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. We hope you find this site helpful and informative.
Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED AMENDMENT -

20 CSR 2245-1.010 General Organization

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

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 amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-3.005 Trainee Real Estate Appraiser Registration

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

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 amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-3.010 Applications for Certification and Licensure

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

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 amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-6.040 Case Study Courses

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

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 amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-8.010 Requirements

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

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 amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-8.030 Instructor Approval

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

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 amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2120-1.010 General Organization

This amendment updates reference to a licensure examination requirement that is no longer applicable, to include professions now licensed by the board, and updates board contact information.

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 amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT -

20 CSR 2120-2.080 Written Statement of Charges

This amendment is to make updates to requirements of consumer disclosures.

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 amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-2.090 Preparation Rooms/Embalming Room

This amendment modifies the current rule’s requirements governing the standards required of funeral establishment preparation rooms.

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 amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-2.120 Public Records

The purpose of the amendment is to modify the existing language to include additional records that are closed records of the board.

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 amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-2.130 Final Disposition as Defined in Chapter 193

The purpose of the amendment is to modify the existing language to facilitate an additional section of statute.

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 amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-3.030 Notification of Intent to Sell Assets or Cease Doing Business (Seller or Provider)

The purpose of the amendment is to outline the procedures for ceasing licenses of preneed sellers and preneed providers as provided in sections 436.400 to 436.525, RSMo.

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 amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2010-4.010 Effective Dates and Basic Requirements.

This amendment updates the continuing professional education requirements and adds a grace period.

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 amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.020 Qualifying Programs

This amendment clarifies qualifying requirements a Continuing Professional Education (CPE) course needs to meet to be accepted by the board.

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 amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.031 Continuing Professional Education (CPE) Documentation.

This amendment clarifies the requirements for documenting CPE and adds a thirty (30) day grace period.

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 amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.035 Inactive Licenses.

This amendment updates the requirements and restrictions for an inactive license.

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 amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.041 Continuing Professional Education (CPE) Exceptions and Waivers

This amendment clarifies the exceptions and waivers of CPE.

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 amendment does not have an adverse impact on small business. Professional Registration - Accountancy
20 CSR 100-1.030 Failure to Acknowledge Pertinent Communication

This rule effectuates or aids in the interpretation of section 375.1007(2), RSMo.

This amendment restructures the rule to provide greater clarity in interpreting the provisions of section 375.1007(2) regarding the handling and processing of claims.   

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 100-4.100 Response to Inquiries by the Consumer Affairs Division 

This rule sets forth with greater specificity the statutory requirements for responding to inquiries from the Division of Consumer Affairs, required of all persons in this state, pursuant to sections 354.190, 354.465, 354.717, 374.085, 374.110, 374.190, 375.938, 375.1009, 376.1375 and 384.015, RSMo.

This amendment incorporates the definitions from rule 20 CSR 100-4.010 and clarifies the terms of the rule.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 100-8.016 Examination Procedures 

This rule implements the purposes of section 374.185, RSMo, and establishes uniform standards for the director in applying the discretion authorized in issuing warrants for market conduct examinations pursuant to sections 374.202 to 374.207, RSMo.

This amendment removes language that is duplicative of language in other regulations and adds a new provision giving insurance companies the opportunity to address issues relating to examination cost or data requests.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 100-8.040 Insurer Record Retention

This rule describes the requirements for record keeping for insurers and related entities doing business in this state. This regulation was adopted pursuant to the provisions of section 374.045, RSMo and to implement various sections of law.

This amendment clarifies standards for maintaining insurance records in compliance with Missouri law.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 200-17.100 Procedure for Forming a Missouri Domestic Insurance Company

The purpose of this rule is to prescribe forms and procedures to be followed in forming an insurance company organized under the laws of the state of Missouri. This rule also effectuates and aids in the interpretation of sections 376.010-376.120, RSMo (life insurance companies) and sections 379.010-379.065, RSMo (insurance companies other than life)

This amendment removes outdated language and updates the rule to reflect the modern procedure for forming a Missouri domestic insurance company.

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 amendment does not have an adverse impact on small business. Insurance

20 CSR 200-17.300 Procedure for Redomestication

The purpose of this rule is to prescribe forms and procedures to be followed in redomesticating an insurance company from or into the state of Missouri. This rule also effectuates and aids in the interpretation of section 375.908, RSMo.

This amendment removes outdated language and updates the rule to reflect the modern procedure for redomesticating an insurance company from or into Missouri.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 200-20.040 Financial Requirements

The purpose of this rule is to set forth the financial and reporting requirements, which the director deems necessary for the regulation of captive insurance companies.

This amendment clarifies the rule and relaxes certain restrictions.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 400-3.650 Medicare Supplement Insurance Minimum Standards Act This amendment makes changes to Missouri’s rules related to Medicare Supplement policies that are consistent with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 400-14.100 External Arbitration This rule outlines the procedures by which the department will ensure access to binding arbitration when there is a dispute arbitrators. This rule is promulgated pursuant to sections 374.045 and 376.690, RSMo.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 600-1.010 Medicare Supplement Data Reporting

This regulation facilitates the collecting of relevant Medicare supplement premium loss data in order to ensure that mandated loss ratios are being met by insurers who sell Medicare supplement insurance.

This proposed amendment clarifies and modernizes the rule by updating the forms utilized in reporting data.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 600-3.100 Required Format in Reporting Data on Residential Insurance Coverages and Private Passenger Automobile Insurance

This rule states the format in which an insurer is required to file with the department its report of all premium and loss data in accordance with sections 374.405 and 374.455, RSMo.

This proposed amendment clarifies and modernizes the rule by updating statutory references, simplifying filing procedures, and utilizing modern technology. The proposed amendment also clarifies whether the data submitted is an open or closed 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 amendment 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 business. Insurance
20 CSR 700- 1.170 Licensing Procedures and Standards for Limited Lines Self-Services Storage Insurance Producers

This rule prescribes the license application process, fee, and initial training for limited lines self-service storage insurance producers. This rule also requires a register for listing individuals that offer self-service storage insurance on the behalf of the licensed limited lines self-service storage insurance producer.

