Missouri Revised Statutes

Chapter 191
Health and Welfare

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Rsmo Number Section Description
Chapter Cross Reference
Constitutional provisions relative to public health and welfare, Const. Art. IV § 37
Elderly health and nutrition act, 208.600 to 208.630
Health and senior services, department of, generally, Chap. 192
Identification badges, health care facilities personnel required to wear, when, 197.705
On-site sewage disposal systems regulations, duties of department of health and senior services, 701.025 to 701.039
191.005 Information exchange between departments, rulemaking authority.
191.025. Health care compact.
191.127. Land may be leased for farming or grazing--procedure.
191.150. Purchase of food limited to use of institution inmates.
191.160. Board and living quarters for employees of institutions.
191.170. Mistreatment of inmates--penalty.
191.180. Furnishing unfit food to institution--penalty.
191.190. Accessory to mistreatment of inmates or furnishing of unwholesome food--penalty.
191.210. Attendance of patient by private physician.
191.211. Funding of certain programs.
191.213. Additional funding sources for certain programs.
191.226. Costs of HIV testing for certain crime victims payable by department of health and senior services, when, conditions.
191.227. Medical records to be released to patient, when, exception--fee permitted, amount--liability of provider limited--annual handling fee adjustment.
191.228. Physician and pharmacist not subject to discipline for cooperation.
191.229. Accreditation of not-for-profit human services organizations deemed equivalent to licensure.
191.231. Community-based integrated delivery system, qualification, powers--organization, board of directors, powers--plans.
191.235. Mercury contained in immunizations, not to be administered to certain persons--insurance reimbursement for nonmercury immunizations--exemptions, when.
191.237. Failure to participate in health information organization, no fine or penalty may be imposed--no exchange of data, when--definitions.
   
GENETICS AND METABOLIC DISEASE PROGRAMS (CYSTIC FIBROSIS, HEMOPHILIA, SICKLE CELL ANEMIA)
191.300. Definitions.
191.305. Missouri genetic advisory committee created--purpose--appointment, terms--qualifications--expenses.
191.310. Duties of committee--liaison officers with mental health and education, appointment.
191.315. Genetics program to be established by department--rules authorized--procedure.
191.317. Confidentiality of all tests and personal information--exceptions--retention of specimens, procedure.
191.320. Genetic diagnostic and counseling services to be established--outreach centers, duties--referral for abortion, procedure, requirements.
191.323. Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects.
191.325. Cost of services, how paid--free to persons financially unable to pay--residency requirement.
191.331. Infants 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, when.
191.332. Supplemental newborn screening requirements--additional screenings--rulemaking authority.
191.333. Citation of law--screening for lysosomal storage diseases--rulemaking authority--fee increase authorized.
191.334. Chloe's Law--critical congenital heart disease screening, requirements--rulemaking authority.
191.335. Hemophilia program established--state assistance, when.
191.340. Hemophilia program--care and treatment--financial assistance--education--duties of department.
191.360. Trained employee of end-stage renal disease facility may initiate dialysis--not unlawful practice of medicine.
191.362. Appropriately trained employees to have completed course in dialysis techniques.
191.365. Sickle cell anemia--purposes of program--financial assistance, when.
191.370. Sickle cell anemia, development of program for care and treatment--duties of department.
191.375. Cystic fibrosis, program for care and treatment--financial assistance, when.
191.380. Cystic fibrosis, duties of department.
   
STATE BOARD OF HEALTH
191.400. State board of health--appointment--terms--qualifications--limitation on other employment, exception--vacancies--compensation--meetings.
191.411. System of coordinated health care services--health access incentive fund created, purpose--enhanced Medicaid payments--rules--annual report.
   
WOMEN'S HEART HEALTH PROGRAM
191.425. Program established, eligibility--contracting authority--conditional on receipt of federal funding--sunset provision.
   
INVESTIGATIONAL DRUGS, BIOLOGICAL PRODUCTS, AND DEVICES
191.480. Manufacturers may make investigational drugs and devices available to eligible patients, when--definitions--requirements.
   
FINANCIAL ASSISTANCE PROGRAM FOR CERTAIN STUDENTS
191.500. Definitions.
191.505. Department of health and senior services to administer--may make rules and regulations.
191.510. Contracts for loans to include terms.
191.515. Requirements for application.
191.520. Maximum amount of loans--source of funds.
191.525. Number of loans available--to whom--length of loans.
191.530. Interest on loans--repayment terms--temporary deferral.
191.535. Termination of course of study, effect.
191.540. Repayment schedules--breach of contract.
191.545. Recovery--actions for.
191.550. Approval of contracts.
   
HEALTH PROFESSIONAL STUDENT LOAN REPAYMENT PROGRAM
191.600. Loan repayment program established--health professional student loan repayment program fund established--use.
191.603. Definitions.
191.605. Department to designate as areas of need--factors to be considered.
191.607. Qualifications for eligibility established by department.
191.609. Contract for repayment of loans, contents.
191.611. Loan repayment program to cover certain loans--amount paid per year of obligated service--schedule of payments--communities sharing costs to be given first consideration.
191.614. Termination of medical studies or failure to become licensed doctor, liability--breach of contract for service obligation, penalties--recovery of amount paid by contributing community.
191.615. Application for federal funds--insufficient funds, effect.
   
