The bill seeks to repeal sections 334.735 and 334.747 of the Revised Statutes of Missouri and introduces new regulations that redefine the prescriptive authority of physician assistants. It establishes key definitions such as "applicant," "certification," "collaborative practice arrangement," and "physician assistant," while outlining the scope of practice for physician assistants, which includes taking patient histories, performing physical examinations, and assisting in surgeries. Importantly, physician assistants are prohibited from performing or prescribing abortions and must work under a collaborative practice arrangement with a licensed physician for any prescribing activities. The bill also specifies conditions for prescribing controlled substances, particularly limiting Schedule II medications like hydrocodone and oxycodone. Additionally, the bill mandates that collaborative practice arrangements be documented in writing, detailing the collaborating physician and physician assistant's information, as well as protocols for collaboration and oversight. It ensures that no physician can be compelled to act as a collaborating physician against their will and limits the number of physician assistants a physician can supervise. The legislation further regulates the prescription of Schedule II controlled substances, allowing oxycodone prescriptions only in inpatient settings or for outpatient use for up to five days post-hospital discharge without refills. It also requires physician assistants to register with the DEA and the state bureau of narcotics and dangerous drugs to prescribe controlled substances, while emphasizing the need for collaboration to ensure safe prescribing practices.

Statutes affected:
Introduced (6819H.01): 334.735, 334.747