HB 1989 -- ADVANCED PRACTICE REGISTERED NURSES

SPONSOR: Hinman

Currently, an advanced practice registered nurse (APRN) must be in a collaborative practice arrangement with a collaborating physician. All collaborative practice arrangements must include geographic proximity requirements, meaning that the APRN must practice within a certain number of miles from the collaborating physician.

This bill removes the geographic proximity requirement.

The bill specifies that, an advanced practice registered nurse who is not a certified registered nurse anesthetist will no longer be required to enter into a collaborative practice arrangement when the ARPN:

(1) Has a license in good standing and has been in a collaborative practice arrangement or arrangements for a cumulative total of 4,000 documented hours with a collaborating physician or physicians; or

(2) Has applied for and received licensure by endorsement and successfully demonstrated at the time of such application to the State Board of Nursing the completion of a cumulative total of 4,000 documented hours of practice.

This bill expands the practice of advanced practice nursing to include the prescription of pharmacologic and nonpharmacologic therapies.

This bill is similar to HB 1635 (2026) and HB 392 (2025).

Statutes affected:
Introduced (4605H.01): 195.070, 334.104, 335.016, 335.019