MO SB1247

Certified registered nurse anesthetists (CRNAs) may select, issue orders for, and administer controlled substances in Schedules II, III, IV, and V while providing anesthesia care to patients in licensed facilities.

CRNAs are not required to obtain a certificate of controlled substance prescriptive authority from the board of nursing to exercise this administration authority.

The authority granted does not permit CRNAs to prescribe controlled substances—only to select and administer them during anesthesia care.

Advanced practice registered nurses (excluding CRNAs) retain existing authority to prescribe Schedule III, IV, and V substances and limited Schedule II substances (hydrocodone and hospice medications) under collaborative practice arrangements.