MO HB1371

Allows advanced practice registered nurses (APRNs) to prescribe controlled substances in Schedules II, III, IV, and V under a collaborative practice arrangement with a physician, with Schedule III narcotic prescriptions limited to 120-hour supplies without refill.

Requires collaborative practice arrangements to be in writing with jointly agreed-upon protocols or standing orders, including provisions for physician review of at least 10% of APRN charts every 14 days and 20% of controlled substance prescription charts.

Limits a collaborating physician to no more than three full-time equivalent APRNs and requires at least one month of continuous physician presence before the APRN can practice independently.

Establishes licensure requirements for APRNs including completion of a graduate program, successful national certification, and a minimum of 1,000 practice hours prior to obtaining controlled substance prescriptive authority.

Expands definitions and scope of practice for APRNs in MO HealthNet coverage, respiratory care practice, and pharmacy prescription filling authority under collaborative arrangements.