Bill > SB144

This bill modifies regulations for advanced practice registered nurses (APRNs) in Missouri, primarily focusing on their ability to prescribe controlled substances and enter into collaborative practice arrangements with physicians. The bill expands APRNs' prescriptive authority to include Schedule III, IV, and V controlled substances, as well as limited Schedule II substances such as hydrocodone and stimulants for behavioral health patients. It establishes detailed requirements for collaborative practice arrangements, including provisions for geographic proximity, chart review, and the maximum number of APRNs a physician can collaborate with (six full-time equivalent). Notably, the bill creates a pathway for experienced APRNs who have completed 2,000 documented hours of practice to practice without a collaborative arrangement. The legislation also outlines specific requirements for obtaining a certificate of controlled substance prescriptive authority, including completing advanced pharmacology courses, obtaining preceptorial experience, and demonstrating a minimum of 1,000 hours of advanced practice nursing. The bill aims to increase healthcare access by providing more flexibility for APRNs while maintaining patient safety through structured collaborative and supervisory mechanisms.

Labor and Employment

https://www.senate.mo.gov/25info/BTS_Web/Bill.aspx?SessionType=R&BillID=295