Effective - 28 Aug 2016
*334.1224. Rulemaking. — A. The commission shall exercise its rulemaking powers pursuant to the criteria set forth in this section and the rules adopted thereunder. Rules and amendments shall become binding as of the date specified in each rule or amendment.
B. If a majority of the legislatures of the member states rejects a rule, by enactment of a statute or resolution in the same manner used to adopt the compact within four years of the date of adoption of the rule, then such rule shall have no further force and effect in any member state.
C. Rules or amendments to the rules shall be adopted at a regular or special meeting of the commission.
D. Prior to promulgation and adoption of a final rule or rules by the commission, and at least thirty days in advance of the meeting at which the rule will be considered and voted upon, the commission shall file a notice of proposed rulemaking:
1. On the website of the commission or other publicly accessible platform; and
2. On the website of each member state physical therapy licensing board or other publicly accessible platform or the publication in which each state would otherwise publish proposed rules.
E. The notice of proposed rulemaking shall include:
1. The proposed time, date, and location of the meeting in which the rule will be considered and voted upon;
2. The text of the proposed rule or amendment and the reason for the proposed rule;
3. A request for comments on the proposed rule from any interested person; and
4. The manner in which interested persons may submit notice to the commission of their intention to attend the public hearing and any written comments.
F. Prior to adoption of a proposed rule, the commission shall allow persons to submit written data, facts, opinions, and arguments, which shall be made available to the public.
G. The commission shall grant an opportunity for a public hearing before it adopts a rule or amendment if a hearing is requested by:
1. At least twenty-five persons;
2. A state or federal governmental subdivision or agency; or
3. An association having at least twenty-five members.
H. If a hearing is held on the proposed rule or amendment, the commission shall publish the place, time, and date of the scheduled public hearing. If the hearing is held via electronic means, the commission shall publish the mechanism for access to the electronic hearing.
1. All persons wishing to be heard at the hearing shall notify the executive director of the commission or other designated member in writing of their desire to appear and testify at the hearing not less than five business days before the scheduled date of the hearing.
2. Hearings shall be conducted in a manner providing each person who wishes to comment a fair and reasonable opportunity to comment orally or in writing.
3. All hearings will be recorded. A copy of the recording will be made available on request.
4. Nothing in this section shall be construed as requiring a separate hearing on each rule. Rules may be grouped for the convenience of the commission at hearings required by this section.
I. Following the scheduled hearing date, or by the close of business on the scheduled hearing date if the hearing was not held, the commission shall consider all written and oral comments received.
J. If no written notice of intent to attend the public hearing by interested parties is received, the commission may proceed with promulgation of the proposed rule without a public hearing.
K. The commission shall, by majority vote of all members, take final action on the proposed rule and shall determine the effective date of the rule, if any, based on the rulemaking record and the full text of the rule.
L. Upon determination that an emergency exists, the commission may consider and adopt an emergency rule without prior notice, opportunity for comment, or hearing, provided that the usual rulemaking procedures provided in the compact and in this section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than ninety days after the effective date of the rule. For the purposes of this provision, an emergency rule is one that must be adopted immediately in order to:
1. Meet an imminent threat to public health, safety, or welfare;
2. Prevent a loss of commission or member state funds;
3. Meet a deadline for the promulgation of an administrative rule that is established by federal law or rule; or
4. Protect public health and safety.
M. The commission or an authorized committee of the commission may direct revisions to a previously adopted rule or amendment for purposes of correcting typographical errors, errors in format, errors in consistency, or grammatical errors. Public notice of any revisions shall be posted on the website of the commission. The revision shall be subject to challenge by any person for a period of thirty days after posting. The revision may be challenged only on grounds that the revision results in a material change to a rule. A challenge shall be made in writing, and delivered to the chair of the commission prior to the end of the notice period. If no challenge is made, the revision will take effect without further action. If the revision is challenged, the revision may not take effect without the approval of the commission.
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(L. 2016 H.B. 1816 merged with S.B. 608 merged with S.B. 635 merged with S.B. 973)
Effective 4-25-17, see § 334.1230.
*S.B. 608 was vetoed July 5, 2016. The veto was overridden on September 14, 2016.
Structure Missouri Revised Statutes
Title XXII - Occupations and Professions
Chapter 334 - Physicians and Surgeons — Therapists — Athletic Trainers — Health Care Providers
Section 334.002 - Inactive license status granted, when.
Section 334.020 - Board defined.
Section 334.031 - Qualifications of candidates for licenses.
Section 334.035 - Application for permanent license, postgraduate training requirement.
Section 334.043 - Reciprocity — reciprocal compacts — fee.
Section 334.047 - License to show degree held by licensee — use on stationery and displays required.
Section 334.073 - Continuing medical education on autism required.
Section 334.090 - Fees, amounts, how set.
Section 334.098 - Disposition of certain records.
Section 334.103 - Automatic revocation or reinstatement of license, grounds.
Section 334.105 - Intractable pain treatment act — definitions.
Section 334.110 - Retired licensees not required to register.
Section 334.112 - Limited license to practice medicine, requirements — limitations of practice.
