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	COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEMS
190.001	Citation. (8/28/1998)
190.010	Territory of district may be noncontiguous — ambulance districts authorized except in counties of 400,000 or more population — district, how named. (8/28/2005)
190.015	Petition to form, contents — ambulance district boundaries (St. Louis County) — sales tax in lieu of property tax permitted, exception St. Louis County. (8/28/2011)
190.020	Public hearing, notice — costs, how paid. (6/15/1971)
190.025	Petitions — consolidation, when — amended, how. (6/15/1971)
190.030	Sufficiency of petition, county commission to determine. (8/28/1986)
190.035	Notice of election, contents. (8/28/2011)
190.040	Form of ballot — effect of passage on tax rate — fund created — refunds, when. (8/28/2011)
190.041	Tax levy for central dispatching service, when, amount — funds kept separate. (8/28/1986)
190.043	Increase in tax rate without voter approval, when, amount. (8/28/1998)
190.045	Returns of election, where filed — effect of. (8/28/1978)
190.050	Election districts, how established — election of directors — declaration of candidacy filed, where, when. (8/28/2002)
190.051	Change in number of board members, when — ballot language. (8/28/2002)
190.052	Board member must live in his district — vacancies, how filled. (8/28/2007)
190.053	Educational training required for board of directors — failure to attend. (8/28/2022)
190.055	Powers of board — seal and bylaws required — reimbursement of board members' expenses — secretary and treasurer, additional compensation — board member attendance fees, when — ineligibility for board employment, when. (8/28/2016)
190.056	Recall of directors, procedure. (8/28/2011)
190.060	Powers of district. (8/28/2016)
190.065	Bonds, issuance of — election, form of ballot. (8/28/1990)
190.070	Annexation, petition for — hearing — election, form of ballot. (8/28/1978)
190.074	Collection of taxes — levy — procedure. (8/28/1998)
190.075	Records, what and how kept. (8/28/1986)
190.080	Donated property — title, how taken. (6/15/1971)
190.085	Failure to approve bonds, effect of — dissolution — funds, how rebated. (6/15/1971)
190.087	Ambulance district serving city in more than one county may be expanded — procedure (Franklin County). (5/19/1993)
190.088	Detachment from ambulance district, procedure (City of Riverside) — inapplicable to St. Louis County. (8/28/2014)
190.090	Consolidation of ambulance districts, procedure for — form of ballot — transition provisions for consolidation. (8/28/2005)
190.091	Vaccination program for first responders and telecommunicators offered — definitions — participation voluntary, exception — contingent effective date. (8/28/2023)
	USE OF DEFIBRILLATORS
190.092	Defibrillators, requirements — good faith immunity from civil liability, when — all basic life support ambulances and stretcher vans to be equipped with. (8/28/2020)
	AMBULANCE SERVICES AND EMERGENCY PERSONNEL, LICENSING AND REGULATION
190.094	Minimum ambulance staffing — volunteer defined. (8/28/2020)
190.098	Community paramedic, certification requirements — scope of practice — written agreement — rulemaking authority. (8/28/2013)
190.100	Definitions. (8/28/2023)
190.101	State advisory council on emergency medical services, members, purpose, duties — subcommittee established, duties. (8/28/2022)
190.102	Regional EMS advisory committees. (8/28/2016)
190.103	Regional EMS medical director, powers, duties — considered public official, when — online telecommunication medical direction permitted — treatment protocols for special needs patients. (8/28/2023)
190.104	Pediatric emergency medical services system. (8/28/1998)
190.105	Ambulance license required, exceptions — operation of ambulance services — sale or transfer of ownership, notice required. (8/28/2020)
190.107	Contracts for mutual aid services. (8/28/1998)
190.108	Air ambulance licenses — sale or transfer of ownership, notice required. (8/28/2002)
190.109	Ground ambulance license. (8/28/2002)
190.111	Inspection limitation — effect of sale or transfer on a license. (8/28/2007)
190.120	Insurance, what coverage required — policy provisions required — term of policy. (8/28/2002)
190.131	Certification of training entities. (8/28/2018)
