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 2255-1.010 This amendment deletes language regarding the board which is 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 businesses. Professional Registration
Proposed Amendment 20 CSR 2255-1.020 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
Proposed Amendment 20 CSR 2255-4.010 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
Proposed Amendment 20 CSR 2267-2.020 This amendment is a one-time reduction in renewal fees. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately ninety-four thousand six hundred dollars ($94,600) from April 1, 2019 through June 30, 2019. Effective July 1, 2019, the renewal fee will revert to its original cost, and the additional costs will end.
PRIVATE COST: This proposed amendment will save private entities approximately ninety-four thousand six hundred dollars ($94,600) from April 1, 2019 through June 30, 2019. Effective July 1, 2019, the renewal fee will revert to its original cost, and the savings will end.
Link To Missouri Register This proposed amendment does have an adverse impact on small businesses. Professional Registration
Emergency Amendment 20 CSR 2245-5.020 This amendment sets forth the required fees assessed to appraisal management companies per Policy Statement 8 issued by the Appraisal Subcommittee in accordance with the Dodd Frank Act. PUBLIC COST: Not applicable to emergency rule.
PRIVATE COST: Not applicable to emergency rule.
Link To Missouri Register Not applicable to emergency rule. Professional Registration
Proposed Amendment 20 CSR 2245-5.020 This amendment sets forth the required fees assessed to appraisal management companies per Policy Statement 8 issued by the Appraisal Subcommittee in accordance with the Dodd Frank Act. PUBLIC COST: This proposed amendment will increase revenue for the Appraisal Subcommittee of the Federal Financial Institutions Examination Council by seven hundred fifty thousand dollars ($750,000) biennially for the life of the rule. The Real Estate Appraisers Commission will not be affected by this proposed amendment.
PRIVATE COST: This proposed amendment will cost private entities approximately seven hundred fifty thousand dollars ($750,000) 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 have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2085-14.010 This rule is being rescinded as it is unnecessary since it duplicates the provisions of Chapter 621, 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 on small businesses. Professional Registration
Proposed Rescission 20 CSR 2085-14.020 This rule is being rescinded as it is unnecessary since it duplicates the provisions of Chapter 621, 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 ($500) in the aggregate.
Link To Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2220-4.010 The Board of Pharmacy is statutorily obligated to enforce and administer the provisions of section Chapter 338, RSMo, governing the practice of pharmacy. Pursuant to section 338.070, RSMo, the Board shall set the appropriate amount of fees by rule, so that the revenue produced shall not substantially exceed the cost and expense of administering the provisions of Chapter 338, RSMo. Based on the Board’s five (5) year projections, the Board is proposing to reduce pharmacist renewal fees. PUBLIC COST: This proposed rule will cost state agencies or political subdivisions approximately one million seventy-seven thousand dollars ($ 1,077,000) in FY 19 as the result of the proposed decrease.
PRIVATE COST: This proposed rule will save private entities approximately one million seventy-seven thousand dollars ($ 1,0770,000) in FY 19.
Link To Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Emergency Rule 20 CSR 2220-4.010 The Board of Pharmacy is statutorily obligated to enforce and administer the provisions of section Chapter 338, RSMo, governing the practice of pharmacy. Pursuant to section 338.070, RSMo, the Board shall set the appropriate amount of fees by rule, so that the revenue produced shall not substantially exceed the cost and expense of administering the provisions of Chapter 338, RSMo. Based on the Board’s five (5)-year projections, the Board finds it necessary to reduce renewal fees for Missouri licensed pharmacists. Not applicable to emergency rule. Link To Missouri Register Not applicable to emergency rule. Professional Registration
20 CSR 2200-8.100 Educational Program 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
20 CSR 2200-8.085 Preceptors 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
20 CSR 2200-8.080 Clinical Experiences 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
20 CSR 2200-8.050 Organization and Administration of an Approved Program of Professional Nursing 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
20 CSR 2200-8.035 Multiple Campuses 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
20 CSR 2200-8.030 Change of Sponsorship 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
20 CSR 2200-8.020 Discontinuing and Reopening Programs 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
20 CSR 2200-8.010 Approval This amendment clarifies the approval process for programs of professional nursing. 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
20 CSR 2200-8.001 Definitions This amendment adds the definition of proper supervision. 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
20 CSR 2200-3.180 Licensure Examination Performance This amendment clarifies impact of licensure examination performance according to each level of program approval. 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
20 CSR 2200-3.130 Program Evaluation This amendment clarifies requirements for evaluating a practical nursing program. 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
20 CSR 2200-3.120 Publications This amendment adds accreditation status and distance learning to be included in publications published by programs of practical nursing. 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
20 CSR 2200-3.110 Records This amendment changes "graduate record" to read "official 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
20 CSR 2200-3.100 Educational Program This amendment better defines and clarifies required learning experiences in clinical settings, provides increased detail related to instructional clock and credit hours required for completion of the nursing program and updates requirements for distance learning. 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
20 CSR 2200-3.090 Students This amendment changes admission and readmission assessment and tracking and maintaining student 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 businesses. Professional Registration
20 CSR 2200-3.085 Preceptors This rule is being amended to include preceptors in the faculty to student ratio. 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
