Missouri 2026 Regular Session Status: In Committee 1 R cosponsors

HB 1636 — Modifies provisions relating to the requirements for collaborative practice arrangements between physicians and advanced practice registered nurses

Last action — Referred: Emerging Issues(H)

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  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 01, 2025. It must pass committee before a floor vote.

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

Prognosis

Stalled 16% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

The bill modifies collaborative practice arrangements for advanced practice registered nurses and physicians.

This bill allows physicians to create written collaborative practice arrangements with advanced practice registered nurses, detailing their authority to prescribe certain medications. It establishes protocols for these agreements and includes provisions for hospice care.

What this means for you
  • Workers: This bill means advanced practice registered nurses can have expanded authority in prescribing medications.

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 · 0 co-sponsors · 198 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (198)

198 members have not signed on to this bill.

Show all 198 →

"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 1636?
HB 1636 is sponsored by Matthew Overcast (Republican).
What is the current status of HB 1636?
This bill is in committee in the House. Introduced December 01, 2025. It must pass committee before a floor vote.
Where can I track HB 1636?
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Last checked for changes 3 months ago · updated continuously

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