MO SB679

Expands the scope of practice for advanced practice registered nurses (APRNs) to practice independently and prescribe controlled substances without requiring a collaborative practice arrangement with a physician.

Eliminates the requirement that APRNs (except certified registered nurse anesthetists) obtain a collaborative practice agreement with a physician to prescribe controlled substances in Schedules III, IV, and V.

Allows APRNs to obtain controlled substance prescriptive authority directly from the Board of Nursing by completing advanced pharmacology education, 300 clock hours of preceptorial experience, and 1,000 hours of advanced practice nursing.

Modifies definitions and requirements for APRN licensure, including new application procedures and education requirements for advanced practice registered nurse programs accredited by national accrediting bodies.

Updates related statutes governing controlled substance prescribing, respiratory care practice, MO HealthNet coverage, and pharmacy prescription fulfillment to recognize APRN independent prescriptive authority.