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A Columbia-based nurse practitioner is challenging Missouri's collaborative practice agreement rule, citing financial burden and lack of enforcement.

The lawsuit argues the rule violates state and federal constitutions by hindering nurse practitioners' autonomy and patient access to care.

The lawsuit highlights the disparity between physician and nurse practitioner oversight requirements, despite nurse practitioners' advanced training and qualifications.

A Columbia-based nurse practitioner seeks to challenge Missouri's collaborative practice agreement rule.

Marcy Markes, who owns Columbia Allergy and Asthma Specialists and has more than 30 years' experience as a nurse practitioner, is required by Missouri law to have such an agreement with a physician when practici

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