Bill > HB831

This bill modifies Missouri's laws regarding how nurses, particularly advanced practice registered nurses (APRNs) and certified registered nurse anesthetists (CRNAs), can administer and prescribe controlled substances. The bill expands the prescriptive authority of advanced practice registered nurses, allowing them to prescribe certain controlled substances in Schedules III, IV, and V, with restricted authority for Schedule II medications (primarily limited to hydrocodone and hospice patient medications). For certified registered nurse anesthetists, the bill specifically permits them to select, issue orders for, and administer controlled substances in Schedules II through V during anesthesia care in licensed facilities, without requiring a separate controlled substance prescriptive authority certificate. The legislation also establishes detailed collaborative practice arrangement requirements between physicians and advanced practice registered nurses, including provisions for geographic proximity, chart reviews, and limitations on the number of nurses a physician can collaborate with (no more than six full-time equivalent advanced practice registered nurses, physician assistants, or assistant physicians). Additionally, the bill ensures that neither physicians nor advanced practice registered nurses can be compelled to enter into collaborative arrangements against their will, providing flexibility and protecting professional autonomy in healthcare settings.

https://house.mo.gov/Bill.aspx?bill=HB831&year=2025&code=R