Code of State Regulations

Title 19 - Department of Health and Senior Services

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The Code of State Regulations (CSR) is updated monthly. Pursuant to section 536.021.8, RSMo, "no rule...shall become effective prior to the thirtieth day after the date of publication of the revision to the Missouri code of state regulations." Therefore, some of the rules published in the current version of the CSR may not be effective. A rule's effective date is found in the authority section at the end of the rule. If a rule's effective date has not arrived yet, the previous edition of the rule would be the rule still in effect. Previous editions of these rules may be available in the archived editions.

Division 10 - Office of the Director

Chapter 1 - Organization
Chapter 2 - Civil Rights Compliance
Chapter 3 - General and Family Physician Loan and Training Programs
Chapter 4 - Coordinated Health Care Services
Chapter 5 - Procedures for the Collection and Submission of Data to Monitor
Health Maintenance Organizations
Chapter 6 - Professional and Practical Nursing Student Loans
Chapter 10 - Vital Records
Chapter 15 - Abortions
*Chapter 20 - moved to 19 CSR 30
*Chapter 22 - moved to 19 CSR 30
*Chapter 24 - moved to 19 CSR 30
Chapter 33 - Hospital and Ambulatory Surgical Center Data Disclosure
*Chapter 130 - moved to 19 CSR 30-1

*Moved to Division 30

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Division 15 - Division of Senior and Disability Services

Chapter 1 - Organization
Chapter 2 - Education and Program Enhancement
Chapter 3 - Service Credit Program (Older Volunteer Service Bank)
Chapter 4 - Older Americans Act
Chapter 6 - Alternative Services
Chapter 7 - Service Standards
Chapter 8 - Consumer-Directed Services

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Division 20 - Division of Community and Public Health

Chapter 1 - Food Protection
Chapter 2 - Protection of Drugs and Cosmetics
Chapter 3 - General Sanitation
Chapter 8 - Lead Program
Chapter 9 - Toxic Substances
Chapter 10 - Protection Against Ionizing Radiation
*Chapter 11 - moved to 19 CSR 30
Chapter 20 - Communicable Diseases
*Chapter 21 - moved to 19 CSR 70-21
Chapter 22 - Typhoid Carriers
Chapter 24 - Dead Bodies Infected With a Communicable Disease
Chapter 26 - Sexually Transmitted Diseases
Chapter 28 - Immunization
Chapter 30 - Determination of Blood Alcohol by Blood, Breath, Saliva and Urine
Analysis; and Determination for the Presence of Drugs in Blood
and Urine
*Chapters 32, 33, 34, 35, 36 and 38 - moved to 19 CSR 25
Chapter 43 - HIV/AIDS Medications Program
Chapter 50 - Prescription Drug Repository Program

*Moved to another division

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Division 25 - State Public Health Laboratory

Chapter 30 - Determination of Blood Alcohol by Blood, Breath, Saliva and Urine
Analysis; and Determination for the Presence of Drugs in Blood
and Urine
Chapter 32 - Milk-Testing Laboratories
Chapter 33 - Laboratories for Serologic Tests for Human Immunodeficiency Virus
Antibodies
Chapter 34 - Laboratories for Serologic Tests for Syphilis
Chapter 35 - Laboratories for Serologic Tests for Hepatitis B
Chapter 36 - Testing for Metabolic Diseases
Chapter 38 - Laboratory Fees

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Division 30 - Division of Regulation and Licensure

Chapter 1 - Controlled Substances
*Chapter 10 - moved to 19 CSR 10-10
Chapter 11 - Rules for Mammography
*Chapter 15 - moved to 19 CSR 10-15
*Chapter 17 - moved to 19 CSR 20-21
Chapter 20 - Hospitals
Chapter 22 - Rehabilitation Hospitals
Chapter 24 - Psychiatric Hospitals
Chapter 25 - Special Notice-Home Health Agencies
Chapter 26 - Home Health Agencies
Chapter 30 - Ambulatory Surgical Centers
*Chapter 33 - moved to 19 CSR 10-33
Chapter 35 - Hospices
Chapter 40 - Comprehensive Emergency Medical Services Systems Regulations
Chapter 41 - Head and Spinal Cord Injuries
Chapter 45 - Trauma Centers
*Chapter 50 - moved to 19 CSR 60-50
Chapter 60 - License-Exempt Child Care Facilities
Chapter 61 - Licensing Rules for Family Day Care Homes
Chapter 62 - Licensing Rules for Group Day Care Homes and Child Day Care Centers
Chapter 70 - Lead Abatement and Assessment Licensing, Training Accreditation
Chapter 80 - Family Care Safety Registry
Chapter 81 - Certification
Chapter 82 - General Licensure Requirements
Chapter 83 - Definition of Terms
Chapter 84 - Training Program for Nursing Assistants
Chapter 85 - Intermediate Care and Skilled Nursing Facility
Chapter 86 - Residential Care Facilities and Assisted Living Facilities
Chapter 87 - Sanitation Requirements for Long-Term Care Facilities
Chapter 88 - Resident's Rights and Handling Resident Funds and Property
in Long-Term Care Facilities
Chapter 89 - Specialized Long-Term Care Facilities or Special Care Facilities
Chapter 90 - Adult Day Care Program Licensure