Proposes a constitutional amendment relating to health care professionals

House Joint Resolution 187 proposes a constitutional amendment in Missouri that would allow certain advanced practice registered nurses (APRNs), such as nurse practitioners, to practice independently without a collaborative agreement with a physician after completing 2,000 documented hours of experience. The amendment prohibits geographic restrictions in collaborative agreements and limits physicians to collaborating with no more than ten APRNs. It also changes how physician residency programs are approved, permitting state accreditation without requiring national accreditation, especially for specialties with documented workforce shortages. This amendment, if approved by voters, would directly affect APRNs, physicians, and healthcare provider training in Missouri.