This amendment streamlines the existing rule and adds provisions regarding license renewals

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 amendment does not have an adverse impact on small business. Insurance

PROPOSED AMENDMENT-

20 CSR 2233-1.040 Fees

This amendment reduces the biennial renewal fee.

PUBLIC COST: This proposed amendment will cost state agencies approximately seventeen thousand two hundred fifty dollars ($17,250) biennially 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 save private entities approximately seventeen thousand two hundred fifty dollars ($17,250) biennially 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 - Pharmacy

PROPOSED AMENDMENT-

20 CSR 2220-2.500 Nuclear Pharmacy—Minimum Standards for Operation

The board is amending all sections of the current rule to update, modernize and clarify rule requirements.

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 amendment will cost private entities approximately two hundred twenty-five thousand dollars ($225,000) 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 amendment does not have an adverse impact on small businesses. Professional Registration - Pharmacy

PROPOSED AMENDMENT-

20 CSR 2030-4.090 Evaluation—Comity Applications—Professional Landscape Architects

This amendment clarifies the requirements for application.

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 amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT-

20 CSR 2030-5.105 Reexaminations—Professional Engineers

The professional engineering exam is being transitioned to computer based testing; therefore, this rule is being amended to accommodate the policy for that transition.

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 amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT-

20 CSR 2030-5.150 Standards for Admission to Examination—Professional Landscape Architects

This rule is being amended to add the word Professional in front of Landscape Architects in the title.  It is also being amended to allow applicants to take the examination while obtaining their experience and also to provide applicants admission to the examination if they have either a degree in landscape architecture from an accredited school of landscape architecture or a degree deemed equivalent.

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 amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT-

20 CSR 2030-10.010 Application for Certificate of Authority

The rule is being amended to clarify that the managing agent to whom responsibility for the conduct of the corporation's licensed activities is assigned must be licensed in the same profession for which the Certificate of Authority is issued. This is compelled both by the requirements of section 327.401, RSMo, and by the prohibitions on unlicensed practice in Chapter 327, RSMo, which prohibit a person licensed in one profession from supervising or engaging in activities of another profession, except to the extent such activities are incidental to the practice of the licensee's own profession.

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 amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA
20 CSR 2220-2.120 Transfer of Prescription or Medication Order Information [for the Purpose of Refill]

The title of this rule and sections (1)–(3) are being amended to remove unnecessary/duplicate rule language pursuant to Executive Order 17-03 and to clarify the requirements for transfers of original and refill prescriptions.

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 - Pharmacy
20 CSR 2220-3.011 Generic Drug [Formulary] Substitution

This rule is being amended pursuant to Executive Order 17-03 to remove unnecessary/duplicate rule language.

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 - Pharmacy
20 CSR 2070-1.010 Organization and Office Policies of Board

The rule is being rescinded to consolidate with 20 CSR 2070-2.060(1) and remove unnecessary language.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.020 Diagnostic Procedures and Instruments

The rule is being rescinded to consolidate into 20 CSR 2070-2.030.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.025 Use of X-rays

The rule is being rescinded to consolidate into 20 CSR 2070-2.030.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.030 Diagnostic and Adjunctive Procedures

This amendment provides information regarding the diagnostic and adjunctive procedures used by chiropractic physicians when treating patients.

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 - Chiropractic
20 CSR 2070-2.031 Meridian Therapy/Acupressure/Acupuncture

The rule is being rescinded and readopted to update and reorganize the rule.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.031 Meridian Therapy/Acupressure/Acupuncture

This rule sets out the acceptable qualifications, procedures and continuing education requirements for the use of meridian therapy/acupressure/acupuncture (in this rule Meridian Therapy) by Missouri licensed chiropractors.

PUBLIC COST: This proposed rule will increase revenue for state agencies one thousand two hundred fifty dollars ($1,250) 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 ten thousand five hundred fifty-five dollars ($10,555) 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 not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.032 Specialty Certification

This amendment revises the language for submitting an application for a specialty to be recognized by the state board.

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 - Chiropractic
20 CSR 2070-2.033 Manipulation Under Anesthesia

This amendment updates the language regarding entities responsible for the licensing/certification of hospital.

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 - Chiropractic
20 CSR 2070-2.040 Application for Licensure

This rule is being rescinded and readopted to reorganize the rule.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.040 Application for Licensure

This rule states where to secure an application and how to complete the application and documentation required to accompany the application form provided by the executive director.

PUBLIC COST: This proposed rule will increase revenue for state agencies seven thousand four hundred seventy-one dollars ($7,471) 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 five hundred thirty-nine thousand four hundred twenty-one dollars ($539,421) to five hundred thirty-nine thousand four hundred seventy-one dollars ($539,471) 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 not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.045 Board-Approved Chiropractic Colleges

This rule is being rescinded because chiropractic colleges are accredited by the Council on Chiropractic Education which is recognized by the U.S. Department of Education, making the rule unnecessary.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.050 Examination

This rule is being rescinded to consolidate section (4) with 20 CSR 2070-2.040 and to delete language regarding the practical exam no longer administered by the board.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.065 Public Complaint Handling and Disposition

This amendment revises the language regarding the process for submitting a complaint making the rule easier to understand.

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 - Chiropractic
20 CSR 2070-2.066 Post-Board Order Activity

This rule is being rescinded as chapters 331 and 610 define the requirement for a disciplinary action and disclosure of information relating to the discipline of the license, making the rule unnecessary.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.070 Reciprocity

This rule is being rescinded to consolidate into 20 CSR 2070-2.040 regarding application for licensure.

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 rule does not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.080 Biennial License Renewal

This rule is being amended to clarify the requirements for continuing education and licensure renewal.

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 - Chiropractic
20 CSR 2070-2.081 [Postgraduate Education] Application for Continuing Education

This amendment clarifies the requirements for submitting an application for board approval of formal continuing education hours.

