HB 3040 would allow advanced practice registered nurses (APRNs), excluding nurse anesthetists, to prescribe certain controlled substances under specific conditions. It permits APRNs with a special certification to prescribe Schedule III-V drugs and limited Schedule II medications (like hydrocodone for hospice or behavioral health patients) through collaborative agreements with physicians. The bill requires written agreements, restricts prescriptions to 120-hour supplies without refills for some drugs, and prohibits APRNs from prescribing for themselves or family. The bill was introduced and withdrawn on January 21, 2026, with no further legislative action.
HB 1844 creates the "Athletic Trainer Compact" to allow licensed athletic trainers to practice across participating states without obtaining separate licenses. It directly affects licensed athletic trainers seeking interstate mobility and patients who gain easier access to these professionals. The key mechanism is mutual recognition of licenses between member states, reducing administrative burdens while preserving each state's regulatory authority over scope of practice. The compact also supports telehealth access, shares disciplinary information, and includes provisions for military members and their families.
SB 988 would create the Dental and Dental Hygienist Compact, an agreement between participating states. This compact would allow licensed dentists and dental hygienists to practice in multiple states without obtaining separate licenses in each state. It directly affects dental professionals seeking to work across state lines and patients in states participating in the compact. The key mechanism is establishing a standardized licensing framework that recognizes credentials across member states.
HB 2757 expands pharmacists' scope of practice in Missouri by allowing licensed pharmacists with special certification to develop medication therapy management plans under written protocols from physicians. It permits pharmacists to administer certain vaccines (excluding cholera, monkeypox, and others) and provide HIV post-exposure prophylaxis, all while requiring adherence to CDC guidelines and physician protocols. This directly affects pharmacists (who must complete additional training), physicians collaborating with them, and patients receiving these expanded services. The bill explicitly prohibits pharmacists from independently diagnosing or prescribing, except for emergency insulin supplies under existing law. It also establishes joint rules for vaccine administration and medication therapy protocols between pharmacy and medical boards.
HB 3055 modifies Missouri law to regulate ketamine administration for mental health treatment. It prohibits physicians from delegating ketamine ordering to others and requires physicians to be physically present when certified nurse anesthetists administer ketamine. The bill also mandates that intravenous ketamine treatment must include a documented diagnosis and treatment plan from a licensed physician. These changes directly affect physicians, certified nurse anesthetists, and mental health facilities providing ketamine therapy.
HB 3039 modifies rules for physician assistants' prescribing authority and scope of practice. It requires physician assistants to work under written collaborative agreements with physicians for prescribing drugs, including limiting Schedule II controlled substances (like hydrocodone and oxycodone) to a 120-hour supply without refill. The bill explicitly prohibits physician assistants from prescribing abortions or using titles like "doctor," and mandates they identify themselves as PAs. Additionally, it requires new applicants after 2008 to hold a master's degree in physician assistant studies.
HB 3008 expands pharmacists' scope of practice to include managing medication treatment plans under physician protocols for specific conditions like minor illnesses, emergencies, or chronic conditions without requiring a new diagnosis. It permits pharmacists to prescribe nicotine replacement therapy, administer certain vaccines (excluding specific high-risk types), and provide HIV postexposure prophylaxis, all while working within defined boundaries. The bill requires written protocols from physicians (not nurses or physician assistants) and explicitly prohibits pharmacists from diagnosing or independently prescribing outside these specified scenarios. It also clarifies that pharmacists remain responsible for supervising support staff and maintains existing regulations for pharmacy ownership and nonprescription drug sales.
HB 3099 expands prescribing authority for advanced practice registered nurses (APRNs), excluding nurse anesthetists, to include certain controlled substances. APRNs with a specific nursing board certificate and under collaborative practice agreements with physicians may now prescribe Schedule II-V controlled substances, including hydrocodone for hospice patients, but face restrictions: no self-prescribing, 120-hour supply limits for Schedule II/III medications, and strict written agreements required. The bill mandates detailed written collaborative agreements between APRNs and physicians, including location disclosures for patients and geographic proximity rules (with limited exceptions for rural areas and correctional facilities). It also allows APRNs to prescribe buprenorphine for addiction treatment up to 30 days without refill under physician direction.
HB 3065 modifies Missouri law to allow advanced practice registered nurses (APRNs) to administer, dispense, or prescribe certain medications under written agreements with physicians. It permits APRNs to prescribe controlled substances in Schedules III-V and Schedule II hydrocodone (with a 120-hour supply limit without refill), but excludes prescribing for sedation/anesthesia during procedures. The bill requires all agreements to include specific details like provider contact information, locations of practice, and a patient disclosure statement about seeing an APRN versus a physician. This directly affects APRNs, physicians, and patients in Missouri healthcare settings by expanding APRNs' prescribing authority within defined limits.
HB 3129 creates a "Physician Assistant Licensure Compact" allowing PAs licensed in one participating state to practice in other participating states without obtaining separate licenses. It establishes mutual recognition of licenses, requires states to share license status and disciplinary actions through a centralized data system, and sets uniform requirements like passing national exams (e.g., NCCPA PANCE) and background checks. The bill directly affects PAs seeking to work across state lines, especially military families who relocate frequently, by reducing licensing barriers. States joining the compact must adopt these standards to maintain the system.
