Bill > HJR187

This joint resolution proposes a constitutional amendment for the state of Missouri that would create new sections within Article IV of the state's Constitution to address health care professionals. Key provisions include defining and establishing new rules for "advanced practice providers" (such as physician assistants and advanced practice registered nurses), allowing eligible advanced practice registered nurses to practice independently after meeting specific experience requirements without needing a "collaborative practice arrangement" (a written agreement with a physician), and ensuring that certain "exempt advanced practice registered nurses" have prescriptive authority for medications, including controlled substances, as long as they meet other general law requirements. The resolution also introduces a framework for the state board of nursing to approve "state-accredited residency programs" for physicians, which would be an alternative to nationally accredited programs, and prohibits discrimination in physician licensure and hospital staff privileges based on the accreditation pathway of a completed residency program. Furthermore, it clarifies that these provisions do not guarantee federal funding or acceptance of state-accredited programs by other states, and requires the board to report on the outcomes and workforce participation of graduates from these state-accredited programs.

https://house.mo.gov/Bill.aspx?bill=HJR187&year=2026&code=R