SB 584 - Under current law, a collaborating physician working with an advanced practice registered nurse (APRN) subject to a collaborative practice arrangement shall document a one month period of time during which the APRN practices with the physician continuously present. This act repeals the requirement that such supervised practice occur for one month of time.

This act also repeals the requirement that APRNs only provide telehealth services in rural areas of need in order to practice telehealth services outside the geographic proximity requirements of a collaborative practice arrangement. This provision is similar to SB 193 (2021).

MATT KIMMINAU

Statutes affected:
Introduced (2744S.01): 334.104, 335.175


Senate Committee Minutes:
SENATE COMMITTEE MINUTES Bill No.: SB 584
Sponsor: Eslinger
Hearing Date: 3/22/2021


COMMITTEE: Professional Registration

CHAIRMAN: Riddle

DATE REFERRED: 3/11/2021 DATE HEARING REQUESTED: 3/11/2021



STAFF:
Lindsey Alexander
Mary Cottom
Matt kimminau
Rob Krosley


WITNESSES GIVING INFORMATION:
Amanda Harris - Heidi B. Miller, MD, St. Louis Regional Health Commission


WITNESSES FOR:
Jeremy Cady - Americans for Prosperity
Derek Leffert - Association of Missouri Nurse Practitioners
Jennifer Bernstein - National Council of Jewish Women St. Louis
Laurie Sparr - AMNP, MONA
Shanna Chapman - Association of Missouri Nurse Practitioners
Jay Hardenbrook - AARP Missouri
Mandy Hagseth - Missouri Family Health Council, Inc.
Kara Corches - Missouri Chamber of Commerce and Industry
William Bates - LeadingAge Missouri
Richard AuBuchon - Missouri Association of Nurse Practitioners
Christine Corbett - Christine Corbett DNP and Assoc MO NPs
Sarah Wilson - MO Hospital Association
Jessica Petrie - BJC Healthcare; Cox Health; MO Assoc. of Rural Health Clinics
Kathi Harness - Nat'l Council State Board of Nursing; St. Lukes Health System
Heidi Lucas - Missouri Nurse Association
Justin Alferman - SSM Health
Derek Leffert - Assoc of MO Nurse Practitioners
Laura Kuensting - Individual
Cara Alexander - SSM Health


WITNESSES AGAINST:
Stephen Nittler - MAOPS opposes SB 584, as we support APRN licensure only if under the Board of Healing Arts to
ensure
Arnie C. AC "Honest-Abe" DIENOFF - State Public Advocate-We Need Assurances
Todd Shaffer - MD
David Jackson - MO Dermatologists; MO ACOG