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HB1371I-COLLABORATIVE PRACTICE ARRANGEMENTS
Summary of the Introduced Bill

HB 1371 -- Collaborative Practice Arrangements

Sponsor:  Weter

This bill changes the laws regarding collaborative practice
arrangements and advanced practice registered nurses.  In its
main provisions, the bill:

(1)  Allows an advanced practice registered nurse to prescribe
controlled substances without delegated authority under a
collaborative arrangement;

(2)  Allows a collaborative practice arrangement to be written
protocols or standing orders;

(3)  Removes the State Board for the Healing Arts within the
Department of Insurance, Financial Institutions and Professional
Registration as the supervisory agency for collaborative practice
arrangements and places it with the Missouri State Board of
Nursing;

(4)  Allows a physician to enter into a collaborative practice
arrangement with more than three advanced practice registered
nurses;

(5)  Allows a certified registered nurse anesthetist to provide
anesthesia without supervision;

(6)  Requires a certified registered nurse anesthetist to be
certified by the National Board of Certification and
Recertification for Nurse Anesthetists instead of the Council on
Certification of Nurse Anesthetists;

(7)  Authorizes an advanced practice registered nurse to practice
respiratory care;

(8)  Revises the provisions regarding the requirement of 1,000
hours of practice to obtain a certificate of controlled substance
prescriptive authority to include collaborating with an advanced
practice registered nurse who has a certificate of controlled
substance prescriptive authority;

(9)  Removes the requirement that an advanced practice registered
nurse must practice continuously in the presence of a physician
for one month prior to working independently;

(10)  Establishes the licensure process and its requirements; and

(11)  Specifies that drugs prescribed and services provided by a
licensed advanced practice registered nurse must be eligible for
payments under the MO HealthNet Program.

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Missouri House of Representatives
Last Updated February 1, 2012 at 11:37 am