PUBLIC COST: This proposed amendment will increase revenue for state agencies two hundred fifty dollars ($250) to five hundred dollar ($500) 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 two hundred fifty dollars ($250) to five hundred dollars ($500) 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 not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.090 Fees

This amendment is rescinding fees and clarifies continuing education application fees.

PUBLIC COST: This proposed amendment will cost state agencies four hundred thirty dollars ($430) to five hundred dollars ($500) 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 save private entities approximately four hundred thirty dollars ($430) to five hundred dollars ($500) 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 not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2070-2.100 Professional Corporations

This amendment removes language that is not required for the administration of the rule.

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 - Chiropractic
20 CSR 2070-2.110 Nonresident Military Spouse Licensure

This rule states the requirements and procedures for a nonresident spouse of an active duty member of the military who is transferred to this state in the course of the member’s military duty to obtain a temporary courtesy license to practice chiropractic for one hundred eighty (180) days, subject to possible extension as provided by law.

PUBLIC COST: This proposed rule will increase revenue for state agencies one hundred forty-one dollars and seventy-five cents ($141.75) 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 one hundred fifty-one dollars and seventy-five cents ($151.75) 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 not have an adverse impact on small businesses. Professional Registration - Chiropractic
20 CSR 2270-4.031 Minimum Standards for Practice Techniques

This board is amending section (3) of this rule by adding subsection (H) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

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 - Veterinary
20 CSR 2270-4.031 Minimum Standards for Practice Techniques

This board is amending section (3) of this rule by adding subsection (H) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Veterinary
20 CSR 2220-2.400 Compounding Standards of Practice

This amendment changes sections (7), (12) and (14) of this rule and adds section (13) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

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 - Pharmacy
20 CSR 2220-2.400 Compounding Standards of Practice

This board is amending sections (12) and (14) of this rule and adding section (13) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Pharmacy
20 CSR 2193-1.010 Definitions

This amendment adds a new definition.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-2.010 Application

This amendment removes the verification requirement based on House Bill 1719 (2018) of the 99th General Assembly, modifies the licensee title, clarifies the national exam organization names, and removes unnecessary language regarding the application process.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-2.020 Qualifying Education

This amendment deletes coursework 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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-2.030 Qualifying Experience

This removes unnecessary language on experience.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-2.040 Reciprocity/Waiver of Examination

This amendment removes the verification requirement based on House Bill 1719 (2018) of the 99th General Assembly, modifies the licensee title, updates the reference to the national examination, and removes unnecessary language regarding the application process.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-3.010 Original Registration—Form and Content

This rule is being rescinded as unnecessary.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-3.020 Renewal

This amendment adds a new definition.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-4.010 Fees

This amendment removes unnecessary language.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-5.010 Requirements

This amendment eases the continuing education 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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-6.010 Public Complaint Handling and Disposition Procedure

The council is correcting statutory references.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2193-6.030 Discipline

This rule is being rescinded as duplicative of statutory language.

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 amendment does not have an adverse impact on small business. Professional Registration - Interior Design
20 CSR 2263-2.031 Acceptable Supervisors and Supervisor Responsibilities

This amendment clarifies language on acceptable supervisor and supervisor responsibilities.

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 amendment does not have an adverse impact on small business. Professional Registration - Social Workers
20 CSR 2150-2.200 Assistant Physician—Application for Licensure

This rule is being amended to modify the licensing requirements for assistant physicians as passed in Senate Bill 718 (2018) passed by the 99th General Assembly.

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 business. Professional Registration - Healing Arts
20 CSR 2165-1.020 Fees

This rule establishes the fees for the Board of Examiners for Hearing Instrument Specialists.

PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions of approximately twenty-five thousand, one hundred fifty dollars ($25,150) biennially for the life of the rule.

PRIVATE COST: This proposed amendment will save private entities approximately twenty-five thousand, one hundred fifty dollars ($25,150) biennially for the life of the rule.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration - Hearing Instrument Specialists
20 CSR 10-1.010 General Organization

This rule reflects the current organization of the Department of Insurance Financial Institutions and Professional Registration.

The director is amending sections (1), (2), (4) and (5) and deleting section (3) to more accurately reflect the organization of the department.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 10-3.100 Confidentiality

This rule regulated the internal affairs of the department regarding confidentiality.

This rule is being rescinded as duplicative of internal department policies.

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 business. Insurance
20 CSR 10-3.200 Gratuities

This rule regulated the internal affairs of the department regarding gratuities.

This rule is being rescinded as duplicative of internal department policies and applicable Executive Orders.

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 business. Insurance
20 CSR 10-3.300 Conflicts of Interest

This rule regulated the internal affairs of the department regarding conflicts of interest.

This rule is being rescinded as duplicative of internal department policies.

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 business. Insurance
20 CSR 200-8.100 Federal Liability Risk Retention Act

This rule effectuates or aids in the interpretation of sections 148.310-148.461, 375.161, 375786, 384.051 and 384.059, RSMo 1986 as these sections relate to risk retention groups and purchasing groups.

The director is amending sections (1)-(4) and deleting the purpose statement.

The proposed amendment removes an annual filing requirement and language duplicative of statutes.

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 amendment does not have an adverse impact on small business. Insurance
20 CSR 200-16.010 Conversion of Mutual Life Insurance Holding Company

This rule 20 CSR 200-16.010 and rules 20 CSR 200-16.020 through 20 CSR 200-16.130 prescribed procedures to be followed in the demutualization of a mutual life insurance holding company organized pursuant to sections 276.1300 to 376.1322, RSMo, as specifically authorized in sections 376.1322.2 and 375.201 to 375.226, RSMo.

This rule is being rescinded as the department is unaware of prior use of rules 20 CSR 200-16.010 through 20 CSR 200-16.130, and has not approved the formation of any existing mutual life insurance holding companies.

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 business. Insurance
20 CSR 200-21.300 Definitions This rule sets forth the definitions that apply to the Corporate Governance Annual Disclosure and deemed necessary by the director to carry out the provisions of sections 375.1025, 375.1053, 365.1056, 375.1058 and 382.600-383.640. RSMo. The information in this rule is declared necessary and appropriate in the public interest and for the protection of the policy holders of this state.

PUBLIC COST

PRIVATE COST

Link to Missouri Register SMALL BUSINESS Insurance
20 CSR 200-21.400 Filing Procedures This rule sets forth the procedures for filing the Corporate Governance Annual Disclosure (“CGAD”) deemed necessary by the director to carry out the provisions of sections 375.1025, 375.1052, 375.1056, 375.1058 and 382.600-382.640, RSMo. The information in this rule is declared necessary and appropriate in the public interest and for the protection of the policy holders of this state.

PUBLIC COST

PRIVATE COST

Link to Missouri Register SMALL BUSINESS Insurance
20 CSR 200-21.500 Contents of Corporate Governance Annual Disclosure This rule sets forth the required contents of the CGAD deemed necessary by the director to carry out the provisions of sections 375.1025, 375.1052, 375.1056, 375.1058 and 382.600-382.640, RSMo. The information in this rule is declared necessary and appropriate in the public interest and for the protection of the policy holders of this state.

PUBLIC COST

PRIVATE COST

Link to Missouri Register SMALL BUSINESS Insurance
20 CSR 200-21.600 Severability Clause

This rule provides for the severability of the provisions of this rule in the event any provision of these rules, or the application of these rules, is held invalid.

If any provision of these rules, or the application thereof to any person or circumstance, is held invalid, such determination shall not affect other provisions or applications of these rules which can be given effect without the invalid provision or application, and to that end the provisions of these rules are severable.

PUBLIC COST

PRIVATE COST

Link to Missouri Register SMALL BUSINESS Insurance
20 CSR 400-2.050 Notice of Renewal Dates on Renewable Policies

This rule specified requirements for notice of renewal dates for policies of accident and sickness insurance. This rule was adopted pursuant to the provisions of section 374.045, RSMo and implements and defines sections 375.445 and 376.777, RSMo.

This rule outlined requirements for notice of renewal dates on accident and sickness insurance policies.

This rule is being rescinded because it is not authorized by statute and is obsolete.

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 business. Insurance
20 CSR 400-2.070 Conversion Privilege

This rule required the inclusion of a conversion privilege on a group health insurance policy.

This rule is being rescinded because it has been superseded by sections 376.395-376.404 related to conversion policies and is therefore obsolete.

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 business. Insurance
20 CSR 400-2.080 Conversion: Semiprivate Room Rate

This rule outlined the average semiprivate room rate charged in the largest metropolitan area of the state, for purposes of conversion of group policies.

This rule is being rescinded because it is obsolete.

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 business. Insurance
20 CSR 400-2.100 Standards for HIV Testing

This rule outlined standards for the use of HIV testing by insurers, health service corporations, and health maintenance organization.

This rule is being rescinded because it was based on an NAIC model that was rescinded in 2006. It is obsolete and no longer necessary.

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 business. Insurance
20 CSR 400-2.110 Life and Health Benefits Relating to HIV Infection

This rule effectuated or aided in the interpretation of sections 354.085, 354.485, 376.405, 376.675 and 376.777, RSMo regarding life and health benefits relating to HIV infection.

This rule is being rescinded because it was based on an NAIC model that was rescinded in 2006. It is obsolete and no longer necessary.

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 business. Insurance
20 CSR 400-2.120 Application Questions and Underwriting Practices Relating to HIV Infection

This rule outlined provisions relating to underwriting practices regarding HIV infection.

This rule is being rescinded because it was based on an NAIC model that was rescinded in 2006. It is obsolete and no longer necessary.

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 business. Insurance
20 CSR 400-5.300 Solicitation of Insurance on Military Installations in Missouri

This rule clarified by whom insurance on military installations may be solicited. This rule was adopted pursuant to the provisions of section 374.045, RSMo and

implements sections 375.012–375.158,

RSMo.

This rule is being rescinded because it is duplicative of two other rules, and because federal law also required individuals soliciting insurance on military installations to be licensed by appropriate state entities.  

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 business. Insurance
20 CSR 400-6.200 Approval Criteria for Membership Contracts

This regulation set out the approval criteria for membership benefits.

This rule is being rescinded as it is duplicative of statutory requirements.

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 business. Insurance
20 CSR 400-6.300 Ambulatory Surgical Centers

This rule allowed health services corporations to vary the benefit amounts payable to ambulatory surgical centers.

This rule is being rescinded as it not supported by statutory authority.

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 business. Insurance
20 CSR 400-6.400 Benefit Payment Standards

This rule described those patterns which may constitute reason for the director to order an investigation.

This rule is being rescinded as it is duplicative of statutory requirements.

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 business. Insurance
20 CSR 400-6.600 Conversion Privilege

This regulation described the conversion privilege to be accorded to family memberships on either a group or direct-pay basis. This regulation applies to health service corporations offering nongroup health care plans in Missouri.  

This rule is being rescinded as it is duplicative of statutory requirements.

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 business. Insurance
20 CSR 400-7.010 Forms Which Must be Approved Prior to Use

This rule described the forms which must be filed by a health maintenance organization with the department for approval prior to use.

This rule is being rescinded because it is duplicative of 20 CSR 100-9.100.

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 business. Insurance
20 CSR 400-7.060 Integration With Other Benefits

This rule provided that a health maintenance organization integration provision must be consistent with the Coordination of Benefit Provisions in Group Health Plans set forth in 20 CSR 400-2.030.

This rule is being rescinded because HMOs are included in the Coordination of Benefits regulation, 20 CSR 400-2.030, and this separate rule is therefore duplicative.

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 business. Insurance
20 CSR 400-7.070 Bonding Requirements

This rule outlined the Health Maintenance Organization (HMO) bonding requirements and how they were deemed satisfied.

This rule is being rescinded because it is duplicative of a statutory requirement and is no longer relevant.

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 business. Insurance
20 CSR 400-7.080 Enrollee Protection Provisions

This rule protected enrollees who were covered by health maintenance organizations (HMO).

