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Revised Statutes of Missouri

Chapter 190

Mo. Rev. Stat. ch. 190

Emergency Services

190.001Citation 190.005(Repealed L. 1998 S.B. 743)Repealed 190.010Territory of district may be noncontiguous — ambulance districts authorized except in counties of 400,000 or more population — district, how named 190.015Petition to form, contents — ambulance district boundaries (St. Louis County) — sales tax in lieu of property tax permitted, exception St. Louis County 190.020Public hearing, notice — costs, how paid 190.025Petitions — consolidation, when — amended, how 190.030Sufficiency of petition, county commission to determine 190.035Notice of election, contents 190.040Form of ballot — effect of passage on tax rate — fund created — refunds, when 190.041Tax levy for central dispatching service, when, amount — funds kept separate 190.043Increase in tax rate without voter approval, when, amount 190.044(Repealed L. 2002 S.B. 1107 § A)Repealed 190.045Returns of election, where filed — effect of 190.050Election districts, how established — election of directors — declaration of candidacy filed, where, when 190.051Change in number of board members, when — ballot language 190.052Board member must live in his district — vacancies, how filled 190.053Educational training required for board of directors — failure to attend 190.055Powers of board — seal and bylaws required — reimbursement of board members' expenses — secretary and treasurer, additional compensation — board member attendance fees, when — ineligibility for board employment, when 190.056Recall of directors, procedure 190.060Powers of district 190.065Bonds, issuance of — election, form of ballot 190.070Annexation, petition for — hearing — election, form of ballot 190.073(Repealed L. 1998 S.B. 743)Repealed 190.074Collection of taxes — levy — procedure 190.075Records, what and how kept 190.076Audit of district, when — availability to public 190.080Donated property — title, how taken 190.085Failure to approve bonds, effect of — dissolution — funds, how rebated 190.087Ambulance district serving city in more than one county may be expanded — procedure (Franklin County)190.088Detachment from ambulance district, procedure (City of Riverside) — inapplicable to St. Louis County 190.090Consolidation of ambulance districts, procedure for — form of ballot — transition provisions for consolidation 190.091Vaccination program for first responders and telecommunicators offered — definitions — participation voluntary, exception — contingent effective date 190.092Defibrillators, requirements — good faith immunity from civil liability, when — all basic life support ambulances and stretcher vans to be equipped with 190.093(Repealed L. 1998 S.B. 743)Repealed 190.094Minimum ambulance staffing — volunteer defined 190.095(Repealed L. 1998 S.B. 743)Repealed 190.098Community paramedic, certification requirements — scope of practice — written agreement — rulemaking authority 190.100Definitions 190.1005CPR training or courses to include instruction on proper use of automated external defibrillators 190.101State advisory council on emergency medical services, members, appointment, purpose, duties — subcommittee established, duties 190.1010Peer support counseling, confidentiality, exceptions — requirements 190.102Regional EMS advisory committees 190.103Regional EMS medical director, powers, duties — considered public official, when — online telecommunication medical direction permitted — treatment protocols for special needs patients 190.104Pediatric emergency medical services system 190.105Ambulance license required, exceptions — operation of ambulance services — sale or transfer of ownership, notice required 190.106Criminal background check, fingerprint submission 190.107Contracts for mutual aid services 190.108Air ambulance licenses — sale or transfer of ownership, notice required 190.109Ground ambulance license 190.110(Repealed L. 1998 S.B. 743)Repealed 190.111Inspection limitation — effect of sale or transfer on a license 190.112Ambulance service administrator — training, requirements 190.115(Repealed L. 1998 S.B. 743)Repealed 190.120Insurance, what coverage required — policy provisions required — term of policy 190.125(Repealed L. 1998 S.B. 743)Repealed 190.130(Repealed L. 1998 S.B. 743)Repealed 190.131Certification of training entities 190.133Emergency medical response agency license 190.134(Repealed L. 2023 H.B. 402 merged with S.B. 24 merged with S.B. 186)Repealed 190.135(Repealed L. 1998 S.B. 743)Repealed 190.140(Repealed L. 1998 S.B. 743)Repealed 190.141(Repealed L. 1998 S.B. 743)Repealed 190.142Emergency medical technician license, requirements — rules 190.143Temporary emergency medical technician license granted, when — limitations — expiration 190.144Immunity from liability, when 190.145(Repealed L. 1998 S.B. 743)Repealed 190.146Lapse of license, request to return to active status, procedure 190.147Behavioral health patients — temporary hold, when — memorandum of understanding, contents — physical restraints, use of 190.150(Repealed L. 1998 S.B. 743)Repealed 190.155(Repealed L. 1998 S.B. 743)Repealed 190.160Renewals of licenses, requirements 190.165Suspension or revocation of licenses, grounds for — procedure 190.166License sanction, when — corrective plan — department duties 190.170(Repealed L. 1978 S.B. 661 § 1)Repealed 190.171Aggrieved party may seek review by administrative hearing commission 190.172Settlement agreements permitted, when — written impact statement may be submitted to administrative hearing commission 190.173Confidentiality of information 190.175Records to be maintained by licensee 190.176Data collection system 190.180Penalty for violation 190.185Rules and regulations, department to adopt — procedure 190.190Time to comply granted existing equipment and personnel 190.195(Repealed L. 1986 H.B. 860 § A)Repealed 190.196Employer to comply with requirements of licensure — report of charges filed against licensee, when 190.200Public information and education 190.205Insurers' duties 190.235(Repealed L. 1998 S.B. 743)Repealed 190.237(Repealed L. 1998 S.B. 743)Repealed 190.239(Repealed L. 1998 S.B. 743)Repealed 190.240At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when 190.241Trauma, STEMI, or stroke centers, designation by department — site reviews — grounds for suspension or revocation of designation — data submission and analysis — fees — administrative hearing commission to hear persons aggrieved by designation 190.242Emergency medical services data, hospitals not required to obtain, when — trauma, STEMI, and stroke center regulations, interpretation of, hospitals not required to comply with, when 190.243Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized 190.245Medical records and quality improvement documentation, penalty for failure to provide, purpose for use, names not to be released 190.246Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty 190.247(Repealed L. 1998 S.B. 743)Repealed 190.248Investigations of allegations of violations, completed when — access to records 190.249(Repealed L. 1993 S.B. 52 § A)Repealed 190.250Ambulance services to have same statutory lien rights as hospitals — recovery of lien, net proceeds to be shared with patient, when — release of claimant from liability, when 190.255Opioid overdose drugs and devices, first responder may administer, when — definition 190.257Advisory committee, time-critical diagnosis — recommendations to department — members 190.260Citation — definitions — training for broadcast engineers and technical personnel — credentialing — access to disaster areas 190.265Helipads, hospitals not required to have fencing or barriers 190.270Citation of law 190.275Definitions 190.280Out-of-state businesses not subject to certain state or local requirements — out-of-state employee not a resident for tax purposes — limitations 190.285Notification to secretary of state by out-of-state business required, when, content — information provided to department of revenue, when 190.286Inapplicability to certain out-of-state businesses 190.290Definitions 190.292Emergency services, sales tax levy authorized — ballot language — rate of tax — termination of tax — board to administer funds established, members (Warren County) — prepaid wireless telecommunications service, tax exempt 190.294Powers and duties of the emergency services board — meetings — vacancies — rulemaking authority (Warren County)190.296Board may borrow money and issue bonds — ballot language — duration of loans, rate of interest (Warren County)190.300Definitions 190.305Emergency telephone service may be provided — tax levy authorized — governing body of Christian and Scott counties may contract for services — time limitation on tax — rate — collection 190.306Dissolution of emergency telephone service not required, when (Christian County)190.307No civil liability for operation of emergency system, giving or following emergency instructions, exceptions 190.308Misuse of emergency telephone service unlawful, definitions, penalty — no local fine or penalty for pay telephones for calls to emergency telephone service 190.309Emergency telephone board, powers and duties — members of the board, appointment, terms — personnel — officers — rules — removal of members — vacancies — nepotism prohibited 190.310Tax due quarterly — return filed when, content — record retention period — rate determination, notification — collection fee allowed 190.315Contract for service authorized 190.320Election — ballot form 190.325Central dispatching service for emergency services (Clay, Jackson and Jefferson counties) — use of emergency telephone moneys — tax rate — contracts for service for other political subdivisions — tax collection 190.327Board appointed, when — board elected, when — duties — commission to relinquish duties to board — qualifications — board, powers and duties — board appointed for other political subdivisions contracting for service — members 190.328Election of board, Christian and Scott counties, when — terms 190.329Election of