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 200-5.010 Amendment and Restatement of Articles. The director is amending sections (1) and (2), and deleting the two appendices that follow the rule. PURPOSE: This amendment simplifies and modernizes the rule, and amends the rule to provide for a streamlined process to amend and restate articles of incorporation or association.

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 200-17.200 Procedure for Foreign Insurer to Obtain a Certificate of Authority to Transact the Business of Insurance. The director is amending sections (1) and (3). This amendment removes outdated language

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 200-19.020 Scope and Definitions. The director is amending sections (1) and (2). This amendment updates and removes unnecessary language.

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 200-19.050 Registration. The director is amending sections (1)-(3 This amendment modifies and removes unnecessary language.

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 400-6.100 Establishment and Computation of Reserves This amendment removes outdated language

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 2o CSR 800-3.020 General Procedures. The director is amending sections (1)-(2) and (4)-(9). This amendment clarifies and modernizes the rule.

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 800-3.010 Definitions This amendment updates the rule to reflect an additional type of merger and acquisition proceeding, clarifies language, and removes unnecessary definitions

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 200-1.005 Materials [Incorporated by Reference] to be Utilized by the Director. This amendment maintains clear guidance on publications used by the department while removing references to specific editions of the publications in the rule, thereby ensuring that the most recent publication will be in effect.

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 100-6.100 Privacy of Financial Information. The director is amending subsections (B), (F), (H), (J), (M), (N), (O), (Q), (R), (S), and (T) of section (1), as well as sections (2), (3), (4), and (5). The director is also deleting Appendix 1 which follows the rule in the Code of State Regulations. PURPOSE: This amendment reflects changes to the federal Gramm-Leach-Bliley Act made by Congress through the enactment of the Fixing America’s Surface Transportation Act (FAST) in 2015 (Pub. L. No. 114-94). These changes eliminated the GLBA requirement for financial institutions to provide annual privacy notices about treatment of nonpublic personal information under certain conditions. These GLBA changes eliminated duplicative and costly notification requirements for financial institutions, including insurance companies. Amending this rule aligns state law with federal law.

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 500-10.400 Policy Rates and Forms. This rule effectuated sections 379.420 to 379.510, RSMo (1994), as such sections applied to mortgage guaranty insurance. PURPOSE: This rule is being rescinded because it is unnecessary.

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 500-10.300 Unfair Acts or Practices. This rule carried out and effectuated the provisions of sections 375.930-375.948, RSMo (1994), as such sections apply to mortgage guaranty insurance. PURPOSE: This rule is being rescinded because it is not supported by the authorizing statute.

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 Rescission 20 CSR 500-10.200 Financial Regulation. This rule defined terms and explained usage for those terms used in this chapter. This regulation implemented section 379.010, RSMo. PURPOSE: This rule is being rescinded because it is unnecessary.

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 Rescission 20 CSR 500-10.100 Definitions. This rule defined terms and explained usage for those terms used in this chapter. This regulation implemented section 379.010, RSMo. PURPOSE: This rule is being rescinded because it is unnecessary.

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 200-4.010 Books, Records, Accounts and Vouchers. The director is amending sections (1), (2), and (4), and amending the purpose statement. PURPOSE OF AMENDMENT: This amendment updates the rule to comport with modern record formats and retention capabilities.

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 Rescission 20 CSR 200-2.700 Reinsurance Mirror Image Rule. This rule effectuated or aided in the interpretation of a law related to the business of insurance, section 375.246.5, RSMo. PURPOSE: This rule is being rescinded because it is no longer necessary.

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 200-3.010 Reporting of Flexible Payment Deferred Annuity Contract Premiums. The director is amending sections (1) and (3), and amending the purpose statement. PURPOSE OF AMENDMENT: This amendment removes unnecessary and outdated language from the rule.

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 200-3.200 New Business Facility Tax Credit. The director is deleting section (2) and amending existing section (4). PURPOSE: This amendment removes unnecessary and erroneous language from the rule.

