PURPOSE: Under section 188.055, RSMo, the Department of Health and Senior Services is responsible for providing abortion forms to abortion facilities, hospitals, and physicians. This rule establishes the content of the report of induced termination of pregnancy to be filed with the department for statistical purposes for each abortion performed or induced as required by section 188.052, RSMo.

PUBLISHER’S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here.

1. (1) The report of induced termination of pregnancy will include the following items: name of abortion facility or hospital; the city, town or location of the abortion facility or hospital; county where the abortion facility or hospital is located; patient identification number; age of patient; marital status of patient; date of pregnancy termination; residence of patient (state, county, city or town, inside city limits (yes or no) and zip code); patient’s race; patient’s ethnicity; patient’s education; previous pregnancy history; number of live births now living; number of live births now dead; number of spontaneous terminations and number of induced terminations; type of termination procedures used; date last normal menses began; clinical estimate of gestation; method of estimating gestational age; biparietal diameter measurement (if gestation age greater than or equal to eighteen (18) weeks by date of last normal menses or clinical estimate; name and signature of attending physician; physician’s Missouri license number; name of person completing report; fetus viable (yes or no); name and signature of concurring physician, if the fetus is viable; and license number of concurring physician. The information shall be reported on the Report of Induced Termination of Pregnancy which is incorporated by reference in this rule as published October 2017 and may be obtained at www.health.mo.gov or by calling (573) 751-6387. This rule does not incorporate any subsequent amendments or additions.
2. (2) The abortion report shall be signed by the attending physician and submitted to the Department of Health and Senior Services, Bureau of Vital Records, PO Box 570, Jefferson City, MO 65102-0570, within forty-five
3. (45) days of the abortion.

AUTHORITY: sections 188.052, 188.055, and 192.006, RSMo 2016.* This rule was previously filed as 13 CSR 50-151.010 and 19 CSR 30-15.010. Original rule filed Sept. 30, 1980, effective Jan. 12, 1981. Changed to 19 CSR 10-15.010 July 30, 1998. Amended: Filed Oct. 24, 2017, effective April 30, 2018. *Original authority: 188.052, RSMo 1979; 188.055, RSMo 1974, amended 1979; and 192.006, RSMo 1993, amended 1995.