Bill > HB392

This bill modifies provisions related to advanced practice registered nurses (APRNs), primarily focusing on expanding their prescriptive authority and reducing collaborative practice restrictions. The legislation removes geographic proximity requirements for collaborative practice arrangements between physicians and APRNs, allowing them to work together without being physically close. A significant change is the introduction of an exemption for experienced APRNs (those with 4,000 documented practice hours) from mandatory collaborative practice arrangements, essentially granting them more independent practice rights. The bill permits APRNs to prescribe a broader range of medications, including controlled substances in Schedules III, IV, and V, with some limitations on Schedule II medications. APRNs can now prescribe hydrocodone and certain controlled substances for hospice patients, and buprenorphine for substance use disorder treatment. The bill also outlines specific requirements for obtaining a certificate of controlled substance prescriptive authority, including advanced pharmacology training, preceptorial experience, and minimum practice hours. Additionally, the legislation specifies that a collaborating physician cannot work with more than six full-time equivalent advanced practice registered nurses, physician assistants, or assistant physicians, with some exceptions for hospital and public health settings.

https://house.mo.gov/Bill.aspx?bill=HB392&year=2025&code=R