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Chapter 191 Health and Welfare

• 191.005. Information exchange between departments, rulemaking authority.
• 191.040. (Transferred 1986; now 660.015)
• 191.115. Alzheimer's State Plan Task Force established, members, duties, meetings, report--expiration date.
• 191.127. Land may be leased for farming or grazing--procedure.
• 191.150. Purchase of food limited to use of institution inmates.
• 191.160. Board and living quarters for employees of institutions.
• 191.170. Mistreatment of inmates--penalty.
• 191.180. Furnishing unfit food to institution--penalty.
• 191.190. Accessory to mistreatment of inmates or furnishing of unwholesome food--penalty.
• 191.210. Attendance of patient by private physician.
• 191.211. Funding of certain programs.
• 191.213. Additional funding sources for certain programs.
• 191.225. (Repealed L. 2009 S.B. 338 § A)
• 191.226. Costs of HIV testing for certain crime victims payable by department of health and senior services, when, conditions.
• 191.227. Medical records to be released to patient, when, exception--fee permitted, amount--liability of provider limited--annual handling fee adjustment.
• 191.228. Physician and pharmacist not subject to discipline for cooperation.
• 191.229. Accreditation of not-for-profit human services organizations deemed equivalent to licensure.
• 191.231. Community-based integrated delivery system, qualification, powers--organization, board of directors, powers--plans.
• 191.233. (Repealed L. 2002 S.B. 923, et al. § A)
• 191.235. Mercury contained in immunizations, not to be administered to certain persons--insurance reimbursement for nonmercury immunizations--exemptions, when.
• 191.300. Definitions.
• 191.305. Missouri genetic advisory committee created--purpose--appointment, terms--qualifications--expenses.
• 191.310. Duties of committee--liaison officers with mental health and education, appointment.
• 191.315. Genetics program to be established by department--rules authorized--procedure.
• 191.317. Confidentiality of all tests and personal information--exceptions--retention of specimens, procedure.
• 191.320. Genetic diagnostic and counseling services to be established--outreach centers, duties--referral for abortion, procedure, requirements.
• 191.323. Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects.
• 191.325. Cost of services, how paid--free to persons financially unable to pay--residency requirement.
• 191.331. Infants to be tested for metabolic and genetic diseases--reports--exceptions--refusal to test--fee for screening test, department may impose by rule, use of fees--formula provided by departme
• 191.332. Supplemental newborn screening requirements.
• 191.333. Citation of law--screening for lysosomal storage diseases--rulemaking authority--fee increase authorized.
• 191.335. Hemophilia program established--state assistance, when.
• 191.340. Hemophilia program--care and treatment--financial assistance--education--duties of department.
• 191.360. Trained employee of end-stage renal disease facility may initiate dialysis--not unlawful practice of medicine.
• 191.362. Appropriately trained employees to have completed course in dialysis techniques.
• 191.365. Sickle cell anemia--purposes of program--financial assistance, when.
• 191.370. Sickle cell anemia, development of program for care and treatment--duties of department.
• 191.375. Cystic fibrosis, program for care and treatment--financial assistance, when.
• 191.380. Cystic fibrosis, duties of department.
• 191.390. Program created--panel to be appointed, duties.
• 191.400. State board of health--appointment--terms--qualifications--limitation on other employment, exception--vacancies--compensation--meetings.
• 191.411. System of coordinated health care services--health access incentive fund created, purpose--enhanced Medicaid payments--rules--annual report.
• 191.500. Definitions.
• 191.505. Department of health and senior services to administer--may make rules and regulations.
• 191.510. Contracts for loans to include terms.
• 191.515. Requirements for application.
• 191.520. Maximum amount of loans--source of funds.
• 191.525. Number of loans available--to whom--length of loans.
• 191.530. Interest on loans--repayment terms--temporary deferral.
• 191.535. Termination of course of study, effect.
• 191.540. Repayment schedules--breach of contract.
• 191.545. Recovery--actions for.
• 191.550. Approval of contracts.
• 191.600. Loan repayment program established--health professional student loan repayment program fund established--use.
• 191.603. Definitions.
• 191.605. Department to designate as areas of need--factors to be considered.
• 191.607. Qualifications for eligibility established by department.