This rule is being rescinded because the enrollee protections outlined in this rule are included in a statute enacted subsequent to the original promulgation of this rule, and therefore this rule is duplicative of statute and unnecessary. See Section 354.606, RSMo (2016).

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 business Insurance
20 CSR 400-7.100 Copayments

This rule provided that a health maintenance organization may require copayments of its enrollees and set forth limitations on copayments per service and per year.

This rule is being rescinded as the market and regulatory environment have changed since the rule’s promulgation and the limitations on copayments provided by the rule are no longer necessary to protect the public from excessive copays.

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 business. Insurance
20 CSR 400-7.110 Health Maintenance Organizations--Resolutions of Enrollee Grievances

This rule set forth the guidelines and procedures to be used by a health maintenance organization to resolve enrollee grievances.

This rule is being rescinded because it has been superseded by subsequently enacted statutes, sections 376.1350-376.1399, which outline a grievance and appeals process and is applicable to HMOs. Therefore this rule is duplicative of statute and unnecessary.

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 business. Insurance
20 CSR 400-7.130 Authorization for Emergency Medical Services

This rule set forth the requirements of a health maintenance organization when prior authorization for emergency medical service is required.

This rule is being rescinded because it conflicts with the provisions of section 376.1376, which prohibits prior authorization for emergency services. This statue was enacted after the promulgation of this rule and applies to HMOs. Therefore this rule is obsolete.

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 business. Insurance
20 CSR 400-7.150 Health Maintenance Organizations-Disenrollments

This rule specified when a health maintenance organization may disenroll an enrollee for nonpayment of a copayment when his/her premium has been paid.

This rule is being rescinded because it conflicts with provisions of the federal Health Insurance Portability and Accountability Act (HIPAA) (P.L. 104-191) and Missouri’s HIPAA law (sections 376.450-376.454, RSMo (2016)).

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 business. Insurance
20 CSR 400-7.160 Multiple Names Prohibited

This rule implemented the provisions of sections 354.405, 354.460, 375.934 and 375.936(4), RSMo regarding the name of a health maintenance organization and misleading information and advertising. This rule prohibits a health maintenance organization from using any name other than its true name on its certificate of authority and sets forth specific requirements for the use of multiple names on its other documents and publications.

This rule is being rescinded because there is no statutory authority for the rule and it is not reflective of current market conditions.

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 business. Insurance
20 CSR 400-7.170 Distribution of Written Disclosure Information

This rule set forth with greater specificity the enrollees who are entitled to written disclosure information.

This rule is being rescinded because it is duplicative of the requirements in the statute, and any efficiency achieved by only having to provide one written disclosure per household is offset by a provision of the statute that makes electronic delivery of the notices the default method of delivery.

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 business. Insurance
20 CSR 400-7.200 Provider Selection Standards This rule required health carriers to file selection standards for primary care and specialty health care providers with the department on an annual basis. This rule is being rescinded because it is duplicative of a statutory requirement, as specified in section 354.606 RSMo.

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 business. Insurance
20 CSR 400-7.300 Evidence Required to Prove Criteria for Designation as Community-Based Health Maintenance Organization

This rule described the evidence the department will require of a health maintenance organization to prove the health maintenance organization meets the criteria set out in sections 354.400(2)(d), 354.400(2)(e) and 354.400(2)(f), RSMo, H.B. 335 (1997) to be designated as a community-based health maintenance organization and other information which the department may take into account in determining whether or not a health maintenance organization meets the aforementioned criteria.

This rule is being rescinded because it is not specifically authorized in statute, and Missouri has never had an HMO seek designation as a community-based HMO.

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 business. Insurance
20 CSR 400-7.400 Pharmacies and Prescription Drugs

This rule outlined provisions related to pharmacy benefits under plans offered by health maintenance organizations.

This rule is being rescinded because it is duplicative of provisions in section 354.535, RSMo.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 400-8.100 Filing Fees

This rule outlined forms and procedures to be followed when filing forms for life and health products with the division.

This rule is being rescinded because it is out of date and duplicative of other filing rules.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 400-8.200 Procedures for the Filing of All Policy Forms and Certain Rates for Life or Health Policies, Contacts, or Related Forms

This rule outlined procedures for filing life or accident and health insurance policies, health maintenance organization benefit plans, health maintenance organization provider contracts, annuities and other contracts, and related forms with the department. It also established procedures for filing certain rates and described how filing fees were calculated.

This rule is being rescinded as it is out of date and duplicative of other filing rules.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 400-8.300 Uniform Health Care Billing Forms

This rule was intended to standardize the forms used in the billing and reimbursement of forms utilized and increase efficiency in the reimbursement of health care services through standardization in accordance with section 374.184, RSMo.

This rule is being rescinded as it is out of date.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 400-9.100 Eligibility

This rule implemented section 143.999 related to individual medical accounts.

This rule is being rescinded because it is obsolete and the state tax exemption authorized by the underlying statue has not been claimed in more than 20 years.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 500-6.100 Policy and Endorsement Forms

This rule specifies policy provisions to be found in all Workers’ Compensation policies. In addition, there are specifications for approval or disapproval by the director. This rule was adopted pursuant to the provisions of section 374.045, RSMo and implements section 287.310, RSMo.

This director is amending sections (1), (7), (8), & (9) while deleting sections (2)-(6).

This amendment streamlines language, removes an unnecessary countersignature requirement, and updates statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 500-6.300 Self-Insurance

This rule outlines the requirements for employers that choose to self-insure their Workers’ Compensation claims on a group basis.

The director is amending sections (1)-(4) & (8), deleting sections (5)-(7) & (9), and amending the purpose statement.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 500-6.500 Performance Standards for Workers’ Compensation Carriers

This rule outlines the requirements for employers that choose to self-insure their Workers’ Compensation claims on a group basis.

The director is amending sections (1)-(2).

This amendment streamlines language and updates statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 500-6.700 Workers’ Compensation Managed Care Organizations

This rule described circumstances when use of a managed care plan approved by the department could justify premium discount for workers’ compensation insurance.

