1. Beginning on August 28, 2025, it shall be unlawful for any person to establish, maintain, or operate a prescribed pediatric extended care facility, or to advertise or hold himself or herself out as being able to perform any of the services of a prescribed pediatric extended care facility, without having in effect a written license granted by the department.2. Nothing in sections 192.2550 to 192.2560 shall be construed to apply to: (1) Any child care facility that provides care to eligible children with a caregiver staffing ratio of not fewer than one licensed nurse present for every one eligible child present, unless said facility voluntarily applies for licensure as a prescribed pediatric extended care facility;(2) Any hospital, sanitarium, or home that is conducted in good faith primarily to provide medical treatment or nursing or convalescent care for children; or(3) Any program licensed by the department of mental health under sections 630.705 to 630.760 that provides care, treatment, and habilitation exclusively to children who have a primary diagnosis of mental disorder, mental illness, intellectual disability, or developmental disability, as those terms are defined in section 630.005.Added by 2024 Mo. Laws, SB 1111,s A, eff. 8/28/2024.