Tracking List: Scope of Practice (6 bills)
| HB1635 - Rep. Matthew Overcast (R) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | 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. Currently, it is the responsibility of the collaborating physician to determine and document the completion of at least a one-month period of time during which the APRN must practice with the collaborating physician continuously present before practicing in a setting where the collaborating physician is not continuously present. This bill removes that requirement. The bill specifies that, an APRN 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 2,000 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 2,000 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 392 (2025), HB 763 (2025), and HB 1773 (2024). |
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| Position: | Support (General) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
H
- Read Second Time
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| HB1636 - Rep. Matthew Overcast (R) - Modifies provisions relating to the requirements for collaborative practice arrangements between physicians and advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | 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. Currently, it is the responsibility of the collaborating physician to determine and document the completion of at least a one-month period of time during which the APRN must practice with the collaborating physician continuously present before practicing in a setting where the collaborating physician is not continuously present. This bill removes that requirement. This bill is similar to HB 392 (2025), HB 763 (2025), and HB 1773 (2024). |
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| Position: | Support (General) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
H
- Read Second Time
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| HB1989 - Rep. Dave Hinman (R) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | 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). |
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| Position: | Support (General) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
H
- Read Second Time
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| HB2391 - Rep. Marty Joe Murray (D) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | 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. Currently, it is the responsibility of the collaborating physician to determine and document the completion of at least a one-month period of time during which the APRN must practice with the collaborating physician continuously present before practicing in a setting where the collaborating physician is not continuously present. This bill removes that requirement. The bill specifies that, an APRN 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 2,000 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 2,000 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); HB 392 (2025); HB 763 (2025); and HB 1773 (2024). |
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| Position: | Support (General) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
01/08/2026
H
- Read Second Time
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| SB979 - Sen. Nick Schroer (R) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 979 - 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 identical to SB 1016 (2026), provisions in SB 1719 (2026), HB 3040 (2026), SCS/SBs 144 & 179 (2025) and contains provisions identical to provisions in SB 809 (2024) and is substantially similar to HB 1875 (2024). KATIE O'BRIEN |
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| Position: | Support (General) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/03/2026
S
- Hearing Conducted - Senate-Emerging Issues and Professional Registration
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| SB1016 - Sen. Patty Lewis (D) - Modifies provisions relating to advanced practice registered nurses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary: | SB 1016 - 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 identical to SB 979 (2026), provisions in SB 1719 (2026), HB 3040 (2026), SCS/SBs 144 & 179 (2025), contains provisions identical to SB 809 (2025), and is substantially similar to HB 1875 (2024). KATIE O'BRIEN |
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| Position: | Support (General) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last Action: |
03/03/2026
S
- Hearing Conducted - Senate-Emerging Issues and Professional Registration
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