Missouri Senate Bill SB1445

Missouri 2026 Regular Session

• Introduced: 1/7/26
• Refer: 2/5/26

Caption

Provides that certified registered nurse anesthetists may select, issue orders for, and administer certain controlled substances

Impact

If enacted, SB1445 would significantly enhance the ability of CRNAs to manage medications during anesthesia procedures, aligning their responsibilities more closely with those of physicians. By empowering CRNAs to administer a broader range of controlled substances, the bill intends to improve patient care efficiency and address potential medication shortages during surgical procedures. This change is anticipated to streamline operations within healthcare facilities by giving CRNAs greater autonomy in responding to patient needs.

Summary

Senate Bill 1445 proposes to amend Missouri law regarding the administration of certain controlled substances by certified registered nurse anesthetists (CRNAs). The bill aims to clarify the scope of practice for CRNAs, allowing them to select and administer controlled substances while providing anesthesia care in licensed facilities. This legislation specifically addresses the authority of CRNAs without requiring them to possess a separate prescriptive authority certificate beyond their existing qualifications.

Contention

Notably, the bill has sparked discussions regarding the appropriate scope of practice for advanced practice registered nurses. Advocates argue that empowering CRNAs in this manner enhances healthcare delivery and patient safety. However, some healthcare professionals express concerns that without stringent oversight, the expanded authority could raise issues related to the misuse or over-prescription of controlled substances. The debate centers on balancing the operational efficiency provided by CRNAs with the need for adequate regulatory frameworks to ensure patient safety.