190.133	Emergency medical response agency license. (8/28/2010)
190.142	Emergency medical technician license, requirements — rules. (8/28/2023)
190.143	Temporary emergency medical technician license granted, when — limitations — expiration. (8/28/2020)
190.144	Immunity from liability, when. (8/28/2017)
190.146	Lapse of license, request to return to active status, procedure. (8/28/2002)
190.147	Behavioral health patients — temporary hold, when — memorandum of understanding, contents — physical restraints, use of. (8/28/2023)
190.160	Renewals of licenses, requirements. (8/28/2002)
190.165	Suspension or revocation of licenses, grounds for — procedure. (8/28/2018)
190.171	Aggrieved party may seek review by administrative hearing commission. (8/28/2002)
190.172	Settlement agreements permitted, when — written impact statement may be submitted to administrative hearing commission. (8/28/2002)
190.173	Confidentiality of information. (8/28/2018)
190.175	Records to be maintained by licensee. (8/28/2002)
190.176	Data collection system. (8/28/2022)
190.180	Penalty for violation. (8/28/1998)
190.185	Rules and regulations, department to adopt — procedure. (8/28/2002)
190.190	Time to comply granted existing equipment and personnel. (8/28/1998)
190.196	Employer to comply with requirements of licensure — report of charges filed against licensee, when. (8/28/2020)
190.200	Public information and education. (8/28/2022)
190.205	Insurers' duties. (8/28/1998)
190.240	At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when. (8/28/2016)
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. (8/28/2022)
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. (8/28/2017)
190.243	Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized. (8/28/2022)
190.245	Medical records and quality improvement documentation, penalty for failure to provide, purpose for use, names not to be released. (8/28/2022)
190.246	Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty. (8/28/2018)
190.248	Investigations of allegations of violations, completed when — access to records. (8/28/2002)
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. (8/28/2002)
190.255	Opioid overdose drugs and devices, first responder may administer, when — definition. (8/28/2023)
	TIME-CRITICAL DIAGNOSIS ADVISORY COMMITTEE
190.257	Advisory committee, time-critical diagnosis — recommendations to department — members. (8/28/2022)
	FIRST INFORMER BROADCASTERS ACT
190.260	Citation — definitions — training for broadcast engineers and technical personnel — credentialing — access to disaster areas. (8/28/2016)
	HELIPADS
190.265	Helipads, hospitals not required to have fencing or barriers. (7/5/2016)
	FACILITATING BUSINESS RAPID RESPONSE TO STATE-DECLARED DISASTERS ACT
190.270	Citation of law. (8/28/2014)
190.275	Definitions. (8/28/2014)
190.280	Out-of-state businesses not subject to certain state or local requirements — out-of-state employee not a resident for tax purposes — limitations. (8/28/2014)
190.285	Notification to secretary of state by out-of-state business required, when, content — information provided to department of revenue, when. (8/28/2014)
190.286	Inapplicability to certain out-of-state businesses. (8/28/2014)
	TELEPHONE, EMERGENCY SERVICE
190.290	Definitions. (8/28/2004)
190.292	Emergency services, sales tax levy authorized — ballot language — rate of tax — termination of tax — board to administer funds established, members (Warren County) — prepaid wireless telecommunications service, tax exempt. (7/9/2019)
190.294	Powers and duties of the emergency services board — meetings — vacancies — rulemaking authority (Warren County). (8/28/2004)
190.296	Board may borrow money and issue bonds — ballot language — duration of loans, rate of interest (Warren County). (8/28/2004)
190.300	Definitions. (8/28/2018)
190.305	Emergency telephone service may be provided — tax levy authorized — governing body of Christian and Scott counties may contract for services — time limitation on tax — rate — collection. (8/28/2007)
190.306	Dissolution of emergency telephone service not required, when (Christian County). (8/28/2004)
190.307	No civil liability for operation of emergency system, giving or following emergency instructions, exceptions. (8/28/2021)
