Bill > HB1492

This bill modifies provisions related to prescriptive authority for advanced practice registered nurses (APRNs) and physician assistants (PAs) in Missouri. The bill expands the ability of APRNs and PAs to prescribe controlled substances, particularly for patients of providers designated as administrative entities by the Department of Mental Health. Specifically, it allows APRNs and PAs to prescribe Schedule II controlled substances for patients in mental health administrative entities, in addition to existing provisions for hospice patients. The bill maintains existing restrictions on prescribing, such as limiting Schedule III narcotic and Schedule II-hydrocodone prescriptions to a 120-hour supply without refill. It also details collaborative practice arrangement requirements, including geographic proximity, chart review processes, and the maximum number of collaborative arrangements a physician can have (six full-time equivalent APRNs, PAs, or assistant physicians). The bill aims to provide more flexibility for healthcare providers while maintaining oversight and patient safety through collaborative practice arrangements and specific educational and training requirements for prescriptive authority.

https://house.mo.gov/Bill.aspx?bill=HB1492&year=2025&code=R