197.200. Definitions. — As used in sections 197.200 to 197.240, unless the context clearly indicates otherwise, the following terms mean:
(1) "Abortion facility", as such term is defined in section 188.015;
(2) "Ambulatory surgical center", any public or private establishment operated primarily for the purpose of performing surgical procedures or primarily for the purpose of performing childbirths, and which does not provide services or other accommodations for patients to stay more than twenty-three hours within the establishment, provided, however, that nothing in this definition shall be construed to include the offices of dentists currently licensed pursuant to chapter 332;
(3) "Dentist", any person currently licensed to practice dentistry pursuant to chapter 332;
(4) "Department", the department of health and senior services;
(5) "Governmental unit", any city, county or other political subdivision of this state, or any department, division, board or other agency of any political subdivision of this state;
(6) "Person", any individual, firm, partnership, corporation, company, or association and the legal successors thereof;
(7) "Physician", any person currently licensed to practice medicine pursuant to chapter 334;
(8) "Podiatrist", any person currently licensed to practice podiatry pursuant to chapter 330.
Notes of Decisions
Planned Parenthood Assn. of Kansas City, Mo., Inc. v. Ashcroft, 462 U.S. 476 (1983).
· cites it 2× “Mo. Rev. Stat. § 197.200 (1) (1978) (defining "ambulatory surgical center" to include facilities "with an organized medical staff of physicians" and "with continuous physician services and registered professional nursing services whenever a patient is in the facility"); 13 Mo.”
Planned Parenthood of Kansas v. Donnelly, 298 S.W.3d 8 (Mo. Ct. App. 2009).
· cites it 7× “Missouri’s “Ambulatory Surgical Center Licensing Law,” §§ 197.200 to 197.24-0, RSMo (“the Act”) regulates facilities that provide general ambulatory surgical services, birthing services, and abortion services.”
Comprehensive Health of Planned Parenthood Great Plains v. Hawley, 903 F.3d 750 (8th Cir. 2018).
· cites it 2× “The Appellees asked for broader injunctive relief from the statutory ASC classification, Mo. Rev. Stat. § 197.200 (2007), but the district court entered a less capacious injunction of only the Physical Plant Regulations.”
Women's Health Ctr. of West Cty. v. Webster, 670 F. Supp. 845 (E.D. Mo. 1987).
· cites it 5× “235 Section 197.200 et seq. amended the Missouri Ambulatory Surgical Center Licensing Law so as to cover abortion facilities.”
Reproductive Health Servs. v. Webster, 662 F. Supp. 407 (W.D. Mo. 1987).
· cites it 2× “Mo.Rev.Stat. § 197.200, et seq. the Missouri Ambulatory Surgical Center Licensing Law, was only recently amended to cover abortion facilities.”
Reproductive Health Servs. v. Webster, 655 F. Supp. 1300 (W.D. Mo. 1987).
· cites it 2× “Mo.Rev.Stat. § 197.200, et seq. the Missouri Ambulatory Surgical Center Licensing Law, was *1310 only recently amended to cover abortion facilities.”
Holland v. Healthcare Servs. of the Ozarks, 347 S.W.3d 166 (Mo. Ct. App. 2011).
· cites it 3× “Beginning on January 1, 1987, the chief executive officer of any hospital or ambulatory surgical center, as such term is defined in section 197.200, RSMo, shall report to the appropriate health care professional licensing authority any disciplinary action against any health care…”
Women's Health Ctr. of West Cnty. v. Webster, 681 F. Supp. 1385 (E.D. Mo. 1988).
· cites it 2× “Under Missouri's Ambulatory Surgical Center Licensing Law, § 197.200, et seq., R.S.Mo. (1986), outpatient clinics providing surgical procedures, including surgical procedures for the purpose of performing childbirths, may only be licensed if the person performing the surgery…”
Rachel K. Williston v. Missouri State Bd. of Nursing (Mo. Ct. App. 2020).
“3d at 332 (emphasis in original) (quoting § 197.200(2)). “Section 197.205 requires all ‘ambulatory surgical centers’ to obtain a license from [the Department of Health and Senior Services].”
Comprehensive Health of Planned Parenthood Great Plains v. Williams, 263 F. Supp. 3d 729 (W.D. Mo. 2017).
“With respect to the surgical center requirement, although there is a statute specifying that abortion clinics shall be classified as Ambulatory Surgical Centers (§ 197.200(1) R.S.Mo.), there is a regulation in Missouri (19-CSR 30.”
Comprehensive Health of Planned Parenthood Great Plains, et al., Respondents, vs. State of Missouri, et al., Appellants. (Mo. 2025).
“After Planned Parenthood moved for reconsideration, asking the circuit court to enjoin Missouri’s abortion facility licensing requirements, the circuit court sustained Planned Parenthood’s motion on February 14, 2025, enjoining sections 197.200 through 197.235, and 334.”
— Mo. Rev. Stat. § 197.200(1) — 2 cases
Comprehensive Health of Planned Parenthood Great Plains v. Williams, 263 F. Supp. 3d 729 (W.D. Mo. 2017).
“With respect to the surgical center requirement, although there is a statute specifying that abortion clinics shall be classified as Ambulatory Surgical Centers (§ 197.200(1) R.S.Mo.), there is a regulation in Missouri (19-CSR 30.”
— Mo. Rev. Stat. § 197.200(2) — 1 case
Rachel K. Williston v. Missouri State Bd. of Nursing (Mo. Ct. App. 2020).
“3d at 332 (emphasis in original) (quoting § 197.200(2)). “Section 197.205 requires all ‘ambulatory surgical centers’ to obtain a license from [the Department of Health and Senior Services].”
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