Missouri Statutes and Regulations Governing Health Professions and Administrative Practice
Domain 6 tests how Missouri’s health-profession statutes and administrative-law rules frame chiropractic regulation.
Core framework
- Chapter 331, RSMo is the chiropractic practice act; it creates the board, defines practice, and authorizes rules. Board rules appear in the Missouri Code of State Regulations.
- Chapter 536, RSMo governs rulemaking and contested cases. Proposed rules require notice, public comment, and filing; contested cases require notice, hearing, and a record. Judicial review of a final agency decision is by petition to circuit court, generally within 30 days.
- Chapter 610, RSMo, the Sunshine Law, governs open meetings and public records, subject to exceptions for investigative and personal information.
- An agency may not exceed its statutory authority; a rule that conflicts with the statute is invalid.
Worked example
The board proposes a rule requiring a new CE topic. It must publish notice, accept comment, and file the rule before enforcement. If the board instead announces the requirement only on its website, a licensee challenged for noncompliance could argue the rule was never validly adopted.
Traps
Do not cite the board’s website as if it were a statute. Do not miss the difference between a rule and a policy statement. Do not assume an appeal starts in the board itself; the board’s final decision is reviewed in court. Do not overlook open-records exceptions for patient and investigative information.