PURPOSE: This rule establishes the requirements for implementing legal expense fund coverage for volunteer health care workers in a health department setting.

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. Therefore, the material which is so incorporated is on file with the agency who filed this rule, and with the Office of the Secretary of State. Any interested person may view this material at either agency’s headquarters or the same will be made available at the Office of the Secretary of State at a cost not to exceed actual cost of copy reproduction. The entire text of the rule is printed here. This note refers only to the incorporated by reference material.

1. (1) The following definitions shall be used in the interpretation and enforcement of this rule:

   1. (A) Health care worker means any physician, nurse, physician assistant, dental hygienist or dentist licensed or registered under Chapter 332, 334 or 335, RSMo who provides medical, dental or nursing treatment within the scope of his/her license or registration;
   2. (B) Health department means any county health department organized under Chapter 70, 192 or 205, RSMo; or a city health department operating under a city charter; or a combined city/county health department; or a nonprofit community health center qualified as exempt from federal taxation under section 501(c)(3) of the Internal Revenue Code of 1986, including a community health center 19 CSR 50-3

that receives funding authorized by sections 329, 330 and 340 of the United States Public Health Service Act; and

1. (C) Primary and preventive health care services means any essential health or dental care of a noninvasive nature except that injections, the suturing of minor lacerations and incisions of boils or superficial abscesses are permitted. Obstetrical care and other specialized care or treatment are not included.

1. (2) The health department, upon request, shall provide the state Department of Health, in writing, the identifying information on the individuals—including their names and professional certification or license numbers— who will be providing volunteer primary and preventive health care services to the health department. Annually, during the month of June, the health department shall certify to the state Department of Health the inclusive dates of service, approximate number of hours and approximate number of patients for whom services were provided by the volunteer professional(s) for the previous twelve
2. (12) months. Documentation of coverage shall be maintained by the state Department of Health.
3. (3) The state Department of Health shall notify the health department by mail that the information required in section (2) of this rule has been received.

AUTHORITY: section 105.711, RSMo Supp. 1993.* Original rule filed May 2, 1994, effective Oct. 30, 1994. *Original authority: 105.711, RSMo 1983, amended 1987, 1989, 1990, 1993.