Missouri Revised Statutes
Title XII - Public Health and Welfare
Chapter 190 - Emergency Services

Section 190.001 - Citation. - Effective - 28 Aug 1998 190.001. Citation. — Sections 190.001...

Section 190.010 - Territory of district may be noncontiguous — ambulance districts authorized except in counties of 400,000 or more population — district, how named. - Effective - 28 Aug 2005 190.010. Territory of district may...

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. - Effective - 28 Aug 2011, 2 histories 190.015. Petition to...

Section 190.020 - Public hearing, notice — costs, how paid. - Effective - 15 Jun 1971 190.020. Public hearing, notice —...

Section 190.025 - Petitions — consolidation, when — amended, how. - Effective - 15 Jun 1971 190.025. Petitions — consolidation, when...

Section 190.030 - Sufficiency of petition, county commission to determine. - Effective - 28 Aug 1986 190.030. Sufficiency of petition, county...

Section 190.035 - Notice of election, contents. - Effective - 28 Aug 2011 190.035. Notice of election, contents....

Section 190.040 - Form of ballot — effect of passage on tax rate — fund created — refunds, when. - Effective - 28 Aug 2011 190.040. Form of ballot —...

Section 190.041 - Tax levy for central dispatching service, when, amount — funds kept separate. - Effective - 28 Aug 1986 190.041. Tax levy for central...

Section 190.043 - Increase in tax rate without voter approval, when, amount. - Effective - 28 Aug 1998 190.043. Increase in tax rate...

Section 190.045 - Returns of election, where filed — effect of. - Effective - 28 Aug 1978 190.045. Returns of election, where...

Section 190.050 - Election districts, how established — election of directors — declaration of candidacy filed, where, when. - Effective - 28 Aug 2002 190.050. Election districts, how established...

Section 190.051 - Change in number of board members, when — ballot language. - Effective - 28 Aug 2002 190.051. Change in number of...

Section 190.052 - Board member must live in his district — vacancies, how filled. - Effective - 28 Aug 2007 190.052. Board member must live...

Section 190.053 - Educational training required for board of directors — failure to attend. - Effective - 28 Aug 2022, 2 histories 190.053. Educational training...

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. - Effective - 28 Aug 2016, 2 histories 190.055. Powers of...

Section 190.056 - Recall of directors, procedure. - Effective - 28 Aug 2011 190.056. Recall of directors, procedure....

Section 190.060 - Powers of district. - Effective - 28 Aug 2016, 2 histories 190.060. Powers of...

Section 190.065 - Bonds, issuance of — election, form of ballot. - Effective - 28 Aug 1990 190.065. Bonds, issuance of —...

Section 190.070 - Annexation, petition for — hearing — election, form of ballot. - Effective - 28 Aug 1978 190.070. Annexation, petition for —...

Section 190.074 - Collection of taxes — levy — procedure. - Effective - 28 Aug 1998 190.074. Collection of taxes —...

Section 190.075 - Records, what and how kept. - Effective - 28 Aug 1986 190.075. Records, what and how...

Section 190.080 - Donated property — title, how taken. - Effective - 15 Jun 1971 190.080. Donated property — title,...

Section 190.085 - Failure to approve bonds, effect of — dissolution — funds, how rebated. - Effective - 15 Jun 1971 190.085. Failure to approve bonds,...

Section 190.087 - Ambulance district serving city in more than one county may be expanded — procedure (Franklin County). - Effective - 19 May 1993 190.087. Ambulance district serving city...

Section 190.088 - Detachment from ambulance district, procedure (City of Riverside) — inapplicable to St. Louis County. - Effective - 28 Aug 2014 *190.088. Detachment from ambulance district,...

Section 190.090 - Consolidation of ambulance districts, procedure for — form of ballot — transition provisions for consolidation. - Effective - 28 Aug 2005 190.090. Consolidation of ambulance districts,...

Section 190.091 - Vaccination program for first responders offered — definitions — participation voluntary — contingent effective date. - Effective - 30 Jun 2005 190.091. Vaccination program for first...

Section 190.092 - Defibrillators, requirements — good faith immunity from civil liability, when — all basic life support ambulances and stretcher vans to be equipped with. - Effective - 28 Aug 2020, 3 histories 190.092. Defibrillators, requirements...

Section 190.094 - Minimum ambulance staffing — volunteer defined. - Effective - 28 Aug 2020, 3 histories 190.094. Minimum ambulance...

Section 190.098 - Community paramedic, certification requirements — scope of practice — written agreement — rulemaking authority. - Effective - 28 Aug 2013 190.098. Community paramedic, certification requirements...

