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HB 2067

Modifies provisions relating to the prescriptive authority of advanced practice registered nurses

2026 Regular Session Introduced by David Casteel

HB 2067 would refine APRN prescriptive authority in Missouri, clarifying scope, collaboration, and safety standards across care settings.

Referred: Emerging Issues(H)
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Bill Summary · HB 2067

Summary of HB 2067 (Missouri, 2026)

Purpose and intent

HB 2067 aims to modify provisions governing the prescriptive authority of advanced practice registered nurses (APRNs) in Missouri. The bill appears to address the scope and conditions under which APRNs can prescribe medications, potentially expanding or clarifying their prescribing authority to ensure more consistent practice across settings.

Key provisions and changes (as described by the bill’s title and context)

  • Prescriptive authority framework: The bill refines the rules governing when and how APRNs may prescribe medications. This could involve:
    • Determining the types of prescriptions APRNs may issue (e.g., controlled substances vs. non-controlled medications).
    • Outlining required relationships or collaboration with physicians or supervising practitioners, if any.
    • Specifying standards of practice, including supervision, delegation, or physician oversight requirements (if applicable).
  • Practice setting considerations: Provisions may address APRN prescribing in various settings such as hospitals, clinics, urgent care, and independent practice environments.
  • Quality and safety measures: The bill may include criteria to ensure patient safety, such as continuing education, record-keeping requirements, or credentialing standards for APRN prescribers.
  • Compliance and enforcement: Mechanisms for enforcement, licensure renewal implications, and potential penalties for non-compliance could be included.

Who would be affected

  • Advanced Practice Registered Nurses: APRNs who currently hold or seek prescriptive authority would be directly affected, including Nurse Practitioners (NPs), Certified Nurse-Midwives (CNMs), Clinical Nurse Specialists (CNSs), and Certified Registered Nurse Anesthetists (CRNAs) practicing in Missouri.
  • Healthcare institutions and employers: Hospitals, clinics, outpatient facilities, and group practices that employ APRNs, as well as credentialing bodies and medical boards, would implement or adjust policies to align with the new requirements.
  • Patients: Potentially impacted through changes in access to medications and the scope of care provided by APRNs, especially in primary and preventive care, women's health, and other APRN-led services.

Procedural and timeline aspects

  • Referral and consideration: The bill was referred to the Emerging Issues committee (H) on May 15, 2026, indicating recognition of evolving practice patterns or policy considerations in APRN prescribing.
  • Sequence of readings: The bill progressed through standard readings:
    • Read First Time: January 7, 2026
    • Read Second Time: January 8, 2026
    • Prefiled: December 1, 2025
  • Sponsor: Co-sponsor David Casteel, indicating legislative support or collaboration on the issue.
  • Next steps: If advanced, the bill would move through additional committee review, potential amendments, floor debate, and votes in the Missouri House, and subsequently through the Senate with similar legislative steps.

Potential implications

  • Access to care: Depending on the final language, expanded or clarified prescriptive authority could improve timely access to medications and treatment, particularly in primary care and rural settings.
  • Interprofessional dynamics: Changes may affect collaboration requirements between APRNs and physicians, potentially altering supervision models and practice autonomy.
  • Regulatory alignment: Hospitals and clinics may need to update policies, credentialing processes, and electronic medical record workflows to reflect any updated prescriptive scopes.

Note: The summary reflects the bill’s stated purpose and available procedural history. For precise language, definitions, and legal effects, consult the official bill text and accompanying fiscal notes or committee analyses as they become available.

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

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