Mo. Rev. Stat. ch. 191 – Health and Welfare | Midpage191.005Information exchange between departments, rulemaking authority191.025Health care compact191.1005Premises not to be used to administer certain controlled substances — inapplicability, when191.1050Definitions191.1053Designation of areas — re-evaluation of designations, when — rulemaking authority191.1056Fund created, use of moneys191.1075Definitions191.1080Council created, purpose, members, terms, duties — report — expiration date191.1085Program established, purpose — website information — rulemaking authority191.1100Citation of law — definitions191.1102Additional licensure not required, when — inapplicability191.1104Display of license or certificate, how satisfied191.1106Registration with department required, fee, contents — quarterly reports — list of providers — recordkeeping requirements — rulemaking authority191.1110Immunity from liability, when — no compensation to be received — certain military personnel deemed licensed191.1112Volunteer crisis response teams — definitions — immunity from liability, inapplicability of191.1140Treatment of chronic, common, and complex diseases, program authorized, purpose191.1145Definitions — telehealth services authorized, when191.1146Physician-patient relationship required, how established191.1150Citation of law — definitions — designation of caregiver, when — requirements191.116Alzheimer's state plan task force established — members, appointment, duties — report — expiration date191.1164Citation of law — definitions191.1165Medication-assisted treatment — formulary medications and requirements — disclosure of MAT services provided — incarcerated persons and diversion program participants, assessment for substance use disorders191.1167Contracts, policies, or procedures in violation of act deemed null and void191.1168Severability clause191.127Land may be leased for farming or grazing — procedure191.1400Citation of law — definitions — compassionate care visits to be permitted, policy — limitations — informational materials — violations may be reported — immunity from liability, when191.150Purchase of food limited to use of institution inmates191.160Board and living quarters for employees of institutions191.1601Citation of law191.1603Definitions191.1604Long-term dignity savings account, use, requirements191.1605Accounts, use of moneys — withdrawals, recapture — death of account holder, effect of191.1606Reporting, forms — rulemaking authority191.1607Financial institutions, requirements — no responsibility or liability, when191.170Mistreatment of inmates — penalty191.1720Gender transition — citation of law — definitions — under 18, no surgery or gender transition drugs — license revocation, when — civil action, when, procedure — exceptions191.180Furnishing unfit food to institution — penalty191.1820Citation of law — definitions191.1825Registry established, purpose — start date — notification to patients191.1830Registry advisory committee established — members191.1835Collection and dissemination of information, system established — list of data points — reporting requirements, medical providers191.1840Furnishing registry data, agreements, requirements — confidentiality191.1845Confidentiality of information — coding system — recordkeeping191.1850Facility-based registries not preempted191.1855Report to general assembly, contents, publishing of191.190Accessory to mistreatment of inmates or furnishing of unwholesome food — penalty191.210Attendance of patient by private physician191.211Funding of certain programs191.213Additional funding sources for certain programs191.226Costs of HIV testing for certain crime victims payable by department of health and senior services, when, conditions191.227Medical records to be released to patient, when, exception — fee permitted, amount — liability of provider limited — annual handling fee adjustment — disclosure of deceased patient records, when — emergency care records191.228Physician and pharmacist not subject to discipline for cooperation191.229Accreditation of not-for-profit human services organizations deemed equivalent to licensure191.2290Citation of law — definitions — state of emergency, designated essential caregiver designation — requirements191.231Community-based integrated delivery system, qualification, powers — organization, board of directors, powers — plans191.235Mercury contained in immunizations, not to be administered to certain persons — insurance reimbursement for nonmercury immunizations — exemptions, when191.237Failure to participate in health information organization, no fine or penalty may be imposed — no exchange of data, when — definitions191.240Patient examinations, limitation on performance of, when — notice — violation, sanction of license191.250Citation of law — definitions — DNR orders, requirements — revocation of consent — appointment of guardian, when — continuation of treatment not required, when191.2600Citation of act191.2605Definitions191.2610Hyperbaric oxygen therapy reimbursement191.2615Fund created — use of moneys, procedure191.2620Hyperbaric oxygen therapy, facility approval — prohibited acts191.2625Reimbursement requirements — annual report191.2630Rulemaking authority191.300Definitions191.305Missouri genetic advisory committee created — purpose — appointment, terms — qualifications — expenses191.310Duties of committee — liaison officers with mental health and education, appointment191.315Genetics program to be established by department — rules authorized — procedure191.317Confidentiality of all tests and personal information — exceptions — retention of specimens, procedure191.320Genetic diagnostic and counseling services to be established — outreach centers, duties — referral for abortion, procedure, requirements191.323Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects191.325Cost of services, how paid — free to persons financially unable to pay — residency requirement191.331Infants to be tested for metabolic and genetic diseases — reports — exceptions — refusal to test — fee for screening test, department may impose by rule, use of fees — formula provided by department, when — assistance available, when191.332Supplemental newborn screening requirements — additional screenings — rulemaking authority191.333Citation of law — screening for lysosomal storage diseases — rulemaking authority — fee increase authorized191.334Chloe's Law — critical congenital heart disease screening, requirements — rulemaking authority191.335Hemophilia program established — state assistance, when191.340Hemophilia program — care and treatment — financial assistance — education — duties of department191.360Trained employee of end-stage renal disease facility may initiate dialysis — not unlawful practice of medicine191.362Appropriately trained employees to have completed course in dialysis techniques191.365Sickle cell anemia — purposes of program — financial assistance, when191.370Sickle cell anemia, development of program for care and treatment — duties of department191.375Cystic fibrosis, program for care and treatment — financial assistance, when191.380Cystic fibrosis, duties of department191.400State board of health and senior services — appointment — terms — qualifications — limitation on other employment, exception — vacancies — compensation — meetings191.411System of coordinated health care services — health access incentive fund created, purpose — enhanced Medicaid payments — rules — annual report191.425Program established, eligibility — contracting authority — conditional on receipt of federal funding — sunset provision191.430Program established, purpose — department duties191.435Need for health care areas to be designated191.440Contracts for forgivable loans, contents — practice sites, stipulation of191.445Fund created, use of moneys191.450Failure to maintain acceptable employment status, liable for loan amount — recovery amount191.480Manufacturers may make investigational drugs and devices available to eligible patients, when — definitions — requirements191.592Grant program established — definitions — purpose — fund created, use of moneys — priority of expenditures — criteria, requirements — report — rulemaking authority — expiration date191.594Citation of law — prevalence of depression and suicide study — prohibited acts — definitions191.596Research project authorized — committee established, members, duties — center study, contents — annual report191.600Loan repayment program established — program fund established — use191.603Definitions191.605Department to designate as areas of need — factors to be considered — allocation of appropriated funds191.607Qualifications for eligibility established by department191.609Contract for repayment of loans, contents191.611Loan repayment program to cover certain loans — amount paid per year of obligated service — schedule of payments — communities sharing costs to be given first consideration191.614Breach of contract for service obligation, penalties — recovery of amount paid by contributing community191.615Application for federal funds — insufficient funds, effect191.630Definitions191.631Testing for disease, consent deemed given, when — hospital to conduct testing, written policies and procedures required — notification for confirmed exposure, by whom — limitations on testing and duties of hospitals, coroners, and medical examiners — rules191.640Blood-borne pathogen standard required for occupational exposure of public employees to blood and other infectious materials — definitions — requirements of needleless system and sharps — violations, penalty191.645Risk of exposure to Hepatitis C, information to be made available — website to be maintained, content191.648Expedited partner therapy permitted, requirements for physicians utilizing — rulemaking authority191.650Definitions191.653HIV testing performed by whom, how — consultation with subject required, when191.656Confidentiality of reports and records, exceptions — violation, civil action for injunction, damages, costs and attorney fees — health care provider participating in judicial proceeding, immune from civil liability191.657Disclosure of confidential HIV information, by court order, only to certain persons, procedure, when191.658HIV infection status disclosure by department of health and senior services to exposed health workers or law enforcement officers, when, violation, penalty191.659Department of corrections, HIV and infectious diseases testing without right of refusal — exception — minors victim of sexual assault, testing, notice to parents or custodians required191.662Department of mental health, permissive HIV testing without right of refusal, when — results of testing not to be reported to department of health and senior services, when191.663HIV testing, defined — court order to test certain sexual offenders — costs — bond — disclosure of results of test — parents of unemancipated minor informed, when191.665Discrimination prohibited, exceptions191.668Department of health and senior services and department of elementary and secondary education to prepare education programs, contents191.671Insurance companies, HMOs or health service corporations, HIV testing by, regulation by department — disclosure of test results, confidentiality191.674Court-ordered HIV testing without right of refusal, department of health and senior services may seek, when — court record closed, proceeding to be in camera, when191.677Serious infectious or communicable diseases, prohibited acts, criminal penalties — affirmative defense — use of pseudonym, when191.680Maintaining a nuisance, abatement to be ordered, when191.683Reports to general assembly by department of health and senior services191.686Anonymous testing sites in central Missouri, Kansas City, Springfield and St. Louis — reports of results, use of coded system — contact notification required, when191.689Schools to be given notice of identity of child with HIV infection, when, by whom — identity of infected child may