Pursuant to section 197.320, RSM, the committee directs that the rule be adopted within 90 days. Order of Remaking 19 CSR 60-50 was rescinded and its effective date changed to January 12, 2001. Pursuant to section 197.320, RSM, the committee directs the Missouri Department of Health and Senior Services to amend the applicable provisions to include the following: 19 CSR 60-50 is amended by adding the following new section: 19 CSR 60-50.1 Rules of construction. (1) Notwithstanding the provisions of this section to the contrary, except as provided in subsection (4), nothing in this part prohibits a medical practice group or member from submitting to any state or federal regulatory, licensing or accreditation agency for review a new rule with respect to a medical practice or a medical facility in a State of Missouri. (2) Nothing in this part prohibits a medical practice group or member from submitting to any state or federal regulatory, licensing or accreditation agency for review a rule with respect to a medical practice or a medical facility in a State of Minnesota. The Department of Administration, Office of Civil Rights shall prepare and disseminate the rule with respect to every existing medical center that will be located in a State for the term of the rule. 19 CSR 60-50.2 Rule summary; effective date of rule. The effective date of the rule or a proposed rule to amend a rule shall be as follows: (a) If the proposed rule is a new rule, it shall be effective on the first day of the first month after its publication in the Missouri Register or, if no publication in the Missouri Register is made, on the date the proposed rule is published in the Missouri Register. If the proposed rule is amended to add, terminate, or modify any of the powers provided for in this part, it shall be effective upon publication in the Missouri Register, unless an extended effective date is established by rule. (b) If the proposed rule is a proposed rule to amend a rule, it shall be effective, subject to the requirements of subsections (2) and (3) of this section, as follows: (1) If the amendment of a rule provides for a state or federal authorization to operate a facility, it shall be effective immediately. A person subject to an amended rule may continue to operate the facility with respect to the amendments.
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Orders of Rule making Page 2856 Orders of Rule making Orders of Rule making December 1, 1999, Vol. 24, No. 23 December 1, 1999, Vol. 24, No. 23 Missouri Register Page 2857-Page 2858 Orders of Rule
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