Missouri 2023 2023 Regular Session

Missouri House Bill HB271 Comm Sub / Analysis

                    HB271--ADVANCEDPRACTICEREGISTEREDNURSES
SPONSOR:Riley
ThisbillremovestherequirementthatAdvancedPracticeRegisteredNurses(APRNs)practicein
collaborationwithaphysicianthroughacollaborativepracticearrangement.Thebillchangesthe
prescriptiveauthorityofAPRNssothatAPRNswithacertificateofcontrolledsubstanceprescriptive
authorityfromtheBoardofNursingcanprescribeanyScheduleIItoVcontrolledsubstance,except
controlledsubstancesprescribedforthepurposeofinducinggeneralanesthesiaforprocedures
thatareoutsideoftheAPRN'sscopeofpractice.
Currently,apersonwhowantstopracticeasanAPRNmustbelicensedasaRegisteredProfessional
Nurse(RN)andreceiveaprivilegetopractice.ThisbillrequiresanAPRNtoapplyforaseparate
licensetopracticeasanAPRN.
Anapplicantmust:
(1)BeacurrentRegisteredProfessionalNurseandcannothaveanencumberedlicenseasanRN
oranAPRN;
(2)Havecompletedagraduate-levelAPRNprogram;
(3)Becertifiedbyanationalcertifyingbody;and
(4)Haveapopulationfocusonhisorhercertification,correspondingwithhisorhereducational
advancepracticeregisterednurseprogram.
IfanypersonhasanAPRNprivilegetopracticeatthetimeoftheeffectivedateofthebill,that
personwillbeautomaticallylicensedasanAPRN.AnAPRNmustmaintainhisorherRNlicensein
ordertoremainlicensedasanAPRN.TheRNandAPRNlicenseswillberenewedtogether.
ThisbillissimilartoHB1578(2022),HB502(2021),andHB693(2019).