Proposed Rules

Summaries of Proposed Rules

The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.

Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Resources

Missouri Register

Missouri Revised Statutes

Senate Bill 504

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Proposed Rule	Summary	Fiscal Note(s)	Link to Missouri Register / Supporting Documents	Small Business Impact Statement	Division
Proposed Rule 20 CSR 200-9.800.pdf 20 CSR 200-9.800 Annual Filings Due by March 1	The department is amending the rule by creating an exemption to the requirement to annually file an audited financial statement as part of the report required by section 376.1093, RSMo, for certain smaller companies that are not part of an insurance holding company system.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	April 1, 2026	This proposed amendment does not have an adverse impact on small business.	Insurance
Proposed Amendment 20 CSR 2030--6.015.pdf 20 CSR 2030-6.015 Application, Renewal, Relicensure, and Miscellaneous Fees	This amendment increases renewal fees.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will cost private entities six hundred seventy-six thousand eight hundred fifty-five dollars ($676,855) annually.	March 16, 2026	This proposed rulemaking does have an adverse impact on small businesses.	Professional Registration – Architects, Engineers, Surveyors, Landscape Architects
Proposed Amendment 20 CSR 2030-13.010.pdf 20 CSR 2030-13.010 Immediate Personal Supervision	This amendment simplifies and clarifies the subsection.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	March 16, 2026	This proposed rulemaking does not have an adverse impact on small businesses.	Professional Registration – Architects, Engineers, Surveyors, Landscape Architects
Proposed Amendment 20 CSR 2110-2.120.pdf 20 CSR 2110-2.120 Dental Assistants	This amendment will establish the minimal expectations for a board approved nitrous oxide training course for dental assistants.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	March 16, 2026	This proposed rulemaking does not have an adverse impact on small businesses.	Professional Registration – Dental
Proposed Amendment 20 CSR 2110-2.130.pdf 20 CSR 2110-2.130 Dental Hygienists	The amendment will allow licensed dental hygienists to be delegated expanded function duties under the general supervision of the supervising dentist.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	March 16, 2026	This proposed rulemaking does not have an adverse impact on small businesses.	Professional Registration – Dental
Proposed Amendment 20 CSR 2233-2.010.pdf 20 CSR 2233-2.010 Educational Requirements	This amendment will clarify telehealth requirements for the practicum or internship and reduce double work for applicants from nonaccredited programs by clarifying minimum requirements.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	February 17, 2026	This proposed rulemaking does not have an adverse impact on small businesses.	Professional Registration – Marital and Family Therapists
Proposed Amendment 20 CSR 2233-2.020.pdf 20 CSR 2233-2.020 Supervised Marital and Family Work Experience	This amendment clarifies and reduces hardship for applicants and clarifies requirements.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	February 17, 2026	This proposed rulemaking does not have an adverse impact on small businesses.	Professional Registration – Marital and Family Therapists
Proposed Amendment 20 CSR 2233-2.021.pdf 20 CSR 2233-2.021 Registered Supervisors and Supervisory Responsibilities	This amendment clarifies and reduces hardship for applicants and clarifies requirements.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	February 17, 2026	This proposed rulemaking does not have an adverse impact on small businesses.	Professional Registration – Marital and Family Therapists
Proposed Amendment 20 CSR 2233-2.040.pdf 20 CSR 2233-2.040 Examinations	The amendment is to clean up language to ensure a clear process for examination requirements.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	February 17, 2026	This proposed rulemaking does not have an adverse impact on small businesses.	Professional Registration – Marital and Family Therapists
Proposed Rule 20 CSR 200-18.040.pdf 20 CSR 200-18.040 Prohibited Language for Motor Vehicle Extended Service Contract Providers and Producers	The purpose of this rule is to effectuate and aid in the interpretation of section 385.208, RSMo, regarding the registration of motor vehicle extended service contract providers and producers in this state.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	January 15, 2026	This proposed amendment does not have an adverse impact on small business.	Insurance
Proposed Rule 20 CSR 500-4.300.pdf 20 CSR 500-4.300 Rate Variations (Consent Rate) Prerequisites	The purpose of this amendment is to delete section (3) to comply with the amendment of section 379.316.1(3), RSMo, during the 2023 legislative session.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	January 15, 2026	This proposed amendment does not have an adverse impact on small business.	Insurance
Proposed Rule 20 CSR 2117-2.080.pdf 20 CSR 2117-2.080 Issuance of Temporary Courtesy License to Nonresident Military Spouse	The rule is being rescinded due to the repeal of section 324.008, RSMo.	Public Costs: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.	December 17, 2025	This proposed rescission does not have an adverse impact on small businesses.	Professional Registration – Electrical Contractors
Proposed Rule 20 CSR 2150-2.125.pdf 20 CSR 2150-2.125 Continuing Medical Education	This amendment adds a one (1) hour requirement on the benefits of nutrition to continuing medical education.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.	December 17, 2025	This proposed amendment does not have an adverse impact on small businesses.	Professional Registration – Healing Arts
Proposed Amendment 20 CSR 2245-8.010.pdf 20 CSR 2245-8.010 Requirements	This amendment updates the name of the continuing education course.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	November 18, 2025	This proposed amendment does not have an adverse impact on small businesses.	Professional Registration – Appraisers
Proposed Amendment 20 CSR 2245-8.030.pdf 20 CSR 2245-8.030 Instructor Approval	This amendment updates the name of the continuing education course.	Public Costs: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. Private Costs: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.	November 18, 2025	This proposed amendment does not have an adverse impact on small businesses.	Professional Registration – Appraisers

Licensing Proposed Rules

Summaries of Proposed Rules

Resources

Proposed Rules

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