Title XII — PUBLIC HEALTH AND WELFARE

191.227. Medical records to be released to patient, when, exception — fee permitted, amount — liability of provider limited — annual handling fee adjustment — disclosure of deceased patient records, when — emergency care records. — 1. All physicians, chiropractors, hospitals, den…

191.228. Physician and pharmacist not subject to discipline for cooperation. — No physician or pharmacist licensed in this state shall be subject to discipline for authorizing, assisting or cooperating with other health care professionals licensed by this state who are practicing…

191.229. Accreditation of not-for-profit human services organizations deemed equivalent to licensure. — When a not-for-profit human services organization providing habilitative and rehabilitative services to people with disabilities in this state has been accredited by the Commis…

191.2290. Citation of law — definitions — state of emergency, designated essential caregiver designation — requirements. — 1. The provisions of this section and section 630.202 shall be known and may be cited as the "Essential Caregiver Program Act". 2. As used in this section, t…

191.231. Community-based integrated delivery system, qualification, powers — organization, board of directors, powers — plans. — 1. The county commission may, by a majority vote, designate the county as a community-based integrated delivery system or a member of a community-based…

191.235. Mercury contained in immunizations, not to be administered to certain persons — insurance reimbursement for nonmercury immunizations — exemptions, when. — 1. Beginning April 1, 2007, immunizations administered in the state of Missouri to knowingly pregnant women or child…

191.237. Failure to participate in health information organization, no fine or penalty may be imposed — no exchange of data, when — definitions. — 1. No law or rule promulgated by an agency of the state of Missouri may impose a fine or penalty against a health care provider, hosp…

191.240. Patient examinations, limitation on performance of, when — notice — violation, sanction of license. — 1. For purposes of this section, the following terms mean: (1) "Health care provider", the same meaning given to the term in section 191.900; (2) "Patient examination", …

[Repealed or reserved.]

191.2600. Citation of act. — Sections 191.2600 to 191.2630 shall be known and may be cited as the "Veterans Traumatic Brain Injury Treatment and Recovery Act". ­­-------- (L. 2025 H.B. 262)

191.2605. Definitions. — As used in sections 191.2600 to 191.2630, unless the context indicates otherwise, the following terms mean: (1) "Alternative therapies", any therapies for a condition that are not considered the standard or conventional therapies for that condition includ…

191.2610. Hyperbaric oxygen therapy reimbursement. — Any facility in this state that provides hyperbaric oxygen therapy to a veteran shall be eligible for reimbursement for such therapy from the commission if the following conditions are satisfied: (1) The veteran receiving the t…

191.2615. Fund created — use of moneys, procedure. — 1. (1) There is hereby created in the state treasury the "Veterans Traumatic Brain Injury Treatment and Recovery Fund". The fund shall consist of any appropriations, gifts, bequests, or public or private donations to such fund.…

191.2620. Hyperbaric oxygen therapy, facility approval — prohibited acts. — 1. Any facility may approve hyperbaric oxygen therapy for a veteran in accordance with sections 191.2600 to 191.2630. 2. A licensing board shall not revoke, fail to renew, suspend, or take any action agai…

191.2625. Reimbursement requirements — annual report. — 1. Any facility that receives reimbursement from the fund shall: (1) Provide reports on individual veterans and groups of veterans to the commission on measured health improvements from accepted and approved cognitive testin…

191.2630. Rulemaking authority. — The commission shall promulgate all necessary rules and regulations for the administration of sections 191.2600 to 191.2630. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated …

191.300. Definitions. — As used in sections 191.300 to 191.380, the following terms mean: (1) "Committee", the Missouri genetic disease advisory committee; (2) "Cystic fibrosis", a serious lung problem of children; an inherited disorder which produces chronic involvement of the r…

191.305. Missouri genetic advisory committee created — purpose — appointment, terms — qualifications — expenses. — 1. The "Missouri Genetic Advisory Committee", consisting of fifteen members, is hereby created to advise the department in all genetic programs including metabolic d…

191.310. Duties of committee — liaison officers with mental health and education, appointment. — 1. The committee shall advise the department on the provision of genetic services to insure the following: (1) That high quality is maintained; (2) That genetic programs are responsiv…

191.315. Genetics program to be established by department — rules authorized — procedure. — 1. The department is hereby designated as administrator of a comprehensive genetics program which will provide genetic diagnosis, counseling, treatment, education and research. 2. The dire…

191.317. Confidentiality of all tests and personal information — exceptions — retention of specimens, procedure. — 1. All testing results and personal information obtained from any individual, or from specimens from any individual, shall be held confidential and be considered a c…

191.320. Genetic diagnostic and counseling services to be established — outreach centers, duties — referral for abortion, procedure, requirements. — The department may contract with tertiary genetic centers to provide genetic diagnostic and counseling services, to initiate and co…

191.323. Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects. — The department may: (1) Develop and implement programs of professional education for physicians, medical students, nurses, scientists, techn…

191.325. Cost of services, how paid — free to persons financially unable to pay — residency requirement. — Any person residing in the state of Missouri who is in need of genetic services and, as a person, can probably benefit from such services and who is otherwise financially un…

191.331. Infants to be tested for metabolic and genetic diseases — reports — exceptions — refusal to test — fee for screening test, department may impose by rule, use of fees — formula provided by department, when — assistance available, when. — 1. Every infant who is born in thi…

