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WEEKLY REPORT
March 1, 2019

BUDGET UPDATE: This week the House Budget Committee completed hearing the five sub-committee’s FY 20 budget recommendations. It is important to note these are recommendations only and have not been adopted or finalized. The committee also passed HCS HB 14 which is the FY 19 Supplemental budget.

HOSPICE DEATH INVESTIGATION LEGISLATION: The House has Third Read and Passed House Bill 242, and the bill was sent to the Senate and first read. The Senate will most likely not begin hearing House bills until after the Legislative Spring Break (March 16-24). However, you can still reach out to your Senators to urge their support for HB242 and HB447 (the coroner bill).

APRN LEGISLATION: The House Professional Registration Committee hearing House Bill 301, sponsored by Rep. Nick Schroer (R-O’Fallon). This requires advanced practice nurses (APRNs) be licensed by the Missouri Board of Nursing and sets out the requirements for that licensure. An applicant for APRN licensure must have a current registered professional nurse license, have completed an accredited APRN program, and be certified by a national certifying body. Any person who currently has a document of recognition to practice as an APRN that is current on August 28, 2019 will be deemed to be licensed as an APRN under the provisions in the bill. The bill states that a licensee’s APRN license and his or her professional nursing license shall be treated as one license for the purpose of renewal and fees.

Those testifying in support of the legislation were: Dr. Douglas Pogue and Tammy Bartholomew with the BJC Medical Group, Dawn Pfefler Wright, an APRN, Missouri Association of Rural Health Clinics, St. Luke’s Hospital, Missouri Hospital Association, SSM Healthcare, Kids Win Association, Missouri Health Care Association – Nursing Homes, Leading Age of Missouri, the Association of Missouri Nurse Practitioners and Missouri Nurses Association.

Those testifying in “soft” opposition were: Missouri State Medical Association, Missouri Association of Osteopaths, Physicians and Surgeons, Anesthesiologists and Association for OB-GYN’s.
No action was taken on the bill. A vote is expected next week.