 | Missouri Academy of PAs |
Legislative Updates
March 2026
MOAPA is excited for our legislative agenda this year.
We have several initiatives underway, and all are officially sponsored:
SB940: This bill would allow PAs to be included in peer review committees.
Thank you to Senator Justin Brown for sponsoring!
This would allow Missouri to join the other 22 states in the PA License Compact, while still requiring any practice within the state by PAs to abide by current MO statute. The House version of this bill has been progressing through committee.
To learn more about the PA Licensure Compact, click here.
Thank you to Senator Jason Bean and Representative Ben Keathley for your sponsorship!
HB 2749: This bill would allow for collaborative practice agreements to occur at the hospital level.
Thank you to Representative Bishop Davidson for sponsoring!
Click here to read our fact sheet on this piece of legislation.
HB3039: This bill would allow for PAs to write for oxycodone in addition to hydrocodone.
Thank you to Representative Cameron Parker for sponsoring!
Click here to read our fact sheet on this legislation.
We strive to represent all the PAs working to serve Missouri patients.
To see the stats on PAs in MO, please click here.
November 2025
Missouri submitted its Rural Health Transformation (RHT) plan to the Centers for Medicare & Medicaid Services (CMS).
Key elements of Missouri's RHT plan include:
- Improving healthcare access for rural Missourians by connecting providers, pharmacies, public health agencies, at-home resources, and digital health tools through a unified, regional network.
- Expanding access to primary care, behavioral health, and maternity services in rural communities while strengthening specialty and complex care through telehealth and patient-focused technology.
- Enhancing rural provider sustainability by increasing collaboration among local partners to advance technology, operations, and care delivery, and incentivizing better health outcomes through shared savings of avoidable healthcare costs.
In Governor Kehoe's Endorsement for Missouri's Rural Health Transformation Plan (PDF here), he mentions:
- The state of Missouri commits to joining the Physician Assistant Licensure Compact, through legislation filed in the 2026 state legislative session, with full enactment by December 31, 2027.
- Additionally, our administration will reassess Missouri’s current scope of practice law and regulations for…Physician Assistants. This re-evaluation will identify reforms to increase the availability of services provided y these professionals in rural areas and enable them to reach rural Missourians who are struggling to access local care.
Prior practice advancements with MOAPA:
- Clarify that primary and alternate collaborating physicians can fulfill chart review requirements.
- Remove the requirement for 4 hrs per 14 working days of direct supervision.
- Grant PAs the authority to pronounce death and certify a death ( sign a death certificate) from natural causes.
- Allow PAs the authority to prescribe hydrocodone.
- Recognize PAs as MO Medicaid providers.
- Removed the 30-day direct supervision requirement for new collaborative practice arrangements - and won a lawsuit defending this change as of January 2025.
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