The Missouri State Legislature has introduced House Bill 831, aimed at expanding the prescribing authority of advanced practice registered nurses (APRNs) in collaborative practice arrangements. Introduced on January 10, 2025, the bill seeks to address the growing demand for healthcare services by allowing APRNs to administer, dispense, and prescribe certain controlled substances, including Schedule II hydrocodone, under specific conditions.

Key provisions of the bill include the delegation of authority to APRNs to prescribe controlled substances for hospice patients, provided they are employed by a certified hospice provider. This provision is designed to enhance patient care in end-of-life situations, ensuring timely access to necessary medications. Additionally, the bill allows APRNs to prescribe buprenorphine for up to a thirty-day supply for patients undergoing medication-assisted treatment for substance use disorders, under the supervision of a collaborating physician.

The bill has sparked notable debate among lawmakers and healthcare professionals. Proponents argue that expanding APRNs' prescribing authority will alleviate pressure on physicians and improve access to care, particularly in underserved areas. Critics, however, express concerns about patient safety and the adequacy of training for APRNs in managing complex medication regimens.

Economic implications of House Bill 831 could be significant, as it may reduce healthcare costs by streamlining the prescribing process and potentially decreasing the burden on emergency services. Socially, the bill aims to improve healthcare delivery for vulnerable populations, particularly those in hospice care and those battling substance use disorders.

As the legislative process unfolds, experts suggest that the bill's success will depend on addressing safety concerns while demonstrating the potential benefits of enhanced APRN roles in the healthcare system. If passed, House Bill 831 could mark a pivotal shift in Missouri's healthcare landscape, promoting a more collaborative approach to patient care.