Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2150 - State Board of Registration for the Healing Arts › Chapter 5 - General Rules › Section 20 CSR 2150-5.100 - Collaborative Practice Arrangement with Nurses

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: The amendment changes the mileage limitation
				  for services provided in any Missouri correction center.
EMERGENCY STATEMENT: The Missouri State Board of
				  Registration for the Healing Arts and the Missouri State Board of Nursing
				  (boards) find that an immediate danger to the public health, safety or welfare,
				  particularly to the health, safety, and welfare of Missouri's incarcerated
				  population, requires emergency action by increasing the mileage restrictions to
				  two hundred (200) miles for service received in a Missouri correctional center.
				  The mileage restriction directly impacts access to healthcare providers, which
				  can lead to rescheduled or missed appointments, delayed care, and missed or
				  delayed medication use. These consequences lead to poorer management of chronic
				  illness and thus poorer health outcomes.
Additionally, this emergency amendment is necessary
				  to preserve a compelling governmental interest that requires an early effective
				  date by addressing the access of Missouri's incarcerated population to
				  healthcare to improve health outcomes, reduce health disparities, and lower
				  healthcare expenditures. The boards believe that procedures best calculated to
				  assure fairness to all interested persons and parties in that the mileage
				  restrictions have been discussed at the Missouri State Board of Registration
				  for the Healing Arts board meeting on March 21, 2022 and the Missouri State
				  Board of Nursing's March 22, 2022 mail ballot board meeting which provided
				  adequate public notice for the proposed amendment. This emergency amendment
				  limits its scope to the circumstances creating the emergency and complies with
				  the protections extended by the Missouri and United States Constitutions. The
				  board believes this emergency amendment to be fair to all interested persons
				  and parties under the circumstances. This emergency amendment was filed March
				  28, 2022, becomes effective April 11, 2022, and expires October 7,
				  2022.
(1) For the purpose of
				these rules, the following definitions shall apply:
(A) Advanced practice nurse-A registered
				professional nurse (RN) who is also an advanced practice registered nurse
				(APRN) as defined in section
				335.016(2),
				RSMo;
(B) Controlled substance
				prescriptive authority-the eligibility and certificate granted by the Missouri
				State Board of Nursing (MSBN) to an APRN who has been delegated the authority
				to prescribe controlled substances from Schedules III, IV, and/or V in a
				written collaborative practice arrangement by the collaborating physician as
				defined in section
				335.019,
				RSMo;
(C) Collaborative practice
				arrangements- Refers to written agreements, jointly agreed upon protocols, or
				standing orders, all of which shall be in writing, for the delivery of health
				care services;
(D) Population-based
				public health services-Health services provided to well patients or to those
				with narrowly circumscribed conditions in public health clinics or community
				health settings that are limited to immunizations, well child care, human
				immunodeficiency virus (HIV) and sexually transmitted disease care, family
				planning, tuberculosis control, cancer and other chronic disease, wellness
				screenings, services related to epidemiologic investigations, and prenatal
				care; and
(E) Registered
				professional nurse-An RN as defined in section
				335.016(16),
				RSMo, who is not an APRN.