Title XII — PUBLIC HEALTH AND WELFARE

190.098. Community paramedic, certification requirements — scope of practice — written agreement — rulemaking authority. — 1. In order for a person to be eligible for certification by the department as a community paramedic, an individual shall: (1) Be currently certified as a pa…

190.100. Definitions. — As used in sections 190.001 to 190.245 and section 190.257, the following words and terms mean: (1) "Advanced emergency medical technician" or "AEMT", a person who has successfully completed a course of instruction in certain aspects of advanced life suppo…

190.1005. CPR training or courses to include instruction on proper use of automated external defibrillators. — Notwithstanding any other provision of law to the contrary, any training or course in cardiopulmonary resuscitation shall also include instruction on the proper use of a…

190.101. State advisory council on emergency medical services, members, appointment, purpose, duties — subcommittee established, duties. — 1. There is hereby established a "State Advisory Council on Emergency Medical Services" which shall consist of no more than twenty-three memb…

190.1010. Peer support counseling, confidentiality, exceptions — requirements. — 1. As used in this section, the following terms shall mean: (1) "Employee", a first responder employed by an employer; (2) "Employer", the state, a unit of local government, or a public hospital or a…

190.102. Regional EMS advisory committees. — 1. The department shall designate through regulation EMS regions and committees. The purpose of the regional EMS advisory committees is to advise and make recommendations to the region and the department on: (1) Coordination of emergen…

190.103. Regional EMS medical director, powers, duties — considered public official, when — online telecommunication medical direction permitted — treatment protocols for special needs patients. — 1. One physician with expertise in emergency medical services from each of the EMS …

190.104. Pediatric emergency medical services system. — 1. The department is authorized to establish a program to improve the quality of emergency care for pediatric patients throughout the state and to implement a comprehensive pediatric emergency medical services system in acco…

190.105. Ambulance license required, exceptions — operation of ambulance services — sale or transfer of ownership, notice required. — 1. No person, either as owner, agent or otherwise, shall furnish, operate, conduct, maintain, advertise, or otherwise be engaged in or profess to …

190.106. Criminal background check, fingerprint submission. — 1. The department of health and senior services may require that fingerprint submissions be made as part of an application seeking licensure as an emergency medical technician or "EMT", an advanced emergency medical te…

190.107. Contracts for mutual aid services. — 1. Any municipally operated ambulance service, ambulance district, fire protection district that provides ambulance service or any other ambulance service may enter into contracts providing for mutual aid services provided by such amb…

190.108. Air ambulance licenses — sale or transfer of ownership, notice required. — 1. The department shall, within a reasonable time after receipt of an application, cause such investigation as the department deems necessary to be made of the applicant for an air ambulance licen…

190.109. Ground ambulance license. — 1. The department shall, within a reasonable time after receipt of an application, cause such investigation as the department deems necessary to be made of the applicant for a ground ambulance license. 2. Any person that owned and operated a l…

190.111. Inspection limitation — effect of sale or transfer on a license. — The inspection conducted under subsection 14 of section 190.105 shall be limited to the verification of compliance with standards for renewal of an existing license, and shall not include the criteria set…

190.112. Ambulance service administrator — training, requirements. — 1. Each ambulance service licensed under this chapter shall identify to the department the individual serving as the ambulance service administrator who is responsible for the operations and staffing of the ambu…

190.120. Insurance, what coverage required — policy provisions required — term of policy. — 1. No ambulance service license shall be issued pursuant to sections 190.001 to 190.245, nor shall such license be valid after issuance, nor shall any ambulance be operated in Missouri unl…

190.131. Certification of training entities. — 1. The department shall accredit or certify training entities for emergency medical responders, emergency medical dispatchers, and emergency medical technicians, for a period of five years, if the applicant meets the requirements est…

190.133. Emergency medical response agency license. — 1. The department shall, within a reasonable time after receipt of an application, cause such investigation as the department deems necessary to be made of the applicant for an emergency medical response agency license. 2. The…

190.142. Emergency medical technician license, requirements — rules. — 1. (1) For applications submitted before the recognition of EMS personnel licensure interstate compact under sections 190.900 to 190.939 takes effect, the department shall, within a reasonable time after recei…

190.143. Temporary emergency medical technician license granted, when — limitations — expiration. — 1. Notwithstanding any other provisions of law, the department may grant a ninety-day temporary emergency medical technician license to all levels of emergency medical technicians …

190.144. Immunity from liability, when. — 1. No emergency medical technician licensed under section 190.142 or 190.143, if acting in good faith and without gross negligence, shall be liable for: (1) Transporting a person for whom an application for detention for evaluation and tr…

190.146. Lapse of license, request to return to active status, procedure. — Any licensee allowing a license to lapse may within two years of the lapse request that their license be returned to active status by notifying the department in advance of such intention, and submit a co…

190.147. Behavioral health patients — temporary hold, when — memorandum of understanding, contents — physical restraints, use of. — 1. A paramedic may make a good faith determination that such behavioral health patients who present a likelihood of serious harm to themselves or ot…

190.160. Renewals of licenses, requirements. — The renewal of any license shall require conformance with sections 190.001 to 190.245 and sections 190.525 to 190.537, and rules adopted by the department pursuant to sections 190.001 to 190.245 and sections 190.525 to 190.537. ­­---…