This rule is being rescinded because it was declared void by the Cole County Circuit Court in Case No. 02CV325517.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-1.005 Scope and Definitions

This rule sets out the scope of the rules in this chapter and provides definitions to aid in the interpretation of the rules in this chapter.

The director is amending sections (1) & (2)(C)-(M).

The amendment to this rule removes unnecessary language that is duplicative of statutory provisions and updates the statutory authority for this rule.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-1.025 Conduct of the Business of Insurance Over the Internet

This regulation provides general guidelines for the conduct of insurance business in Missouri [with Missouri residents] over the internet.

The director is amending sections (1)-(3).

The amendment to this rule modernizes language and updates the statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-1.040 Clearance Letters

This rule discussed the process for insurance producer license applicants to provide letters of clearance from other jurisdictions in which they were licensed.

This rule is being rescinded because it is obsolete, since the department now determines reciprocal licensure through a multistate system.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-1.050 Payment of Earned Commissions

This rule explicitly authorized insurers to pay the amount of commissions due to an insurance producer who earned the commission before the insurer terminated their producer agreement but the commission had not been paid.

This rule is being rescinded because it is unnecessary.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-1.070 Coverages Permitted to be Sold Under Credit License

This rule describes what coverages may be offered or sold under a limited credit insurance producer license

The director is amending the purpose statement and sections (1)-(3).

The purposes of the amendment to this rule are to remove obsolete statutory references, streamline grammar, and update the statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-1.160 Licensing and Authorization of Portable Electronics Insurance Producers and Related Entities

This rule effectuates and aids in the interpretation of sections 379.1500 to 379.1550, RSMo, by providing definitions and license application procedures

The director is amending sections (1) and (2) as well as the purpose statement.

This amendment streamlines language and updates statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-2.005 Scope and Definitions

This rule, 20 CSR 700-2.005, and rules 20 CSR 700-2.200 through 20 CSR 700-2.300, prescribed definitions for and scope of public adjusters transacting business in this state under Chapter 325, RSMo. 2000 and RSMo. Cum. Supp. 2013.

This rule is being rescinded as it is unnecessary and obsolete in light of the 2008 statutory update to the definitions in Chapter 325, specifically section 325.010, RSMo. Cum. Supp. 2013.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-2.100 Public Adjusters

This rule explained the scope of public adjuster licensing and the applicability of the unfair trade practices and frauds act to public adjusters.

This rule is being rescinded as it is redundant to the existing statutory authority regarding licensing of public adjusters in sections 325.015 through 325.055 RSMo 2000. The rule is also unnecessary in light of Unfair Trade Practice Act’s inclusion of adjusters and, more broadly, and person, in section 375.932 as insurers who are subject to the Unfair Trade Practice Act. (sections 375.930 through 375.948).

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-2.200 Claim Checks or Drafts

This rule effectuated or aids in the interpretation of section 375.936(10) as to claims involving a public adjuster or solicitor.

This rule is being rescinded because the rule was last amended June 20, 1991, while section 375.936 was more recently amended in 2000. The rule is no longer necessary in light of the statutory amendment.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-2.300 Public Adjuster Contracts

This rule specified certain information which must be contained in contracts for the services of public adjusters. It required that the right of cancellation provided in section 325.050, RSMo be disclosed in each contract by which an insured employs a public adjuster to adjust a fire loss.

This rule is being rescinded because it is redundant to and may go beyond the statutory authority governing public adjuster contracts, sections 325.050 and 325.055.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-3.200 Continuing Education

This rule establishes procedures and forms with regard to the continuing education requirements contained in section 375.020, RSMo.

The director is amending sections (1), (2), (4)-(8), (11), (13), and deleting section (12).

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-6.100 Applications, Fees, and Renewals- Bail Bond Agents, General Bail Bond Agents, and Surety Recovery Agents

This rule establishes initial and renewal application requirements for bail bond agents, general bail bond agents, and surety recovery agents under sections 374. 695-374.789, RSMo.

The director is amending sections (1)-(3) and the purpose statement.

This amendment streamlines language and updates statutory citations.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-6.160 Continuing Education for Bail Bond Agents, General Bail Bond Agents and Surety Recovery Agents

This rule establishes procedures with regard to the continuing education requirements contained in sections 374.710 and 374.784, RSMo.

The director is amending sections (1)-(14).

This amendment corrects and conforms various definitions, streamlines language, and updates statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-6.200 Assignment and Acknowledgement

This rule is intended to clarify the procedure for the asset assignment requirement under sections 374.725 and 374.740, RSMo.

The director is amending sections (1)-(2) and deleting section (3).

This amendment streamlines language and updates statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-6.250 Assignment of Additional Assets

This rule effectuates and aids in the interpretation of the provisions of sections 374.715 and 374.740, RSMo. Involving the assignment of additional by general bail bond agents.

The director is amending sections (1)-(2) and the purpose statement.

This amendment streamlines language and updates statutory authority.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 700-6.300 Affidavits

This rule established the location of the affidavit form required to be filed monthly pursuant to section 374.760, RSMo.

This rule is being rescinded because it is unnecessary.

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 amendment does not have an adverse impact or small business. Insurance
20 CSR 2263-2.020 Educational Requirements for Licensed Social Workers

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly.  The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

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 rule does not have an adverse impact on small businesses. Professional Registration – Social Workers
20 CSR 2263-2.030 Supervised Licensed Social Work Experience

This rule defines supervised licensed social work experience and sets out the supervised experience requirements for licensed clinical social workers and licensed baccalaureate social workers.

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 – Social Workers
20 CSR 2263-2.032 Registration of Supervised Social Work Experience

This amendment updates the requirements for registering clinical social work experience.

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 – Social Workers
20 CSR 2263-2.050 Application for Licensure as a Social Worker

This amendment updates the requirements for applying for licensure.

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 – Social Workers
20 CSR 2263-2.060 Licensure by Reciprocity

This rule provides information to those desiring licensure by reciprocity.

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 – Social Workers
20 CSR 2263-2.075 Renewal of License

This amendment removes unnecessary language

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 – Social Workers
20 CSR 2263-2.090 Inactive Status

This amendment removes outdated language.

