SESSION WATCH
Died HOUSE · SESSION 2026

No. CS/HB 683

Performance of Physician Assistants and Advanced Practice Registered Nurses
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SPONSOR
Health Professions & Programs Subcommittee; Partington
FILED BY
Bill Partington — District 28, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Rules

Filed under Healthcare.

PROVIDED SUMMARY

Performance of Physician Assistants and Advanced Practice Registered Nurses; Removes requirement that supervising physician notify DOH in writing of any delegation of prescribing authority to physician assistant; removes requirement that supervising physician's name be included in prescription issued by physician assistant; revises requirements for drug formulary for physician assistants; revises drug formulary requirements for advanced practice registered nurses authorized to prescribe medications; provides exception for psychiatric nurses.

Full bill text →

Plain English Summary

AI-GENERATED
Removes the requirement that doctors notify the state before delegating prescribing power.

Supervising physicians no longer have to notify the Department of Health in writing before letting a physician assistant prescribe medication, or report later changes to that arrangement. Prescriptions written by assistants no longer need to list the supervisor's name.

Physician assistants may now prescribe up to a 30-day supply of Schedule II psychiatric medication to patients under 18, up from 14 days. They no longer need supervision from a pediatrician, family or internal medicine physician, or psychiatrist to do so.

Advanced practice registered nurses who are not psychiatric nurses may now prescribe psychiatric mental health controlled substances to patients under 18, capped at a 30-day supply, a route previously open only to psychiatric nurses. Psychiatric nurses remain exempt from that cap.

KEY PROVISIONS
§ 1 Repeals DOH notice requirement before PA prescribing delegation majors. 458.347

AIA supervising physician no longer has to notify the Department of Health, in writing on a department-approved form, before delegating prescribing authority to a physician assistant, or report later changes to the assistant's prescriptive privileges.

“must notify the department of his or her intent to delegate, on a department-approved form, before delegating such authority” bill text, line 33 →
§ 2 Raises PA's pediatric Schedule II psychiatric-drug cap to 30 days majors. 458.347

AIPhysician assistants may prescribe a 30-day supply of Schedule II psychiatric mental health medication to a patient under 18, up from 14 days, and no longer need supervision specifically by a pediatrician, family or internal medicine physician, or psychiatrist to do so.

“in the case of Schedule II psychiatric mental health controlled substances, a 30-day supply” bill text, line 71 →
§ 3 Opens pediatric psychiatric-drug prescribing to all ARNPs, capped at 30 days majors. 464.012

AIAdvanced practice registered nurses who are not psychiatric nurses may now prescribe psychiatric mental health controlled substances to a patient under 18, capped at a 30-day supply -- a route the current formulary reserves for psychiatric nurses alone.

“prescribing of psychiatric mental health controlled substances for children younger than 18 years of age to advanced practice registered nurses who also are psychiatric nurses” bill text, line 164 →
§ 4 Drops supervising physician's name from PA prescriptions moderates. 458.347

AIA physician assistant's prescription must still show the assistant's own name, address, and telephone number, but no longer has to list the name of the physician supervising them.

“and the name of each of his or her supervising physicians.” bill text, line 58 →
TIMELINE
3/13/2026
Died in Rules
2/26/2026
Received
2/26/2026
Referred to Rules
2/25/2026
In Messages
2/25/2026
CS passed; YEAS 112, NAYS 4
2/25/2026
Read 3rd time
2/25/2026
Added to Third Reading Calendar
2/25/2026
Read 2nd time
2/19/2026
Bill added to Special Order Calendar (2/25/2026)
2/18/2026
Added to Second Reading Calendar
2/18/2026
Bill released to House Calendar
2/18/2026
Reported out of Health & Human Services Committee
2/18/2026
Favorable by Health & Human Services Committee
2/16/2026
Added to Health & Human Services Committee agenda
2/12/2026
Now in Health & Human Services Committee
2/12/2026
Referred to Health & Human Services Committee
2/11/2026
1st Reading (Committee Substitute 1)
2/11/2026
CS Filed
2/11/2026
Laid on Table under Rule 7.18(a)
2/11/2026
Reported out of Health Professions & Programs Subcommittee
2/11/2026
Favorable with CS by Health Professions & Programs Subcommittee
2/9/2026
Added to Health Professions & Programs Subcommittee agenda
1/13/2026
1st Reading (Original Filed Version)
12/16/2025
Now in Health Professions & Programs Subcommittee
12/16/2025
Referred to Health & Human Services Committee
12/16/2025
Referred to Health Professions & Programs Subcommittee
12/8/2025
Filed
21 EARLIER →
STATUTES IT CHANGES
s. 458.347
+22 / −87
s. 459.022
+2 / −46
s. 464.012
+19 / −8
STAFF ANALYSES