Bill > SB1016

This bill modifies regulations for advanced practice registered nurses (APRNs) in Missouri, primarily focusing on their prescriptive authority and collaborative practice arrangements. The bill expands APRNs' ability to prescribe controlled substances by allowing them to prescribe Schedule III, IV, and V substances, and limited Schedule II substances, including hydrocodone and stimulants for behavioral health patients. It establishes detailed requirements for collaborative practice arrangements between physicians and APRNs, including provisions for geographic proximity, chart review protocols, and limitations on the number of APRNs a physician can collaborate with. Notably, the bill introduces a significant change by allowing APRNs who have completed 2,000 documented hours of practice to practice independently without a collaborative arrangement. The bill also outlines specific requirements for obtaining a certificate of controlled substance prescriptive authority, such as completing advanced pharmacology courses, obtaining preceptorial experience, and demonstrating a minimum of 1,000 hours of advanced practice nursing. These changes aim to increase healthcare access by providing APRNs with more autonomy and prescriptive capabilities while maintaining patient safety through structured oversight and training requirements.

Labor and Employment

https://www.senate.mo.gov/26info/BTS_Web/Bill.aspx?SessionType=R&BillID=562