Paula and APNO Membership, 
 
As of this mornings conversation with Kyna Iman 
or MONA lobbyist, the SB566 is still sitting in the 
informal calendar with an amendment consideration that will 
not allow a Nurse Practitioner to be employed by a pharmacy 
or chain pharmacy. This item is to curb and eliminate many 
of the large chain stores from employing NP’s in their 
“quick clinics”. According to my discussion with Dr.Jan 
Towers last Friday this constitutes “restraint of trade and 
practice”. Although illegal if the amendment goes through 
it would take a Missouri Supreme Court Ruling to resolve 
the infraction. Dr. Towers advised that it would be better 
for the bill to drop rather than be bound by inappropriate 
and illegitimate wording and directive. Now for the House 
side of the situation: Thirty of us talked with Rep Bob 
Behnens from Kirksville and the Committee Chairman of the 
Professional Registration committee on the 18th of April. 
We discussed Representative Sam Pages amendment onto Rep 
Behnens Omnibus bill stating that if a Nurse Practitioner 
owned their own clinic that a physician could not enter 
into a Collaborative Practice Agreement with that NP. This 
is further “restraint of trade and professional services”. 
Representative Behnens assured us that this Omnibus Bill 
was floored at that time and would not fly, but the very 
next day re-introduced the another Omnibus Bill and 
Representative Page put forth the very same amendment and 
it is part of HB1124. The Missouri Medical Association and 
the Missouri Osteopathic Physicians organization seem to be 
contributing to Representative Behnens bid for State 
Senatorship in the near future and we as NP’s are being 
sacrificed to their benefit. Representative Behnen flatly 
lied to the thirty of us that spoke with him on the 18th 
and I am wholeheartedly disgusted. Contact your Senators 
and Representatives to either change or discard the Page 
amendment or drop the Bill altogether. We need people to 
contact their legislators and any other legislators you 
have dealings with to keep onerous language out of Missouri 
Advanced Practice Nursing. If we allow them to tell us 
where we can practice then we might as well give up the 
ship. Healthcare in Missouri is already at a disadvantage 
and we as Nurse Practitioners absolutely have to stand up 
and let our legislators know that we represent our patients 
and more times than not are the only providers that will 
see them due to poor insurance or no insurance. Any 
suggestions or comments are welcome and please help me get 
the information out to all NP’s and RN’s in Missouri. We 
are going to have to lock arms and fight this together to 
have a chance at continuing what so many have fought for 
thus far.  
 
 
 
The idea to keep us off guard by fighting 
restrictive amendments prevents us from taking on objective 
positions as to our advancement. It is the same thing the 
AMA and American Osteopathic Physicians are doing in 
Florida. They have focused on 2 states that have 
legislators in place to drive their agenda and reduce the 
NP scope of practice. AANP I think would help but with 
only one group belonging to the National organization, it 
makes it hard for them to lend a hand unless individual 
members contact the National Group. We have to get 
organized and speak with one voice instead of 50 small 
groups. I will stay in contact with Paula and Dan so that 
we can get information to you all in a real-time fashion or 
as close to it as we can. Let me know what suggestions you 
have! 
 
 
 
Respectfully, 
 
Wm “Kip” Davis, RN,CS,FNP-C