Missouri Revisor of Statutes - Revised Statutes of Missouri, RSMo Chapter 191

Title XII PUBLIC HEALTH AND WELFARE

Chapter 191 Health and Welfare ✹⚿

191.005	Information exchange between departments, rulemaking authority. (8/28/1999)
191.025	Health care compact. (8/28/2011)
191.116	Alzheimer's state plan task force established — members, appointment, duties — report — expiration date. (8/28/2022)
191.127	Land may be leased for farming or grazing — procedure. (8/28/1980)
191.150	Purchase of food limited to use of institution inmates. (8/28/1980)
191.160	Board and living quarters for employees of institutions. (8/28/1980)
191.170	Mistreatment of inmates — penalty. (8/28/1980)
191.180	Furnishing unfit food to institution — penalty. (8/28/1980)
191.190	Accessory to mistreatment of inmates or furnishing of unwholesome food — penalty. (8/28/1980)
191.210	Attendance of patient by private physician. (8/28/1980)
191.211	Funding of certain programs. (8/28/2001)
191.213	Additional funding sources for certain programs. (8/28/2001)
191.226	Costs of HIV testing for certain crime victims payable by department of health and senior services, when, conditions. (8/28/1989)
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. (8/28/2018)
191.228	Physician and pharmacist not subject to discipline for cooperation. (8/28/1992)
191.229	Accreditation of not-for-profit human services organizations deemed equivalent to licensure. (8/28/1994)
191.231	Community-based integrated delivery system, qualification, powers — organization, board of directors, powers — plans. (8/28/1993)
191.235	Mercury contained in immunizations, not to be administered to certain persons — insurance reimbursement for nonmercury immunizations — exemptions, when. (8/28/2005)
191.237	Failure to participate in health information organization, no fine or penalty may be imposed — no exchange of data, when — definitions. (8/28/2013)
191.240	Patient examinations, limitation on performance of, when — notice — violation, sanction of license. (8/28/2023)
	END-OF-LIFE MEDICAL DECISIONS (SIMON'S LAW)
191.250	Citation of law — definitions — DNR orders, requirements — revocation of consent — appointment of guardian, when — continuation of treatment not required, when. (8/28/2019)
	GENETICS AND METABOLIC DISEASE PROGRAMS (Cystic Fibrosis, Hemophilia, Sickle Cell Anemia)
191.300	Definitions. (8/28/2007)
191.305	Missouri genetic advisory committee created — purpose — appointment, terms — qualifications — expenses. (8/28/2023)
191.310	Duties of committee — liaison officers with mental health and education, appointment. (8/28/1985)
191.315	Genetics program to be established by department — rules authorized — procedure. (8/28/1995)
191.317	Confidentiality of all tests and personal information — exceptions — retention of specimens, procedure. (8/28/2007)
191.320	Genetic diagnostic and counseling services to be established — outreach centers, duties — referral for abortion, procedure, requirements. (8/28/1985)
191.323	Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects. (8/28/1985)
191.325	Cost of services, how paid — free to persons financially unable to pay — residency requirement. (8/28/1985)
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. (8/28/2007)
191.332	Supplemental newborn screening requirements — additional screenings — rulemaking authority. (8/28/2017)
191.333	Citation of law — screening for lysosomal storage diseases — rulemaking authority — fee increase authorized. (8/28/2009)
191.334	Chloe's Law — critical congenital heart disease screening, requirements — rulemaking authority. (8/28/2013)
191.335	Hemophilia program established — state assistance, when. (8/28/1979)
191.340	Hemophilia program — care and treatment — financial assistance — education — duties of department. (8/28/1985)
191.360	Trained employee of end-stage renal disease facility may initiate dialysis — not unlawful practice of medicine. (8/28/1983)
191.362	Appropriately trained employees to have completed course in dialysis techniques. (8/28/2010)
191.365	Sickle cell anemia — purposes of program — financial assistance, when. (8/28/1985)
191.370	Sickle cell anemia, development of program for care and treatment — duties of department. (8/28/1985)
191.375	Cystic fibrosis, program for care and treatment — financial assistance, when. (8/28/1985)
191.380	Cystic fibrosis, duties of department. (8/28/1985)
	STATE BOARD OF HEALTH
191.400	State board of health and senior services — appointment — terms — qualifications — limitation on other employment, exception — vacancies — compensation — meetings. (8/28/2018)
