Board of Nursing

History of the Board

The first Missouri Nursing Practice Act (NPA) went into effect on May 6, 1909, at which time five individuals were appointed as members of the Missouri State Board of Nurse Examiners. Over the years, major and minor changes have been made to this first NPA. The first major changes (including compulsory rather than permissive licensure) were enacted in 1921. This act was repealed and replaced by the Act of 1923. A new 5 member Board was appointed at that time. The next major changes were in 1939. Some of the changes included the ability for graduates to obtain reciprocity in other states, allowing the Board to establish and office staffed by a full-time executive secretary and such clerical help as was needed and specifically setting down the causes for suspension or revocation of a license.

On August 19, 1953, a new Nursing Practice Act went into effect. Some of the changes included the requirement for licensure for both RNs and LPNs to practice in Missouri; an increase in the membership on the Board to 7 (five RNs and 2 LPNs); and the name of the Board changed to The Missouri State Board of Nursing. The omnibus State Reorganization Act of 1974 transferred the Board to the Division of Professional Registration within the Department of Economic Development. A public member was added starting in late 1982. In 1983, Intravenous fluids administration requirements for practical nurses were added. A 9th member was added to the Board in 1988 as an undesignated member. In recent years this appointment has usually represented advanced practice. In 1990, numerous sections were added regarding the Nurse Training Incentive Fund and the Nurse Loan Repayment plan. In 1999, expungement of unsubstantiated inmate complaints and subpoena power for the board were added. On August 31, 2007, changes included, sealing of complaints if no discipline resulted, the Impaired Nurse Program, Expedited Hearings and Notice of Hearings by Publications. By Executive Order 07-06 and by Statute on 8/28/08 the Board of Nursing/Professional Registration was transferred to the Department of Insurance, Financial Regulation and Professional Registration.

The Board approves nursing education programs, processes applications for licensure by exam and endorsement for registered professional nurses and licensed practical nurses and disciplines licenses of those who violate the Nursing Practice Act. Statues governing the Board can be found in Chapter 335 and Chapter 620 of the Missouri Revised Statutes. The rules and regulations of the Board can be found in the Missouri Code of State Regulations 20 CSR 2200 Chapter 1-6.

The Board currently consists of nine members who are appointed by the Governor with the advice and consent of the Senate for a four-year term.

The Board employs an Executive Director who is a qualified individual to administer the provisions of Chapter 335.011 to 335.257 under the Board's direction.