Healthcare (Healthcare Workforce)

SB 1580 - This act creates a new provision relating to the ordering and administering of ketamine for mental health purposes. The act provides that a licensed physician shall not delegate to any individual the authority to order ketamine hydrochloride for mental health purposes. Further, any licensed physician who delegates the administration of ketamine to a certified registered nurse anesthetist shall be on site and immediately available to supervise and respond during such treatment. Intravenous ketamine hydrochloride treatment for mental health purposes shall not be administered without a documented diagnosis and treatment plan from a physician. This act is identical to SB 830 (2025) and substantially similar to HB 1043 (2025). SARAH HASKINS

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.