Missouri 2026 Regular Session Status: In Committee Bipartisan · 3 D · 2 R cosponsors

HB 2391 — Modifies provisions relating to advanced practice registered nurses

Last action — Referred: Emerging Issues(H)

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced December 12, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 40% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 5 sponsors

    1 primary, 4 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 D · 2 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

This bill modifies the prescribing authority of advanced practice registered nurses in Missouri.

The bill updates provisions regarding the authority of advanced practice registered nurses to prescribe controlled substances. It establishes specific rules about what substances they can prescribe and under what circumstances.

What this means for you
  • Workers: This bill may impact healthcare workers by adjusting the prescribing capabilities of advanced practice registered nurses.

Bill Text

Action History

  1. Referred: Emerging Issues(H)

  2. Read Second Time (H)

  3. Read First Time (H)

  4. Prefiled (H)

Sponsors

Sponsorship breakdown

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1 sponsors · 4 co-sponsors · 194 not signed on

Sponsors (1)

Co-sponsors (4)

Not signed on (194)

194 members have not signed on to this bill.

Show all 194 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 2391?
HB 2391 is sponsored by Bill Irwin (Republican), Kem Smith (Democratic), Tonya Rush (Democratic), Matthew Overcast (Republican), and Marty Joe Murray (Democratic).
What is the current status of HB 2391?
This bill is in committee in the House. Introduced December 12, 2025. It must pass committee before a floor vote.
Where can I track HB 2391?
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Last checked for changes about 2 months ago · updated continuously

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