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HB 2749

Modifies provisions relating to collaborative practice arrangements between physicians and physician assistants

2026 Regular Session Introduced by Bishop Davidson

Missouri bill expands physician assistant autonomy in collaborative practice arrangements, potentially allowing more independent PA practice without direct physician oversight.

Voted Do Pass (H)
#healthcare #healthcareprofessionals #physicians
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Bill Summary · HB 2749

Legislative bill overview

HB 2749 modifies Missouri's regulations governing how physicians and physician assistants (PAs) work together in collaborative practice arrangements. The bill adjusts the legal framework that currently requires physicians to directly supervise PAs, potentially expanding the scope of independent practice for physician assistants in certain settings.

Why is this important

This bill affects healthcare delivery in Missouri by determining how much autonomy PAs can exercise in patient care—a significant issue as PA shortages and rural healthcare access challenges persist. Changes to collaborative arrangements could impact both healthcare accessibility and consumer protections, depending on how the modifications are structured.

Potential points of contention

  • Scope of PA independence: Concerns over whether expanded PA authority without physician oversight could compromise patient safety versus arguments that PAs are adequately trained for expanded roles
  • Physician compensation and control: Physicians may oppose losing collaborative fee arrangements or supervisory roles that affect their practice economics
  • Rural healthcare access: Supporters argue looser requirements help underserved areas; opponents worry it reduces quality standards across all settings

Compiled from official sources — confirm details with the bill’s official record.

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