Modifies provisions relating to collaborative practice arrangements
The legislation aims to streamline healthcare practices by formalizing collaborative arrangements that empower APRNs and PAs to execute prescribed medications efficiently and in accordance with established protocols. This is particularly beneficial in rural areas where physician availability may be limited. Additionally, the bill mandates that collaborative agreements be in written form, detailing the agreement between collaborating physicians and the non-physician providers, thus creating a clearer framework for supervision and delegation of authority to prescribe medications.
Senate Bill 832 seeks to repeal several existing statutes and replace them with new provisions concerning collaborative practice arrangements between healthcare providers, specifically focusing on advanced practice registered nurses (APRNs) and physician assistants (PAs) in the state of Missouri. The bill expands the authority of APRNs and PAs by allowing them to prescribe controlled substances, which have been limited under current regulations. The intent is to enhance the capability of healthcare providers, especially in rural settings, to offer timely and effective patient care.
Notably, the bill contains stipulations that prohibit physicians from being compelled to collaborate with a specific APRN or PA, and vice versa, ensuring their autonomy in professional relationships. However, there are concerns that while the bill aims to facilitate greater access to healthcare, it could potentially dilute the quality of care if adequate oversight is not maintained. Critics have also expressed apprehension regarding the appropriateness of extending prescriptive authority to non-physician practitioners without sufficient training and supervision, particularly concerning controlled substances associated with a higher risk of abuse.