SCS/SBs 144 & 179 - This act modifies provisions relating to the practice of advanced practice registered nursing. Specifically, prescription medications prescribed by advanced practice registered nurses ("APRNs") may include Schedule II stimulants for behavioral health patients. Under current law, collaborative practice arrangements between physicians and registered professional nurses may delegate to an APRN the authority to administer, dispense, or prescribe certain controlled substances. This act provides that the section of law providing for such agreements shall not apply to APRNs, excluding certified registered nurse anesthetists ("CRNAs"), who have been in a collaborative practice arrangement for a cumulative 2000 documented hours with a collaborating physician and whose license is in good standing. APRNs applying for licensure by endorsement may demonstrate to the Missouri State Board of Nursing completion of such hours. Additionally, any such APRN shall not be required to enter into or remain in such arrangement to practice in this state.
This act also provides that an APRN's prescriptive authority shall include authority to prescribe, dispense, and administer controlled substances as provided in current law. Furthermore, the provision on prescriptive authority shall also apply to good-standing APRNs who have been in collaborative practice arrangements for a cumulative 2000 documented hours with collaborating physicians and who are no longer required to hold collaborative practice arrangements.
This act is substantially similar to HB 1875 (2024) and contains provisions identical to provisions in SB 809 (2024).
KATIE O'BRIEN
Statutes affected: Introduced (0557S.01):
334.104,
335.016,
335.019Committee (0557S.02):
195.070,
334.104,
335.019
Senate Committee Minutes: SENATE COMMITTEE MINUTES Bill No.: SB 144
Sponsor: Schroer
Hearing Date: 2/25/2025
COMMITTEE: Emerging Issues and Professional Registration
CHAIRMAN: Brown (16)
DATE REFERRED: 1/23/2025 DATE HEARING REQUESTED: 2/3/2025
STAFF:
Ashley Bax
Katie O'Brien
Will Wheeler
WITNESSES GIVING INFORMATION:
WITNESSES FOR:
Derek Leffert - Association of Missouri Nurse Practitioners
Elizabeth Brake
Marcy Markes
Matthew Thompson - BJC Healthcare
David McCracken - Leading Age MO
Todd Ahrens - Hannibal Regional Healthcare System
Craig Thompson - Golden Valley Memorial Healthcare
Jamey Murphy - Missouri Hospital Association
Nikki Strong - MO Health Care Association
Will Marrs - Mercy Health Systems
Mandy Hagseth - Missouri Family Health Council
AJ Pittman - IAFF Local 42
Jaryn Black - Missouri Nurses Association
Karen White - Missouri Highlands Health Care
Jill Kliethermes - Missouri Nurses Association
Mark Fiegenbaum - Missouri Farm Bureau
Heidi Lucas - Missouri Rural Health Association
Kathi Harness - National Council of State Boards of Nursing
Karin Riepe - Association of MO Nurse Practitioner
Kelli Cash
Carla Moore Beckerle - AMNP
Matthew Lindquist
Casey Prough
Julie Miller
WITNESSES AGAINST:
Jacob Scott - Missouri State Orthopedic Association
David Tannehill - Missouri Association of Osteopathic Physicians & Surgeons
David Barbe - MO State Medical Assocation
Timothy Swearengin
Kento Sonoda - Missouri Academy of Family Physicians
Dr ShiAnne Farris - MAFP
Sarah Cole - MO Academy of Family Physicians
Taylor LaValle
David Jackson - JCMG
Jorgen Schlemeier - Wash U