Section 334.120 - Board created — members, appointment, qualifications, terms, compensation.
Section 334.125 - Seal — regulations — offices — rulemaking, procedure, this chapter.
Section 334.127 - Subpoenas for witnesses, administration of oaths — enforcing subpoena, procedure.
Section 334.150 - Treatments of ill excepted from regulation by this chapter.
Section 334.155 - Applicability of chapter.
Section 334.157 - Board to promulgate certain rules relating to vaccines and immunizations.
Section 334.160 - Right of school to recognition, how determined.
Section 334.170 - Issuance or acceptance of false diploma or certificate, misdemeanor.
Section 334.190 - Practice of midwifery limited.
Section 334.230 - Unlawful practices, injunction procedure.
Section 334.240 - Investigation and commencement of prosecutions.
Section 334.245 - Abortions, only physicians to perform — violations, penalty.
Section 334.250 - Unlawful practice, fraudulent filing of license or identification, penalties.
Section 334.252 - Physicians prohibited referral to certain physical therapists, definitions.
Section 334.260 - Midwives licensed.
Section 334.400 - Definitions.
Section 334.406 - Temporary license issued, when, procedure.
Section 334.408 - Inactive license status granted, when — return to active status, procedure.
Section 334.412 - Licensure without examination permitted, when — reciprocal compacts permitted.
Section 334.416 - Renewal of certificate of registration, when, procedure, fee.
Section 334.418 - Certificate required to practice, not required, when.
Section 334.420 - Continuing education requirements, waiver of requirements, when.
Section 334.422 - Fees, deposit in board of registration for the healing arts fund, use of funds.
Section 334.426 - Hospitals may limit function of anesthesiologist assistants, procedure.
Section 334.428 - Anesthesiologist assistant, use of title permitted, when — penalty.
Section 334.500 - Definitions.
Section 334.507 - Continuing education requirements.
Section 334.510 - License required, effective when.
Section 334.520 - Board to license.
Section 334.525 - Inactive license status permitted, when, procedure.
Section 334.530 - Qualifications for license — examinations, scope.
Section 334.540 - License without examination, when — reciprocal agreements authorized.
Section 334.550 - Temporary license, issuance, fees.
Section 334.560 - Examination fees, reexamination.
Section 334.580 - Registration, fee.
Section 334.600 - Affidavit of retirement.
Section 334.601 - Fees to be set by board.
Section 334.602 - Patient record documentation requirements.
Section 334.610 - License to practice required, exceptions — unauthorized use of titles prohibited.
Section 334.611 - Examination not required, when.
Section 334.616 - Automatic revocation of licensure, when.
Section 334.617 - Injunction or restraining order authorized, when.
Section 334.618 - Investigation and filing of complaints for violations.
Section 334.620 - Short title.
Section 334.660 - Reciprocity with other states.
Section 334.665 - Temporary license — fee authorized — expires, when.
Section 334.670 - Examination fee.
Section 334.675 - Renewal of license, application, fee — display of license, requirements.
Section 334.680 - Fees deposited in state treasury.
Section 334.685 - Retirement of physical therapist assistant, affidavit.
Section 334.686 - Titles authorized.
Section 334.687 - Rulemaking authority.
Section 334.700 - Short title.
Section 334.702 - Definitions.
Section 334.703 - Referral to physician, when — limitations on scope of practice.
Section 334.704 - Athletic trainers required to be licensed.
Section 334.706 - Board of healing arts, powers and duties — rules and regulations, procedure.
Section 334.708 - Licensure, examination — reciprocity.
Section 334.710 - Licensure forms and fee — deposit of fees.
Section 334.712 - License issued, when — content.
Section 334.720 - Compensation of board members.
Section 334.725 - Violations, penalty.
Section 334.736 - Physician assistants, temporary license, requirements, fees, renewal.
Section 334.742 - Nonresident of Missouri may apply for licensure, requirements.
Section 334.743 - Rulemaking, procedure — rules effective, when, void, when.
Section 334.745 - Fees deposited in board of registration for the healing arts fund.
Section 334.746 - Staff for health care provider — certification.
Section 334.800 - Title of act — definitions.
Section 334.820 - License required — practice of medicine not authorized.
Section 334.860 - Promulgation of rules, authority.
Section 334.870 - Licensing requirements, background checks.
Section 334.880 - License renewal — inactive status.
Section 334.900 - Individuals and activities not limited by respiratory care practice act.
Section 334.920 - Board powers — disciplining and sanctions — violations, penalty.
Section 334.930 - Immunity from liability for emergency care.
Section 334.1135 - Joint task force established, members, duties, meetings — report.
Section 334.1203 - Definitions.
Section 334.1206 - State participation in the compact.
Section 334.1209 - Compact privilege.
Section 334.1212 - Active duty military personnel or their spouses
Section 334.1215 - Adverse actions.
Section 334.1218 - Establishment of the physical therapy compact commission.
Section 334.1221 - Data system.
Section 334.1224 - Rulemaking.
Section 334.1227 - Oversight, dispute resolution, and enforcement.