Missouri Revised Statutes
Chapter 190 - Emergency Services
Section 190.001 - Citation.

Missouri Revised Statutes

Title XII - Public Health and Welfare

Chapter 190 - Emergency Services

Section 190.001 - Citation.

Section 190.010 - Territory of district may be noncontiguous — ambulance districts authorized except in counties of 400,000 or more population — district, how named.

Section 190.015 - Petition to form, contents — ambulance district boundaries (St. Louis County) — sales tax in lieu of property tax permitted, exception St. Louis County.

Section 190.020 - Public hearing, notice — costs, how paid.

Section 190.025 - Petitions — consolidation, when — amended, how.

Section 190.030 - Sufficiency of petition, county commission to determine.

Section 190.035 - Notice of election, contents.

Section 190.040 - Form of ballot — effect of passage on tax rate — fund created — refunds, when.

Section 190.041 - Tax levy for central dispatching service, when, amount — funds kept separate.

Section 190.043 - Increase in tax rate without voter approval, when, amount.

Section 190.045 - Returns of election, where filed — effect of.

Section 190.050 - Election districts, how established — election of directors — declaration of candidacy filed, where, when.

Section 190.051 - Change in number of board members, when — ballot language.

Section 190.052 - Board member must live in his district — vacancies, how filled.

Section 190.053 - Educational training required for board of directors — failure to attend.

Section 190.055 - Powers of board — seal and bylaws required — reimbursement of board members' expenses — secretary and treasurer, additional compensation — board member attendance fees, when — ineligibility for board employment, when.

Section 190.056 - Recall of directors, procedure.

Section 190.060 - Powers of district.

Section 190.065 - Bonds, issuance of — election, form of ballot.

Section 190.070 - Annexation, petition for — hearing — election, form of ballot.

Section 190.074 - Collection of taxes — levy — procedure.

Section 190.075 - Records, what and how kept.

Section 190.080 - Donated property — title, how taken.

Section 190.085 - Failure to approve bonds, effect of — dissolution — funds, how rebated.

Section 190.087 - Ambulance district serving city in more than one county may be expanded — procedure (Franklin County).

Section 190.088 - Detachment from ambulance district, procedure (City of Riverside) — inapplicable to St. Louis County.

Section 190.090 - Consolidation of ambulance districts, procedure for — form of ballot — transition provisions for consolidation.

Section 190.091 - Vaccination program for first responders offered — definitions — participation voluntary — contingent effective date.

Section 190.092 - Defibrillators, requirements — good faith immunity from civil liability, when — all basic life support ambulances and stretcher vans to be equipped with.

Section 190.094 - Minimum ambulance staffing — volunteer defined.

Section 190.098 - Community paramedic, certification requirements — scope of practice — written agreement — rulemaking authority.

Section 190.100 - Definitions.

Section 190.101 - State advisory council on emergency medical services, members, purpose, duties — subcommittee established, duties.

Section 190.102 - Regional EMS advisory committees.

Section 190.103 - Regional EMS medical director, powers, duties — considered public official, when — online telecommunication medical direction permitted — treatment protocols for special needs patients.

Section 190.104 - Pediatric emergency medical services system.

Section 190.105 - Ambulance license required, exceptions — operation of ambulance services — sale or transfer of ownership, notice required.

Section 190.107 - Contracts for mutual aid services.

Section 190.108 - Air ambulance licenses — sale or transfer of ownership, notice required.

Section 190.109 - Ground ambulance license.

Section 190.111 - Inspection limitation — effect of sale or transfer on a license.

Section 190.120 - Insurance, what coverage required — policy provisions required — term of policy.

Section 190.131 - Certification of training entities.

Section 190.133 - Emergency medical response agency license.

Section 190.134 - Dispatch agency, requirements.

Section 190.142 - Emergency medical technician license — rules.

Section 190.143 - Temporary emergency medical technician license granted, when — limitations — expiration.

Section 190.144 - Immunity from liability, when.

Section 190.146 - Lapse of license, request to return to active status, procedure.

Section 190.147 - Behavioral health patients — temporary hold, when — memorandum of understanding, contents — physical restraints, use of.

Section 190.160 - Renewals of licenses, requirements.

Section 190.165 - Suspension or revocation of licenses, grounds for — procedure.

Section 190.171 - Aggrieved party may seek review by administrative hearing commission.

