The following are summaries and other information related to Proposed Rules that the Department of Insurance, Financial Institutions and Professional Registration (DIFP) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.

Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments.

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Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division
Proposed Rescission 20 CSR 2263-2.045 This rule is being rescinded as provisional licenses are no longer issued. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2200-6.060 This amendment allows the transfer IV-Certification from another state to the state of Missouri and deletes section (6) on duplicate licenses. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 20 CSR 2220-2.650 The board is amending section (1) and adding new sections (2) to (4) to update the rule, clarify database/contracting requirements and to accommodate pharmacies dispensing medication to another pharmacy for administration by a licensed healthcare professional. PUBLIC COST: This proposed rule will cost state agencies or political subdivisions approximately one thousand dollars ($1,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
PRIVATE COST: This proposed rule will save private entities approximately one thousand dollars ($1,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Emergency Rule 20 CSR 2220-2.650 This rule is being amended to accommodate pharmacies dispensing medication to another pharmacy for administration by a licensed healthcare professional. Not applicable to emergency rule. Link to Missouri Register Not applicable to emergency rule. Professional Registration
Emergency Amendment 20 CSR 2233-1.040 This emergency amendment is increasing the biennial renewal fee based on the state committee’s five-year projections and due to the passage of House Bill 12 in 2017. Not applicable to emergency rule. Link to Missouri Register Not applicable to emergency rule. Professional Registration
Proposed Amendment 20 CSR 2110-2.001 This amendment revises the definition of patient of record. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST:This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2110-2.120 This amendment changes the continuing education requirements for certain permit holders. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 2200-4.020 This amendment is to recognize the Air Force Basic Medical Technician Corpsman Program 4N051 – 5 Skill Level and above to meet educational standards/academic preparation for licensure as a practical nurse. PUBLIC COST: This proposed rule will cost state agencies or political subdivisions between three hundred eighty-six dollars and thirty-six cents ($386.36) and three hundred ninety-five dollars and forty-one cents ($395.41) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
PRIVATE COST: This proposed rule will cost private entities approximately two thousand seven hundred thirty-nine dollars ($2,739) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Emergency Amendment 2200-4.020 This amendment is to recognize the Air Force Basic Medical Technician Corpsman Program 4N051 – 5 Skill Level and above to meet educational standards/academic preparation for licensure as a practical nurse. Not applicable to emergency rule. Link to Missouri Register Not applicable to emergency rule. Professional Registration
Proposed Amendment 20 CSR 2235-1.020 This rule is being amended pursuant to section 337.085, RSMo, which states the committee shall by rule and regulation set the amount of fees authorized by Chapter 337, RSMo so that the revenue produced is sufficient, but not excessive, to cover the cost and expense to the board for administering the provisions of Chapter 337, RSMo. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately three hundred seventy-eight thousand two hundred twenty dollars ($378,220) from November 1, 2017 to October 31, 2019 as the result of the proposed decrease.
PRIVATE COST: This proposed amendment will save private entities approximately three hundred seventy-eight thousand two hundred twenty dollars ($378,220) from November 1, 2017 to October 31, 2019 as the result of the proposed decrease.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 20 CSR 2200-8.001 This rule defines terms used in 20 CSR 2200 Chapter 8. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 20 CSR 2200-8.010 This rule defines the approval status and process for Veteran’s Bridge Programs of Practical Nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.020 This rule establishes the procedures for discontinuing and reopening Veteran’s Bridge Programs of Practical Nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.030 This rule defines the procedure for a change in sponsorship of a Veteran’s Bridge Program of Practical Nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.035 This rule defines the procedure for multiple campuses. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.040 This rule defines program changes which require board approval, notification, or both. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.050 This rule defines the organization and administration of an approved Veteran’s Bridge Program of Practical Nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.060 This rule defines the categories, qualifications and competencies, responsibilities, and employment policies of administrator/faculty. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.070 This rule defines the physical facilities and instructional resources required by Veteran’s Bridge Programs of Practical Nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.080 This rule defines selection and use of clinical experiences by the Veteran’s Bridge Program of Practical Nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.085 This rule defines the utilization of preceptors. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.090 This rule defines the admission, readmission, and transfer criteria and services provided students. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.100 This rule defines the educational program, curriculum plan and requirements, simulation and distance education requirements for Veteran’s Bridge Programs of Practical Nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.110 This rule defines records required to be kept by Veteran’s Bridge programs to practical nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.120 This rule defines what must be included in publications published by Veteran’s Bridge programs to practical nursing. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.130 This rule provides for evaluation of the Veteran’s Bridge program to practical nursing by faculty, students, and coordinating agencies. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.180 This rule defines the required examination pass rate for first-time candidates and its impact on program approval. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 2200-8.040 This rule defines program changes which require board approval, notification, or both. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 20 CSR 2230-2.070 The State Board of Podiatric Medicine is statutorily obligated to enforce and administer the provisions of Chapter 330, RSMo. Pursuant to section 330.140.2 the board shall set the amount of the fees which the chapter authorizes and requires by rules and regulations. The fees shall be set at a level to produce revenue which shall not substantially exceed the cost and expense of administering the chapter. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately one hundred seven thousand nine hundred twenty-five dollars ($107,925) from December 1, 2017 to February 28, 2018 and forty-seven thousand dollars ($47,000) biennially for the life of the rule beginning in FY19 and two thousand nine hundred fifty dollars ($2,950) annually for the life of the rule.
PRIVATE COST: This proposed amendment will save private entities approximately one hundred seven thousand nine hundred twenty-five dollars ($107,925) from December 1, 2017 to February 28, 2018 and forty-seven thousand dollars ($47,000) biennially for the life of the rule beginning in FY19 and two thousand nine hundred fifty dollars ($2,950) annually for the life of the rule.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 20 CSR 2220-4.010 The Board of Pharmacy is statutorily obligated to enforce and administer the provisions of section Chapter 338, RSMo, governing the practice of pharmacy. Pursuant to section 338.070, RSMo, the board shall set the appropriate amount of fees by rule, so that the revenue produced shall not substantially exceed the cost and expense of administering the provisions of Chapter 338, RSMo. Based on the board’s five (5)-year projections, the board finds it necessary to reduce renewal fees for Missouri pharmacies and drug distributors. PUBLIC COST: This proposed rule will cost state agencies or political subdivisions approximately one million five hundred fifty-five thousand one hundred twenty-five dollars ($1,555,125) from August 1, 2017 to June 1, 2018 as the result of the proposed decrease.
PRIVATE COST: This proposed rule will save private entities approximately one million five hundred fifty-five thousand one hundred twenty-five dollars ($1,555,125) from August 1, 2017 to June 1, 2018 as the result of the proposed decrease.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Emergency Rule 20 CSR 2220-4.010 The Board of Pharmacy is statutorily obligated to enforce and administer the provisions of section Chapter 338, RSMo, governing the practice of pharmacy. Pursuant to section 338.070, RSMo, the board shall set the appropriate amount of fees by rule, so that the revenue produced shall not substantially exceed the cost and expense of administering the provisions of Chapter 338, RSMo. Based on the board’s five (5)-year projections, the board finds it necessary to reduce renewal fees for Missouri pharmacies and drug distributors. Not applicable to emergency rule. Link to Missouri Register Not applicable to emergency rule. Professional Registration

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