191.332. Supplemental newborn screening requirements — additional screenings — rulemaking authority. — 1. By January 1, 2002, the department of health and senior services shall, subject to appropriations, expand the newborn screening requirements in section 191.331 to include pot…

191.333. Citation of law — screening for lysosomal storage diseases — rulemaking authority — fee increase authorized. — 1. This section shall be known and may be cited as the "Brady Alan Cunningham Newborn Screening Act". 2. By July 1, 2012, the department of health and senior se…

191.334. Chloe's Law — critical congenital heart disease screening, requirements — rulemaking authority. — 1. This section shall be known and may be cited as "Chloe's Law". 2. Effective January 1, 2014, every newborn infant born in this state shall be screened for critical congen…

191.335. Hemophilia program established — state assistance, when. — 1. The department of health and senior services hereafter referred to as the department shall establish a program for the care and treatment of persons suffering from hemophilia. This program shall assist persons…

191.340. Hemophilia program — care and treatment — financial assistance — education — duties of department. — The department shall: (1) Assist in the development and expansion of programs for the care and treatment of persons suffering from hemophilia, including self-administrati…

191.360. Trained employee of end-stage renal disease facility may initiate dialysis — not unlawful practice of medicine. — It shall not be considered an unlawful practice of medicine pursuant to chapter 334 or a violation of any provision of chapter 335 for an employee of a certi…

191.362. Appropriately trained employees to have completed course in dialysis techniques. — Appropriately trained employees of certified end-stage renal disease facilities, excluding licensed physicians and registered professional nurses, who may initiate dialysis shall be those …

191.365. Sickle cell anemia — purposes of program — financial assistance, when. — 1. The department shall establish a program for the care and treatment of persons suffering from sickle cell anemia and the identification and counseling of individuals that have sickle cell trait. …

191.370. Sickle cell anemia, development of program for care and treatment — duties of department. — The department shall: (1) Assist in the development and expansion of programs for the care and treatment of persons suffering from sickle cell anemia; (2) Assist in the developmen…

191.375. Cystic fibrosis, program for care and treatment — financial assistance, when. — 1. The department shall establish a program for early and accurate diagnosis of persons suspected of having cystic fibrosis to avoid increasing lung damage and death as a result of delayed di…

191.380. Cystic fibrosis, duties of department. — The department shall: (1) Assist in the development and expansion of programs for the care and treatment of persons suffering from cystic fibrosis; (2) Extend financial assistance to persons suffering from cystic fibrosis in obtai…

191.400. State board of health and senior services — appointment — terms — qualifications — limitation on other employment, exception — vacancies — compensation — meetings. — 1. There is hereby created a "State Board of Health and Senior Services" which shall consist of nine memb…

191.411. System of coordinated health care services — health access incentive fund created, purpose — enhanced Medicaid payments — rules — annual report. — 1. The director of the department of health and senior services shall develop and implement a plan to define a system of coo…

191.425. Program established, eligibility — contracting authority — conditional on receipt of federal funding — sunset provision. — 1. Upon receipt of federal funding in accordance with subsection 4 of this section, there is hereby established within the department of health and …

191.430. Program established, purpose — department duties. — 1. There is hereby established within the department of health and senior services the "Health Professional Loan Repayment Program" to provide forgivable loans for the purpose of repaying existing loans related to appli…

191.435. Need for health care areas to be designated. — The department of health and senior services shall designate counties, communities, or sections of areas in the state as areas of defined need for health care, mental health, and public health services. If a county, communit…

191.440. Contracts for forgivable loans, contents — practice sites, stipulation of. — 1. The department of health and senior services shall enter into a contract with each individual qualifying for a forgivable loan under sections 191.430 to 191.450. The written contract between …

191.445. Fund created, use of moneys. — There is hereby created in the state treasury the "Health Professional Loan Incentive Fund", which shall consist of any appropriations made by the general assembly, all funds recovered from an individual under section 191.450, and all funds…

191.450. Failure to maintain acceptable employment status, liable for loan amount — recovery amount. — 1. An individual who enters into a written contract with the department of health and senior services, as described in section 191.440, and who fails to maintain an acceptable e…

191.480. Manufacturers may make investigational drugs and devices available to eligible patients, when — definitions — requirements. — 1. For purposes of this section, the following terms shall mean: (1) "Eligible patient", a person who meets all of the following: (a) Has a termi…

191.592. Grant program established — definitions — purpose — fund created, use of moneys — priority of expenditures — criteria, requirements — report — rulemaking authority — expiration date. — 1. For purposes of this section, the following terms mean: (1) "Department", the depar…

191.594. Citation of law — prevalence of depression and suicide study — prohibited acts — definitions. — 1. Sections 191.594 to 191.596 shall be known and may be cited as the "Show-Me Compassionate Medical Education Act". 2. No medical school in this state shall prohibit, discour…

191.596. Research project authorized — committee established, members, duties — center study, contents — annual report. — 1. Medical schools in this state may, in collaboration with the show-me compassionate medical education research project committee, conduct a single center or…

191.600. Loan repayment program established — program fund established — use. — 1. Sections 191.600 to 191.615 establish a loan repayment program for graduates of an accredited graduate training program in any discipline designated in rule by the department who practice in areas …

191.603. Definitions. — As used in sections 191.600 to 191.615, the following terms shall mean: (1) "Areas of defined need", areas designated by the department pursuant to section 191.605, when services are needed to improve the patient-health professional ratio in the area, to c…