Section 190.172 - Settlement agreements permitted, when — written impact statement may be submitted to administrative hearing commission.

Section 190.173 - Confidentiality of information.

Section 190.175 - Records to be maintained by licensee.

Section 190.176 - Data collection system.

Section 190.180 - Penalty for violation.

Section 190.185 - Rules and regulations, department to adopt — procedure.

Section 190.190 - Time to comply granted existing equipment and personnel.

Section 190.196 - Employer to comply with requirements of licensure — report of charges filed against licensee, when.

Section 190.200 - Public information and education.

Section 190.205 - Insurers' duties.

Section 190.240 - At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when.

Section 190.241 - Trauma, STEMI, or stroke centers, designation by department — site reviews — grounds for suspension or revocation of designation — data submission and analysis — fees — administrative hearing commission to hear persons aggrieved by...

Section 190.242 - Emergency medical services data, hospitals not required to obtain, when — trauma, STEMI, and stroke center regulations, interpretation of, hospitals not required to comply with, when.

Section 190.243 - Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized.

Section 190.245 - Medical records and quality improvement documentation, penalty for failure to provide, purpose for use, names not to be released.

Section 190.246 - Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty.

Section 190.248 - Investigations of allegations of violations, completed when — access to records.

Section 190.250 - Ambulance services to have same statutory lien rights as hospitals — recovery of lien, net proceeds to be shared with patient, when — release of claimant from liability, when.

Section 190.255 - Naloxone, first responder may administer, when — definition.

Section 190.257 - Advisory committee, time-critical diagnosis — recommendations to department — members.

Section 190.260 - Citation — definitions — training for broadcast engineers and technical personnel — credentialing — access to disaster areas.

Section 190.265 - Helipads, hospitals not required to have fencing or barriers.

Section 190.270 - Citation of law.

Section 190.275 - Definitions.

Section 190.280 - Out-of-state businesses not subject to certain state or local requirements — out-of-state employee not a resident for tax purposes — limitations.

Section 190.285 - Notification to secretary of state by out-of-state business required, when, content — information provided to department of revenue, when.

Section 190.286 - Inapplicability to certain out-of-state businesses.

Section 190.290 - Definitions.

Section 190.292 - Emergency services, sales tax levy authorized — ballot language — rate of tax — termination of tax — board to administer funds established, members (Warren County) — prepaid wireless telecommunications service, tax exempt.

Section 190.294 - Powers and duties of the emergency services board — meetings — vacancies — rulemaking authority (Warren County).

Section 190.296 - Board may borrow money and issue bonds — ballot language — duration of loans, rate of interest (Warren County).

Section 190.300 - Definitions.

Section 190.305 - Emergency telephone service may be provided — tax levy authorized — governing body of Christian and Scott counties may contract for services — time limitation on tax — rate — collection.

Section 190.306 - Dissolution of emergency telephone service not required, when (Christian County).

Section 190.307 - No civil liability for operation of emergency system, giving or following emergency instructions, exceptions.

Section 190.308 - Misuse of emergency telephone service unlawful, definitions, penalty — no local fine or penalty for pay telephones for calls to emergency telephone service.

Section 190.309 - Emergency telephone board, powers and duties — members of the board, appointment, terms — personnel — officers — rules — removal of members — vacancies — nepotism prohibited.

Section 190.310 - Tax due quarterly — return filed when, content — record retention period — rate determination, notification — collection fee allowed.

Section 190.315 - Contract for service authorized.

Section 190.320 - Election — ballot form.

Section 190.325 - Central dispatching service for emergency services (Clay, Jackson and Jefferson counties) — use of emergency telephone moneys — tax rate — contracts for service for other political subdivisions — tax collection.

Section 190.327 - Board appointed, when — board elected, when — duties — commission to relinquish duties to board — qualifications — board, powers and duties — board appointed for other political subdivisions contracting for service — limitation on s...

Section 190.328 - Election of board, Christian and Scott counties, when — terms.

Section 190.329 - Election of board, exceptions, when — terms.

Section 190.334 - Performance and fiscal audits authorized.

Section 190.335 - Central dispatch for emergency services, alternative funding by county sales tax, procedure, ballot form, rate of tax — collection, limitations — adoption of alternate tax, telephone tax to expire, when — board appointment and elect...

Section 190.336 - Recall, board members subject to — procedure.