20 CSR 2200-3.080 Clinical [Sites] Experiences This amendment changes clinical learning by requiring inter-professional clinical experiences. 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
20 CSR 2200-3.070 Physical Facilities and Instructional Resources This amendment adds simulation resources and expands designated skills for laboratory staff and resources. This amendment adds simulation resources and expands designated skills for laboratory staff and resources. Link To Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
20 CSR 2200-3.060 Administrator/Faculty This amendment clarifies requirements for program coordinators, qualifications for faculty involved with clinical simulation, and records to be maintained. 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
20 CSR 2200-3.050 Organization and Administration of an Approved Program of Professional Nursing This amendment clarifies requirements for approval of pre-licensure programs of professional nursing. 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
20 CSR 2200-3.040 Program Changes Requiring Board Approval, Notification, or Both This amendment clarifies program changes which require board approval, notification, or both and required notification of change of status to national nursing accreditation. 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
20 CSR 2200-3.035 Multiple Campuses This amendment clarifies approval of programs with multiple campuses. 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
20 CSR 2200-3.030 Change of Sponsorship This rule defines the procedure for a change of sponsorship of a practical nursing program. 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
20 CSR 2200-3.020 Discontinuing and Reopening Programs This amendment establishes a waiting period after closure to initiate the approval process for a new nursing program. 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
20 CSR 2200-3.010 Approval This amendment clarifies the approval process for programs of practical nursing. 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
20 CSR 2200-3.001 Definitions This amendment adds and amends definitions to keep language within the Minimum Standards for Programs of Practical Nursing internally congruent. 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
20 CSR 2200-2.180 Licensure Examination Performance This amendment clarifies impact of licensure examination performance according to each level of program approval. 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
20 CSR 2200-2.130 Program Evaluation This amendment clarifies requirements for evaluating a professional nursing program. 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
20 CSR 2200-2.120 Publications This amendment adds accreditation status and distance learning to be included in publications published by programs of professional nursing. 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 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. Professional Registration
20 CSR 2200-2.110 Records This amendment changes "graduate record” to read “official 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
20 CSR 2200-2.100 Educational Program This amendment better defines and clarifies required learning experiences in clinical settings, provides increased detail related to instructional clock and credit hours required for completion of the nursing program and updates requirements for distance learning. 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
20 CSR 2200-2.090 Students This amendment changes admission and readmission assessment and tracking and maintaining student 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 businesses. Professional Registration
20 CSR 2200-2.085 Preceptors This rule is being amended to include preceptors in the faculty to student ratio. 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
20 CSR 2200-2.080 Clinical [Sites] Experiences This amendment changes clinical learning by requiring inter-professional clinical experiences. 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
20 CSR 2200-2.070 Physical Facilities and Instructional Resources This amendment adds simulation resources and expands designated skills for laboratory staff and resources. 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
20 CSR 2200-2.060 Administrator/Faculty This amendment clarifies requirements for program coordinators, qualifications for faculty involved with clinical simulation, and records to be maintained. 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
20 CSR 2200-2.050 Organization and Administration of an Approved Program of Professional Nursing This amendment clarifies requirements for approval of pre-licensure programs of professional nursing. 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
20 CSR 2200-2.040 Program Changes Requiring Board Approval, Notification, or Both This amendment clarifies program changes which require board approval, notification, or both and required notification of change of status to national nursing accreditation. 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
20 CSR 2200-2.035 Multiple Campuses This amendment clarifies approval of programs with multiple campuses. 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
20 CSR 2200-2.030 Change of Sponsorship This amendment changes the process for change in sponsorships. 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
20 CSR 2200-2.020 Discontinuing and Reopening Programs This amendment establishes a waiting period after closure to initiate the approval process for a new nursing program. 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
20 CSR 2200-2.010 Approval This amendment clarifies the approval process for programs of professional nursing. 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
20 CSR 2200-2.001 Definitions This amendment adds and amends definitions to keep language within the Minimum Standards for Programs of Professional Nursing internally congruent. 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
PROPOSED AMENDMENT - 20 CSR 2220-6.050 Adminstration of Vaccines per Protocol This amendment eliminates unnecessary restrictions/requirements and update/clarify requirements for pharmacists immunizing by protocol. 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 not cost private entities more than five hundred dollars ($500) in the aggregate. Link To Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
