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Update in Missouri

Update in Missouri. APRN Political Status. Missouri Issues. Smith Jacobs (2013) identify Missouri as the most restrictive state in the union. States with restrictive NP practice have lowered health outcomes. States with restrictive NP practice have exodus of primary care practitioners.

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Update in Missouri

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  1. Update in Missouri APRN Political Status

  2. Missouri Issues • Smith Jacobs (2013) identify Missouri as the most restrictive state in the union. • States with restrictive NP practice have lowered health outcomes. • States with restrictive NP practice have exodus of primary care practitioners. • Missouri has 109 of 114 counties with underserved areas.

  3. Missouri issues • Process: • Move the ability to assess, diagnose, treat and prescribe from the medical statute (334) to the nursing statute (335). This is the intent of SB654 (Wallingford) and HB 1491 (Lichtenegger) • The intent of SB 700 (Sater) and HB1481 (Rowland). • Remove the barriers of mileage, 2 week patient follow up and allow chart review without physician present. • .

  4. Other Bills • HB 1837 Gardner & Swan…will reimburse telehealth with MOHealthnet. • HB 2074 White & Cox….electronic death certificate.

  5. Onerous bills • SB 847 Schaaf “assistant physician collaborative practice arrangements” • HB 1842 Frederick “assistant physician collaborative practice arrangements” • Missouri is one of two states that passed Community Paramedics last year. • Tort reform is the physician’s dominant issue.

  6. If you are in favor of these bills: • Contact the members of Senate Finance and Governmental Affairs Committee We do not support a substitute on Wallingford’s bill. • Contact the members of the House Professional Regulations. We do not support a substitute on Lichtenberger's bill. • Contact your legislator.

  7. Federal Issues • Contact Senator McCaskill and Blunt Contact your congressman/woman to cosponsor H.R. 3833. • Encourage your Members of Congress to co-sponsor the Home Health Care Planning Improvement Act of 2013 • Urge your Members of Congress to Support the Veterans Health Administration (VHA) Plan to Recognize NPs Ability to Practice to Their Full Scope

  8. The 2nd edition White Paper • http://www.missourinurses.org/associations/10264/files/White%20Paper%20-%20Status%20of%20APRNs%20in%20MO%202014%202nd%20Ed.pdf • Stakeholder • http://www.missourinurses.org/associations/10264/files/White%20Paper%202nd%20Ed%20-%20Cover%20Letter-Endorsement%20Form.pdf

  9. The Great City of St Louis

  10. The Great City of DC

  11. Thank you • Kathleen Haycraft, DNP, FNP/PNP-BC/DCNP • 308 HUCKLEBERRY HANNIBAL, MO 63401-2402 kathleenhaycraft@yahoo.com 573-795-2808

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