be released to whom by school191.692Premarital HIV testing, rulemaking authorized, when191.694Infection control procedures — requirements and training for health care facilities and professionals191.695Rulemaking authority, department of health and senior services — procedure191.699Disciplinary action for health care professionals who discriminate or require HIV testing before treatment191.700Testing of all health care professionals not justified — voluntary and confidential evaluation of infected professional, procedure — expert review panel qualifications, powers and duties, practice restrictions, when — health care facilities informed only of restrictions — violations, complaints made to appropriate boards191.703Death of patient with infectious or contagious disease, notification to funeral director or coroner191.710MO HealthNet program and SCHIPS to focus on premature infant health care191.711Education publications to be prepared, contents — distribution191.724Discrimination based on religious beliefs or moral convictions prohibited, health plan coverage of abortion — no mandatory employee coverage of certain procedures — attorney general to enforce — sterilization defined191.725Physician to counsel pregnant patients on effects of cigarettes, alcohol and controlled substances — certifying form to be signed by patient on counseling — educational materials to be furnished to physicians191.729School districts to be furnished information on prenatal and postnatal effects of substances, when191.731Pregnant woman referred for substance abuse to have priority for treatment — confidentiality of records191.737Children exposed to substance abuse, referral by physician to children's division — physician making referral immune from civil liability — confidentiality of report191.739Protective and preventive services to be provided by department of social services, duties191.748Shaken baby syndrome video, required viewing, when191.755Department to post resources on website, content191.756Grants awarded by board of health and senior services — eligibility criteria191.758Information to be made available by physician to pregnant women, when191.761Umbilical cord blood samples, department to provide courier service to nonprofit umbilical cord blood bank — rulemaking authority191.765Definitions191.767Persons not to smoke in public places or meetings, except in designated smoking areas — designation of space for smoking area, requirements191.769Areas not considered public places191.771Person in control of public places or public meetings, duties191.773Violators, guilty of infraction191.775Public schools and school buses — smoking, or tobacco or vapor product use prohibited — permissible use of tobacco, where191.776Child day care facilities, smoking or tobacco use when children are present, prohibited, penalty191.777More stringent ordinances or rules may be adopted by governing bodies or school boards191.800Definitions191.803Boards of education to establish breakfast program — rules — waiver, procedure191.805Hardship grant program, distribution of, rules191.807Supplemental funding, women, infants and children supplemental food program — funding of certain county health offices, use, maximum amount of grants — rules and regulations191.810Department of health and senior services to establish standards for summer food service program — where established — order of priority — waiver, filing required191.813Agencies to coordinate outreach programs — specific programs — public service announcements to be designed191.815Administrative rules, procedure191.828Evaluations, effect of initiatives191.831Health initiatives fund established, use — Alt-care pilot program, components — participation may be required191.835Community 2000 grants program — local commissions, members — goals, objectives — evaluations, funding191.839Education programs for persons with no or inadequate health insurance191.843Authorizes grants for regional research consortia in a distressed community191.875Citation--definitions--estimate of cost provided, when--statement--disclosure of costs without discounts191.900Definitions191.905False statement to receive health care payment prohibited — kickback, bribe, purpose, prohibited, exceptions — abuse prohibited — penalty — prosecution, procedure — Medicaid fraud reimbursement fund created — restitution — civil penalty — notification to disciplinary agencies — civil action authorized191.907Original source of information to receive a portion of any recovery191.908Whistleblower protections — violations, penalty191.910Attorney general may investigate violations, powers — service authorized — prosecuting attorney, report, prosecution — provision of records — no limitation of other actions191.914False report or claim, penalty191.915Breast-feeding information provided, when, by whom191.918Breast-feeding in public permitted — not sexual conduct, public indecency, or obscenity — no municipal ordinances to prohibit or restrict191.923Prenatally diagnosed conditions, patient to be provided information — definitions — clearinghouse of information to be established191.925Screening for hearing loss, infants, when — procedures used — exemptions — information provided, by whom — no liability, when191.928Surveillance and monitoring system for certain newborns — standards and follow-up procedure — confidentiality of information191.931Early intervention services available — report, content191.937Rulemaking authority, procedure191.940Citation of law — definitions — hospitals and ambulatory surgical centers to provide information about postpartum depression191.950Prostate cancer pilot programs — definitions — eligibility — services provided — grants — rulemaking authority — sunset provision191.975Adoption awareness, department duties — advertising campaign authorized — rulemaking authority191.980Missouri area health education centers program established — authority of director — duties191.990Diabetes goals and benchmarks — report, contents