Section 190.100 - Definitions. - Effective - 28 Aug 2022, 4 histories 190.100. Definitions. —...

Section 190.101 - State advisory council on emergency medical services, members, purpose, duties — subcommittee established, duties. - Effective - 28 Aug 2022, 3 histories 190.101. State advisory...

Section 190.102 - Regional EMS advisory committees. - Effective - 28 Aug 2016, 2 histories 190.102. Regional EMS...

Section 190.103 - Regional EMS medical director, powers, duties — considered public official, when — online telecommunication medical direction permitted — treatment protocols for special needs patients. - Effective - 28 Aug 2022, 5 histories 190.103. Regional EMS...

Section 190.104 - Pediatric emergency medical services system. - Effective - 28 Aug 1998 190.104. Pediatric emergency medical services...

Section 190.105 - Ambulance license required, exceptions — operation of ambulance services — sale or transfer of ownership, notice required. - Effective - 28 Aug 2020, 3 histories 190.105. Ambulance license...

Section 190.107 - Contracts for mutual aid services. - Effective - 28 Aug 1998 190.107. Contracts for mutual aid...

Section 190.108 - Air ambulance licenses — sale or transfer of ownership, notice required. - Effective - 28 Aug 2002 190.108. Air ambulance licenses —...

Section 190.109 - Ground ambulance license. - Effective - 28 Aug 2002 190.109. Ground ambulance license. —...

Section 190.111 - Inspection limitation — effect of sale or transfer on a license. - Effective - 28 Aug 2007 190.111. Inspection limitation — effect...

Section 190.120 - Insurance, what coverage required — policy provisions required — term of policy. - Effective - 28 Aug 2002 190.120. Insurance, what coverage required...

Section 190.131 - Certification of training entities. - Effective - 28 Aug 2018, 2 histories 190.131. Certification of...

Section 190.133 - Emergency medical response agency license. - Effective - 28 Aug 2010 190.133. Emergency medical response agency...

Section 190.134 - Dispatch agency, requirements. - Effective - 28 Aug 1998 190.134. Dispatch agency, requirements. —...

Section 190.142 - Emergency medical technician license — rules. - Effective - 28 Aug 2018, 3 histories 190.142. Emergency medical...

Section 190.143 - Temporary emergency medical technician license granted, when — limitations — expiration. - Effective - 28 Aug 2020, 3 histories 190.143. Temporary emergency...

Section 190.144 - Immunity from liability, when. - Effective - 28 Aug 2017, 2 histories 190.144. Immunity from...

Section 190.146 - Lapse of license, request to return to active status, procedure. - Effective - 28 Aug 2002 190.146. Lapse of license, request...

Section 190.147 - Behavioral health patients — temporary hold, when — memorandum of understanding, contents — physical restraints, use of. - Effective - 28 Aug 2018 190.147. Behavioral health patients —...

Section 190.160 - Renewals of licenses, requirements. - Effective - 28 Aug 2002 190.160. Renewals of licenses, requirements....

Section 190.165 - Suspension or revocation of licenses, grounds for — procedure. - Effective - 28 Aug 2018, 3 histories 190.165. Suspension or...

Section 190.171 - Aggrieved party may seek review by administrative hearing commission. - Effective - 28 Aug 2002 190.171. Aggrieved party may seek...

Section 190.172 - Settlement agreements permitted, when — written impact statement may be submitted to administrative hearing commission. - Effective - 28 Aug 2002 190.172. Settlement agreements permitted, when...

Section 190.173 - Confidentiality of information. - Effective - 28 Aug 2018, 2 histories 190.173. Confidentiality of...

Section 190.175 - Records to be maintained by licensee. - Effective - 28 Aug 2002 190.175. Records to be maintained...

Section 190.176 - Data collection system. - Effective - 28 Aug 2022, 3 histories 190.176. Data collection...

Section 190.180 - Penalty for violation. - Effective - 28 Aug 1998 190.180. Penalty for violation. —...

Section 190.185 - Rules and regulations, department to adopt — procedure. - Effective - 28 Aug 2002 190.185. Rules and regulations, department...

Section 190.190 - Time to comply granted existing equipment and personnel. - Effective - 28 Aug 1998 190.190. Time to comply granted...

Section 190.196 - Employer to comply with requirements of licensure — report of charges filed against licensee, when. - Effective - 28 Aug 2020, 3 histories 190.196. Employer to...

Section 190.200 - Public information and education. - Effective - 28 Aug 2022, 2 histories 190.200. Public information...

Section 190.205 - Insurers' duties. - Effective - 28 Aug 1998 190.205. Insurers' duties. — 1....