190.308	Misuse of emergency telephone service unlawful, definitions, penalty — no local fine or penalty for pay telephones for calls to emergency telephone service. (8/28/2018)
190.309	Emergency telephone board, powers and duties — members of the board, appointment, terms — personnel — officers — rules — removal of members — vacancies — nepotism prohibited. (8/28/2010)
190.310	Tax due quarterly — return filed when, content — record retention period — rate determination, notification — collection fee allowed. (6/12/1990)
190.315	Contract for service authorized. (8/28/1986)
190.320	Election — ballot form. (8/28/1981)
	CENTRAL DISPATCH FOR EMERGENCY SERVICES
190.325	Central dispatching service for emergency services (Clay, Jackson and Jefferson counties) — use of emergency telephone moneys — tax rate — contracts for service for other political subdivisions — tax collection. (8/28/2018)
190.327	Board appointed, when — board elected, when — duties — commission to relinquish duties to board — qualifications — board, powers and duties — board appointed for other political subdivisions contracting for service — members. (8/28/2023)
190.328	Election of board, Christian and Scott counties, when — terms. (8/28/2018)
190.329	Election of board, exceptions, when — terms. (8/28/2018)
190.334	Performance and fiscal audits authorized. (8/28/2018)
	COUNTY SALES TAX, ALTERNATIVE FUNDING FOR CENTRAL DISPATCH OF EMERGENCY SERVICES
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 — continuation of board in Greene, Lawrence and Stoddard counties — board appointment in Christian, Taney, and St. Francois counties — prepaid wireless telecommunications services, tax exempt. (7/9/2019)
190.336	Recall, board members subject to — procedure. (8/28/2014)
190.337	Revenue, purpose for which shall be used — procedure to terminate tax, ballot form — reestablishing emergency service using telephone tax, procedure. (8/28/1993)
190.339	Emergency services board, powers and duties — officers — removal of board members, reasons, hearing procedure — vacancies — employment by board, limitations. (8/28/2014)
190.340	Emergency services board, officers duties, rules and regulations. (8/28/1996)
	POISON CONTROL
190.353	Powers and duties of department of health and senior services — establishment of regional poison information center — center to provide certain services. (8/28/2006)
190.355	Use of existing resources required. (8/28/2006)
	WIRELESS SERVICE PROVIDER, ENHANCED 911
190.400	Definitions — interoperability service agreements, what agencies. (8/28/2018)
190.420	Fund established. (8/28/2018)
190.450	Department to complete study, issue plan for provision of best 911 technology and services statewide. (8/28/2017)
190.455	Subscriber fees — election, ballot — deposit of moneys — confidentiality of proprietary information — immunity from liability, when — limitations on fees. (7/9/2019)
190.460	Prepaid wireless emergency telephone service charge — definitions — amount, how collected — deposit and use of moneys — rates, how set — effective date. (8/28/2023)
190.462	Pre-emption of taxes by declaratory ruling — definitions — effect of — expiration date. (7/9/2019)
190.465	Consolidation of emergency communications operations — joint entity established, when. (8/28/2018)
190.470	Alternate consolidation — petition, election — board appointed, requirements. (8/28/2018)
190.475	Centralized database to be maintained, updates. (8/28/2018)
	TEMPORARY LICENSE FOR MILITARY TRAUMA TRAINING OR DISASTER RESPONSE
190.500	Temporary license — qualified health care professions — declared emergency. (8/28/2002)
	STRETCHER VAN LICENSURE
190.525	Definitions. (8/28/2002)
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. (8/28/2010)
190.531	Refusal to issue or denial of renewal of licenses permitted — complaint procedure — rules — immunity from liability, when — suspension of license, when. (8/28/2002)
190.534	Violations, penalty — attorney general to have concurrent jurisdiction. (8/28/2002)
190.537	Rulemaking authority. (8/28/2002)
	FEES FOR LICENSURE
190.550	Schedule of fees established, rules — collection and deposit. (8/28/2005)
	OUTSIDE THE HOSPITAL DO-NOT-RESUSCITATE ACT
190.600	Citation of act — definitions. (8/28/2023)
