Missouri 2025 Regular Session

Missouri Senate Bill SB522 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2	EXPLANATION-Matter enclosed in bold-faced brackets [thus] in this bill is not enacted
3	3	and is intended to be omitted in the law.
4	4	FIRST REGULAR SESSION
5	5	SENATE BILL NO. 522
6	6	103RD GENERAL ASSEMBLY
7	7	INTRODUCED BY SENATOR BROWN (26).
8	8	1879S.01I KRISTINA MARTIN, Secretary
9	9	AN ACT
10	10	To repeal section 195.070, RSMo, and to enact in lieu thereof one new section relating to the
11	11	administration of certain controlled substances by certified registered nurse
12	12	anesthetists.
13	13
14	14	Be it enacted by the General Assembly of the State of Missouri, as follows:
15	15	Section A. Section 195.070, RSMo, is repealed and one new 1
16	16	section enacted in lieu thereof, to be known as section 195.070, 2
17	17	to read as follows:3
18	18	195.070. 1. A physician, podiatrist, dentist, a 1
19	19	registered optometrist certified to administer 2
20	20	pharmaceutical agents as provided in section 336.220, or an 3
21	21	assistant physician in accordance with section 334 .037 or a 4
22	22	physician assistant in accordance with section 334.747 in 5
23	23	good faith and in the course of his or her professional 6
24	24	practice only, may prescribe, administer, and dispense 7
25	25	controlled substances or he or she may cause the same to be 8
26	26	administered or dispensed by an individual as authorized by 9
27	27	statute. 10
28	28	2. An advanced practice registered nurse, as defined 11
29	29	in section 335.016, but not a certified registered nurse 12
30	30	anesthetist as defined in subdivision (8) of section 13
31	31	335.016, who holds a certi ficate of controlled substance 14
32	32	prescriptive authority from the board of nursing under 15
33	33	section 335.019 and who is delegated the authority to 16
34	34	prescribe controlled substances under a collaborative 17 SB 522 2
35	35	practice arrangement under section 334.104 may prescribe a ny 18
36	36	controlled substances listed in Schedules III, IV, and V of 19
37	37	section 195.017, and may have restricted authority in 20
38	38	Schedule II. Prescriptions for Schedule II medications 21
39	39	prescribed by an advanced practice registered nurse who has 22
40	40	a certificate of controlled substance prescriptive authority 23
41	41	are restricted to only those medications containing 24
42	42	hydrocodone and Schedule II controlled substances for 25
43	43	hospice patients pursuant to the provisions of section 26
44	44	334.104. However, no such certified advanced pr actice 27
45	45	registered nurse shall prescribe controlled substance for 28
46	46	his or her own self or family. Schedule III narcotic 29
47	47	controlled substance and Schedule II - hydrocodone 30
48	48	prescriptions shall be limited to a one hundred twenty -hour 31
49	49	supply without refill . 32
50	50	3. A certified registered nurse anesthetist, as such 33
51	51	term is defined in section 335.016, may select, issue orders 34
52	52	for, and administer controlled substances listed in 35
53	53	Schedules II, III, IV, and V of section 195.017 for and 36
54	54	during the course of p roviding anesthesia care to a patient 37
55	55	in a licensed facility pursuant to state law. The 38
56	56	provisions of this subsection shall not be construed as 39
57	57	authorizing a certified registered nurse anesthetist to 40
58	58	prescribe such controlled substances. Notwithstanding any 41
59	59	other provision of law to the contrary, a certified 42
60	60	registered nurse anesthetist shall not be required to obtain 43
61	61	a certificate of controlled substance prescriptive authority 44
62	62	from the board of nursing under section 335.019 in order to 45
63	63	exercise the authority provided by this subsection. 46
64	64	[3.] 4. A veterinarian, in good faith and in the 47
65	65	course of the veterinarian's professional practice only, and 48
66	66	not for use by a human being, may prescribe, administer, and 49 SB 522 3
67	67	dispense controlled substances a nd the veterinarian may 50
68	68	cause them to be administered by an assistant or orderly 51
69	69	under his or her direction and supervision. 52
70	70	[4.] 5. A practitioner shall not accept any portion 53
71	71	of a controlled substance unused by a patient, for any 54
72	72	reason, if such practitioner did not originally dispense the 55
73	73	drug, except: 56
74	74	(1) When the controlled substance is delivered to the 57
75	75	practitioner to administer to the patient for whom the 58
76	76	medication is prescribed as authorized by federal law. 59
77	77	Practitioners shall maintain records and secure the 60
78	78	medication as required by this chapter and regulations 61
79	79	promulgated pursuant to this chapter; or 62
80	80	(2) As provided in section 195.265. 63
81	81	[5.] 6. An individual practitioner shall not 64
82	82	prescribe or dispense a contro lled substance for such 65
83	83	practitioner's personal use except in a medical emergency. 66
84	84	