Section 190.240 - At-risk behavioral health patients, notice required before transport of — training of personnel — temporary involuntary hold, patient placed on, when. - Effective - 28 Aug 2016 190.240. At-risk behavioral health patients,...

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... - Effective - 28 Aug 2022, 4 histories 190.241. Trauma, STEMI,...

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. - Effective - 28 Aug 2017 190.242. Emergency medical services data,...

Section 190.243 - Transportation to trauma, STEMI, or stroke centers or hospitals, how authorized. - Effective - 28 Aug 2022, 2 histories 190.243. Transportation to...

Section 190.245 - Medical records and quality improvement documentation, penalty for failure to provide, purpose for use, names not to be released. - Effective - 28 Aug 2022, 2 histories 190.245. Medical records...

Section 190.246 - Epinephrine auto-injector, possession and use limitations — definitions — use of device considered first aid — violations, penalty. - Effective - 28 Aug 2018, 2 histories 190.246. Epinephrine auto-injector,...

Section 190.248 - Investigations of allegations of violations, completed when — access to records. - Effective - 28 Aug 2002 190.248. Investigations of allegations of...

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. - Effective - 28 Aug 2002 190.250. Ambulance services to have...

Section 190.255 - Naloxone, first responder may administer, when — definition. - Effective - 28 Aug 2014 190.255. Naloxone, first responder may...

Section 190.257 - Advisory committee, time-critical diagnosis — recommendations to department — members. - Effective - 28 Aug 2022 190.257. Advisory committee, time-critical diagnosis...

Section 190.260 - Citation — definitions — training for broadcast engineers and technical personnel — credentialing — access to disaster areas. - Effective - 28 Aug 2016 190.260. Citation — definitions —...

Section 190.265 - Helipads, hospitals not required to have fencing or barriers. - Effective - 05 Jul 2016 190.265. Helipads, hospitals not required...

Section 190.270 - Citation of law. - Effective - 28 Aug 2014 190.270. Citation of law. —...

Section 190.275 - Definitions. - Effective - 28 Aug 2014 190.275. Definitions. — As used...

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. - Effective - 28 Aug 2014 190.280. Out-of-state businesses not subject...

Section 190.285 - Notification to secretary of state by out-of-state business required, when, content — information provided to department of revenue, when. - Effective - 28 Aug 2014 190.285. Notification to secretary of...

Section 190.286 - Inapplicability to certain out-of-state businesses. - Effective - 28 Aug 2014 190.286. Inapplicability to certain out-of-state...

Section 190.290 - Definitions. - Effective - 28 Aug 2004 190.290. Definitions. — As used...

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. - Effective - 09 Jul 2019, 2 histories 190.292. Emergency services,...

Section 190.294 - Powers and duties of the emergency services board — meetings — vacancies — rulemaking authority (Warren County). - Effective - 28 Aug 2004 190.294. Powers and duties of...

Section 190.296 - Board may borrow money and issue bonds — ballot language — duration of loans, rate of interest (Warren County). - Effective - 28 Aug 2004 190.296. Board may borrow money...

Section 190.300 - Definitions. - Effective - 28 Aug 2018, 2 histories 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. - Effective - 28 Aug 2007 190.305. Emergency telephone service may...

Section 190.306 - Dissolution of emergency telephone service not required, when (Christian County). - Effective - 28 Aug 2004 190.306. Dissolution of emergency telephone...

Section 190.307 - No civil liability for operation of emergency system, giving or following emergency instructions, exceptions. - Effective - 28 Aug 2021, 2 histories 190.307. No civil...

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. - Effective - 28 Aug 2018, 2 histories 190.308. Misuse of...

Section 190.309 - Emergency telephone board, powers and duties — members of the board, appointment, terms — personnel — officers — rules — removal of members — vacancies — nepotism prohibited. - Effective - 28 Aug 2010 190.309. Emergency telephone board, powers...

Section 190.310 - Tax due quarterly — return filed when, content — record retention period — rate determination, notification — collection fee allowed. - Effective - 12 Jun 1990 190.310. Tax due quarterly —...

Section 190.315 - Contract for service authorized. - Effective - 28 Aug 1986 190.315. Contract for service authorized....

Section 190.320 - Election — ballot form. - Effective - 28 Aug 1981 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. - Effective - 28 Aug 2018, 2 histories 190.325. Central dispatching...

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... - Effective - 09 Jul 2019, 3 histories 190.327. Board appointed,...

Section 190.328 - Election of board, Christian and Scott counties, when — terms. - Effective - 28 Aug 2018, 2 histories 190.328. Election of...