191.411	System of coordinated health care services — health access incentive fund created, purpose — enhanced Medicaid payments — rules — annual report. (8/28/2007)
	WOMEN'S HEART HEALTH PROGRAM
191.425	Program established, eligibility — contracting authority — conditional on receipt of federal funding — sunset provision. (8/28/2012)
	HEALTH PROFESSIONAL LOAN REPAYMENT PROGRAM
191.430	Program established, purpose — department duties. (8/28/2023)
191.435	Need for health care areas to be designated. (8/28/2023)
191.440	Contracts for forgivable loans, contents — practice sites, stipulation of. (8/28/2023)
191.445	Fund created, use of moneys. (8/28/2023)
191.450	Failure to maintain acceptable employment status, liable for loan amount — recovery amount. (8/28/2023)
	INVESTIGATIONAL DRUGS, BIOLOGICAL PRODUCTS, AND DEVICES
191.480	Manufacturers may make investigational drugs and devices available to eligible patients, when — definitions — requirements. (8/28/2014)
	MEDICAL RESIDENCY GRANT PROGRAM
191.592	Grant program established — definitions — purpose — fund created, use of moneys — priority of expenditures — criteria, requirements — report — rulemaking authority — expiration date. (7/6/2023)
	SHOW-ME COMPASSIONATE MEDICAL EDUCATION ACT
	Show-Me compassionate medical education day, 9.154
191.594	Citation of law — prevalence of depression and suicide study — prohibited acts — definitions. (7/7/2017)
191.596	Research project authorized — committee established, members, duties — center study, contents — annual report. (7/7/2017)
	HEALTH PROFESSIONAL STUDENT LOAN REPAYMENT PROGRAM
191.600	Loan repayment program established — health professional student loan repayment program fund established — use. (8/28/2023)
191.603	Definitions. (8/28/2019)
191.605	Department to designate as areas of need — factors to be considered. (8/28/2019)
191.607	Qualifications for eligibility established by department. (8/28/2019)
191.609	Contract for repayment of loans, contents. (8/28/2001)
191.611	Loan repayment program to cover certain loans — amount paid per year of obligated service — schedule of payments — communities sharing costs to be given first consideration. (8/28/2001)
191.614	Termination of medical studies or failure to become licensed doctor, liability — breach of contract for service obligation, penalties — recovery of amount paid by contributing community. (8/28/2001)
191.615	Application for federal funds — insufficient funds, effect. (8/28/2001)
	EXPOSURE TO COMMUNICABLE DISEASE BY EMERGENCY CARE PROVIDERS
191.630	Definitions. (8/28/2018)
191.631	Testing for disease, consent deemed given, when — hospital to conduct testing, written policies and procedures required — notification for confirmed exposure, by whom — limitations on testing and duties of hospitals, coroners, and medical examiners — rules. (8/28/2014)
	BLOOD-BORNE PATHOGEN STANDARD
191.640	Blood-borne pathogen standard required for occupational exposure of public employees to blood and other infectious materials — definitions — requirements of needleless system and sharps — violations, penalty. (8/28/2001)
	HEPATITIS C EXPOSURE
191.645	Risk of exposure to Hepatitis C, information to be made available — website to be maintained, content. (8/28/2005)
	EXPEDITED PARTNER THERAPY
191.648	Expedited partner therapy permitted, requirements for physicians utilizing — rulemaking authority. (8/28/2010)
	AIDS (Acquired Immunodeficiency Syndrome)
	Nursing homes treating only AIDS patients not required to have certificate of need, 197.316 Nursing homes without certificate of need authorized to treat only AIDS patients, violation, penalty, 197.316
191.650	Definitions. (8/28/1996)
191.653	HIV testing performed by whom, how — consultation with subject required, when. (8/28/1996)
191.656	Confidentiality of reports and records, exceptions — violation, civil action for injunction, damages, costs and attorney fees — health care provider participating in judicial proceeding, immune from civil liability. (8/28/2002)
191.657	Disclosure of confidential HIV information, by court order, only to certain persons, procedure, when. (8/28/1999)
191.658	HIV infection status disclosure by department of health and senior services to exposed health workers or law enforcement officers, when, violation, penalty. (8/28/1999)
191.659	Department of corrections, HIV and infectious diseases testing without right of refusal — exception — minors victim of sexual assault, testing, notice to parents or custodians required. (8/28/2003)