190.165. Suspension or revocation of licenses, grounds for — procedure. — 1. The department may refuse to issue or deny renewal of any certificate, permit or license required pursuant to sections 190.100 to 190.245 for failure to comply with the provisions of sections 190.100 to …

190.166. License sanction, when — corrective plan — department duties. — 1. In addition to the provisions of section 190.165, the department of health and senior services may refuse to issue, deny renewal of, or suspend a license required pursuant to section 190.109, or take othe…

190.171. Aggrieved party may seek review by administrative hearing commission. — Any person aggrieved by an official action of the department of health and senior services affecting the licensed status of a person pursuant to the provisions of sections 190.001 to 190.245 and sect…

190.172. Settlement agreements permitted, when — written impact statement may be submitted to administrative hearing commission. — Notwithstanding the provisions of subdivision (3) of subsection 3 of section 621.045 to the contrary, if no contested case has been filed against the…

190.173. Confidentiality of information. — 1. All complaints, investigatory reports, and information pertaining to any applicant, holder of any certificate, permit, or license, or other individual are confidential and shall only be disclosed upon written consent of the person who…

190.175. Records to be maintained by licensee. — 1. Each ambulance service licensee or emergency medical response agency licensee shall maintain accurate records, which contain information concerning the care and, if applicable, the transportation of each patient. 2. Records will…

190.176. Data collection system. — 1. The department shall develop and administer a uniform data collection system on all ambulance runs and injured patients, pursuant to rules promulgated by the department for the purpose of injury etiology, patient care outcome, injury and dise…

190.180. Penalty for violation. — 1. Any person violating, or failing to comply with, the provisions of sections 190.001 to 190.245 is guilty of a class B misdemeanor. 2. Each day that any violation of, or failure to comply with, sections 190.001 to 190.245 is committed or permit…

190.185. Rules and regulations, department to adopt — procedure. — The department shall adopt, amend, promulgate, and enforce such rules, regulations and standards with respect to the provisions of this chapter as may be designed to further the accomplishment of the purpose of th…

190.190. Time to comply granted existing equipment and personnel. — 1. All ambulance vehicles or aircraft that have or are qualified to have a valid license issued by the department on the day that sections 190.001 to 190.245 take effect will have their ambulance vehicle or aircr…

190.196. Employer to comply with requirements of licensure — report of charges filed against licensee, when. — 1. No employer shall knowingly employ or permit any employee to perform any services for which a license, certificate or other authorization is required by sections 190.…

190.200. Public information and education. — 1. The department of health and senior services in cooperation with hospitals and local and regional EMS systems and agencies may provide public and professional information and education programs related to emergency medical services …

190.205. Insurers' duties. — 1. Health carriers and managed care plans shall pay benefits directly to ambulance services or emergency medical response agencies. 2. Health carriers and managed care plans shall not prohibit or discourage the use of the 911 system when emergency ser…

190.240. At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when. — 1. Any hospital, as such term is defined in section 197.020, or any nursing home facility licensed under chapter 198 s…

190.241. Trauma, STEMI, or stroke centers, designation by department — site reviews — grounds for suspension or revocation of designation — data submission and analysis — fees — administrative hearing commission to hear persons aggrieved by designation. — 1. Except as provided fo…

190.242. Emergency medical services data, hospitals not required to obtain, when — trauma, STEMI, and stroke center regulations, interpretation of, hospitals not required to comply with, when. — 1. In order to ensure that hospitals can be free from excessive regulation that incre…

[Repealed or reserved.]

190.245. Medical records and quality improvement documentation, penalty for failure to provide, purpose for use, names not to be released. — Failure of a hospital to provide all medical records and quality improvement documentation necessary for the department to implement provis…

190.246. Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty. — 1. As used in this section, the following terms shall mean: (1) "Eligible person, firm, organization or other entity", an ambulance servi…

190.248. Investigations of allegations of violations, completed when — access to records. — 1. All investigations conducted in response to allegations of violations of sections 190.001 to 190.245 shall be completed within six months of receipt of the allegation. 2. In the course …

190.250. Ambulance services to have same statutory lien rights as hospitals — recovery of lien, net proceeds to be shared with patient, when — release of claimant from liability, when. — 1. As used in this section, the following terms mean: (1) "Claim", a claim of a patient for: …

190.255. Opioid overdose drugs and devices, first responder may administer, when — definition. — 1. Any qualified first responder may obtain and administer naloxone, or any other drug or device approved by the United States Food and Drug Administration, that blocks the effects of…

190.257. Advisory committee, time-critical diagnosis — recommendations to department — members. — 1. There is hereby established the "Time-Critical Diagnosis Advisory Committee", to be designated by the director for the purpose of advising and making recommendations to the depart…

190.260. Citation — definitions — training for broadcast engineers and technical personnel — credentialing — access to disaster areas. — 1. This section shall be known and may be cited as the "First Informer Broadcasters Act". 2. As used in this section, the following terms shall…

190.265. Helipads, hospitals not required to have fencing or barriers. — 1. In order to ensure that the skids of a helicopter do not get caught in a fence or other barriers and cause a potentially catastrophic outcome, any rules and regulations promulgated by the department of he…

190.270. Citation of law. — Sections 190.270 to 190.285 shall be known and may be cited as the "Facilitating Business Rapid Response to State-Declared Disasters Act". ­­-------- (L. 2014 H.B. 1190)