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 Amendment 20 CSR 2010-2.160 This amendment reduces the individual biennial renewal fee. PUBLIC COST:This proposed amendment will result in a decrease of revenue for the Missouri State Board of Accountancy of approximately two hundred twenty thousand dollars ($220,000) annually between July 1, 2018 and June 30, 2022. Beginning July 1, 2022 the board’s revenue will increase by approximately two hundred twenty thousand dollars ($220,000) annually for the life of the rule.
PRIVATE COST: This proposed amendment will save private entities approximately two hundred twenty thousand dollars ($220,000) annually between July 1, 2018 and June 30, 2022. Beginning July 1, 2022 this amendment will cost private entities approximately two hundred twenty thousand dollars ($220,000) annually for the life of the rule.
Link To Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.022 The current Nurse Licensure Compact expires on January 18, 2018. 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Proposed Rescission 20 CSR 2200-4.025 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. 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 Rescission 20 CSR 2200-4.026 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. 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 Rescission 20 CSR 2200-4.027 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. 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 Rescission 20 CSR 2200-4.028 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. 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 Rescission 20 CSR 2200-4.029 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. 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 Rescission 20 CSR 2200-4.029 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. 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 2220-2.025 This amendment updates and clarifies requirements for nonresident pharmacies. 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 save private entities approximately five thousand two hundred seventy-eight dollars ($5,278) 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
Proposed Amendment 20 CSR 2263-2.050 This amendment establishes a one (1)-year time period to complete the licensure process. Section (5) is deleted as those requirements are covered in 20 CSR 2263-2.085. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) 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 amendment will cost private entities seventy-two dollars and ninety-five cents ($72.95) to one hundred two dollars and ninety-five cents ($102.95) 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
Proposed Rule 20 CSR 2263-2.051 This rule establishes an end date for initial applications for license. PUBLIC COST: This proposed rule will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) 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 seventy-two dollars and ninety-five cents ($72.95) to one hundred two dollars and ninety-five cents ($102.95) 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
Proposed Amendment 20 CSR 2263-2.060 This amendment changes the requirements for licensure by reciprocity. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) 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 amendment will cost private entities one hundred twelve dollars and ninety-five cents ($112.95) 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
Proposed Amendment 20 CSR 2263-2.082 This amendment changes continuing education credit and record retention requirements. 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 have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2263-2.085 This amendment clarifies the process to restore a license. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) 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 amendment will cost private entities approximately one hundred sixty-nine dollars and ninety-five cents ($169.95) 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
Proposed Amendment 20 CSR 2263-3.040 This amendment removes the requirement for a supervisor to co-sign all clinical records of an applicant. 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 have an adverse impact on small businesses. Professional Registration
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 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

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