Section 191.708

Title XII PUBLIC HEALTH AND WELFARE

Chapter 191

Effective - 28 Aug 2026, see footnote   

  191.708.  Doula services recommendations and medical standing orders during pregnancy. — 1.  The chief medical officer or chief medical director of the department of health and senior services or the MO HealthNet division of the department of social services, or any licensed physician acting with the express written consent of the director of any such department or division, may, within his or her scope of practice, issue:

  (1)  Nonspecific recommendations for doula services;

  (2)  A medical standing order for prenatal vitamins; or

  (3)  A medical standing order for any other purpose, other than for nonemergency pregnancy termination or for controlled substances, that is promulgated by rule in compliance with chapter 536.

  2.  Any standing order issued under this section shall:

  (1)  Be made available on the relevant department's website while in effect;

  (2)  Terminate upon removal of the issuing medical professional's authority under this section by vacancy of his or her position or otherwise; and

  (3)  If not terminated sooner under subdivision (2) of this subsection, expire within one year of issuance unless renewed.

  3.  The chief medical officer, chief medical director, or other authorized and licensed physician described in subsection 1 of this section shall be immune from criminal prosecution, disciplinary action from his or her professional licensing board, and civil liability for issuing a medical standing order or recommendation in accordance with this section, including for any outcome related to the standing order or recommendation.

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(L. 2026 H.B. 2372)