sections 190.525 to 190.537 is guilty of a class B misdemeanor. 2. Each day that any violation of, or failure to comply with, s…

190.537. Rulemaking authority. — Any rule or portion of a rule, as that term is defined in section 536.010, that is created pursuant to the authority of sections 190.525 to 190.537 shall become effective only if it complies with and is subject to all of the provisions of chapter …

190.550. Schedule of fees established, rules — collection and deposit. — 1. The department of health and senior services shall by rule establish a schedule of fees to be paid by applicants for specific licensure or accreditation under sections 190.001 to 190.250 and sections 190.…

190.600. Citation of act — definitions. — 1. Sections 190.600 to 190.621 shall be known and may be cited as the "Outside the Hospital Do-Not-Resuscitate Act". 2. As used in sections 190.600 to 190.621, unless the context clearly requires otherwise, the following terms shall mean:…

190.603. Outside the hospital do-not-resuscitate order may be executed, when — maintained in medical records — transfers with patient. — 1. A patient or patient's representative and the patient's attending physician may execute an outside the hospital do-not-resuscitate order. An…

190.606. Immunity from liability, what persons and entities. — The following persons and entities shall not be subject to civil, criminal, or administrative liability and are not guilty of unprofessional conduct for the following acts or omissions that follow discovery of an outs…

[Repealed or reserved.]

190.612. Emergency medical services personnel to comply with order, when — physician to transfer patient, when. — 1. Emergency medical services personnel are authorized to comply with the outside the hospital do-not-resuscitate protocol when presented with an outside the hospital…

190.613. Out-of-state order, physician may execute order, when. — 1. A patient or patient's representative and the patient's attending physician may execute an outside the hospital do-not-resuscitate order through the presentation of a properly executed outside the hospital do-no…

190.615. Death of a patient, not suicide or homicide — effect of order on life insurance — order does not authorize mercy killing or euthanasia. — 1. A patient's death resulting from the withholding or withdrawal in good faith of cardiopulmonary resuscitation under an outside the…

190.618. Rules — rulemaking authority. — 1. By June 30, 2008, the department shall promulgate rules relating to the outside the hospital do-not-resuscitate protocol, the outside the hospital do-not-resuscitate identification, and the outside the hospital do-not-resuscitate forms …

190.621. Penalty for concealing or falsifying an order. — 1. Any person who knowingly conceals, cancels, defaces, or obliterates the outside the hospital do-not-resuscitate order or the outside the hospital do-not-resuscitate identification of another person without the consent o…

190.800. Imposition of tax — definitions. — 1. Each ground ambulance service shall, in addition to all other fees and taxes now required or paid, pay an ambulance service reimbursement allowance tax for the privilege of engaging in the business of providing ambulance services in …

190.803. Formula for tax based on gross receipts — challenge of validity of rules. — 1. Each ambulance service's reimbursement allowance shall be based on a formula established by the department of social services by regulations and rules as provided in section 190.836. The ambul…

190.806. Record-keeping requirements, confidentiality. — Each ambulance service shall keep such records as may be necessary to determine the amount of its reimbursement allowance. On or before the first day of October of each year, every ambulance service shall submit to the depa…

190.809. Amount due, determination — notification procedure — offset permitted, when — quarterly adjustment of tax permitted. — 1. The director of the department of social services shall make a determination as to the amount of ambulance service reimbursement allowance tax due fr…

190.812. Determination of tax final, when — timely protest permitted. — 1. Each ambulance service reimbursement allowance tax determination shall be final after receipt of written notice from the department of social services, unless the ambulance service files a protest with the…

190.815. Rulemaking authority. — The director of the department of social services shall prescribe by rule the form and content of any document required to be filed under sections 190.800 to 190.836. ­­-------- (L. 2009 S.B. 307, A.L. 2022 S.B. 725) Expires 9-30-29; see § 190.839…

190.818. Remittance of tax — fund created, use of moneys. — 1. The ambulance service reimbursement allowance tax owed or, if an offset has been requested, the balance, if any, after such offset shall be remitted by the ambulance service to the department of social services. The r…

190.821. Tax period — failure to pay, delinquency, enforcement procedures. — 1. An ambulance service reimbursement allowance tax period as provided in sections 190.800 to 190.836 shall be from the first day of October to the thirtieth day of September. The department shall notify…

190.824. Tax-exempt status of ambulance service not affected. — Nothing in sections 190.800 to 190.836 shall be deemed to affect or in any way limit the tax-exempt or nonprofit status of any ambulance service granted by state or federal law. ­­-------- (L. 2009 S.B. 307) Expires …

190.827. Payments to ambulance services, when. — The department of social services shall make payments to those ambulance services that have a valid MO HealthNet participation agreement with the department. The ambulance service reimbursement allowance shall not be used to suppla…

190.830. Federal financial participation required. — The requirements of sections 190.800 to 190.830 shall apply only so long as the revenues generated under section 190.800 are eligible for federal financial participation as provided in sections 190.800 to 190.836 and payments a…

190.833. No tax imposed prior to effective date. — The ambulance service reimbursement allowance tax provided in section 190.800 shall not be imposed prior to the effective date of rules promulgated by the department of social services, but in no event prior to October 1, 2009. ­…

190.836. Rules requirements, authority. — No rules implementing sections 190.800 to 190.836 may be filed with the secretary of state without first being provided to interested parties registered on a list of such parties to be maintained by the director of the department of socia…

190.839. Expiration date. — Sections 190.800 to 190.839 shall expire on September 30, 2029. ­­-------- (L. 2009 S.B. 307, A.L. 2011 S.B. 62, A.L. 2015 S.B. 210, A.L. 2016 H.B. 1534, A.L. 2018 S.B. 775, A.L. 2019 S.B. 29, A.L. 2020 H.B. 2456, A.L. 2021 1st Ex. Sess. S.B. 1, A.L. 2…

190.840. Nonseverability clause. — Notwithstanding the provisions of section 1.140 to the contrary, the provisions of this act* shall be nonseverable, and if any provision is for any reason held to be invalid, such decision shall invalidate all of the remaining provisions of this…