HB 1636 Missouri House · 2026 Regular Session

Modifies provisions relating to the requirements for collaborative practice arrangements between physicians and advanced practice registered nurses

HB 1636 modifies rules for collaborative practice between physicians and advanced practice registered nurses (APRNs). It allows APRNs to prescribe certain controlled substances (including Schedule III-V drugs and hydrocodone) under written agreements, with a 120-hour supply limit for most prescriptions. The law requires clear patient disclosure about seeing an APRN, specifies physician review of APRN care, and adds flexibility for rural areas and telehealth regarding geographic proximity requirements between physicians and APRNs. This directly affects APRNs, their patients, and collaborating physicians by expanding prescribing authority while maintaining oversight safeguards.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025 Last action May 15, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
May 15, 2026
Committee
Referred: Emerging Issues(H)
lower
Dec 1, 2025
Introduced
Prefiled (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Matthew Overcast
Matthew Overcast
RRepublican
MO
155