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.
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, use authorized when, conditions, notice — good faith immunity from civil liability, when.
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 — on-site reviews — grounds for suspension or revocation of designation — data submission and analysis — fees — administrative hearing commission to hear persons aggrieved by designation.
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 Peer review systems, required when — powers of department — medical records, 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 190.260 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 sales tax, Jefferson County.
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 election, qualification, terms — continuation of board in Greene, Lawrence and Stoddard counties — board appointment in Christian, Taney, and St. Francois counties — prepaid wireless telecommunications services, tax exempt.
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 — maximum rate — 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.