MO SB313

Advanced practice registered nurses, physician assistants, and assistant physicians may prescribe Schedule II controlled substances containing hydrocodone under collaborative practice arrangements with physicians, in addition to their existing authority to prescribe Schedule III, IV, and V substances

Schedule II hydrocodone and Schedule III narcotic prescriptions are limited to a 120-hour supply without refill for advanced practice registered nurses, and a 5-day supply without refill for physician assistants and assistant physicians

Certified registered nurse anesthetists may provide anesthesia services under supervision of an anesthesiologist, physician, dentist, or podiatrist without a collaborative practice arrangement, but cannot prescribe controlled substances including hydrocodone

Collaborating physicians must review at least 20% of charts involving controlled substance prescriptions every 14 days, and practitioners prescribing controlled substances must register with the federal DEA and state bureau of narcotics

Rural health clinics may waive geographic proximity requirements between collaborating physicians and practitioners for up to 28 days per calendar year if alternative coverage plans are in place