☰ Revisor of Missouri
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 Title XII PUBLIC HEALTH AND WELFARE

 Chapter 197 Medical Treatment Facility Licenses 
197.005   Medicare conditions of participation compliance, deemed compliance with hospital licensure standards. (8/28/2023)
HOSPITAL LICENSING LAW
197.010   Citation of law. (8/28/1953)
197.020   Definitions. (8/28/2023)
197.030   Purposes of law. (8/28/1953)
197.032   Hospitals and medical personnel may refuse abortions — no denial of public benefits for such refusal — civil action, when. (8/28/1973)
197.040   License for hospital required. (7/1/2018)
197.050   Application for license, contents — fee. (7/1/2018)
197.052   Adjacent property, hospital may revise premises of campus for licensure purposes. (8/28/2018)
197.060   License to issue, when — annual renewal — not transferable. (8/28/1953)
197.065   Life safety code standards — waiver, when — rulemaking authority. (8/28/2016)
197.070   Denial, suspension or revocation of license. (7/1/2018)
197.071   Review by administrative hearing commission. (7/1/2018)
197.080   Rules, procedure — regulations and standards — review and revision of regulations — rulemaking authority. (7/1/2018)
197.090   Existing hospitals to be allowed time to meet standards. (8/28/1953)
197.100   Inspections by department of health and senior services required, reports from certain other agencies accepted, when — department to determine life safety and building codes. (8/28/2022)
197.105   Investigation of complaints, department to post on website, content. (8/28/2013)
197.108   Former employees not to inspect or survey hospital — required disclosures — conflict of interest reporting. (8/28/2019)
197.120   Operating hospital without license a misdemeanor — proceedings to restrain. (8/28/1953)
197.135   Forensic examinations, victims of sexual offense, requirements — waiver of requirements, when — reimbursement of costs — access to statewide telehealth network required. (8/28/2021)
197.145   At-risk behavioral health patient may be detained, when — immunity from liability, when. (8/28/2023)
INFECTION CONTROL
197.150   Procedures for compliance, requirements. (10/24/2017)
197.152   Protection for reporting infection control concerns, reporting required — authority of infection control officers, review of orders — good faith reporting of infection control concerns protected. (10/24/2017)
197.154   Regulation review and update required, standards. (8/28/2004)
197.156   Definition of nosocomial infection outbreaks. (8/28/2004)
197.158   Complaint procedure to be provided to patients. (10/24/2017)
197.160   Infection data to be available to department of health and senior services, violation, effect, state payments suspended, when. (10/24/2017)
197.162   Infection control practices to be considered in licensure process, annual report required. (10/24/2017)
197.165   Infection control advisory panel appointed — members — expenses, fund created. (10/24/2017)
197.168   Influenza vaccination offered to certain inpatients prior to discharge. (8/28/2014)
SURGICAL SMOKE PLUME EVACUATION SYSTEM
197.185   Surgical smoke plume evacuation system — definitions — requirements. (8/28/2023)
AMBULATORY SURGICAL CENTER AND ABORTION FACILITY LICENSING LAW
197.200   Definitions. (10/24/2017)
197.205   License required to operate. (10/24/2017)
197.210   Application, form of — fee, exception. (8/28/1982)
197.215   License to issue, when — transfer or assignment of license, when — display required. (10/24/2017)
197.220   Denial, suspension or revocation of license. (10/24/2017)
197.221   Review of license denial or revocation by administrative hearing commission. (8/28/1993)
197.225   Department of health and senior services may promulgate regulations — abortion facilities to maintain written protocols for medical emergencies and transfer of patients. (10/24/2017)
197.230   Department may inspect and investigate — delegation of such authority authorized, when — abortion facilities, unannounced on-site inspections — public reports. (10/24/2017)
197.235   Failure to have license a misdemeanor — attorney general to represent department, institute actions — advertising, cannot imply state operation, fine. (10/24/2017)
197.240   Accident and health insurers to cover care in an ambulatory surgical center or abortion facility, exceptions. (10/24/2017)
HOSPICE CERTIFICATION
197.250   Definitions. (8/28/1992)
197.252   Certificate required — standards. (8/28/1992)
197.254   Application for certificate — fee, how determined — temporary permit — survey and approval — posting of certificate — branch offices. (8/28/1996)
197.256   Renewal, when required, form, fee — survey, approval, renewal of certificate — certificate not renewed is void — statistical reports required. (8/28/2022)
197.258   Department authorized to make surveys, when required — visiting of homes — survey of other governmental agency, requirements — reciprocal agreements with bordering states — maintenance of branch office in Missouri required, when. (8/28/2022)
197.260   Report of compliance, service — disclosure of reports, confidentiality of information. (8/28/1992)
197.262   Denial of application, grounds — review. (8/28/1992)
197.264   Client's bill of rights, contents — discharge planning, contents. (8/28/1992)
197.266   Abuse and neglect, penalty. (1/1/2017)
197.268   Complaints, grounds, review. (8/28/1992)
197.270   Promulgation of rules, procedure. (8/28/1993)
197.272   State hospice advisory council established — members, qualifications — appointment, terms, reappointment — compensation — duties. (8/28/2002)
197.274   Action to enjoin violations, where filed. (8/28/1992)
197.276   Violations, penalty. (8/28/1992)
197.278   Department responsibility for inspection and certification. (8/28/1992)
197.280   Order authorizing entry for survey, grounds for. (8/28/1992)
STANDARDS FOR HOSPITALS, AMBULATORY SURGICAL CENTERS, AND ABORTION FACILITIES
197.285   Protections for hospital, ambulatory surgical center, and abortion facility employees for certain disclosures — written policy required — procedures for disclosure — anonymous reports. (10/24/2017)
197.287   Training programs related to quality of patient care and safety required — standards developed by department of health and senior services. (10/24/2017)
197.289   Adequate nurse staffing, methodology required, minimum requirements. (10/24/2017)
197.293   Licensure regulations, standards used by the department of health and senior services for enforcement. (10/24/2017)
197.294   Use of certain information to establish standard of care prohibited in private civil actions. (8/28/2004)
197.295   Licensure enforcement, appeals, procedure. (10/24/2017)
197.297   Rulemaking authority, department of health and senior services. (8/28/2000)
CERTIFICATE OF NEED
197.300   Citation of law. (7/12/1996)
197.305   Definitions. (8/28/2018)
197.310   Review committee, members, terms, compensation, duties. (7/1/1999)
197.311   Political contributions to committee members by applicants prohibited. (6/3/1994)
197.312   Certificate of need not required for St. Louis residential care facilities and assisted living facilities — certain other facilities, certificate not required. (8/28/2014)
197.315   Certificate of need granted, when — forfeiture, grounds — application for certificate, fee — certificate not required, when. (7/5/2016)
197.316   Certificate of need not required for nursing homes treating only AIDS patients — violations, penalty. (7/1/1999)
197.318   Licensed and available, defined — review of letters of intent — application of law in pending court cases — expansion procedures. (8/28/2014)
197.320   Rules and regulations. (7/1/1999)
197.325   Submission of applications. (7/1/1999)
197.326   Lobbyist and interest registration required, when, contents, penalty — general assembly member prohibited from accepting contributions, when — certain persons may not offer gifts, when, penalty. (1/1/2017)
197.327   Certificate issued for additional beds for Medicaid patients, use for nonMedicaid patients, penalty — procedure to collect. (8/28/1988)
197.330   Duties of review committee. (7/1/1999)
197.335   Appeals, venue. (7/1/1999)
197.340   Notices to committee. (10/1/1980)
197.345   Actions taken prior to October 1, 1980, not affected. (8/28/1979)
197.355   Certificate required before funds may be appropriated. (10/1/1980)
197.357   Reimbursement for project cost-overrun in excess of ten percent, eligible when — requirements. (8/28/1982)
197.366   Health care facilities defined. (8/28/2010)
197.367   Licensed bed limitation imposed, when. (8/28/2014)
HOME HEALTH AGENCY

