MO HB315

Establishes licensing examination requirements for physicians, including FLEX, USMLE, or NBOME exams, with specific provisions for graduates before and after January 1, 1994, and limits applicants to three attempts within a seven-year period.

Expands disciplinary grounds for athletic trainers, nurses, and physician assistants to include unethical conduct, fraud, misconduct, and various professional violations, with new emergency suspension procedures available to licensing boards.

Modifies physician assistant supervision requirements by replacing percentage-based on-site time with a minimum of four hours within one calendar day for every fourteen days of patient care, and establishes a fifty-mile distance limitation for supervision locations.

Establishes telehealth services for advanced practice registered nurses in collaborative arrangements with physicians in rural areas of need, with sunset provisions requiring reauthorization by 2020 or 2026.

Creates new pharmacy regulations including emergency medication dispensing (up to seven days, or thirty days if prescriber death/incapacity), pharmacy drug testing programs, and adds new pharmacy permit classes for specialty services and automated dispensing systems; requires health carriers to cover early refills of eye drop prescriptions and prohibits requiring dentists to provide uncovered dental services at established fees.