HB 689 Authorizes a tax credit for certain physicians providing preceptorships

Current Bill Summary

- Prepared by Senate Research -

SCS/HCS/HB 689 - This act modifies provisions relating to medical professionals.


Beginning January 1, 2022, this act authorizes a taxpayer to claim a tax credit for serving as a community-based faculty preceptor for a medical student core preceptorship or a physician assistant student core preceptorship, as such terms are defined in the act. The tax credit shall be equal to $1,000 for each preceptorship, but not to exceed $3,000 in any tax year. Tax credits authorized by the act shall not be refundable or transferable, and shall not be carried forward or backward to any other tax year. The total amount of tax credits authorized in a given year shall not exceed $200,000. Additional tax credits may be authorized provided in amount not to exceed the excess funds available in the Medical Preceptor Fund, as created by the act.

Beginning January 1, 2022, the Division of Professional Registration of the Missouri Department of Commerce and Insurance shall increase the license fees for physicians and surgeons by $7 and for physician assistants by $3, with such revenues to be deposited in the Medical Preceptor Fund. At the end of each tax year, an amount equal to the total dollar amount of tax credits claimed during the tax year shall be transferred to the General Revenue Fund. (Section 135.690)

This provision is identical to a provision contained in HCS/SCS/SB 403 (2021) and is substantially similar to a provision contained in HCS/SS/SB 580 (2020) and HB 2036 (2020).


This act modifies provisions relating to advanced practice registered nurses (APRNs).

This act repeals all current requirements for a written collaborative practice arrangement between an APRN and a collaborating physician, including geographic proximity requirements, except for the requirements that the arrangement have the name, address, phone number, license numbers of the APRN and collaborating physician, and a description of the APRN's controlled substance prescriptive authority.

This act removes a limit on the number of APRNs with whom a physician may enter collaborative practice arrangements and also repeals an exception to this limit for certified registered nurse anesthetists providing anesthesia services under the supervision of a physician, dentist, or podiatrist. (Sections 334.037, 334.104, and 334.735)

This act requires an advanced practice registered nurse to have been granted a certificate of controlled substance prescriptive authority in order to be delegated, as part of a collaborative practice arrangement, authority to administer, dispense, or prescribe certain controlled substances as defined in the act.

Any previously adopted rules regulating the use of collaborative practice arrangements, except rules delegating the authority to prescribe controlled substances, are null and void from the effective date of this act.

The State Board of Registration for the Healing Arts shall, rather than may, make available to the public information identifying physicians and licensed professionals in engaged in any collaborative practice arrangement or physician assistant agreement.

Under current law, no collaborative practice arrangement shall supersede certain hospital licensing regulations as defined in current law, and no contract or other agreement shall limit a collaborating physician's ultimate authority over protocols, standing orders, or delegation of the authority to an APRN, insofar as the exercise of authority does not violate applicable medical standards. This act repeals these provisions. (Section 334.104)

These provisions are identical to SB 293 (2021) and are similar to HB 2226 (2020), HB 1441 (2020), HB 301 (2019), HB 693 (2019), SCS/SB 400 (2019), SCS/HB 705 (2019), SB 460 (2019), and HB 1502 (2018).


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