Title XII — PUBLIC HEALTH AND WELFARE

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…

190.900. REPLICA enacted — definitions. — 1. The "Recognition of EMS Personnel Licensure Interstate Compact" (REPLICA) is hereby enacted into law and entered into with all other jurisdictions legally joining therein, in the form substantially as follows in sections 190.900 to 190…

190.903. Home state licensure. — 1. Any member state in which an individual holds a current license shall be deemed a home state for purposes of this compact. 2. Any member state may require an individual to obtain and retain a license to be authorized to practice in the member s…

190.906. Compact privilege to practice. — 1. Member states shall recognize the privilege to practice of an individual licensed in another member state that is in conformance with section 190.903. 2. To exercise the privilege to practice under the terms and provisions of this comp…

190.909. Conditions of practice in a remote state. — An individual may practice in a remote state under a privilege to practice only in the performance of the individual's EMS duties as assigned by an appropriate authority, as defined in the rules of the commission, and under the…

190.912. Relationship to emergency management assistance compact. — Upon a member state's governor's declaration of a state of emergency or disaster that activates the Emergency Management Assistance Compact (EMAC), all relevant terms and provisions of EMAC shall apply, and to th…

190.915. Veterans, service members separating from active duty military, and their spouses. — 1. Member states shall consider a veteran, active military service member, or member of the National Guard and Reserves separating from an active duty tour, or a spouse thereof, who hold…

190.918. Adverse actions. — 1. A home state shall have exclusive power to impose adverse action against an individual's license issued by the home state. 2. If an individual's license in any home state is restricted, suspended, or revoked, the individual shall not be eligible to …

190.921. Additional powers invested in a member state's EMS authority. — A member state's EMS authority, in addition to any other powers granted under state law, is authorized under this compact to: (1) Issue subpoenas for both hearings and investigations that require the attenda…

190.924. Establishment of the interstate commission for EMS personnel practice. — 1. The compact states hereby create and establish a joint public agency known as the "Interstate Commission for EMS Personnel Practice". (1) The commission is a body politic and an instrumentality o…

190.927. Coordinated database. — 1. The commission shall provide for the development and maintenance of a coordinated database and reporting system containing licensure, adverse action, and significant investigatory information on all licensed individuals in member states. 2. Not…

190.930. Rulemaking. — 1. The commission shall exercise its rulemaking powers pursuant to the criteria set forth in this section and the rules adopted thereunder. Rules and amendments shall become binding as of the date specified in each rule or amendment. 2. If a majority of the…

190.933. Oversight, dispute resolution, and enforcement. — 1. The executive, legislative, and judicial branches of state government in each member state shall enforce this compact and take all actions necessary and appropriate to effectuate the compact's purposes and intent. The …

190.936. Date of implementation of the interstate commission for EMS personnel practice and associated rules, and amendment. — *1. The compact shall come into effect on the date on which the compact statute is enacted into law in the tenth member state. The provisions, which beco…

190.939. Construction and severability. — 1. This compact shall be liberally construed so as to effectuate the purposes thereof. If this compact shall be held contrary to the constitution of any member state thereto, the compact shall remain in full force and effect as to the rem…

191.005. Information exchange between departments, rulemaking authority. — 1. The departments of health and senior services and social services shall promulgate rules and regulations requiring the exchange of information, including regulatory violations, between the departments t…

191.025. Health care compact. — The Health Care Compact is enacted into law and entered into by the state as a party, and is of full force and effect between the state and any other states joining therein in accordance with the terms of the Compact, which such Compact is as follo…

191.1005. Premises not to be used to administer certain controlled substances — inapplicability, when. — 1. No individual or entity shall knowingly open, lease, rent, own, use, maintain, manage, operate, or control a public or private facility, site, or building for the purpose, …

191.1050. Definitions. — As used in sections 191.1050 to 191.1056, the following terms shall mean: (1) "Area of defined need", a rural area or section of an urban area of this state which is located in a federally designated health professional shortage area and which is designat…

191.1053. Designation of areas — re-evaluation of designations, when — rulemaking authority. — 1. The department shall have the authority to designate an eligible facility or facilities in an area of defined need. In making such designation, the department shall consult with loca…

191.1056. Fund created, use of moneys. — 1. There is hereby created in the state treasury the "Missouri Health Care Access Fund", which shall consist of gifts, grants, and devises deposited into the fund with approval of the oversight committee created in section 208.955. The sta…

*191.1075. Definitions. — As used in sections 191.1075 to 191.1085, the following terms shall mean: (1) "Department", the department of health and senior services; (2) "Health care professional", a physician or other health care practitioner licensed, accredited, or certified by …

*191.1080. Council created, purpose, members, terms, duties — report — expiration date. — 1. There is hereby created within the department of health and senior services the "Missouri Palliative Care and Quality of Life Interdisciplinary Council", which shall be a palliative care …

*191.1085. Program established, purpose — website information — rulemaking authority. — 1. There is hereby established the "Palliative Care Consumer and Professional Information and Education Program" within the department of health and senior services. 2. The purpose of the prog…

*191.1100. Citation of law — definitions. — 1. Sections 191.1100 to 191.1112 shall be known and may be cited as the "Volunteer Health Services Act". 2. As used in sections 191.1100 to 191.1112, the following terms shall mean: (1) "Gross deviation", a conscious disregard of the sa…

*191.1102. Additional licensure not required, when — inapplicability. — 1. Notwithstanding any provision of law to the contrary, no additional license or certificate otherwise required by state law is necessary for the voluntary provision of health care services by any person who…

*191.1104. Display of license or certificate, how satisfied. — With regard to a person who voluntarily provides health care services and who is covered by the provisions of subsection 1 of section 191.1102, all requirements regarding display of a license or certificate shall be s…

*191.1106. Registration with department required, fee, contents — quarterly reports — list of providers — recordkeeping requirements — rulemaking authority. — 1. Before providing volunteer health care services in this state, a sponsoring organization shall register with the depar…

*191.1110. Immunity from liability, when — no compensation to be received — certain military personnel deemed licensed. — 1. (1) No licensed health care provider who engages in the voluntary provision of health care services within the limits of the person's license, certificate,…

*191.1112. Volunteer crisis response teams — definitions — immunity from liability, inapplicability of. — 1. For purposes of this section, the following terms shall mean: (1) "Crisis intervention", a session at which crisis response services are rendered by a critical incident st…

191.1140. Treatment of chronic, common, and complex diseases, program authorized, purpose. — 1. Subject to appropriations, the University of Missouri shall manage the "Show-Me Extension for Community Health Care Outcomes (ECHO) Program". The department of health and senior servic…

191.1145. Definitions — telehealth services authorized, when. — 1. As used in sections 191.1145 and 191.1146, the following terms shall mean: (1) "Asynchronous store-and-forward transfer", the collection of a patient's relevant health information and the subsequent transmission o…