SB 109 Summary

• Repeals and replaces sections 197.080 and 197.100 of Missouri law relating to hospital licensure and inspection procedures.

• Requires the Department of Health and Senior Services to review and revise hospital licensure regulations to promote efficiency and eliminate duplicative inspections by state and federal agencies.

• Mandates that regulatory citations reference specific written regulations, state interpretive guidance, and professionally recognized standards of care that form the basis of findings.

• Requires state hospital licensure standards to be consistent with and not contradict federal Centers for Medicare and Medicaid Services (CMS) Conditions of Participation, though state standards may exceed federal standards if they do not contradict them.

• Establishes that the Department of Health and Senior Services shall be the sole state agency determining life safety and building codes for hospitals, including sprinkler systems and fire safety matters, with new standards applying only to new construction.