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 200-2.800 Assumption Reinsurance. The director is removing sections (1), (2), (5), and (7), and amending existing sections (3), (4), and (6). PURPOSE: This amendment restructures and simplifies the rule, and removes language that is unnecessary due to identical or similar statutory provisions.

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 Rescission
20 CSR 200-2.200 Reinsurance—Lloyd’s, London, England. This rule described conditions for reinsuring with underwriters at Lloyd’s, London, England. This rule was adopted pursuant to the provisions of section 374.045, RSMo and implemented section 375.241, RSMo.
PURPOSE: This rule is being rescinded because it implements a statute that was repealed in 1993, and because it is no longer necessary.

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 200-1.110 Qualifications of Actuary or Consulting Actuary. The director is amending sections (1)-(3) and (6), and amending the purpose statement.
PURPOSE OF AMENDMENT: This amendment corrects a statutory reference and removes unnecessary language.

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 business. Insurance
Proposed Amendment 20 CSR 200-1.020 Accounting Standards and Principles. The director is amending sections (1)-(3) and amending the purpose statement. PURPOSE OF AMENDMENT: This amendment updates the references within the rule to reflect changes in Missouri statute and regulation.

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 business. Insurance
Proposed Amendment 20 CSR 200-1.070 Subordinated Indebtedness. The director is amending sections (1)-(7) and amending the purpose statement. PURPOSE OF AMENDMENT: This amendment modernizes the rule and removes outdated and unnecessary language.

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 200-1.050 Financial Standards for Prepaid Dental Plans. The director is amending sections (1)-(4) and deleting the editor’s note. PURPOSE: This amendment modernizes the rule and removes outdated and unnecessary provisions.

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 200-1.040 Financial Standards for Health Maintenance Organizations. The director is amending section (1)-(5) and adding a new section (6). PURPOSE: This amendment modernizes the rule and removes outdated and unnecessary provisions.

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 Rescission 20 CSR 200-1.039 Supplemental Filing Requirements for Material Transactions. This rule aided in the interpretation of sections 354.105, 354.190, 354.435, 354.465, 354.717, 354.720, 374.190, 375.041, 375.400, 376.350, 377.100, 377.380, 378.626, 379.105, 381.241, 383.030 and 384.021, RSMo, and required domestic insurance companies to disclose material transactions as addenda to the annual and quarterly financial statement filings in order to protect policyholders, claimants, creditors, shareholders and the public. PURPOSE: This rule is being rescinded because it exceeds the department’s statutory authority with respect to multiple statutes cited in its purpose statement, and because it is not currently enforced.

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 200-1.025 Valuation of Invested Assets. The director is amending sections (1)-(2) and amending the purpose statement.
PURPOSE OF AMENDMENT: This amendment updates a statutory reference and simplifies a reference to publications of the National Association of Insurance Commissioners.

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 200-1.020 Accounting Standards and Principles. The director is amending sections (1)-(3) and amending the purpose statement. PURPOSE OF AMENDMENT: This amendment updates the references within the rule to reflect changes in Missouri statute and regulation.

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 Rescission 20 CSR 200-1.150 General Standards Applicable to Audited Financial Reports. This rule provided interpretations of various terms and provisions used in sections 375.1025--375.1062, RSMo which govern how the financial reports of insurers are to be audited. PURPOSE: This rule is being rescinded because it largely conflicts with or duplicates Missouri statutes and is otherwise unnecessary.

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 Rescission 20 CSR 200-1.010 Financial Condition of Insurance Companies. This rule enumerated conditions which may have indicated that an insurer was in a financial condition which would require further scrutiny in order to protect its policyholders, claimants, creditors, shareholders and the public. PURPOSE: This rule is being rescinded because it was superseded by the enactment of section 375.539, RSMo in 2010.

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 Emergency
20 CSR 2231-3.010 Fee Waiver for Military Families and Low-Income Individuals

This rule complies with section 324.015.6, RSMo, which requires the Division of Professional Registration to promulgate rules to implement the provisions of 324.015, the waiver of occupational fees for military families and low-income individuals for a period of two (2) years.

Not applicable to emergency rule.

