Missouri legislation · 2026 Regular Session
Missouri SB1247: Provides that certified registered nurse anesthetists may select, issue orders for, and administer certain controlled substances
Status: In committee, March 10, 2026
SCS/SBs 1247 & 1445 - This act provides that a certified registered nurse anesthetist ("CRNA") may select, issue orders for, and administer certain controlled substances for and while providing anesthesia care to a patient in a licensed facility pursuant to state law. This act shall not be construed as authorizing a CRNA to prescribe such controlled substances and a CRNA shall not be required to obtain a certificate of controlled substance prescriptive authority from the Board of Nursing in order to exercise this prescriptive authority. This act is identical to SB 522 (2025) and SB 545 (2025), is substantially similar to a provision in HB 1981 (2026), in HB 831 (2025), and is similar to a provision in SB 910 (2024), HB 1561 (2024), and HB 1881 (2024). KATIE O'BRIEN
What the bill says
From the introduced text:
SECOND REGULAR SESSION SENATE BILL NO. 1247 103RD GENERA L ASSEMBLY INTRODUCED BY SENATOR BROWN (26). 4729S.01I KRISTINA MARTIN, Secretary To repeal section 195.070, RSMo, and to enact in lieu thereof one new section relating to the administration of certain controlled substances by certified registered nurse anesthetists. Section A. Section 195.070, RSMo, is repealed and one new section enacted in lieu thereof, to be known as section 195.070, to read as follows: 195.070. 1. A physician, podiatrist, dentist, a registered optometrist certified to administer pharmaceutical agents as provided in section 336.220, or an assistant physician in accordance with section 334.037 or a physician assistant in accordance with section 334.747 in good faith and in the course of his or her professional practice only, may prescribe, administer, and dispense controlled substances or he or she may cause the same to be administered or dispensed by an individual as authorized by statute. 2. An advanced practice registered nurse, as defined in section 335.016, but not a certified registered nurse anesthetist as defined in subdivision (8) of section 335.016, who holds a certificate of controlled substance prescriptive authority from the board of nursing under section 335.019 and who is delegated the authority to EXPLANATION-Matter enclosed in bold-faced brackets [thus] in this bill is not enacted and is intended to be omitted in the …