Modifies provisions relating to advanced practice registered nurses
SB 979 expands prescribing authority for advanced practice registered nurses (APRNs) in Missouri under specific conditions. It allows certified APRNs (excluding nurse anesthetists) to prescribe Schedule III-V controlled substances and limited Schedule II medications (like hydrocodone, hospice medications, and behavioral health stimulants) through written agreements with collaborating physicians. The bill restricts APRN prescriptions for Schedule II drugs to a 120-hour supply without refill, prohibits self-prescribing, and requires clear patient disclosures about care coordination with a physician. These changes aim to clarify APRN scope of practice while maintaining physician oversight for controlled substances.
Bill status
in committee
1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 1, 2025
Last action Mar 31, 2026
Maddy AI version diff · 1 comparison
What changed between versions
5116S.01I - Introduced
→
Senate Committee Substitute - Committee Version
·
2 edits
MINOR
This is a transition from the introduced version of SB 979 to a Senate Committee Substitute. The substantive policy content regarding advanced practice registered nurse prescriptive authority, collaborative practice arrangements, and geographic proximity requirements remains unchanged. The primary changes are procedural: the bill now covers both SB 979 and SB 1016 as a combined measure, and a bracket notation in section 335.019 was corrected so that subsection (4) is properly enacted rather than marked for omission.
SCOPE
The bill now applies to both Senate Bill 979 and Senate Bill 1016, indicating the two bills have been combined into a single committee substitute.
TECHNICAL
In section 335.019, subsection 3, item (4), the bracket notation around the number was removed (changed from [(4)] to (4)), making the subsection designation part of the enacted text rather than editorial markup intended for omission.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
6
Key actions
3
Committee
3
Mar 31, 2026
Upper · Passed
SCS Voted Do Pass w/SCS SBs 979 & 1016 Emerging Issues and Professional Registration Committee (5116S.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
Nick Schroer
RRepublican
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