Bill > HB763

This bill modifies provisions relating to advanced practice registered nurses (APRNs), primarily focusing on expanding their prescriptive authority and collaborative practice arrangements. The legislation removes previous geographic proximity requirements for APRNs working with collaborating physicians, allowing them to practice without strict distance limitations. The bill introduces a new provision that exempts certain experienced APRNs (those with at least 6,000 documented practice hours) from requiring a collaborative practice arrangement altogether. APRNs will now have broader capabilities to prescribe medications, including controlled substances in Schedules III, IV, and V, and limited Schedule II medications. The bill also specifies detailed requirements for collaborative practice arrangements, such as written agreements, chart review protocols, and limitations on the number of APRNs a physician can collaborate with. Additionally, the legislation ensures that neither physicians nor APRNs can be forced into collaborative arrangements against their will, and it clarifies that APRNs can prescribe medications within their specialty and practice area. The changes aim to increase healthcare access and provider flexibility by reducing administrative barriers for advanced practice registered nurses.

https://house.mo.gov/Bill.aspx?bill=HB763&year=2025&code=R