Association of Missouri Nurse Practitioners

ACTION NEEDED: YOUR Voice 3/7/18 @ 12:00PM

Posted about 1 year ago by Aleisha Breen

This announcement has 2 attachments:
HB 1502 (170 KB)

Next Wednesday, March 7th at 12:00PM, in hearing room 2 the House Professional Registration & Licensing Committee will hear testimony on HB 1502, filed by Rep. Hannah Kelly. This bill is the transition to practice bill for APRN’s and is a VERY high priority for AMNP.

The bill seeks to do the following things:

  • Create a license for APRN’s in the state of Missouri
  • Remove the requirement for a collaborative practice agreement with a physician if the APRN has practiced for more than 2 years
  • Redefine the certifying body for CRNA’s
  • Defines the scope of practice for APRN’s under the APRN license
  • Requires new APRN’s to collaborate for a 2 year period with a collaborating physician

Our hope is that we can fill the hearing room with supporters of this transition to practice bill. We do realize that a week’s notice is challenging, but we encourage anyone and everyone that is available to attend the hearing next Wednesday to show up and tell your story of how your patients and your profession are detrimentally harmed because of the existing laws and regulations.

Specifically, key points to include are as follows:

  • Healthcare Shortage Areas – 109 of 114 counties are defined as healthcare shortage areas. All 114 are mental health shortage areas. 60% of licensed physicians practice in only 3 Missouri counties. NP’s can provide an immediate solution to help resolve the healthcare crisis.
  • Collaborative Practice Arrangements – Not necessary because of improvements in technology and the natural inclination to collaborate with other members in the healthcare delivery system.
  • An expansion from 50-75 miles will not be the panacea for healthcare access issues in Missouri. This would inhibit NP’s from seeing bedridden and hospice patients even further into the rural areas and would only marginally help expand access.
  • Clinic Closures – All providers that have closed clinics or had clinics close on them are encouraged to bring forth that powerful testimony. Policymakers rarely hear those stories and it is essential to offer those compelling stories to put a face on the problem.
  • Cost – According to the Missouri Foundation for Health, Missouri could save $1.6 billion over 10 years by allowing NP’s to work to their level of training and education. This is critically important during lean budget times.
  • Quality of Care – NP’s have proven in study after study that healthcare outcomes and quality of care are the same or better than physician colleagues. If NP care was substandard, hospitals and doctors wouldn’t be hiring them at a rapid pace.
  • NP Education – In addition to the academic instruction, NP’s are clinically educated on top of the clinical experience that they received as a RN.

This hearing is YOUR opportunity to make YOUR voice heard! Legislators absolutely listen to the impact that a bill has on their constituents. Compelling stories that will underscore the need for additional unrestricted healthcare providers in the areas where it’s most needed will have a significant effect on the committee. Committee members on Professional Registration & Licensing are as follows”

  • Chairman Robert Ross
  • Vice Chairman Steve Helms
  • Rep. Jon Carpenter
  • Rep. Dianne Franklin
  • Rep. Derek Grier
  • Rep. Kirk Mathews
  • Rep. DaRon McGee
  • Rep. Jim Neely
  • Rep. Joshua Peters
  • Rep. Chrissy Sommer
  • Rep. Cora Faith Walker
  • Rep. Bill White  

If you are not able to attend in person but would still like to help, we encourage constituents of any of these representatives to contact them to let them know your story. You can find the contact information by clicking on the picture by going HERE

You may also submit written testimony to the committee by completing the attached witness form and submitting it directly to Rep. Ross. I have also attached the bill for your reference.

THANK YOU in advance for all that you have done and will do to help us raise awareness on the need for barrier removals for Missouri’s patients. We encourage you to contact us with any questions and look forward to seeing you next week!

Derek S. Leffert
Managing Principal/CEO
The 109 Group, LLC
PO Box 104853
Jefferson City, MO 65110


Megan Gibbons about 1 year ago

I would like attend, and will try and get off work that day. I will definitely submit a written testimony to the committee. When I open the attachments they are both the House Bill 1502, can you please post the witness form, or am I doing something wrong? Thanks for all your efforts!!!

Kathleen Kinnaman about 1 year ago

Please repost witness form. I would like to attend though am not sure yet if I can. What are the logistics such as finding out the hearing room etc?
I will definitely send in written testimony.

Mike Holtz about 1 year ago

I will not be able to get off of work, but will submit my testimony. This is encouraging!

Aleisha Breen about 1 year ago

It should be fixed now. Sorry about the error.

Marti Cowherd about 1 year ago

Is there a fax number that we can fax the written testimony forms to?

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