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

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

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Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division
Proposed Rescission 20 CSR 2110-2.085 This rule is being rescinded as it is not needed.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Proposed Rescission 20 CSR 2110-2.110 This rule is being rescinded as it is not necessary since section 332.321, RSMo, provides that dentists may not advertise in a way that is false, misleading or deceptive to the public.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Proposed Rescission 20 CSR 2110-2.111 This rule is being rescinded as it is not necessary since section 332.321, RSMo, provides that dental hygienists may not advertise in a way that is false, misleading, or deceptive to the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
Proposed Amendment 20 CSR 2263-2.050 This amendment establishes a one (1)-year time period to complete the licensure process. Section (5) is deleted as those requirements are covered in 20 CSR 2263-2.085. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
PRIVATE COST: This proposed amendment will cost private entities seventy-two dollars and ninety-five cents ($72.95) to one hundred two dollars and ninety-five cents ($102.95) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed Rule 20 CSR 2263-2.051 This rule establishes an end date for initial applications for license. PUBLIC COST: This proposed rule will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
PRIVATE COST: This proposed rule will cost private entities seventy-two dollars and ninety-five cents ($72.95) to one hundred two dollars and ninety-five cents ($102.95) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2263-2.060 This amendment changes the requirements for licensure by reciprocity. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
PRIVATE COST: This proposed amendment will cost private entities one hundred twelve dollars and ninety-five cents ($112.95) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2263-2.082 This amendment changes continuing education credit and record retention requirements. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2263-2.085 This amendment clarifies the process to restore a license. PUBLIC COST: This proposed amendment will cost state agencies or political subdivisions approximately thirteen dollars and sixty-two cents ($13.62) to fourteen dollars ($14.00) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
PRIVATE COST: This proposed amendment will cost private entities approximately one hundred sixty-nine dollars and ninety-five cents ($169.95) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2263-3.040 This amendment removes the requirement for a supervisor to co-sign all clinical records of an applicant. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Proposed Rescission 20 CSR 2263-2.045 This rule is being rescinded as provisional licenses are no longer issued. PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration
Proposed Amendment 20 CSR 2200-6.060 This amendment allows the transfer IV-Certification from another state to the state of Missouri and deletes section (6) on duplicate licenses. PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration
Proposed Rule 20 CSR 2220-2.650 The board is amending section (1) and adding new sections (2) to (4) to update the rule, clarify database/contracting requirements and to accommodate pharmacies dispensing medication to another pharmacy for administration by a licensed healthcare professional. PUBLIC COST: This proposed rule will cost state agencies or political subdivisions approximately one thousand dollars ($1,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
PRIVATE COST: This proposed rule will save private entities approximately one thousand dollars ($1,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does have an adverse impact on small businesses. Professional Registration
Emergency Rule 20 CSR 2220-2.650 This rule is being amended to accommodate pharmacies dispensing medication to another pharmacy for administration by a licensed healthcare professional. Not applicable to emergency rule. Link to Missouri Register Not applicable to emergency rule. Professional Registration

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