190.603	Outside the hospital do-not-resuscitate order may be executed, when — maintained in medical records — transfers with patient. (8/28/2023)
190.606	Immunity from liability, what persons and entities. (8/28/2023)
190.609	Order effective, when — limitations of order. (8/28/2007)
190.612	Emergency medical services personnel to comply with order, when — physician to transfer patient, when. (8/28/2023)
190.613	Out-of-state order, physician may execute order, when. (8/28/2023)
190.615	Death of a patient, not suicide or homicide — effect of order on life insurance — order does not authorize mercy killing or euthanasia. (8/28/2007)
190.618	Rules — rulemaking authority. (8/28/2007)
190.621	Penalty for concealing or falsifying an order. (1/1/2017)
	GROUND AMBULANCE SERVICE REIMBURSEMENT ALLOWANCE
190.800	Imposition of tax — definitions. (8/28/2022)
190.803	Formula for tax based on gross receipts — challenge of validity of rules. (8/28/2022)
190.806	Record-keeping requirements, confidentiality. (8/28/2022)
190.809	Amount due, determination — notification procedure — offset permitted, when — quarterly adjustment of tax permitted. (8/28/2009)
190.812	Determination of tax final, when — timely protest permitted. (8/28/2009)
190.815	Rulemaking authority. (8/28/2022)
190.818	Remittance of tax — fund created, use of moneys. (8/28/2009)
190.821	Tax period — failure to pay, delinquency, enforcement procedures. (8/28/2009)
190.824	Tax-exempt status of ambulance service not affected. (8/28/2009)
190.827	Payments to ambulance services, when. (8/28/2009)
190.830	Federal financial participation required. (8/28/2009)
190.833	No tax imposed prior to effective date. (8/28/2009)
190.836	Rules requirements, authority. (8/28/2009)
190.839	Expiration date. (8/28/2024)
190.840	Nonseverability clause. (8/28/2011)
	RECOGNITION OF EMS PERSONNEL LICENSURE INTERSTATE COMPACT
190.900	REPLICA enacted — definitions. (8/28/2018)
190.903	Home state licensure. (8/28/2018)
190.906	Compact privilege to practice. (8/28/2018)
190.909	Conditions of practice in a remote state. (8/28/2018)
190.912	Relationship to emergency management assistance compact. (8/28/2018)
190.915	Veterans, service members separating from active duty military, and their spouses. (8/28/2018)
190.918	Adverse actions. (8/28/2018)
190.921	Additional powers invested in a member state's EMS authority. (8/28/2018)
190.924	Establishment of the interstate commission for EMS personnel practice. (8/28/2018)
190.927	Coordinated database. (8/28/2018)
190.930	Rulemaking. (8/28/2018)
190.933	Oversight, dispute resolution, and enforcement. (8/28/2018)
190.936	Date of implementation of the interstate commission for EMS personnel practice and associated rules, and amendment. (8/28/2018)
190.939	Construction and severability. (8/28/2018)
	CARDIOPULMINARY RESUSCITATION
190.1005	CPR training or courses to include instruction on proper use of automated external defibrillators. (8/28/2020)
	PEER SUPPORT COUNSELING
190.1010	Peer support counseling, confidentiality, exceptions — requirements. (8/28/2023)

- Cross References
	All license, permit and certificate applications shall contain the Social Security number of the applicant, 324.024
	Commercial driver's licensing law not applicable to emergency vehicles, 302.775
	Earthquakes, floods, hazardous waste, tornados, public safety agencies may aid other public service agencies in state and border states, 70.837
	Emergency planning committees, local, hazardous substance, 292.600 to 292.602
	Emergency response commission, hazardous substances in the workplace, duties, 292.602
	Employee of fire protection district or ambulance district not to be member of board, 321.017
	Explosives, temporary storage in the workplace, notification, duties, 292.617
	Newborns, voluntary relinquishment of, duties of emergency personnel, 210.950
	Paramedics (M.E.M.T.), accidents, emergencies, assistance, no liability, exceptions, (Good Samaritan law), 537.037
	Radiation emergencies, department of health and senior services, duties, 192.510
	Redevelopment areas furnishing emergency services, reimbursement for cost, when, 99.847
	Reports, inspections of trauma centers may be made available to public, 197.477
	Sports events or accidents involving minors, care without consent no liability, when, exceptions, 537.037