EXPOSURE TO COMMUNICABLE DISEASE BY EMERGENCY CARE PROVIDERS
191.630. Definitions.
191.631. Testing 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--rules.
   
BLOOD-BORNE PATHOGEN STANDARD
191.640. Blood-borne pathogen standard required for occupational exposure of public employees to blood and other infectious materials--definitions--requirements of needleless system and sharps--violations, penalty.
   
HEPATITIS C EXPOSURE
191.645. Risk of exposure to Hepatitis C, information to be made available--website to be maintained, content.
   
EXPEDITED PARTNER THERAPY
191.648. Expedited partner therapy permitted, requirements for physicians utilizing--rulemaking authority.
   
AIDS (ACQUIRED IMMUNODEFICIENCY SYNDROME)
Cross Reference

Nursing homes treating only AIDS patients not required to have certificate of need, 197.316 *** Nursing homes without certificate of need authorized to treat only AIDS patients, violation, penalty, 197.316 ***

191.650. Definitions.
191.653. HIV testing performed by whom, how--consultation with subject required, when.
191.656. Confidentiality 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 liability.
191.657. Disclosure of confidential HIV information, by court order, only to certain persons, procedure, when.
191.658. HIV infection status disclosure by department of health and senior services to exposed health workers or law enforcement officers, when, violation, penalty.
191.659. Department of corrections, HIV and infectious diseases testing without right of refusal--exception--minors victim of sexual assault, testing, notice to parents or custodians required.
191.662. Department 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, when.
191.663. HIV testing, defined--court order to test certain sexual offenders--costs--bond--disclosure of results of test--parents of unemancipated minor informed, when.
191.665. Discrimination prohibited, exceptions.
191.668. Department of health and senior services and department of elementary and secondary education to prepare education programs, contents.
191.671. Insurance companies, HMOs or health service corporations, HIV testing by, regulation by department--disclosure of test results, confidentiality.
191.674. Court-ordered HIV testing without right of refusal, department of health and senior services may seek, when--court record closed, proceeding to be in camera, when.
191.677. Prohibited acts, criminal penalties.
191.680. Maintaining a nuisance, abatement to be ordered, when.
191.683. Reports to general assembly by department of health and senior services.
191.686. Anonymous testing sites in central Missouri, Kansas City, Springfield and St. Louis--reports of results, use of coded system--contact notification required, when.
191.689. Schools to be given notice of identity of child with HIV infection, when, by whom--identity of infected child may be released to whom by school.
191.692. Premarital HIV testing, rulemaking authorized, when.
191.694. Infection control procedures--requirements and training for health care facilities and professionals.
191.695. Rulemaking authority, department of health and senior services--procedure.
191.699. Disciplinary action for health care professionals who discriminate or require HIV testing before treatment.
191.700. Testing 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 boards.
191.703. Death of patient with infectious or contagious disease, notification to funeral director or coroner.
   
PREMATURE INFANT HEALTH CARE
191.710. MO HealthNet program and SCHIPS to focus on premature infant health care.
191.711. Education publications to be prepared, contents--distribution.
   
DISCRIMINATION FOR RELIGIOUS BELIEFS OR MORAL CONVICTIONS
191.724. Discrimination 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 defined.
   
PREGNANCY--PRENATAL AND POSTNATAL CARE AND EDUCATION FOR WOMEN AND CHILDREN (ALCOHOL--CIGARETTES--DRUGS)
191.725. Physician 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 physicians.
191.729. School districts to be furnished information on prenatal and postnatal effects of substances, when.
191.731. Pregnant woman referred for substance abuse to have priority for treatment--confidentiality of records.
191.737. Children exposed to substance abuse, referral by physician to department of health and senior services--services to be initiated within seventy-two hours--physician making referral immune from civil liability--confidentiality of report.
191.739. Protective and preventive services to be provided by department of social services, duties.
191.743. High risk pregnancies, women to be informed of available services--consent to inform department of health and senior services, forms--confidentiality--physicians not to be liable.
191.748. Shaken baby syndrome video, required viewing, when.
   
UMBILICAL CORD BLOOD BANKING
191.755. Department to post resources on website, content.
191.758. Information to be made available by physician to pregnant women, when.
191.761. Umbilical cord blood samples, department to provide courier service to nonprofit umbilical cord blood bank--rulemaking authority.
   
INDOOR CLEAN AIR ACT (SMOKING REGULATIONS)
191.765. Definitions.
191.767. Persons not to smoke in public places or meetings, except in designated smoking areas--designation of space for smoking area, requirements.
191.769. Areas not considered public places.
191.771. Person in control of public places or public meetings, duties.
191.773. Violators, guilty of infraction.
191.775. Public schools and school buses, smoking or tobacco use prohibited, penalty, permissible use of tobacco, where.
191.776. Child day care facilities, smoking or tobacco use when children are present, prohibited, penalty.
191.777. More stringent ordinances or rules may be adopted by governing bodies or school boards.
   
