Bill > HB2391

This bill modifies provisions related to advanced practice registered nurses (APRNs) in Missouri, primarily focusing on their ability to prescribe medications and work independently. The bill removes previous geographic proximity requirements for collaborative practice arrangements between physicians and APRNs, allowing them to practice without strict physical proximity limitations. It introduces a provision that APRNs who have completed 2,000 documented hours of practice can be exempt from requiring a collaborative practice arrangement with a physician. The bill expands prescriptive authority for APRNs, allowing them to prescribe controlled substances in Schedules III, IV, and V, and limited Schedule II substances (such as hydrocodone), with specific restrictions on quantities and types of medications. Additionally, the bill clarifies that APRNs can prescribe medications in both collaborative and independent practice settings, removes some previous limitations on physician-APRN collaborative relationships, and ensures that APRNs have the right to refuse collaboration with a specific physician without penalty. The changes aim to increase healthcare access and provider flexibility by reducing administrative barriers for advanced practice registered nurses in Missouri.

https://house.mo.gov/Bill.aspx?bill=HB2391&year=2026&code=R