MO HB2684

Amends Section 334.104, RSMo to modify requirements for collaborative practice arrangements between physicians and registered professional nurses in Missouri

Removes mandatory chart review requirements that previously required physicians to review 10% of charts every 14 days and 20% of charts involving controlled substance prescriptions

Eliminates specific geographic proximity requirements, including the 28-day waiver provision for rural health clinics, allowing collaborators to determine their own geographic proximity arrangements

Requires collaborative practice arrangements to include specific methods for telehealth communications as a new mandatory provision

Maintains existing limitations including Schedule III narcotic and Schedule II hydrocodone prescriptions limited to 120-hour supply without refill, and physicians limited to collaborating with no more than three full-time equivalent advanced practice registered nurses