Modifies provisions relating to the requirement of geographic proximity in collaborative practice arrangements between physicians and registered professional nurses
Impact
The bill notably allows for the delegation of certain medical responsibilities from physicians to advanced practice registered nurses, including the authority to prescribe controlled substances, provided that these arrangements are structured with clear supervision and guidelines. One of the major changes is the relaxation of previous geographic proximity requirements, which have historically mandated that collaborating physicians remain within a specific distance from their nurses. This adjustment aims to facilitate better access to healthcare, especially in rural areas where medical resources may be limited.
Summary
House Bill 2217 seeks to modify the existing regulations surrounding collaborative practice arrangements between physicians and advanced practice registered nurses in Missouri. By repealing Section 334.104, the bill establishes a new framework for collaborative agreements that enables registered professional nurses to administer, dispense, and prescribe medications under certain conditions. This legislative change aims to enhance the efficiency and accessibility of healthcare services provided by nurse practitioners while ensuring that their activities fall within the scope of their education, training, and competence.
Contention
Although the bill has garnered support for its potential to improve healthcare delivery, there remains contention regarding the loosening of proximity requirements. Opponents argue that the reduction in oversight could raise concerns about patient safety, as it may become challenging to ensure that adequate supervision and collaboration between nurse practitioners and physicians are maintained. Furthermore, there are concerns about whether the new provisions adequately address the complexities involved in varying patient needs, particularly in terms of prescription authority and treatment protocols.