HUNGER RELIEF AND OUTREACH
191.800. Definitions.
191.803. Boards of education to establish breakfast program--rules--waiver, procedure.
191.805. Hardship grant program, distribution of, rules.
191.807. Supplemental funding, women, infants and children supplemental food program--funding of certain county health offices, use, maximum amount of grants--rules and regulations.
191.810. Department of health and senior services to establish standards for summer food service program--where established--order of priority--waiver, filing required.
191.813. Agencies to coordinate outreach programs--specific programs--public service announcements to be designed.
191.815. Administrative rules, procedure.
   
HEALTH CARE INITIATIVES
191.828. Evaluations, effect of initiatives.
191.831. Health initiatives fund established, use--Alt-care pilot program, components--participation may be required.
191.835. Community 2000 grants program--local commissions, members--goals, objectives--evaluations, funding.
191.839. Education programs for persons with no or inadequate health insurance.
191.843. Authorizes grants for regional research consortia in a distressed community.
   
ADVISORY ASSISTIVE TECHNOLOGY COUNCIL (DISABILITIES ASSISTANCE)
191.850. (Transferred 2014; now 161.900)
191.853. (Transferred 2014; now 161.905)
191.855. (Transferred 2014; now 161.910)
191.857. (Transferred 2014; now 161.915)
191.858. (Transferred 2014; now 161.920)
191.859. (Transferred 2014; now 161.925)
191.861. (Transferred 2014; now 161.930)
191.863. (Transferred 2014; now 161.935)
191.865. (Transferred 2014; now 161.940)
191.867. (Transferred 2014; now 161.945)
   
HEALTH CARE COST REDUCTION AND TRANSPARENCY ACT
191.875. Citation--definitions--estimate of cost provided, when--statement--disclosure of costs without discounts.
   
HEALTH CARE PAYMENT FRAUD AND ABUSE
191.900. Definitions.
191.905. False 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 authorized.
191.907. Original source of information to receive a portion of any recovery.
191.908. Whistleblower protections--violations, penalty.
191.910. Attorney general may investigate violations, powers--service authorized--prosecuting attorney, report, prosecution--provision of records--no limitation of other actions.
191.914. False report or claim, penalty.
   
BREAST-FEEDING
191.915. Breast-feeding information provided, when, by whom.
191.918. Breast-feeding in public permitted--not sexual conduct, public indecency, or obscenity--no municipal ordinances to prohibit or restrict.
   
PRENATAL SCREENING COUNSELING
191.923. Prenatally diagnosed conditions, patient to be provided information--definitions--clearinghouse of information to be established.
   
NEWBORN HEARING SCREENING
Cross Reference

Commission for the deaf and hard of hearing, 161.400 to 161.410 ***

191.925. Screening for hearing loss, infants, when--procedures used--exemptions--information provided, by whom--no liability, when.
191.928. Surveillance and monitoring system for certain newborns--standards and follow-up procedure--confidentiality of information.
191.931. Early intervention services available--report, content.
191.937. Rulemaking authority, procedure.
   
PROSTATE CANCER PILOT PROGRAMS
191.950. Prostate cancer pilot programs--definitions--eligibility--services provided--grants--rulemaking authority--sunset provision.
   
ADOPTION AWARENESS
191.975. Adoption awareness, department duties--advertising campaign authorized--rulemaking authority.
   
HEALTH EDUCATION CENTERS
191.980. Missouri area health education centers program established--council established, membership, term--authority of council--duties--report required.
   
DIABETES
191.990. Diabetes goals and benchmarks--report, contents.
   
HEALTH CARE ACCESS
191.1050. Definitions.
191.1053. Designation of areas--re-evaluation of designations, when--rulemaking authority.
191.1056. Fund created, use of moneys.
   
PALLIATIVE CARE
191.1075. Definitions.
191.1080. Council created, purpose, members, terms, duties--report--expiration date.
191.1085. Program established, purpose--website information--rulemaking authority.
   
VOLUNTEER HEALTH SERVICES ACT
191.1100. Citation of law--definitions.
191.1102. Additional licensure not required, when--inapplicability.
191.1104. Display of license or certificate, how satisfied.
191.1106. Registration with department required, fee, contents--quarterly reports--list of providers--recordkeeping requirements--rulemaking authority.
191.1110. Immunity from liability, when--no compensation to be received--certain military personnel deemed licensed.
191.1112. Volunteer crisis response teams--definitions--immunity from liability, inapplicability of.
   
SHOW-ME EXTENSION FOR COMMUNITY HEALTH CARE OUTCOMES (ECHO) PROGRAM
191.1140. Treatment of chronic, common, and complex diseases, program authorized, purpose.
   
TELEHEALTH
191.1145. Definitions--telehealth services authorized, when.
191.1146. Physician-patient relationship required, how established.

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