HB 3099 Missouri House · 2026 Regular Session

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

HB 3099 expands prescribing authority for advanced practice registered nurses (APRNs), excluding nurse anesthetists, to include certain controlled substances. APRNs with a specific nursing board certificate and under collaborative practice agreements with physicians may now prescribe Schedule II-V controlled substances, including hydrocodone for hospice patients, but face restrictions: no self-prescribing, 120-hour supply limits for Schedule II/III medications, and strict written agreements required. The bill mandates detailed written collaborative agreements between APRNs and physicians, including location disclosures for patients and geographic proximity rules (with limited exceptions for rural areas and correctional facilities). It also allows APRNs to prescribe buprenorphine for addiction treatment up to 30 days without refill under physician direction.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 27, 2026 Last action May 15, 2026
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
May 15, 2026
Committee
Referred: Emerging Issues(H)
lower
Jan 27, 2026
Introduced
Introduced and Read First Time (H)
lower
1 primary · 1 co-sponsor

Sponsors