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Staff submitted a comment, in response to a request by Representative Jeanne Kirkton of the Missouri House of Representatives, regarding Missouri House Bills 1481 and 1491. HB 1491 would allow APRNs to assess and diagnose patients and order diagnostic and therapeutic tests and procedures, without a collaborative practice arrangement with a particular physician as required under existing Missouri law. HB 1481 would allow physicians and APRNs to collaborate electronically, replacing a law requiring their offices to be physically nearby. The staff comment stated that the bills would curtail costly barriers to competition that may deter procompetitive innovation in health care delivery. The comment referenced staff’s March 2014 policy paper, Policy Perspectives: Competition and the Regulation of Advanced Practice Registered Nurses, for support.