SB 1247 Missouri Senate · 2026 Regular Session

Provides that certified registered nurse anesthetists may select, issue orders for, and administer certain controlled substances

SB 1247 would allow certified registered nurse anesthetists (CRNAs) to select, issue orders for, and administer certain controlled substances during patient care. This directly affects CRNAs and their patients by expanding their scope of practice to include these specific medication-related actions without requiring physician oversight. The bill authorizes CRNAs to handle controlled substances like opioids or sedatives within their clinical responsibilities, as specified in the bill's language. This represents a concrete policy change to their professional authority, aligning their practice with current clinical standards.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025 Last action Mar 10, 2026
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What changed between versions

4729S.01I - Introduced Senate Committee Substitute - Committee Version · 4 edits
MODERATE
This bill was amended to combine two related bills (SB 1247 and SB 1445) into a single committee substitute. The primary substantive change is the addition of a new provision prohibiting practitioners from accepting unused portions of controlled substances from patients, with specific exceptions for federal delivery and existing state law. The bill also retains authority for Certified Registered Nurse Anesthetists to administer, but not prescribe, controlled substances during anesthesia care.
Scope change
The bill's scope was expanded by adding restrictions on how practitioners handle unused medications left by patients, while the scope for Certified Registered Nurse Anesthetists remains focused on administration rather than prescription.
REQUIREMENT

Added a prohibition on practitioners accepting unused portions of controlled substances from patients, except when delivered for administration under federal law or as provided in section 195.265.

Added a requirement for practitioners to maintain records and secure medications as required by the chapter and regulations when accepting unused portions.

TECHNICAL

Updated the bill header to reflect the committee substitute status and combined bill numbers (SB 1247 & 1445).

Reformatted the text layout and removed explanatory notes regarding bold-faced brackets indicating omitted matter.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
6
Key actions
3
Committee
3
Mar 10, 2026
Upper · Passed
SCS Voted Do Pass w/SCS SBs 1247 & 1445 Emerging Issues and Professional Registration Committee (4729S.02C)
upper
Mar 3, 2026
Upper · Passed
Hearing Conducted S Emerging Issues and Professional Registration Committee
upper
Feb 24, 2026
Upper · Passed
Hearing Cancelled S Emerging Issues and Professional Registration Committee
upper
Dec 1, 2025
Introduced
Prefiled
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ben Brown
Ben Brown
RRepublican
MO
26