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Info from MO BON re: prescribing narcotics

July 8, 2008

Newly posted to the MO State Board of Nursing Website:  
http://pr.mo.gov/nursing.asp 
 
 
 
Senate Bill 724 and Controlled Substance Prescriptive 
Authority for APRNs  
 
 
 
Yes, SB724 was passed and signed by the Governor.  
 
 
 
No, APRNs may not start writing prescriptions for 
controlled substances yet.  
 
 
 
What’s the story? SB 724 describes laws that give APRNs 
permission to write prescriptions for certain controlled 
substances. It also has language that will impact the 
content of most collaborative practice agreements (CPAs). 
Many of these changes are from our CP rules that have now 
been further clarified in statute. There will be a legal 
determination as to when these new laws will be in full 
effect. Rules will have to be promulgated in order to carry 
out many of the new laws. The rule making process is time 
consuming and in this case the MSBN will be working very 
closely with several other associations and state agencies, 
including but not limited to the Missouri Nurses 
Association, Department of Health, Bureau of Narcotics and 
Dangerous Drugs (BNDD), Board of Healing Arts, Board of 
Pharmacy and the Drug Enforcement Agency (DEA), to be sure 
that all needs are met.  
 
 
 
Do not apply for BNDD or DEA numbers yet. The Board of 
Nursing has to write the rules that pertain to the criteria 
and application process that APRNs will have to follow in 
order to receive a certificate of eligibility for 
controlled substance prescriptive authority. These rules 
and similar rules that have to be written by BNDD, and 
others have to go through the rule making process. This 
will take at least a year. If you send in money with an 
application to BNDD or DEA, they will keep your money and 
decline your application until the process is in place.  
 
 
 
CRNAs may not have controlled substance prescriptive 
authority delegated to them in a collaborative practice 
agreement (CPA). They may enter into a CPA with a physician 
if they choose, but cannot have controlled substance 
prescriptive authority delegated to them.  
 
 
 
We will keep up to date information on the website to let 
you know where we are in the process. There are some parts 
of this new legislation that will go into effect August 28, 
2008. Please refer to the “CPA changes effective August 28, 
2008” posted here on the website for details.