Missouri 2026 Regular Session

Missouri House Bill HB3039

Caption

Modifies provisions relating to the prescriptive authority of physician assistants

Impact

If passed, the new law would significantly impact the governance of physician assistants' practice in Missouri, allowing them more autonomy in managing their patients' prescriptions. It outlines clear requirements for collaborative practice agreements, stipulating that a physician must remain responsible for oversight while allowing PAs to use their training to administer care more readily. The bill also specifies the conditions under which PAs can prescribe controlled substances, including limits on the types of medications and the supply duration for various drugs, which aims to ensure patient safety while expanding PAs' capabilities.

Summary

House Bill 3039 proposes modifications to the prescriptive authority of physician assistants (PAs) in the state of Missouri. The bill aims to repeal existing statutes and replace them with new sections outlining the conditions under which physician assistants may prescribe certain controlled substances. Specifically, it allows PAs to prescribe controlled substances under a collaborative practice arrangement with a supervising physician, based on part of their training and certifications. The legislation is introduced to streamline healthcare delivery and enhance the roles of PAs in treating patients, especially in settings where physicians may not always be physically present.

Contention

The proposed legislation has sparked a discussion regarding patient safety and the appropriate scope of practice for physician assistants. Some health professionals express concerns that expanding PAs' prescriptive authority could lead to misuse or over-prescription of controlled substances, which is a significant issue in the context of opioid misuse. In contrast, proponents argue that allowing greater prescriptive authority can improve patient access to care and lead to better health outcomes by enabling PAs to address patient needs more effectively. The ongoing debate emphasizes the balance that must be achieved between patient safety and expanding healthcare access.

Companion Bills

No companion bills found.

Previously Filed As

MO SB17

Modifies provisions relating to opioid prescriptions

MO SB832

Modifies provisions relating to collaborative practice arrangements

MO HB1492

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

MO SB830

Modifies provisions relating to ketamine

MO HB1010

Modifies provisions relating to assistant physicians

MO HB1567

Modifies provisions relating to collaborative practice arrangements between physicians and physician assistants

MO SB579

Modifies provisions relating to the Access Missouri Financial Assistance Program

MO SB696

Modifies provisions relating to abortion

MO SB292

Modifies provisions relating to health care providers

MO SB144

Modifies provisions relating to advanced practice registered nurses

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LA HB1143

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MO HB2749

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DE HB325

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NM HB267

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ME LD1166

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