Missouri 2022 2022 Regular Session

Missouri House Bill HB2434 Comm Sub / Analysis

Filed 01/26/2022

                    HB2434--ADVANCEDPRACTICEREGISTEREDNURSES
SPONSOR: Grier
Thisbillallowsaplanoftreatmentfollowedbyahomehealth
agencytobereviewedandsignedbyanadvancedpracticeregistered
nurseoraphysicianassistant. Currentlylawonlyallowsfora
physicianorpodiatrist.
ThisbillremovesthecurrentrequirementthatAdvancedPractice
RegisteredNurses(APRN)whohaveenteredintocollaborative
practiceagreementscompleteaonemonthperiodinwhichtheAPRN
mustpracticewiththecollaboratingphysiciancontinuously
present. Thisbillstillrequiressomeperiodofpracticewiththe
physiciancontinuouslypresent,butdoesnotspecifythelengthof
timerequiredforthatperiod.
ThisbillremovesarequirementforAPRNstosubmitaminimumof
10%ofthechartsdocumentingtheAPRN'sdeliveryofhealthcare
servicestotheircollaboratingphysicianforreview.
Currently,APRNsprovidingnursingservicesunderacollaborative
practicearrangementcanonlypracticewithin75milesofthe
collaboratingphysician,withcertainexceptions. Thisbill
removesthegeographicproximityrequirements.
Thisbillhasanemergencyclause.
ThisbillisthesameasHB2383(2022)andsimilartoHB1224
(2021).