Abuse or neglect of clients, reporting of, 192.2475 to 192.2505

Investigation of abuse or neglect of clients, 192.2400 to 192.2470

197.400   Definitions. (8/28/2022)
197.405   Home health agencies, license required. (8/28/1983)
197.410   Application for license, fee. (8/28/1983)
197.415   License issued or renewed, requirements. (8/28/2022)
197.416   Out-of-state applicants for licensure, compliance history may be requested. (8/28/2003)
197.420   License not transferable or assignable on sale or transfer of ownership — new application, requirement — temporary license, when. (8/28/1983)
197.425   Survey inspections by department, when. (8/28/1983)
197.430   Report on survey, list of deficiencies, content — plan of correction filed with department — resurvey and administrative review procedure. (8/28/1983)
197.435   Complaint procedure. (8/28/1983)
197.440   Refusal to issue, suspension or revocation of license, grounds — right to administrative review. (8/28/1983)
197.445   Rules and regulations, procedure. (8/28/2022)
197.450   Home health services advisory council — members — terms, qualifications — appointment — vacancies — expenses. (8/28/2002)
197.455   Injunctions, venue. (8/28/1983)
197.460   Exempt persons and religious organizations. (1/1/1991)
197.465   Funds to be deposited in general revenue. (8/28/1983)
197.470   Reports or investigations open to public, exception — requests for material, procedure, fee. (8/28/1983)
197.475   Violations, penalty. (8/28/1983)
197.477   Reports of inspections by department of health and senior services may be available to public, when — certain information to remain confidential. (5/4/1988)
197.478   Home health agency information to be provided on department internet website. (8/28/2003)
197.480   In-home health care providers, transfer of assets or bequests, rebuttable presumption of undue influence, when. (8/28/2004)
EMPLOYEE DISQUALIFICATION LIST
197.500   Employee disqualification list to be maintained. (8/28/2003)
MEDICAL STAFF
197.700   Medical staff membership to be considered on individual basis, discrimination prohibited. (8/28/1993)
197.705   Health care facilities personnel required to wear identification badges, when. (8/28/1997)
 - Cross References
Advance health care directives registry, 459.250
All license, permit and certificate applications shall contain the Social Security number of the applicant, 324.024
Comprehensive emergency medical services systems act, 190.001 to 190.245
Family care safety registry and access line, 210.900 to 210.936
Health care assistance payments fraud and abuse, 191.900 to 191.914
Health facility employees, criminal history background checks required, persons with criminal history not to be hired, when, 192.2495
Malpractice actions, procedure, damage limitations, Chap. 538
Newborns, voluntary relinquishment of, duties of hospital and staff, 210.950
Oral health care providers, employment permitted, 332.081
Patient satisfaction and quality of health care, report to department of insurance, 374.426
Supplemental health care services agencies, registration, 198.640 to 198.648

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