Link to Missouri Register

Not applicable to emergency rule.

Professional Registration

20 CSR 2231-3.010 Fee Waiver for Military Families and Low-Income Individuals

This rule complies with section 324.015.6, RSMo, which requires the Division of Professional Registration to promulgate rules to implement the provisions of 324.015, the waiver of occupational fees for military families and low-income individuals for a period of two (2) years.

PUBLIC COST: This proposed rule will cost state agencies or political subdivisions approximately one hundred one thousand eight hundred fifty dollars ($101,850) to three million fifty-five thousand five hundred dollars ($3,055,500) 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 rule will save private entities one hundred one thousand eight hundred fifty dollars ($101,850) to three million fifty-five thousand five hundred dollars ($3,055,500) 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

Proposed Emergency
20 CSR 2210-2.020 Licensure by Examination

This amendment ensures the relevancy of the Board’s Licensure by Examination process by ensuring that competency examinations are taken in a timely manner.

Not applicable to emergency rule.

Link to Missouri Register

Not applicable to emergency rule.

Professional Registration – Optometry

20 CSR 2210-2.020 Licensure by Examination

This amendment ensures the relevancy of the Board’s Licensure by Examination process by ensuring that competency examinations are taken in a timely manner.

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 approximately two thousand one hundred dollars ($2,100) quinquennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

Link to Missouri Register

This proposed rule does have an adverse impact on small businesses.

Professional Registration – Optometry

Proposed Emergency
20 CSR 2232-1.040 Fees

This amendment reduces the renewal and reactivation fees and adds a verification fee.

Not applicable to emergency rule.

Link to Missouri Register

Not applicable to emergency rule.

Professional Registration - Interpreters

20 CSR 2232-1.040 Fees

This amendment reduces the renewal and reactivation fees and adds a verification fee.

PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirty-eight thousand five hundred dollars ($38,500) from December 1, 2018 through November 30, 2019 and twenty-three thousand five hundred forty ($23,540) beginning December 1, 2019 and 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.

PRIVATE COST: This proposed amendment will cost private entities thirty-eight thousand five hundred dollars ($38,500) from December 1, 2018 through November 30, 2019 and twenty-three thousand five hundred forty ($23,540) beginning December 1, 2019 and 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 rule does not have an adverse impact on small businesses.

Professional Registration - Interpreters

Proposed Emergency
20 CSR 2110-2.250 Prescribing Opioids

This rule provides for regulation of prescriptions for opioid pain medication.

Not applicable to emergency rule.

Link to Missouri Register

Not applicable to emergency rule.

Professional Registration – Dental

20 CSR 2110-2.250 Prescribing Opioids

This rule provides for regulation of prescriptions for opioid pain medication.

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Dental

Proposed Rescission:
20 CSR 2070-3.010 Preceptorship.

This rule is being rescinded because chiropractic colleges and universities are responsible for selecting and screening preceptors for chiropractic students, therefore the rule is 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 businesses.

Professional Registration - Chiropractic

Proposed Amendment:
20 CSR 2070-4.010 Chiropractic Insurance Consultant

This rule sets out procedures for chiropractic physicians to become certified as chiropractic insurance consultants to perform third-party reviews, compensation for third-party reviews, and biennially reporting and renewal of the 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 approximately one hundred forty-five dollars and ninety-eight cents ($145.98) 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 have an adverse impact on small businesses.

Professional Registration - Chiropractic

Proposed Amendment:
20 CSR 2070-4.010 Chiropractic Insurance Consultant

This rule is being rescinded and re-promulgated to reorganize and consolidate language on continuing education and maintaining 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 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

Proposed Amendment:
20 CSR 2110-2.075 Nonresident Military Spouse Licensure by Credentials

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 license to practice.

PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately three thousand dollars ($3,000) 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 three thousand dollars ($3,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

Link to Missouri Register

This proposed rule does have an adverse impact on small businesses.

Professional Registration - Dental

Proposed Amendment:
20 CSR 2110-4.020 Moderate Sedation

This amendment updates the qualifications for providing moderate sedation.

