Board of Nursing

Rulemaking Process Delineated

1. All proposed new rules and proposed amendments to existing rules are published in the Missouri Register, which is generally issued on the 1st and 15th of each month

2. The public has at least 30 days from the date of the rule's appearance in the Missouri Register to submit written comments to the entity that filed the rule (entity usually specified at end of filed rule)

3. The entity that filed the rule may also hold public hearing/s after the 30th day of the comment period as another means of addressing public concerns or comments (date/s, location/s, and time/s of hearing/s usually specified at end of filed rule)

4. Within the next 60 days, all public comments are compiled and reviewed by the entity that filed the rule and rule language modifications may result

5. The Final Order of Rulemaking is filed with The Joint Committee on Administrative Rules (JCAR), composed of both senators and representatives, who have 30 days to review the proposed new rule or proposed amendment to existing rule, which may or may not result in JCAR calling for a hearing to take place before their Committee

6. If no JCAR hearing is set within their 30-day review, the Final Order of Rulemaking is filed with the Secretary of State's Office

7. The Final Order of Rulemaking appears in the Missouri Register approximately 30-45 days later

8. The Final Order of Rulemaking then appears in the Code of State Regulations at the end of the month in which the Final Order of Rulemaking was published in the Missouri Register

9. The Final Order of Rulemaking becomes effective 30 days after its appearance in the Code of State Regulations.