SB 293 - This act modifies provisions relating to advanced practice registered nurses (APRNs). This act repeals all current requirements for a written collaborative practice arrangement between an APRN and a collaborating physician, including geographic proximity requirements, except for the requirements that the arrangement have the name, address, phone number, license numbers of the APRN and collaborating physician, and a description of the APRN's controlled substance prescriptive authority.
This act removes a limit on the number of APRNs with whom a physician may enter collaborative practice arrangements and also repeals an exception to this limit for certified registered nurse anesthetists providing anesthesia services under the supervision of a physician, dentist, or podiatrist. (Sections 334.037, 334.104, and 334.735)
This act requires an advanced practice registered nurse to have been granted a certificate of controlled substance prescriptive authority in order to be delegated, as part of a collaborative practice arrangement, authority to administer, dispense, or prescribe certain controlled substances as defined in the act.
Any previously adopted rules regulating the use of collaborative practice arrangements, except rules delegating the authority to prescribe controlled substances, are null and void from the effective date of this act.
The State Board of Registration for the Healing Arts shall, rather than may, make available to the public information identifying physicians and licensed professionals in engaged in any collaborative practice arrangement or physician assistant agreement.
Under current law, no collaborative practice arrangement shall supersede certain hospital licensing regulations as defined in current law, and no contract or other agreement shall limit a collaborating physician's ultimate authority over protocols, standing orders, or delegation of the authority to an APRN, insofar as the exercise of authority does not violate applicable medical standards. This act repeals these provisions. (Section 334.104)
This act is similar to HB 84 (2021), SB 193 (2021), HB 2226 (2020), HB 1441 (2020), HB 301 (2019), HB 693 (2019), SCS/SB 400 (2019), SCS/HB 705 (2019), SB 460 (2019), and HB 1502 (2018) and to provisions in HB 768 (2021) and HB 916 (2021).
MATT KIMMINAU