Missouri 2026 Regular Session Status: In Committee 2 D cosponsors

HB 3099 — Modifies provisions relating to the prescriptive authority of 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 January 27, 2026. 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.

Upgrade to see the exact probability and what's driving it.

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

Prognosis

Stalled 18% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 D).

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 prescriptive authority of advanced practice registered nurses in Missouri.

House Bill 3099 updates the rules governing the prescribing rights of advanced practice registered nurses (APRNs) in Missouri. It allows certified APRNs to prescribe controlled substances under certain collaborative agreements while maintaining restrictions similar to those currently in place.

What this means for you
  • Workers: This bill potentially expands the ability of nurses to prescribe medications, which may impact healthcare accessibility for workers.

Bill Text

Action History

  1. Referred: Emerging Issues(H)

  2. Read Second Time (H)

  3. Introduced and Read First Time (H)

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 1 co-sponsors · 197 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (197)

197 members have not signed on to this bill.

Show all 197 →

"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 3099?
HB 3099 is sponsored by Kem Smith (Democratic) and Marty Joe Murray (Democratic).
What is the current status of HB 3099?
This bill is in committee in the House. Introduced January 27, 2026. It must pass committee before a floor vote.
Where can I track HB 3099?
Track HB 3099 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 3099

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB 3099

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →