Missouri 2025 Regular Session

Missouri Senate Bill SB545

Introduced
1/8/25  

Caption

Provides that certified registered nurse anesthetists may select, issue orders for, and administer certain controlled substances

Impact

The primary impact of SB 545 is that it expands the scope of practice for certified registered nurse anesthetists, allowing them to administer a wider range of controlled substances without needing to seek a separate prescriptive authority from the nursing board. By enabling these healthcare professionals to manage medications directly related to anesthesia care, the bill is expected to streamline workflows, enhance patient care, and potentially address the ongoing shortage of anesthesiologists. Supporters argue that this will lead to improved access to anesthesia services, particularly in rural or underserved areas.

Summary

Senate Bill 545, introduced by Senator Lewis, aims to revise the authority of certified registered nurse anesthetists in the administration of controlled substances. The bill repeals the existing Section 195.070 and enacts a new section that grants these nurse anesthetists the power to select, issue orders for, and administer controlled substances listed in Schedules II, III, IV, and V specifically during the provision of anesthesia care in licensed facilities. This legislative change is in line with evolving practices in the healthcare sector where nurse anesthetists are increasingly recognized for their advanced training and capabilities in managing anesthesia-related processes.

Contention

Despite its potential benefits, SB 545 raises points of contention regarding the regulatory oversight of controlled substances in nursing practice. Some healthcare professionals and organizations express concern that granting expanded authority to nurse anesthetists could lead to inconsistent practices and safety issues if not properly monitored. Critics argue that the administration of powerful medications should remain under stringent supervision to prevent misuse or errors. This debate reflects broader tensions in the healthcare field over the roles of various practitioners and the need for a collaborative approach in managing patient care effectively.

Companion Bills

No companion bills found.

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