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Help Fight Nurse Independent Practice Act

The nurse lobby is pushing legislation in the Missouri Capitol to essentially grant Advanced Practice Registered Nurses the authority to practice independently. House Bill 1481 and Senate Bill 700 would eliminate the current 50-mile proximity requirement (the maximum distance allowed between the APRN and the supervising physician), and declare all of the existing collaborative practice rules null and void.

A second package the nurses are pushing, HB 1491 and SB 659, would greatly expand the APRN’s scope of practice to include advanced diagnosis, ordering tests, delegating medical acts to other health care providers, and initiating medication therapies.

Please help your MSMA lobbying team by contacting your state senators and representatives in Jefferson City. Click here to download a sample letter (authored by two of your physician colleagues), that you can use as a template. Contact information for your lawmakers can be found at the “Who Are My Legislators” links below.
Contact Your Lawmakers! 
Contact Your Lawmakers/Districting Map
Contact Missouri’s Congressional Delegation

Senators Roy Blunt and Claire McCaskill represent the entire state of Missouri. 
Contact them individually/see below/e-mail links can be found their websites:


Senator Roy Blunt

United States Senate

260 Russell Senate Office Building

Washington, DC 20510

(202) 224-5721


Senator Claire McCaskill

United States Senate

506 Hart Senate Office Building

Washington, DC 20510

(202) 224-6154



Missouri’s members of the House of Representatives are:

  • William “Lacy” Clay (St. Louis)
  • Ann Wagner (St. Louis County)
  • Blaine Luetkemeyer (East Central MO)
  • Vicky Hartzler (West Central MO)
  • Emanuel Cleaver (Kansas City Area)
  • Sam Graves (Northern MO)
  • Billy Long (Southwest MO)
  • Jason Smith (Southeast MO)

To find out which one represents you, and for their contact information, 
visit http://www.house.gov/representatives/find/.

Participate in MSMA´s Physician of the Day Program 
The Physician of the Day program is warmly received by the General Assembly and the participating physicians. Lawmakers and their staff benefit from knowing good medical attention is close, and physicians enjoy spending a day in the Capitol, experiencing the political process.

If you are interested in serving in this worthwhile project, please contact MSMA’s Kenny Jackson at 800-869-6762.  

MSMA's Key Contact Program
Medicine´s political strike force matches physicians with lawmakers from their district who will keep in touch on legislative issues. As a Key Contact, you will be called upon to deliver medicine´s message whenever important issues reach a critical point. It takes no special training - we´ll guide you along the way. E-mail Jeff Howell at MSMA Headquarters.
Physician’s Guide to Law & Medicine 
Available only online to members only and continuously updated, MSMA offers the Physician’s Guide to Law and Medicine to assist members in understanding the laws that affect the practice of medicine.  
Contact Jeff Howell, MSMA's General Counsel, for more information about medical-legal consultation services at 800-869-6762.







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