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 – Social Workers
20 CSR 2263-3.100 Confidentiality

This amendment adds a guideline for the use of electronic media.

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 – Social Workers
20 CSR 2150-5.100 Collaborative Practice Arrangement with Nurses.

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly.  The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

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 – Healing Arts
20 CSR 2150-5.100 Collaborative Practice Arrangement with Nurses.

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly.  The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Healing Arts
20 CSR 2150-7.130 Applicants for Certificate of Controlled Substance Prescriptive Authority

This rule is being amended to implement Senate Bill 718 (2018) passed by the 99th General Assembly.

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 – Healing Arts
20 CSR 2150-7.130 Applicants for Certificate of Controlled Substance Prescriptive Authority

This rule is being amended to implement Senate Bill 718 (2018) passed by the 99th General Assembly.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Healing Arts
20 CSR 2150-7.135 Physician Assistant Supervision Agreements

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly. The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

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 – Healing Arts
20 CSR 2150-7.135 Physician Assistant Supervision Agreements

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly. The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

Not applicable to emergency rules.

Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Healing Arts
20 CSR 2150-2.080 Physician Licensure Fees

This rule is being amended to decrease the licensing fees for assistant physicians as passed in Senate Bill 718 (2018) passed by the 99th General Assembly.

PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirty-seven thousand dollars ($37,000) 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 amendment will save private entities approximately thirty-seven thousand dollars ($37,000) 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 not have an adverse impact on small businesses. Professional Registration – Healing Arts
20 CSR 2150-2.080 Physician Licensure Fees

This rule is being amended to decrease the licensing fees for assistant physicians as passed in Senate Bill 718 (2018) passed by the 99th General Assembly.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Healing Arts
20 CSR 2150-2.230 Assistant Physician—Continuing Education

This rule is being amended reduce the number of continuing education hours required for physician assistants as passed in Senate Bill 718 (2018) passed by the 99th General Assembly.

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 – Healing Arts
20 CSR 2150-2.230 Assistant Physician—Continuing Education

This rule is being amended reduce the number of continuing education hours required for physician assistants as passed in Senate Bill 718 (2018) passed by the 99th General Assembly.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Healing Arts
20 CSR 2150-2.240 Assistant Physician Collaborative Practice Agreements

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly. The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

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 – Healing Arts
20 CSR 2150-2.240 Assistant Physician Collaborative Practice Agreements

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly. The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Healing Arts
20 CSR 2150-2.250 Assistant Physician [Supervision]—Collaborative Practice Change Requirements

This rule is being amended to implement Senate Bill 718 (2018) passed by the 99th General Assembly.

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 – Healing Arts
20 CSR 2150-2.250 Assistant Physician [Supervision]—Collaborative Practice Change Requirements

This rule is being amended to implement Senate Bill 718 (2018) passed by the 99th General Assembly.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Healing Arts
20 CSR 2150-2.260 Assistant Physician—Certificate of Prescriptive Authority

This rule is being amended to implement Senate Bill 718 (2018) passed by the 99th General Assembly with respect to the assistant physician’s involvement in the “Improved Access to Treatment for Opioid Addictions Act” (IATOA) and with regard to on-site supervision 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 not have an adverse impact on small businesses. Professional Registration – Healing Arts
20 CSR 2150-2.260 Assistant Physician—Certificate of Prescriptive Authority

This rule is being amended to implement Senate Bill 718 (2018) passed by the 99th General Assembly with respect to the assistant physician’s involvement in the “Improved Access to Treatment for Opioid Addictions Act” (IATOA) and with regard to on-site supervision requirements.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Healing Arts
20 CSR 2200-4.200 Collaborative Practice.

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly.  The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

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 – Nursing
20 CSR 2200-4.200 Collaborative Practice.

This amendment is necessary to implement the provision of Senate Bill 718 (2018) passed by the 99th General Assembly.  The proposed amendment change permits an advanced practice registered nurse (APRN) to prescribe buprenorphine, a Schedule III drug, for thirty (30) days without refill for patients receiving medication-assisted treatment for substance use disorders under the direction of the collaborating physician.  It also prohibits the collaborating physician or supervising physician from entering into a collaborative practice arrangement or supervision agreement with more than six (6) full-time equivalent advanced practice registered nurses, full-time equivalent licensed physician assistants, or full-time equivalent assistant physicians, or any combination thereof.

Not applicable to emergency rules.

Link to Missouri Register Not applicable to emergency rules. Professional Registration – Nursing
20 CSR 2040-2.011 Licenses

This amendment adds amateur kickboxing as prescribed in House Bill 1388 signed into law and effective August 28, 2018 and the expiration date for licenses.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 - Athletics
20 CSR 2040-2.021 Permits

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018 and incorporates permit information from 20 CSR 2040-8.030.

PUBLIC COST: This proposed amendment will increase the fund for the Office of Athletics approximately one hundred twenty-five dollars ($125) 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 twenty-five dollars ($125) 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 have an adverse impact on small businesses. Professional Registration - Athletics
20 CSR 2040-8.020 Licensing

This rule is being rescinded to consolidate licensure requirements into 20 CSR 2040-2.011.

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 - Athletics
20 CSR 2040-8.030 Event Permits

This rule is being rescinded to consolidate licensure requirements into 20 CSR 2040-2.021.

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 - Athletics
20 CSR 2015-1.030 Fees.

This amendment reduces the biennial renewal fee.

PUBLIC COST: This proposed amendment will cost state agencies three thousand five hundred dollars ($3,500) biennially 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 save private entities approximately three thousand five hundred dollars ($3,500) biennially 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 not have an adverse impact on small businesses. Professional Registration - Acupuncturist
20 CSR 2015-1.030 Fees.

This amendment reduces the biennial renewal fee.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Acupuncturist
20 CSR 2110-2.010 Licensure by Examination—Dentists

This proposal specifies the skills that a dentist shall be tested on to qualify for licensure.