Section 190.329 - Election of board, exceptions, when — terms. - Effective - 28 Aug 2018, 2 histories 190.329. Election of...

Section 190.334 - Performance and fiscal audits authorized. - Effective - 28 Aug 2018, 2 histories 190.334. Performance and...

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... - Effective - 09 Jul 2019, 9 histories 190.335. Central dispatch...

Section 190.336 - Recall, board members subject to — procedure. - Effective - 28 Aug 2014 *190.336. Recall, board members subject...

Section 190.337 - Revenue, purpose for which shall be used — procedure to terminate tax, ballot form — reestablishing emergency service using telephone tax, procedure. - Effective - 28 Aug 1993 190.337. Revenue, purpose for which...

Section 190.339 - Emergency services board, powers and duties — officers — removal of board members, reasons, hearing procedure — vacancies — employment by board, limitations. - Effective - 28 Aug 2014, 2 histories 190.339. Emergency services...

Section 190.340 - Emergency services board, officers duties, rules and regulations. - Effective - 28 Aug 1996 190.340. Emergency services board, officers...

Section 190.353 - Powers and duties of department of health and senior services — establishment of regional poison information center — center to provide certain services. - Effective - 28 Aug 2006 190.353. Powers and duties of...

Section 190.355 - Use of existing resources required. - Effective - 28 Aug 2006 190.355. Use of existing resources...

Section 190.400 - Definitions — interoperability service agreements, what agencies. - Effective - 28 Aug 2018, 2 histories 190.400. Definitions —...

Section 190.420 - Fund established. - Effective - 28 Aug 2018, 2 histories 190.420. Fund established....

Section 190.450 - Department to complete study, issue plan for provision of best 911 technology and services statewide. - Effective - 28 Aug 2017 190.450. Department to complete study,...

Section 190.455 - Subscriber fees — election, ballot — deposit of moneys — confidentiality of proprietary information — immunity from liability, when — limitations on fees. - Effective - 09 Jul 2019, 2 histories 190.455. Subscriber fees...

Section 190.460 - Prepaid wireless emergency telephone service charge — definitions — amount, how collected — deposit and use of moneys — rates, how set — effective date. - Effective - 09 Jul 2019, 2 histories 190.460. Prepaid wireless...

Section 190.462 - Pre-emption of taxes by declaratory ruling — definitions — effect of — expiration date. - Effective - 09 Jul 2019 190.462. Pre-emption of taxes by...

Section 190.465 - Consolidation of emergency communications operations — joint entity established, when. - Effective - 28 Aug 2018 190.465. Consolidation of emergency communications...

Section 190.470 - Alternate consolidation — petition, election — board appointed, requirements. - Effective - 28 Aug 2018 190.470. Alternate consolidation — petition,...

Section 190.475 - Centralized database to be maintained, updates. - Effective - 28 Aug 2018 190.475. Centralized database to be...

Section 190.500 - Temporary license — qualified health care professions — declared emergency. - Effective - 28 Aug 2002 190.500. Temporary license — qualified...

Section 190.525 - Definitions. - Effective - 28 Aug 2002 190.525. Definitions. — As used...

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. - Effective - 28 Aug 2010 190.528. License required — political...

Section 190.531 - Refusal to issue or denial of renewal of licenses permitted — complaint procedure — rules — immunity from liability, when — suspension of license, when. - Effective - 28 Aug 2002 190.531. Refusal to issue or...

Section 190.534 - Violations, penalty — attorney general to have concurrent jurisdiction. - Effective - 28 Aug 2002 190.534. Violations, penalty — attorney...

Section 190.537 - Rulemaking authority. - Effective - 28 Aug 2002 190.537. Rulemaking authority. — Any...

Section 190.550 - Schedule of fees established, rules — collection and deposit. - Effective - 28 Aug 2005 190.550. Schedule of fees established,...

Section 190.600 - Citation of act — definitions. - Effective - 28 Aug 2007 190.600. Citation of act —...

Section 190.603 - Outside the hospital do-not-resuscitate order may be executed, when — maintained in medical records — transfers with patient. - Effective - 28 Aug 2007 190.603. Outside the hospital do-not-resuscitate...

Section 190.606 - Immunity from liability, what persons and entities. - Effective - 28 Aug 2020, 2 histories 190.606. Immunity from...

Section 190.609 - Order effective, when — limitations of order. - Effective - 28 Aug 2007 190.609. Order effective, when —...

Section 190.612 - Emergency medical services personnel to comply with order, when — physician to transfer patient, when. - Effective - 28 Aug 2020, 2 histories 190.612. Emergency medical...

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. - Effective - 28 Aug 2007 190.615. Death of a patient,...

