PURPOSE: This rule explains how health care providers and sponsoring organizations may register with the department for liability coverage under the Voluntary Health Services Act. This rule also explains the procedure for the department to revoke a registration.

PUBLISHER’S NOTE: The secretary of state has determined that publication of the entire text of the material that 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 materials. The entire text of the rule is printed here. (1) Definitions. The following definitions shall be used in the interpretation and enforcement of this rule:

1. (A) Department refers to the Department of Health and Senior Services;
2. (B) Health care provider or provider refers to any physician, surgeon, dentist, nurse, optometrist, mental health professional licensed under Chapter 337, RSMo, veterinarian, or other practitioner of a health care discipline, the professional practice of which requires licensure or certification under Missouri law or under comparable law of another state, territory, district, or possession of the United States;
3. (C) Sponsoring organization refers to any organization that organizes or arranges for the voluntary provision of health care services and registers with the department as a sponsoring organization in accordance with this rule and section 191.1106, RSMo; and
4. (D) Voluntary provision of health care services refers to the providing of professional health care services by a health care provider without charge to a recipient of the services or a third party. The provision of such health care services shall be the provider’s professional practice area in which the provider is licensed or certified.

1. (2) Duties of Sponsoring Organizations.

   1. (A) Annual Registration. Before providing volunteer health services in Missouri, a sponsoring organization shall register with the department and pay the annual registration fee.

      1. 1. The sponsoring organization shall submit annually the

Registration Form for Sponsoring Organizations, Revised 2023, which is incorporated by reference in this rule as published by the Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/atoz/volunteerhealthservices/pdf/ AnnualRegistrationForm.pdf. This rule does not incorporate any subsequent amendment or additions.

1. 2. Upon any change in the information required by the

Registration Form for Sponsoring Organizations, the sponsoring organization shall notify the department in writing of such change within thirty (30) days of occurrence.

1. 3. The sponsoring organizations shall submit the

registration fee annually with the Registration Form for Sponsoring Organizations. The registration fee shall be fifty dollars ($50). This amount does not include any additional fees which may be charged for use of electronic payment services.

1. 4. The sponsoring organization’s registration begins

upon the date the department acknowledges receipt of the completed Registration Form for Sponsoring Organizations and registration fee. The registration is valid for one (1) year.

1. 5. A sponsoring organization that wishes to voluntarily

terminate its registration may do so by notifying the department in writing. Unless otherwise stated in the request, the sponsoring organization’s registration will be terminated effective the date the written request is received by the department. The sponsoring organization’s annual fee will not be prorated or refunded in any manner as a result of voluntary termination.

1. (B) Quarterly Reports.

   1. 1. The sponsoring organization shall submit quarterly a

Quarterly Report Form for Sponsoring Organizations, Revised 2022, which is incorporated by reference in this rule as published by the Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/atoz/volunteerhealthservices/pdf/ SponsoringOrganizationQuarterlyReport.pdf. This rule does not incorporate any subsequent amendment or additions.

1. 2. Information submitted on the Quarterly Report Form

shall correspond to one of the following quarters: January– March, April – June, July–September, or October–December.

1. (C) Record Retention.

   1. 1. For a period of at least five (5) years following the

provision of health care services, the sponsoring organization shall maintain on file –

1. A. Information, including the date, place, and type of

services provided; and

1. B. A list of health care providers associated with its

provision of voluntary health care services. For each such health care provider, the sponsoring organization shall maintain a copy of a current license, certificate, or statement of exemption from licensure or certification, or in the event that the health care provider is currently licensed in the state of Missouri, a copy of the health care provider’s license verification obtained from a state-sponsored website, if available. For the purposes of this paragraph, “current” shall be interpreted to mean current at the time services were provided.

1. 2. Records shall be furnished upon request to any

regulatory board of healing arts profession established under state law.

1. (4) Revocation of Registration. The department may revoke the registration of any sponsoring organization that fails to comply with the requirements of this rule.

   1. (A) If the department proposes to revoke the registration of a sponsoring organization, the department shall provide the organization with written notice of the proposed revocation, including the specific reason why the revocation is being revoked.
   2. (B) The sponsoring organization may appeal the proposed revocation. Such appeal shall be submitted in writing to the department no later than fifteen (15) days from the date of the notice of proposed revocation. The appeal shall include any information and/or documentation that the sponsoring organization would like the department to consider in making its final determination.
   3. (C) The department shall notify the sponsoring organization of its final decision regarding the proposed revocation in writing no later than thirty (30) days from the date of the notice of proposed revocation. This determination shall be a final agency decision.
   4. (D) The sponsoring organization’s annual fee will not be prorated or refunded in any manner as a result of revocation.

AUTHORITY: section 191.1106, RSMo 2016.* Original rule filed Jan. 23, 2023, effective Aug. 30, 2023. *Original authority: 191.1106, RSMo 2013.