• 191.609. Contract for repayment of loans, contents.
• 191.611. Loan repayment program to cover certain loans--amount paid per year of obligated service--schedule of payments--communities sharing costs to be given first consideration.
• 191.614. Termination of medical studies or failure to become licensed doctor, liability--breach of contract for service obligation, penalties--recovery of amount paid by contributing community.
• 191.615. Application for federal funds--insufficient funds, effect.
• 191.630. Definitions.
• 191.631. Testing for disease, consent deemed given, when--hospital to conduct testing, written policies and procedures required--notification for confirmed exposure--limitations on testing and duties
• 191.640. Blood-borne pathogen standard required for occupational exposure of public employees to blood and other infectious materials--definitions--requirements of needleless system and sharps--violat
• 191.645. Risk of exposure to Hepatitis C, information to be made available--web site to be maintained, content.
• 191.650. Definitions.
• 191.653. HIV testing performed by whom, how--consultation with subject required, when.
• 191.656. Confidentiality of reports and records, exceptions--violation, civil action for injunction, damages, costs and attorney fees--health care provider participating in judicial proceeding, immune
• 191.657. Disclosure of confidential HIV information, by court order, only to certain persons, procedure, when.
• 191.658. HIV infection status disclosure by department of health and senior services to exposed health workers or law enforcement officers, when, violation, penalty.
• 191.659. Department of corrections, HIV and infectious diseases testing without right of refusal--exception--minors victim of sexual assault, testing, notice to parents or custodians required.
• 191.662. Department of mental health, permissive HIV testing without right of refusal, when--results of testing not to be reported to department of health and senior services, when.
• 191.663. HIV testing, defined--court order to test certain sexual offenders--costs--bond--disclosure of results of test--parents of unemancipated minor informed, when.
• 191.665. Discrimination prohibited, exceptions.
• 191.668. Department of health and senior services and department of elementary and secondary education to prepare education programs, contents.
• 191.671. Insurance companies, HMOs or health service corporations, HIV testing by, regulation by department--disclosure of test results, confidentiality.
• 191.674. Court-ordered HIV testing without right of refusal, department of health and senior services may seek, when--court record closed, proceeding to be in camera, when.
• 191.677. Prohibited acts, criminal penalties.
• 191.680. Maintaining a nuisance, abatement to be ordered, when.
• 191.683. Reports to general assembly by department of health and senior services.
• 191.686. Anonymous testing sites in central Missouri, Kansas City, Springfield and St. Louis--reports of results, use of coded system--contact notification required, when.
• 191.689. Schools to be given notice of identity of child with HIV infection, when, by whom--identity of infected child may be released to whom by school.
• 191.692. Premarital HIV testing, rulemaking authorized, when.
• 191.694. Infection control procedures--requirements and training for health care facilities and professionals.
• 191.695. Rulemaking authority, department of health and senior services--procedure.
• 191.699. Disciplinary action for health care professionals who discriminate or require HIV testing before treatment.
• 191.700. Testing of all health care professionals not justified--voluntary and confidential evaluation of infected professional, procedure--expert review panel qualifications, powers and duties, pract
• 191.703. Death of patient with infectious or contagious disease, notification to funeral director or coroner.
• 191.710. MO HealthNet program and SCHIPS to focus on premature infant health care.
• 191.711. Education publications to be prepared, contents--distribution.
• 191.725. Physician to counsel pregnant patients on effects of cigarettes, alcohol and controlled substances--certifying form to be signed by patient on counseling--educational materials to be furnishe
• 191.727. Educational program to be established for physicians--departments of health and senior services and mental health, duties.
• 191.729. School districts to be furnished information on prenatal and postnatal effects of substances, when.
• 191.731. Pregnant woman referred for substance abuse to have priority for treatment--confidentiality of records.
• 191.733. Hot line information on substance abuse treatment for pregnant women to be established.
• 191.735. Multidisciplinary teams to be established, duties--qualifications, expenses--team training content.
• 191.737. Children exposed to substance abuse, referral by physician to department of health and senior services--services to be initiated within seventy-two hours--physician making referral immune fro
• 191.739. Protective and preventive services to be provided by department of social services, duties.
• 191.741. High risk pregnancy to be identified by protocol established by the department of health and senior services--services to be offered.
