Missouri House Bill HB2287

Missouri 2026 Regular Session

• Introduced: 1/7/26
• Refer: 4/14/26

Caption

Modifies provisions relating to prescriptive authority for advanced practice registered nurses and physician assistants

Impact

If enacted, this legislation would significantly change how healthcare is administered in the state, particularly in how physician assistants and advanced practice registered nurses interact with patients. The bill formalizes the collaborative practice arrangements required for these healthcare providers to prescribe controlled substances, which could improve patient access to medications and reduce wait times for treatment. The new provisions also stipulate that these arrangements must be in writing, ensuring accountability and clarity regarding responsibilities.

Summary

House Bill 2287 seeks to modify provisions relating to the prescriptive authority of advanced practice registered nurses and physician assistants. The bill is designed to expand the scope of practice for these healthcare providers, allowing them to prescribe controlled substances within the framework of collaborative practice arrangements with supervising physicians. This initiative is aimed at improving access to care by utilizing trained professionals to prescribe necessary medications under specified guidelines.

Contention

While supporters argue that expanding prescriptive authority is a positive step for healthcare access, critics express concerns that the bill could undermine the safety protocols currently in place, particularly regarding the prescription of controlled substances. Debates in the legislature highlight fears that increased autonomy for non-physician providers might lead to over-prescription or inadequate supervision. Additionally, some stakeholders fear that the push for increased efficiency and reduced healthcare costs could come at the expense of patient safety and quality of care.