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 Title XII PUBLIC HEALTH AND WELFARE

 Chapter 190 Emergency Services 
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. (9/28/2021)
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

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