Section 190.337 - Revenue, purpose for which shall be used — procedure to terminate tax, ballot form — reestablishing emergency service using telephone tax, procedure.

Section 190.339 - Emergency services board, powers and duties — officers — removal of board members, reasons, hearing procedure — vacancies — employment by board, limitations.

Section 190.340 - Emergency services board, officers duties, rules and regulations.

Section 190.353 - Powers and duties of department of health and senior services — establishment of regional poison information center — center to provide certain services.

Section 190.355 - Use of existing resources required.

Section 190.400 - Definitions — interoperability service agreements, what agencies.

Section 190.420 - Fund established.

Section 190.450 - Department to complete study, issue plan for provision of best 911 technology and services statewide.

Section 190.455 - Subscriber fees — election, ballot — deposit of moneys — confidentiality of proprietary information — immunity from liability, when — limitations on fees.

Section 190.460 - Prepaid wireless emergency telephone service charge — definitions — amount, how collected — deposit and use of moneys — rates, how set — effective date.

Section 190.462 - Pre-emption of taxes by declaratory ruling — definitions — effect of — expiration date.

Section 190.465 - Consolidation of emergency communications operations — joint entity established, when.

Section 190.470 - Alternate consolidation — petition, election — board appointed, requirements.

Section 190.475 - Centralized database to be maintained, updates.

Section 190.500 - Temporary license — qualified health care professions — declared emergency.

Section 190.525 - Definitions.

Section 190.528 - License required — political subdivisions not precluded from governing operation of service or enforcing ordinances — responsibilities and restrictions on operation of stretcher van services — rules.

Section 190.531 - Refusal to issue or denial of renewal of licenses permitted — complaint procedure — rules — immunity from liability, when — suspension of license, when.

Section 190.534 - Violations, penalty — attorney general to have concurrent jurisdiction.

Section 190.537 - Rulemaking authority.

Section 190.550 - Schedule of fees established, rules — collection and deposit.

Section 190.600 - Citation of act — definitions.

Section 190.603 - Outside the hospital do-not-resuscitate order may be executed, when — maintained in medical records — transfers with patient.

Section 190.606 - Immunity from liability, what persons and entities.

Section 190.609 - Order effective, when — limitations of order.

Section 190.612 - Emergency medical services personnel to comply with order, when — physician to transfer patient, when.

Section 190.615 - Death of a patient, not suicide or homicide — effect of order on life insurance — order does not authorize mercy killing or euthanasia.

Section 190.618 - Rules — rulemaking authority.

Section 190.621 - Penalty for concealing or falsifying an order.

Section 190.800 - Imposition of tax — definitions.

Section 190.803 - Formula for tax based on gross receipts — challenge of validity of rules.

Section 190.806 - Record-keeping requirements, confidentiality.

Section 190.809 - Amount due, determination — notification procedure — offset permitted, when — quarterly adjustment of tax permitted.

Section 190.812 - Determination of tax final, when — timely protest permitted.

Section 190.815 - Rulemaking authority.

Section 190.818 - Remittance of tax — fund created, use of moneys.

Section 190.821 - Tax period — failure to pay, delinquency, enforcement procedures.

Section 190.824 - Tax-exempt status of ambulance service not affected.

Section 190.827 - Payments to ambulance services, when.

Section 190.830 - Federal financial participation required.

Section 190.833 - No tax imposed prior to effective date.

Section 190.836 - Rules requirements, authority.

Section 190.839 - Expiration date.

Section 190.840 - Nonseverability clause.

Section 190.900 - REPLICA enacted — definitions.

Section 190.903 - Home state licensure.

Section 190.906 - Compact privilege to practice.

Section 190.909 - Conditions of practice in a remote state.

Section 190.912 - Relationship to emergency management assistance compact.

Section 190.915 - Veterans, service members separating from active duty military, and their spouses.

Section 190.918 - Adverse actions.

Section 190.921 - Additional powers invested in a member state's EMS authority.

Section 190.924 - Establishment of the interstate commission for EMS personnel practice.

Section 190.927 - Coordinated database.

Section 190.930 - Rulemaking.

Section 190.933 - Oversight, dispute resolution, and enforcement.

Section 190.936 - Date of implementation of the interstate commission for EMS personnel practice and associated rules, and amendment.

Section 190.939 - Construction and severability.

Section 190.1005 - CPR training or courses to include instruction on proper use of automated external defibrillators.