191.662	Department of mental health, permissive HIV testing without right of refusal, when — results of testing not to be reported to department of health and senior services, when. (6/1/1988)
191.663	HIV testing, defined — court order to test certain sexual offenders — costs — bond — disclosure of results of test — parents of unemancipated minor informed, when. (8/28/1999)
191.665	Discrimination prohibited, exceptions. (6/1/1988)
191.668	Department of health and senior services and department of elementary and secondary education to prepare education programs, contents. (6/1/1988)
191.671	Insurance companies, HMOs or health service corporations, HIV testing by, regulation by department — disclosure of test results, confidentiality. (6/1/1988)
191.674	Court-ordered HIV testing without right of refusal, department of health and senior services may seek, when — court record closed, proceeding to be in camera, when. (6/1/1988)
191.677	Serious infectious or communicable diseases, prohibited acts, criminal penalties — affirmative defense — use of pseudonym, when. (8/28/2021)
191.680	Maintaining a nuisance, abatement to be ordered, when. (8/28/2002)
191.683	Reports to general assembly by department of health and senior services. (6/1/1988)
191.686	Anonymous testing sites in central Missouri, Kansas City, Springfield and St. Louis — reports of results, use of coded system — contact notification required, when. (8/28/1999)
191.689	Schools to be given notice of identity of child with HIV infection, when, by whom — identity of infected child may be released to whom by school. (6/1/1988)
191.692	Premarital HIV testing, rulemaking authorized, when. (6/1/1988)
191.694	Infection control procedures — requirements and training for health care facilities and professionals. (8/28/1992)
191.695	Rulemaking authority, department of health and senior services — procedure. (8/28/1995)
191.699	Disciplinary action for health care professionals who discriminate or require HIV testing before treatment. (8/28/1992)
191.700	Testing of all health care professionals not justified — voluntary and confidential evaluation of infected professional, procedure — expert review panel qualifications, powers and duties, practice restrictions, when — health care facilities informed only of restrictions — violations, complaints made to appropriate boards. (8/28/1992)
191.703	Death of patient with infectious or contagious disease, notification to funeral director or coroner. (8/28/1993)
	PREMATURE INFANT HEALTH CARE
191.710	MO HealthNet program and SCHIPS to focus on premature infant health care. (8/28/2009)
191.711	Education publications to be prepared, contents — distribution. (8/28/2009)
	DISCRIMINATION FOR RELIGIOUS BELIEFS OR MORAL CONVICTIONS
191.724	Discrimination based on religious beliefs or moral convictions prohibited, health plan coverage of abortion — no mandatory employee coverage of certain procedures — attorney general to enforce — sterilization defined. (9/12/2012)
	PREGNANCY — PRENATAL AND POSTNATAL CARE AND EDUCATION FOR WOMEN AND CHILDREN (Alcohol — Cigarettes — Drugs)
191.725	Physician to counsel pregnant patients on effects of cigarettes, alcohol and controlled substances — certifying form to be signed by patient on counseling — educational materials to be furnished to physicians. (7/1/1992)
191.729	School districts to be furnished information on prenatal and postnatal effects of substances, when. (7/1/1992)
191.731	Pregnant woman referred for substance abuse to have priority for treatment — confidentiality of records. (7/1/1992)
191.737	Children exposed to substance abuse, referral by physician to children's division — physician making referral immune from civil liability — confidentiality of report. (8/28/2019)
191.739	Protective and preventive services to be provided by department of social services, duties. (8/28/2018)
191.748	Shaken baby syndrome video, required viewing, when. (8/28/2004)
	UMBILICAL CORD BLOOD BANKING
191.755	Department to post resources on website, content. (8/28/2011)
191.756	Grants awarded by board of health and senior services — eligibility criteria. (8/28/2018)
191.758	Information to be made available by physician to pregnant women, when. (8/28/2011)
191.761	Umbilical cord blood samples, department to provide courier service to nonprofit umbilical cord blood bank — rulemaking authority. (8/28/2014)
	INDOOR CLEAN AIR ACT (Smoking Regulations)
191.765	Definitions. (8/28/1992)