Section 190.618 - Rules — rulemaking authority. - Effective - 28 Aug 2007 190.618. Rules — rulemaking authority....

Section 190.621 - Penalty for concealing or falsifying an order. - Effective - 01 Jan 2017, 2 histories 190.621. Penalty for...

Section 190.800 - Imposition of tax — definitions. - Effective - 28 Aug 2022, 2 histories 190.800. Imposition of...

Section 190.803 - Formula for tax based on gross receipts — challenge of validity of rules. - Effective - 28 Aug 2022, 2 histories 190.803. Formula for...

Section 190.806 - Record-keeping requirements, confidentiality. - Effective - 28 Aug 2022, 2 histories 190.806. Record-keeping requirements,...

Section 190.809 - Amount due, determination — notification procedure — offset permitted, when — quarterly adjustment of tax permitted. - Effective - 28 Aug 2009 190.809. Amount due, determination —...

Section 190.812 - Determination of tax final, when — timely protest permitted. - Effective - 28 Aug 2009 190.812. Determination of tax final,...

Section 190.815 - Rulemaking authority. - Effective - 28 Aug 2022, 2 histories 190.815. Rulemaking authority....

Section 190.818 - Remittance of tax — fund created, use of moneys. - Effective - 28 Aug 2009 190.818. Remittance of tax —...

Section 190.821 - Tax period — failure to pay, delinquency, enforcement procedures. - Effective - 28 Aug 2009 190.821. Tax period — failure...

Section 190.824 - Tax-exempt status of ambulance service not affected. - Effective - 28 Aug 2009 190.824. Tax-exempt status of ambulance...

Section 190.827 - Payments to ambulance services, when. - Effective - 28 Aug 2009 190.827. Payments to ambulance services,...

Section 190.830 - Federal financial participation required. - Effective - 28 Aug 2009 190.830. Federal financial participation required....

Section 190.833 - No tax imposed prior to effective date. - Effective - 28 Aug 2009 190.833. No tax imposed prior...

Section 190.836 - Rules requirements, authority. - Effective - 28 Aug 2009 190.836. Rules requirements, authority. —...

Section 190.839 - Expiration date. - Effective - 28 Sep 2021, 8 histories 190.839. Expiration date....

Section 190.840 - Nonseverability clause. - Effective - 28 Aug 2011 190.840. Nonseverability clause. — Notwithstanding...

Section 190.900 - REPLICA enacted — definitions. - Effective - 28 Aug 2018 190.900. REPLICA enacted — definitions....

Section 190.903 - Home state licensure. - Effective - 28 Aug 2018 190.903. Home state licensure. —...

Section 190.906 - Compact privilege to practice. - Effective - 28 Aug 2018 190.906. Compact privilege to practice....

Section 190.909 - Conditions of practice in a remote state. - Effective - 28 Aug 2018 190.909. Conditions of practice in...

Section 190.912 - Relationship to emergency management assistance compact. - Effective - 28 Aug 2018 190.912. Relationship to emergency management...

Section 190.915 - Veterans, service members separating from active duty military, and their spouses. - Effective - 28 Aug 2018 190.915. Veterans, service members separating...

Section 190.918 - Adverse actions. - Effective - 28 Aug 2018 190.918. Adverse actions. — 1....

Section 190.921 - Additional powers invested in a member state's EMS authority. - Effective - 28 Aug 2018 190.921. Additional powers invested in...

Section 190.924 - Establishment of the interstate commission for EMS personnel practice. - Effective - 28 Aug 2018 190.924. Establishment of the interstate...

Section 190.927 - Coordinated database. - Effective - 28 Aug 2018 190.927. Coordinated database. — 1....

Section 190.930 - Rulemaking. - Effective - 28 Aug 2018 190.930. Rulemaking. — 1. The...

Section 190.933 - Oversight, dispute resolution, and enforcement. - Effective - 28 Aug 2018 190.933. Oversight, dispute resolution, and...

Section 190.936 - Date of implementation of the interstate commission for EMS personnel practice and associated rules, and amendment. - Effective - 28 Aug 2018 190.936. Date of implementation of...

Section 190.939 - Construction and severability. - Effective - 28 Aug 2018 190.939. Construction and severability. —...

Section 190.1005 - CPR training or courses to include instruction on proper use of automated external defibrillators. - Effective - 28 Aug 2020 190.1005. CPR training or courses...

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Missouri Revised Statutes Title XII - Public Health and Welfare Chapter 190 - Emergency Services

Missouri Revised Statutes
Title XII - Public Health and Welfare
Chapter 190 - Emergency Services