Bill > HB3040

This bill modifies provisions related to advanced practice registered nurses (APRNs) in Missouri, primarily concerning their ability to prescribe controlled substances and the requirements for collaborative practice arrangements. Key changes include expanding the types of Schedule II controlled substances APRNs can prescribe, such as hydrocodone, stimulants for behavioral health patients, and any Schedule II controlled substances for hospice patients, provided they have a certificate of controlled substance prescriptive authority and a collaborative practice arrangement with a physician. The bill also introduces a pathway for experienced APRNs, those with 2,000 documented hours of practice in a collaborative arrangement, to practice independently without a formal collaborative agreement, provided their license is in good standing. Additionally, it clarifies that certified registered nurse anesthetists can provide anesthesia services under physician supervision without a collaborative practice arrangement, though they may still enter into one for other purposes. The bill also updates requirements for collaborative practice agreements, including provisions for geographic proximity waivers, physician supervision of APRN practice, and physician reporting of these arrangements.

https://house.mo.gov/Bill.aspx?bill=HB3040&year=2026&code=R