191.767	Persons not to smoke in public places or meetings, except in designated smoking areas — designation of space for smoking area, requirements. (8/28/1992)
191.769	Areas not considered public places. (8/28/1992)
191.771	Person in control of public places or public meetings, duties. (8/28/1992)
191.773	Violators, guilty of infraction. (8/28/1992)
191.775	Public schools and school buses — smoking, or tobacco or vapor product use prohibited — permissible use of tobacco, where. (8/28/2020)
191.776	Child day care facilities, smoking or tobacco use when children are present, prohibited, penalty. (8/28/1993)
191.777	More stringent ordinances or rules may be adopted by governing bodies or school boards. (8/28/1993)
	HUNGER RELIEF AND OUTREACH
191.800	Definitions. (8/28/1992)
191.803	Boards of education to establish breakfast program — rules — waiver, procedure. (8/28/1992)
191.805	Hardship grant program, distribution of, rules. (8/28/1992)
191.807	Supplemental funding, women, infants and children supplemental food program — funding of certain county health offices, use, maximum amount of grants — rules and regulations. (8/28/1992)
191.810	Department of health and senior services to establish standards for summer food service program — where established — order of priority — waiver, filing required. (8/28/1992)
191.813	Agencies to coordinate outreach programs — specific programs — public service announcements to be designed. (8/28/1992)
191.815	Administrative rules, procedure. (8/28/1995)
	HEALTH CARE INITIATIVES
191.828	Evaluations, effect of initiatives. (8/28/2023)
191.831	Health initiatives fund established, use — Alt-care pilot program, components — participation may be required. (8/28/2023)
191.835	Community 2000 grants program — local commissions, members — goals, objectives — evaluations, funding. (8/28/1993)
191.839	Education programs for persons with no or inadequate health insurance. (8/28/1993)
191.843	Authorizes grants for regional research consortia in a distressed community. (8/28/2000)
	HEALTH CARE COST REDUCTION AND TRANSPARENCY ACT
191.875	Citation--definitions--estimate of cost provided, when--statement--disclosure of costs without discounts. (10/14/2016)
	HEALTH CARE PAYMENT FRAUD AND ABUSE
191.900	Definitions. (8/28/2007)
191.905	False statement to receive health care payment prohibited — kickback, bribe, purpose, prohibited, exceptions — abuse prohibited — penalty — prosecution, procedure — Medicaid fraud reimbursement fund created — restitution — civil penalty — notification to disciplinary agencies — civil action authorized. (1/1/2017)
191.907	Original source of information to receive a portion of any recovery. (8/28/2007)
191.908	Whistleblower protections — violations, penalty. (8/28/2007)
191.910	Attorney general may investigate violations, powers — service authorized — prosecuting attorney, report, prosecution — provision of records — no limitation of other actions. (8/28/2007)
191.914	False report or claim, penalty. (1/1/2017)
	BREAST-FEEDING
191.915	Breast-feeding information provided, when, by whom. (8/28/1999)
191.918	Breast-feeding in public permitted — not sexual conduct, public indecency, or obscenity — no municipal ordinances to prohibit or restrict. (8/28/2014)
	PRENATAL SCREENING COUNSELING
191.923	Prenatally diagnosed conditions, patient to be provided information — definitions — clearinghouse of information to be established. (8/28/2007)
	NEWBORN HEARING SCREENING
	Commission for the deaf and hard of hearing, 161.400 to 161.410
191.925	Screening for hearing loss, infants, when — procedures used — exemptions — information provided, by whom — no liability, when. (8/28/2002)
191.928	Surveillance and monitoring system for certain newborns — standards and follow-up procedure — confidentiality of information. (8/28/2002)
191.931	Early intervention services available — report, content. (8/28/1999)
191.937	Rulemaking authority, procedure. (8/28/1999)
	POSTPARTUM DEPRESSION CARE ACT
191.940	Citation of law — definitions — hospitals and ambulatory surgical centers to provide information about postpartum depression. (8/28/2020)
	PROSTATE CANCER PILOT PROGRAMS
191.950	Prostate cancer pilot programs — definitions — eligibility — services provided — grants — rulemaking authority — sunset provision. (8/28/2011)
	ADOPTION AWARENESS
191.975	Adoption awareness, department duties — advertising campaign authorized — rulemaking authority. (8/28/2021)
	HEALTH EDUCATION CENTERS
191.980	Missouri area health education centers program established — authority of director — duties. (8/28/2018)
