☰ Revisor of Missouri


Chapter 335

< > Effective - 28 Aug 2019, 4 histories, see footnote   (history) bottom

  335.175.  Utilization of telehealth by nurses established — rulemaking authority. — 1.  No later than January 1, 2014, there is hereby established within the state board of registration for the healing arts and the state board of nursing the "Utilization of Telehealth by Nurses".  An advanced practice registered nurse (APRN) providing nursing services under a collaborative practice arrangement under section 334.104 may provide such services outside the geographic proximity requirements of section 334.104 if the collaborating physician and advanced practice registered nurse utilize telehealth in the care of the patient and if the services are provided in a rural area of need.  Telehealth providers shall be required to obtain patient consent before telehealth services are initiated and ensure confidentiality of medical information.

  2.  As used in this section, "telehealth" shall have the same meaning as such term is defined in section 191.1145.

  3.  (1)  The boards shall jointly promulgate rules governing the practice of telehealth under this section.  Such rules shall address, but not be limited to, appropriate standards for the use of telehealth.

  (2)  Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028.  This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2013, shall be invalid and void.

  4.  For purposes of this section, "rural area of need" means any rural area of this state which is located in a health professional shortage area as defined in section 354.650.


(L. 2013 H.B. 315, A.L. 2016 S.B. 579, A.L. 2019 S.B. 514)

---- end of effective  28 Aug 2019 ----

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335.175 8/28/2023
335.175 8/28/2019 8/28/2023
335.175 8/28/2016 8/28/2019
335.175 8/28/2013 8/28/2016

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