• 191.743. High risk pregnancies, women to be informed of available services--consent to inform department of health and senior services, forms--confidentiality--physicians not to be liable.
• 191.745. Tests to be made on women and infants at time of delivery--samples to be sent without identification to laboratory--prenatal tests may be made, when.
• 191.748. Shaken baby syndrome video, required viewing, when.
• 191.765. Definitions.
• 191.767. Persons not to smoke in public places or meetings, except in designated smoking areas--designation of space for smoking area, requirements.
• 191.769. Areas not considered public places.
• 191.771. Person in control of public places or public meetings, duties.
• 191.773. Violators, guilty of infraction.
• 191.775. Public schools and school buses, smoking or tobacco use prohibited, penalty, permissible use of tobacco, where.
• 191.776. Child day care facilities, smoking or tobacco use when children are present, prohibited, penalty.
• 191.777. More stringent ordinances or rules may be adopted by governing bodies or school boards.
• 191.800. Definitions.
• 191.803. Boards of education to establish breakfast program--rules--waiver, procedure.
• 191.805. Hardship grant program, distribution of, rules.
• 191.807. Supplemental funding, women, infants and children supplemental food program--funding of certain county health offices, use, maximum amount of grants--rules and regulations.
• 191.810. Department of health and senior services to establish standards for summer food service program--where established--order of priority--waiver, filing required.
• 191.813. Agencies to coordinate outreach programs--specific programs--public service announcements to be designed.
• 191.815. Administrative rules, procedure.
• 191.828. Evaluations, effect of initiatives.
• 191.831. Health initiatives fund established, use--Alt-care pilot program, components--participation may be required.
• 191.835. Community 2000 grants program--local commissions, members--goals, objectives--evaluations, funding.
• 191.839. Education programs for persons with no or inadequate health insurance.
• 191.843. Authorizes grants for regional research consortia in a distressed community.
• 191.850. Definitions.
• 191.853. Assistive technology council established--members, qualifications, terms, chairperson how selected--meetings.
• 191.855. Bylaws to be adopted by council, no compensation but to be paid expenses.
• 191.857. Council assigned to agency for technological-related assistance to individuals with disabilities.
• 191.858. Council transferred to office of administration, when--appropriation required for continued actions and staff.
• 191.859. Duties of council.
• 191.861. Assistive technology trust fund created, use of moneys.
• 191.863. Council to assure compliance with federal accessibility laws--duties of council to assure accessibility.
• 191.865. Assistive technology loan program created--council to promulgate rules to enforce.
• 191.867. Assistive technology loan revolving fund established.
• 191.900. Definitions.
• 191.905. False statement to receive health care payment prohibited--kickback, bribe, purpose, prohibited, exceptions--abuse prohibited--penalty--prosecution, procedure--Medicaid fraud reimbursement fu
• 191.907. Original source of information to receive a portion of any recovery.
• 191.908. Whistleblower protections--violations, penalty.
• 191.909. Reports required, contents.
• 191.910. Attorney general may investigate violations, powers--service authorized--prosecuting attorney, report, prosecution--provision of records--no limitation of other actions.
• 191.914. False report or claim, penalty.
• 191.915. Breast-feeding information provided, when, by whom.
• 191.918. Breast-feeding in public permitted.
• 191.923. Prenatally diagnosed conditions, patient to be provided information--definitions--clearinghouse of information to be established.
• 191.925. Screening for hearing loss, infants, when--procedures used--exemptions--information provided, by whom--no liability, when.
• 191.928. Surveillance and monitoring system for certain newborns--standards and follow-up procedure--confidentiality of information.
• 191.931. Early intervention services available--report, content.
• 191.934. Newborn hearing screening advisory committee established, duties, members, compensation--committee to terminate, when.
• 191.937. Rulemaking authority, procedure.
• 191.938. (Repealed L. 2007 S.B. 613 Revision § A)
• 191.975. Adoption awareness, department duties--advertising campaign authorized--rulemaking authority.
• 191.980. Missouri area health education centers program established--council established, membership, term--authority of council--duties--report required.
• 191.1050. Definitions.
• 191.1053. Designation of areas--re-evaluation of designations, when--rulemaking authority.
• 191.1056. Fund created, use of moneys.