PROPOSED AMENDMENT - 20 CSR 2110-2.170 Fees The rule is being amended for a one-time reduction in renewal fees and creates a late renewal fee for limited teaching licenses. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately one hundred ninety-two thousand five hundred dollars ($192,500) from September 1, 2018 to August 31, 2020.  Effective September 1, 2020, the renewal fee will revert to its original cost, and the additional costs will end.  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 one hundred ninety-two thousand five hundred dollars ($192,500) from September 1, 2018 to August 31, 2020. In addition, the proposed amendment and will cost private entities approximately one hundred dollars ($100) biennially for the life of the rule.  Link To Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2220-6.040 This amendment updates and clarifies requirements for pharmacists administering medication by prescription order. 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 not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2220-2.085 This amendment updates and clarifies requirements for electronic prescriptions. 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 not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2110-2.085 This rule is being rescinded as it is not needed. Section 332.171, RSMo, defines the dental specialties that are eligible to be licensed in Missouri as those specialties recognized by the American Dental Association. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2110-2.110 This rule is being rescinded as it is not necessary since section 332.321, RSMo, provides that dentists may not advertise in a way that is false, misleading or deceptive to the public. This rule creates unduly burdensome regulations and restrictions on dentists’ ability to advertise services that they can legally provide. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2110-2.111 This rule is being rescinded as it is not necessary since section 332.321, RSMo, provides that dental hygienists may not advertise in a way that is false, misleading, or deceptive to the public. This rule creates unduly burdensome regulations and restrictions on dental hygienists’ ability to advertise services that they can legally provide. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2110-2.132 This rule is being rescinded as it is not necessary since a dental hygienist is required to provide care at an acceptable standard using appropriate equipment regardless of the type of practice setting the dental hygienist is working in. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 2110-2.140 This rule is being rescinded as it is unnecessary and unduly burdensome. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 2110-2.150 This rule is being rescinded as it is unnecessary since section 332.081, RSMo, defines regulates the types of entities that may own a dental practice. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 2110-2.220 This rule is being rescinded as it is unnecessary since section 383.133 already outlines requirements for hospitals and/or ambulatory surgical centers to report disciplinary actions against dentists. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-1.010 The rule is being rescinded as the information already exists in statute or board guidelines. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-1.020 The rule is being rescinded as not necessary since board compensation is set by statute. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2030-5.050 Since Missouri is established as a “Direct Registration” state with the National Council of Architectural Registration Boards (NCARB), all applicants for examination as an architect apply directly with NCARB and no longer with the board; thus, this rule is no longer necessary and can be rescinded. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2205-5.010 This amendment clarifies continuing competency requirements and earning continuing competency credits. 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
Proposed Amendment 20 CSR 2245-2.050 This amendment removes the requirement to record the hours spent to complete an appraisal in an assignment log. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed RESCISISON- 20 CSR 2245-6.010 The Appraisal Qualifications Board changed the requirements making this rule outdated. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: his proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2245-10.010 This amendment changes information required for contact information for service of process, amends owner information required if an individual owns more than ten percent (10%), and verification of licensure 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 cost private entities approximately three hundred dollars ($300) to six hundred dollars ($600) for the first year of implementation and approximately fifteen dollars ($15) to thirty dollars ($30) 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 have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2245-10.020 This amendment clarifies language regarding licensure status of appraisers who wish to work with appraisal management companies. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2245-10.030 This amendment requires appraisal management companies to have a process to verify active 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 have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2010-2.160 This amendment reduces the individual biennial renewal fee. PUBLIC COST: This proposed amendment will result in a decrease of revenue for the Missouri State Board of Accountancy of approximately two hundred twenty thousand dollars ($220,000) annually between July 1, 2018 and June 30, 2022. Beginning July 1, 2022 the board’s revenue will increase by approximately two hundred twenty thousand dollars ($220,000) annually for the life of the rule.
PRIVATE COST: This proposed amendment will save private entities approximately two hundred twenty thousand dollars ($220,000) annually between July 1, 2018 and June 30, 2022. Beginning July 1, 2022 this amendment will cost private entities approximately two hundred twenty thousand dollars ($220,000) annually for the life of the rule.
Link To Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.022 The current Nurse Licensure Compact expires on January 18, 2018. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.025 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.026 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.027 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.028 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.029 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2200-4.029 This rule is being rescinded because the Missouri Nurse Intervention and Treatment Program (MNIT) has never been used to monitor licensees. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link To Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2220-2.025 This amendment updates and clarifies requirements for nonresident pharmacies. PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rule will save private entities approximately five thousand two hundred seventy-eight dollars ($5,278) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link To Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration

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