	DIABETES
191.990	Diabetes goals and benchmarks — report, contents. (8/28/2014)
	HEALTH CARE ACCESS
191.1050	Definitions. (8/28/2007)
191.1053	Designation of areas — re-evaluation of designations, when — rulemaking authority. (8/28/2007)
191.1056	Fund created, use of moneys. (8/28/2007)
	PALLIATIVE CARE
191.1075	Definitions. (8/28/2016)
191.1080	Council created, purpose, members, terms, duties — report — expiration date. (8/28/2016)
191.1085	Program established, purpose — website information — rulemaking authority. (8/28/2016)
	VOLUNTEER HEALTH SERVICES ACT
191.1100	Citation of law — definitions. (10/11/2013)
191.1102	Additional licensure not required, when — inapplicability. (10/11/2013)
191.1104	Display of license or certificate, how satisfied. (10/11/2013)
191.1106	Registration with department required, fee, contents — quarterly reports — list of providers — recordkeeping requirements — rulemaking authority. (10/11/2013)
191.1110	Immunity from liability, when — no compensation to be received — certain military personnel deemed licensed. (10/11/2013)
191.1112	Volunteer crisis response teams — definitions — immunity from liability, inapplicability of. (10/11/2013)
	SHOW-ME EXTENSION FOR COMMUNITY HEALTH CARE OUTCOMES (ECHO) PROGRAM
191.1140	Treatment of chronic, common, and complex diseases, program authorized, purpose. (8/28/2014)
	TELEHEALTH
191.1145	Definitions — telehealth services authorized, when. (8/28/2018)
191.1146	Physician-patient relationship required, how established. (8/28/2020)
	CAREGIVER, ADVISE, RECORD, AND ENABLE (CARE) ACT
191.1150	Citation of law — definitions — designation of caregiver, when — requirements. (8/28/2018)
	ENSURING ACCESS TO HIGH QUALITY CARE FOR THE TREATMENT OF SUBSTANCE USE DISORDERS ACT
191.1164	Citation of law — definitions. (8/28/2019)
191.1165	Medication-assisted treatment — formulary medications and requirements — disclosure of MAT services provided — incarcerated persons and diversion program participants, assessment for substance use disorders. (8/28/2021)
191.1167	Contracts, policies, or procedures in violation of act deemed null and void. (8/28/2019)
191.1168	Severability clause. (8/28/2019)
	COMPASSIONATE CARE VISITS
191.1400	Citation of law — definitions — compassionate care visits to be permitted, policy — limitations — informational materials — violations may be reported — immunity from liability, when. (8/28/2022)
	LONG-TERM DIGNITY ACT
191.1601	Citation of law. (8/28/2020)
191.1603	Definitions. (8/28/2020)
191.1604	Long-term dignity savings account, use, requirements. (8/28/2020)
191.1605	Accounts, use of moneys — withdrawals, recapture — death of account holder, effect of. (8/28/2020)
191.1606	Reporting, forms — rulemaking authority. (8/28/2020)
191.1607	Financial institutions, requirements — no responsibility or liability, when. (8/28/2020)
	MISSOURI SAVE ADOLESCENTS FROM EXPERIMENTATION (SAFE) ACT
191.1720	Gender transition — citation of law — definitions — under 18, no surgery or gender transition drugs — license revocation, when — civil action, when, procedure — exceptions. (8/28/2023)
	MISSOURI PARKINSON'S DISEASE REGISTRY
191.1820	Citation of law — definitions. (8/28/2023)
191.1825	Registry established, purpose — start date — notification to patients. (8/28/2023)
191.1830	Registry advisory committee established — members. (8/28/2023)
191.1835	Collection and dissemination of information, system established — list of data points — reporting requirements, medical providers. (8/28/2023)
191.1840	Furnishing registry data, agreements, requirements — confidentiality. (8/28/2023)
191.1845	Confidentiality of information — coding system — recordkeeping. (8/28/2023)
191.1850	Facility-based registries not preempted. (8/28/2023)
191.1855	Report to general assembly, contents, publishing of. (8/28/2023)
	ESSENTIAL CAREGIVER PROGRAM
191.2290	Citation of law — definitions — state of emergency, designated essential caregiver designation — requirements. (8/28/2022)

- Cross References
	Constitutional provisions relative to public health and welfare, Const. Art. IV § 37
	Elderly health and nutrition act, 208.600 to 208.627
	Health and senior services, department of, generally, Chap. 192
	Identification badges, health care facilities personnel required to wear, when, 197.705
	On-site sewage disposal systems regulations, duties of department of health and senior services, 701.025 to 701.039

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19 Apr 2024 16:39


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