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Dental

Proposed Amendment:
20 CSR 2200-7.010 Nursing Education Incentive Program

This amendment is proposed to better align accreditation requirements for institutions of higher education with section 335.203, RSMo.

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Nursing

Proposed Amendment:
20 CSR 2220-2.200 Sterile Compounding

The board is amending sections (5), (9), (17) and (20) of the rule to clarify rule requirements for in-use times/beyond-use dating, remedial investigations as the result of environmental monitoring, documentation of certification results review and cleaning agents for primary engineering controls.

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 - Pharmacy

Emergency Amendment:
20 CSR 2220-2.200 Sterile Compounding

This board is amending sections (9) and (20) of this rule to clarify the requirements for in-use times/beyond-use dating and remedial investigations as the result of environmental monitoring.

Not applicable to emergency rule.

Link to Missouri Register

Not applicable to emergency rule.

Professional Registration - Pharmacy

Proposed Amendment:
20 CSR 2210-1.010 General Organization

This rule is being amended to delete information found in 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 businesses.

Professional Registration - Optometry

Proposed Amendment:
20 CSR 2210-1.020 Board Member Compensation

This rule is being amended to reduce unnecessary regulatory 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 businesses.

Professional Registration - Optometry

Proposed Amendment:
20 CSR 2210-2.011 Licensure by Endorsement

This rule is being amended to reduce unnecessary regulatory 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 businesses.

Professional Registration - Optometry

Proposed Amendment:
20 CSR 2210-2.030 License Renewal

This rule clarifies the license renewal requirements and procedures.

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 - Optometry

Proposed Amendment:
20 CSR 2210-2.060 Professional Conduct Rules

This rule is being amended pursuant to Executive Order 17-03.

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 - Optometry

Emergency Amendment:
20 CSR 2150-5.025 Administration of Vaccines Per Protocol

This amendment eliminates unnecessary restrictions/requirements and updates/clarifies requirements for pharmacists immunizing by protocol.

Not applicable to emergency rule.

Link to Missouri Register

Not applicable to emergency rule.

Professional Registration - Healing Arts

Proposed Amendment:
20 CSR 2150-5.025 Administration of Vaccines Per Protocol

This amendment eliminates unnecessary restrictions/requirements and updates/clarifies requirements for pharmacists immunizing by protocol.

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 - Healing Arts

Proposed Amendment:
20 CSR 2110-1.010 General Organization

This rule is being amended to delete duplicative 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 businesses.

Professional Registration - Dental

Proposed Amendment:
20 CSR 2110-1.020 Board Compensation

This rule is being amended to delete outdated statutory language and to reduce unnecessary regulatory 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 businesses.

Professional Registration - Dental

Proposed Amendment:
20 CSR 2110-2.131 Definition of a Public Health Setting

This rule is being amended to reduce unnecessary regulatory 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 businesses.

Professional Registration - Dental

Proposed Amendment:
20 CSR 2110-2.170 Fees

This board is reducing application fees and adding the dental faculty permit fee.

PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirty-eight thousand seven hundred twenty-five dollars ($38,725) 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-eight thousand seven hundred twenty-five dollars ($38,725) 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 - Dental

20 CSR 2270-2.041 Reexamination

This amendment clarifies the deadline for applying to retake the Missouri State Board Examination.

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

20 CSR 2270-3.020 Examinations

This amendment clarifies the deadline to apply for examination.

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

20 CSR 2270-4.011 Minimum Standards for Veterinary Facilities

The amendment allows an owner's agent to act on behalf of the owner.

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

20 CSR 2270-4.021 Minimum Standards for Emergency Clinics/Services      

This amendment allows owner’s agents to receive medical records   

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

20 CSR 2270-4.031 Minimum Standards for Practice Techniques      

This amendment allows owner’s agents to receive confidential 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 rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

20 CSR 2270-4.041 Minimum Standards for Medical Records      

This amendment updates minimum standards.    

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

20 CSR 2270-4.042 Minimum Standards for Continuing Education for Veterinarians     

This amendment updates minimum standards.    