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 – Dental
20 CSR 2245-6.017 AQB 2018 Licensure Criteria

This rule outlines the requirements set out by the Appraisal Qualifications Board (AQB) for licensure and certification.

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 cost private entities five thousand four hundred dollars ($5,400) 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 not have an adverse impact on small businesses. Professional Registration - Appraisers
20 CSR 2245-6.015 Examination and Education Requirements

This rule is being rescinded as the requirements are no longer valid per Appraiser Qualifications Board.

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 rule does not have an adverse impact on small businesses. Professional Registration - Appraisers
20 CSR 2263-1.025 Complaint Handling and Disposition

This amendment updates a statutory reference and updates those individuals under the committee’s statutory authority.

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 - Social Workers
20 CSR 2263-1.016 Policy for Handling Release of Public Records

This rule outlines the policy regarding the release of information on any meetings, committee records or votes in compliance with sections 610.010–610.030, RSMo.

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 - Social Workers
20 CSR 2263-1.010 Definitions

This amendment updates the accrediting commission and removes the definition of provisional licensee.

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 - Social Workers
20 CSR 2200-4.010 Fees

This amendment eliminates the examination fee.

PUBLIC COST: This proposed amendment will cost state agencies two hundred twenty-nine thousand two hundred dollars ($229,200) 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 save private entities approximately two hundred twenty-nine thousand two hundred dollars ($229,200) 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 rescission does not have an adverse impact on small business. Professional Registration - Nursing
20 CSR 2040-1.021 Definitions

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-3.011 Tickets and Taxes

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-3.030 Approval of Nationally Recognized Amateur Sanctioning Bodies

The passage of HB 1388 eliminates the need to approve sanctioning bodies.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-4.015 Promoters

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY 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 save private entities one million one hundred seventy-nine thousand two hundred sixty-two dollars ($1,179,262) to two million twelve thousand five hundred twelve dollars ($2,012,512) 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 rescission does not have an adverse impact on small business. Professional Registration - Athletics
20 CSR 2040-4.020 Matchmakers

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-4.030 Referees

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-4.040 Physicians

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-4.050 Timekeepers

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics

20 CSR 2040-4.060 Announcers

The rules is being rescinded because announcers are no longer required to be licensed by the Office of Athletics.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-4.070 Seconds

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-4.080 Judges

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-4.090 Contestants

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY 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 cost private entities approximately nine hundred eighty dollars ($980) annually thereafter 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 rescission does not have an adverse impact on small business. Professional Registration - Athletics
20 CSR 2040-4.100 Inspectors

This rule defines the duties and responsibilities of inspectors.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-5.010 Inspectors

This rule is being rescinded and re-promulgated as 20 CSR 2040-4.100 to make the sequence of the rules of the Missouri Office of Athletics more logical and cohesive and to incorporate recent statutory changes enacted in 2018.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-5.040 Rules for Professional Boxing

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-5.060 Rules for Professional and Amateur Kickboxing and Professional Full-Contact Karate

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY 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 cost private entities approximately sixty thousand dollars ($60,000) annually thereafter 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 rescission does not have an adverse impact on small business. Professional Registration - Athletics
20 CSR 2040-6.010 Facility and Equipment Requirements

This rule is being amended to consolidate rules from a chapter that is being rescinded to add the requirement for a cage.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-7.010 Disciplinary and Appeals Procedures

This rule is being amended to clarify the discipline and appeal procedures.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-8.010 Definitions

This rule is rescinded to consolidate the definitions used by the Office of Athletics into 20 CSR 2040-1.021

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed rescissionwill 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 business. Professional Registration - Athletics
20 CSR 2040-8.040 Tickets and Taxes

This rule is being rescinded and consolidated into 20 CSR 2040-3.011

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.050 Contestants

This rule is being rescinded and consolidated into 20 CSR 2040-4.090.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.060 Inspectors

The rule is being consolidated into 20 CSR 2040-4.100

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.070 Judges

This rule is being rescinded to consolidate into 20 CSR 2040-4.080.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.080 Matchmakers

This rule is being rescinded to consolidate into 20 CSR 2040-4.020.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.090 Physicians

The rule is being rescinded to consolidate into 20 CSR 2040-4.040.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.100 Promoters

The rule is being rescinded to consolidate into 20 CSR 2040-4.015.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.110 Referees

This rule is being rescinded to consolidate into 20 CSR 2040-4.030.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.120 Seconds

The rule is being rescinded to consolidate into 20 CSR 2040-4.070.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-8.130 Timekeepers

This rule is being rescinded to consolidate into 20 CSR 2040-4.050.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2040-[8.140] 5.070 Fouls

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-8.160 Attire and Equipment

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-8.170 Weigh-Ins

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-8.180 Rules for Bouts/Contests

This rule is being amended to implement House Bill 1388 signed into law and effective August 28, 2018.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment 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 business. Professional Registration - Athletics
20 CSR 2040-8.190 Facility and Equipment Requirements

This rule is being rescinded to consolidate into 20 CSR 2040-6.010.

PUBLIC ENTITY COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY 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 business. Professional Registration - Athletics
20 CSR 2231-1.010 General Organization This rule is being amended to add Electrical Contractors as an office assigned to the division and add “Professional” before landscape architects.

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.
  This proposed amendment does not have an adverse impact on small businesses. Professional Registration
20 CSR 2231-2.010 Designation of License Renewal Dates and Related Renewal Information This amendment establishes the renewal date for electrical contractors and adds drug outsourcers and third-party logistics providers under the Board of Pharmacy.

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.
  This proposed amendment does not have an adverse impact on small businesses. Professional Registration
20 CSR 2110-2.001 Definitions This rule is being amended to lessen restrictions on the delivery of care by dental hygienists working under the general supervision of a supervising dentist.

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 amendment does not have an adverse impact on small businesses. Professional Registration – Dental
20 CSR 2030-2.040 Evaluation Criteria for Building Design The purpose statement of this rule is being amended to reflect the correct edition of the International Building Code to be consistent with the date appearing in the text of the rule.

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 amendment does not have an adverse impact on small businesses. Professional Registration

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