board, exceptions, when — terms 190.334Performance and fiscal audits authorized 190.335Central dispatch for emergency services, alternative funding by county sales tax, procedure, ballot form, rate of tax — collection, limitations — adoption of alternate tax, telephone tax to expire, when — board appointment and election, qualification, terms — continuation of board in Greene, Lawrence and Stoddard counties — board appointment in Christian, Taney, and St. Francois counties — prepaid wireless telecommunications services, tax exempt 190.336Recall, board members subject to — procedure 190.337Revenue, purpose for which shall be used — procedure to terminate tax, ballot form — reestablishing emergency service using telephone tax, procedure 190.339Emergency services board, powers and duties — officers — removal of board members, reasons, hearing procedure — vacancies — employment by board, limitations 190.340Emergency services board, officers duties, rules and regulations 190.350(Repealed L. 2006 H.B. 1437 § A)Repealed 190.353Powers and duties of department of health and senior services — establishment of regional poison information center — center to provide certain services 190.355Use of existing resources required 190.400Definitions — interoperability service agreements, what agencies 190.410(Repealed L. 2018 H.B. 1456)Repealed 190.420Fund established 190.430(Repealed L. 2018 H.B. 1456)Repealed 190.440(Repealed L. 2018 H.B. 1456)Repealed 190.450Department to complete study, issue plan for provision of best 911 technology and services statewide 190.455Subscriber fees — election, ballot — deposit of moneys — confidentiality of proprietary information — immunity from liability, when — limitations on fees 190.460Prepaid wireless emergency telephone service charge — definitions — amount, how collected — deposit and use of moneys — rates, how set — effective date 190.462Pre-emption of taxes by declaratory ruling — definitions — effect of — expiration date 190.465Consolidation of emergency communications operations — joint entity established, when 190.470Alternate consolidation — petition, election — board appointed, requirements 190.475Centralized database to be maintained, updates 190.500Temporary license — qualified health care professions — declared emergency 190.525Definitions 190.528License required — political subdivisions not precluded from governing operation of service or enforcing ordinances — responsibilities and restrictions on operation of stretcher van services — rules 190.531Refusal to issue or denial of renewal of licenses permitted — complaint procedure — rules — immunity from liability, when — suspension of license, when 190.534Violations, penalty — attorney general to have concurrent jurisdiction 190.537Rulemaking authority 190.550Schedule of fees established, rules — collection and deposit 190.600Citation of act — definitions 190.603Outside the hospital do-not-resuscitate order may be executed, when — maintained in medical records — transfers with patient 190.606Immunity from liability, what persons and entities 190.609Order effective, when — limitations of order 190.612Emergency medical services personnel to comply with order, when — physician to transfer patient, when 190.613Out-of-state order, physician may execute order, when 190.615Death of a patient, not suicide or homicide — effect of order on life insurance — order does not authorize mercy killing or euthanasia 190.618Rules — rulemaking authority 190.621Penalty for concealing or falsifying an order 190.800Imposition of tax — definitions 190.803Formula for tax based on gross receipts — challenge of validity of rules 190.806Record-keeping requirements, confidentiality 190.809Amount due, determination — notification procedure — offset permitted, when — quarterly adjustment of tax permitted 190.812Determination of tax final, when — timely protest permitted 190.815Rulemaking authority 190.818Remittance of tax — fund created, use of moneys 190.821Tax period — failure to pay, delinquency, enforcement procedures 190.824Tax-exempt status of ambulance service not affected 190.827Payments to ambulance services, when 190.830Federal financial participation required 190.833No tax imposed prior to effective date 190.836Rules requirements, authority 190.839Expiration date 190.840Nonseverability clause 190.900REPLICA enacted — definitions 190.903Home state licensure 190.906Compact privilege to practice 190.909Conditions of practice in a remote state 190.912Relationship to emergency management assistance compact 190.915Veterans, service members separating from active duty military, and their spouses 190.918Adverse actions 190.921Additional powers invested in a member state's EMS authority 190.924Establishment of the interstate commission for EMS personnel practice 190.927Coordinated database 190.930Rulemaking 190.933Oversight, dispute resolution, and enforcement 190.936Date of implementation of the interstate commission for EMS personnel practice and associated rules, and amendment 190.939Construction and severability