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

20 CSR 2270-6.011 Rules of Professional Conduct

The rule is being amended to update minimum standard and conduct rules to allow an owner’s agent to receive medical records.

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

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Veterinary

Emergency Rule
20 CSR 2150-3.080 Physical Therapists Licensure Fees

This rule is being amended to add fees for compact licensure, active military, active military spouses and veterans and fees for the criminal background check as required in section 334.1206, RSMo, and renumber the remaining subsections and paragraphs accordingly.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Healing Arts

Proposed Rule
20 CSR 2150-3.080 Physical Therapists Licensure Fees

This rule is being amended to add fees for compact licensure, active military, active military spouses and veterans and fees for the criminal background check as required in section 334.1206, RSMo, and renumber the remaining subsections and paragraphs accordingly.

PUBLIC COST: This proposed amendment will increase revenue for state agencies or political subdivisions approximately nineteen thousand two hundred forty-seven dollars ($19,447) 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 cost private entities approximately nineteen thousand two hundred forty-seven dollars ($19,447) 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 - Healing Arts

Emergency Rule
20 CSR 2150-3.170 Physical Therapist Assistant Licensure Fees

This rule is being amended to add fees for compact licensure, active military, active military spouses and veterans and renumber the remaining subsections and paragraphs accordingly.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Healing Arts

Proposed Rule
20 CSR 2150-3.170 Physical Therapist Assistant Licensure Fees

This rule is being amended to add fees for compact licensure, active military, active military spouses and veterans and renumber the remaining subsections and paragraphs accordingly.

PUBLIC COST: This proposed amendment will increase revenue for state agencies or political subdivisions approximately thirteen thousand three hundred thirteen dollars ($13,313) 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 cost private entities approximately thirteen thousand three hundred thirteen dollars ($13,313) 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 - Healing Arts

Emergency Rule
20 CSR 2150-3.300 Physical Therapy Compact Rules

This rule incorporates by reference the Physical Therapy Compact Rules and provides the Missouri Board of Registration for the Healing Arts authority to implement and enforce the Physical Therapy Compact Rules. This rule also effectuates and aids in the interpretation of the Physical Therapy Licensure Compact, sections 334.1200-334.1233, RSMo.

Not applicable to emergency rule.

Link to Missouri Register

Not applicable to emergency rule.

Professional Registration - Healing Arts

Proposed Rule
20 CSR 2150-3.300 Physical Therapy Compact Rules

This rule incorporates by reference the Physical Therapy Compact Rules and provides the Missouri Board of Registration for the Healing Arts authority to implement and enforce the Physical Therapy Compact Rules. This rule also effectuates and aids in the interpretation of the Physical Therapy Licensure Compact, sections 334.1200-334.1233, 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 businesses.

Professional Registration - Healing Arts

Proposed Amendment
20 CSR 2030-21.020 Engineer of Record and Specialty Engineers

This rule is being amended to provide clarity between the roles of the engineer of record, specialty engineer(s), and architect of record.

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

PRIVATE COST: This proposed 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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-21.010 Design of Fire Suppression Systems

This rule is being amended to define a qualified professional engineer and to provide clarity of the qualified professional engineer’s responsibility regarding the design of fire suppression systems.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-15.020 Easements and Property Descriptions

This rule defines which easements and property descriptions shall be prepared by a Professional Land Surveyor.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-10.010 Application for Certificate of Authority

This rule is being amended for purpose of clarification and to add the word “professional” in front of land surveying and landscape architectural services and to allow managers of LLCs to serve as the managing agent. This rule is being amended to provide clarity as to who serves as the Managing Agent.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-8.020 Professional Land Surveyor — Professional Development Units

This rule is being amended to reduce unnecessary regulatory 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 businesses.

Professional Registration - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-6.020 Reexamination Fees

This rule is being amended due to the conversion to Computer Based Testing. Since all engineer-intern and land surveyor-in-training applicants now apply directly with the National Council of Engineering and Surveying Examiners (NCEES), it is necessary for them to apply for reexamination in accordance with the Council’s policy.

PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately nineteen thousand one hundred and fifty dollars ($19,150) 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 nineteen thousand one hundred and fifty dollars ($19,150) 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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-6.015 Application, Renewal, [Reinstatement,] Relicensure, and Miscellaneous Fees

This rule is being amended to add the word “Professional” in front of Landscape Architect and Land Surveyor and to delete the reinstatement fee, the 327.391 application filing fee, and the evaluation of non-accredited degree fee.

PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately seven thousand two hundred and thirty dollars ($7,230) 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 seven thousand two hundred and thirty dollars ($7,230) 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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.160 State Exam Covering Chapter 327, RSMo, the Board Rules and Ethics

This rule requires all applicants for an architectural, professional engineering, or professional landscape architectural license to pass a state specific examination covering Chapter 327, RSMo, the board rules, and ethics before being issued a license to practice.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.140 CLARB Examinations — Professional Landscape Architects.

This rule is being amended to add the word “Professional” in front of 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.

Link to Missouri Register  

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.130 Reexamination — Land Surveyor-in-Training and Professional Land Surveyor

This rule is being amended due to the conversion to Computer Based Testing. Since all land surveyor-in-training applicants now apply directly with the National Council of Engineering and Surveying Examiners (NCEES), it is necessary for them to apply for reexamination in accordance with its policy.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.110 Standards for Admission to Examination — Professional Land Surveyors

This rule is being amended to reduce unnecessary regulatory 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 businesses.

Professional Registration - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.105 Reexaminations — Professional Engineers

This rule is being amended due to the conversion to Computer Based Testing. Since all engineer-intern applicants now apply directly with the National Council of Engineering and Surveying Examiners (NCEES), it is necessary for them to apply for reexamination in accordance with its policy.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.100 Passing of Part I Required—Engineers

This rule is being amended to reduce unnecessary regulatory 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 businesses.

Professional Registration - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.090 Scope of Examination — Professional Engineers

This rule is being amended due to the conversion to Computer Based Testing which has resulted in a reduction of number of hours allowed for testing.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.080 Standards for Licensure — Professional Engineer

This rule is being amended to bring the standards for admission to the engineering examinations in compliance with Sections 327.221 and 327.392.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.055 Passing Grade — Architects

This rule is being amended to reflect the current way the architectural examinations are being graded by the National Council of Architectural Registration Boards (NCARB).

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.030 Standards for Admission to Examination — Architects

This rule is being amended to delete reference to a combined total of 12 years of education, above the high school level, in paragraph (1) and to delete paragraphs (2), (3) and (4) in their entirety since this method of licensure is no longer an option and therefore not relevant.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-5.010 Special Examinations Prohibited

This rule is being amended due to the conversion to Computer Based Testing.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2030-4.010 Filing Deadline—[Architects,] Professional Engineers[,] and Professional Land Surveyors[, Landscape Architects, Engineer Interns and Land Surveyors-in-Training]

This rule is being amended to delete reference to the filing deadline for applicants for examination as Architects, Landscape Architects, Engineer Interns, and Land Surveyors-in-Training due to the conversion to Computer Based Testing.

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 - Architects, Engineers, Surveyors

Proposed Amendment
20 CSR 2200-4.020 Requirements for Licensure

This amendment updates the requirements for nurse 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 rule will save private entities approximately three thousand one hundred twelve dollars ($3,112) 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 - Nursing

Proposed Amendment
20 CSR 2200-4.030 Public Complaint Handling and Disposition Procedure

This amendment deletes unnecessary language regarding the complaint procedure, clarifies how the board investigates complaint and removes unnecessary regulatory 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 businesses.

Professional Registration - Nursing

Proposed Amendment
20 CSR 2200-4.040 Mandatory Reporting Rule

This amendment clarifies the guidelines for mandatory reporting.

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 - Nursing

Proposed Amendment
20 CSR 2200-4.100 Advanced Practice Registered Nurse

This amendment brings the regulation in line with current statutory language, equalizes the requirements for maintenance of the Document of Recognition for the uncertified APRNs and updates titling with national standards.

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 - Nursing

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