Provides that certified registered nurse anesthetists may select, issue orders for, and administer certain controlled substances

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Brown (26), Ben; House handler: N/A
Last action: 2026-03-10
Official status: SCS Voted Do Pass w/SCS SBs 1247 & 1445 Emerging Issues and Professional Registration Committee (4729S.02C)
Effective date: 2026-08-28

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

2026-03-10 Missouri House of Representatives and Missouri Senate
SCS Voted Do Pass w/SCS SBs 1247 & 1445 Emerging Issues and Professional Registration Committee (4729S.02C)
2026-03-03 Missouri House of Representatives and Missouri Senate
Hearing Conducted S Emerging Issues and Professional Registration Committee
2026-02-24 Missouri House of Representatives and Missouri Senate
Hearing Cancelled S Emerging Issues and Professional Registration Committee
2026-01-27 S240
Second Read and Referred S Emerging Issues and Professional Registration Committee
2026-01-07 S74
S First Read
2025-12-01 Missouri House of Representatives and Missouri Senate
Prefiled

Official Summary Text

The following summaries of this bill are available:

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Senate Committee Substitute

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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

Introduced

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SB 1247 - 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 1445 (2026), 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