Bill > HB327

This bill modifies the prescriptive authority of advanced practice registered nurses (APRNs) in Missouri, expanding their ability to prescribe controlled substances. The bill allows APRNs with a certificate of controlled substance prescriptive authority to prescribe Schedule III, IV, and V controlled substances, and adds new provisions for prescribing certain Schedule II medications. Specifically, APRNs can now prescribe Schedule II controlled substances for hospice patients, and have been granted the ability to prescribe Schedule II benzodiazepines and stimulants under collaborative practice arrangements with physicians. The bill also introduces detailed requirements for collaborative practice arrangements, including provisions for geographic proximity, chart reviews, and limitations on the number of APRNs a physician can collaborate with (no more than six full-time equivalent advanced practice providers). Additionally, the legislation outlines specific restrictions, such as prohibiting APRNs from prescribing controlled substances for themselves or their family members, and limiting certain narcotic prescriptions to a 120-hour supply without refill. The bill aims to provide more flexibility for APRNs in providing patient care while maintaining oversight and safety protocols through collaborative practice arrangements with physicians.

Health and Social Services

https://house.mo.gov/Bill.aspx?bill=HB327&year=2025&code=R