The civic record
Read. Follow. Verify.Missouri House Bill 1635 Exempts Experienced Advanced Practice Registered Nurses from Collaborative Practice Requirements
Last action · May 15, 2026: Referred: Emerging Issues(H)Sponsors: Matthew Overcast and 3 others
Track this bill to get notified when it advances a stage. One tap to stop, anytime.
What This Bill Would Do
House Bill 1635 exempts advanced practice registered nurses with at least 2,000 documented hours of collaborative practice from mandatory requirements. The legislation also eliminates rules between collaborating physicians and nurses, updates prescriptive authorities for controlled substances, and revises oversight and chart review standards.
The measure alters practice autonomy for advanced practice registered nurses in Missouri, affecting their legal requirements to maintain a collaborative agreement with a physician depending on their accumulated practice hours.
- Advanced practice registered nurses in Missouri have historically been subject to statutory collaborative practice arrangement requirements and geographic proximity rules when prescribing controlled substances and delivering health care services. context
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
advanced practice registered nurses
Advanced practice registered nurses with 2,000 documented hours are exempt from collaborative practice requirements, and their prescriptive and supervisory frameworks are modified.
collaborating physicians
Collaborating physicians are subject to updated chart review mandates, removal of geographic proximity restrictions, and a cap of six full-time equivalent professionals per physician.
state board of nursing
The board of nursing is tasked with granting certificates of prescriptive authority and jointly promulgating rules without enforcing geographic proximity restrictions.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Who qualifies to practice without a collaborative practice arrangement under HB 1635?
What are the prescription limits for Schedule III narcotics and Schedule II hydrocodone?
Are geographic distance rules between physicians and nurses still required?
What else do you want to know?
News Coverage
Follow the record
Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
4 actions- May 15, 2026HouseCommitteeReferred: Emerging Issues(H)
- Jan 8, 2026HouseFloorRead Second Time (H)
- Jan 7, 2026HouseIntroducedRead First Time (H)
- Dec 1, 2025HouseIntroducedPrefiled (H)
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Removal of Geographic Proximity Mandates
The bill completely repeals and renders unenforceable all geographic proximity restrictions between collaborating physicians and advanced practice registered nurses.
Connected Entities
Sources
house.mo.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy60Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
Publisher tools