SB 1445 Missouri Senate · 2026 Regular Session

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

SB 1445 would allow certified registered nurse anesthetists (CRNAs) to independently select, issue orders for, and administer certain controlled substances without requiring a physician's order. This change directly affects CRNAs by expanding their scope of practice in anesthesia care, particularly for pain management and surgical procedures involving these medications. The bill does not specify which controlled substances are included but would remove current barriers for CRNAs to manage them within their professional role. The bill is currently in early legislative stages, having been prefaced in 2025 and scheduled for its first reading in 2026.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 16, 2025 Last action Mar 10, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
6
Key actions
2
Committee
2
Mar 3, 2026
Upper · Passed
Hearing Conducted S Emerging Issues and Professional Registration Committee
upper
Feb 24, 2026
Upper · Passed
Hearing Cancelled S Emerging Issues and Professional Registration Committee
upper
Dec 16, 2025
Introduced
Prefiled
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Patty Lewis
Patty Lewis
DDemocratic
MO
7