1| SENATE FLOOR VERSION |
| March 3, 2025 |
2| AS AMENDED |
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3|SENATE BILL NO. 670 By: Kirt |
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4| |
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5| [ health care providers - license renewals - |
| continuing medical education - screening instrument - |
6| rules - educational materials - codification - |
| effective date ] |
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8| |
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9|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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10| SECTION 1. AMENDATORY 59 O.S. 2021, Section 495a.1, is |
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11|amended to read as follows: |
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12| Section 495a.1. A. At regular intervals set by the State Board |
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13|of Medical Licensure and Supervision, no less than one time per |
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14|annum, each licensee licensed by the Oklahoma Allopathic Medical and |
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15|Surgical Licensure and Supervision Act shall demonstrate to the |
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16|Board the licensee's continuing qualification to practice medicine |
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17|and surgery. The licensee shall apply for license reregistration on |
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18|a form or forms provided by the Board, which shall be designed to |
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19|require the licensee to update or add to the information in the |
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20|Board's file relating to the licensee and his or her professional |
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21|activity. It shall also require the licensee to report to the Board |
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22|the following information: |
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23| 1. Any action taken against the licensee for acts or conduct |
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24|similar to acts or conduct described in the Oklahoma Allopathic |
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1|Medical and Surgical Licensure and Supervision Act as grounds for |
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2|disciplinary action by: |
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3| a. any jurisdiction or authority (United States or |
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4| foreign) that licenses or authorizes the practice of |
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5| medicine and surgery, |
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6| b. any peer review body, |
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7| c. any health care institution, |
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8| d. any professional medical society or association, |
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9| e. any law enforcement agency, |
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10| f. any court, or |
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11| g. any governmental agency; |
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12| 2. Any adverse judgment, settlement, or award against the |
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13|licensee arising from a professional liability claim; |
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14| 3. The licensee's voluntary surrender of or voluntary |
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15|limitation on any license or authorization to practice medicine and |
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16|surgery in any jurisdiction, including military, public health and |
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17|foreign; |
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18| 4. Any denial to the licensee of a license or authorization to |
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19|practice medicine and surgery by any jurisdiction, including |
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20|military, public health or foreign; |
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21| 5. The licensee's voluntary resignation from the medical staff |
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22|of any health care institution or voluntary limitation of the |
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23|licensee's staff privileges at such an institution if that action |
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24|occurred while the licensee was under formal or informal |
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1|investigation by the institution or a committee thereof for any |
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2|reason related to alleged medical incompetence, unprofessional |
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3|conduct, or mental or physical impairment; |
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4| 6. The licensee's voluntary resignation or withdrawal from a |
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5|national, state, or county medical society, association, or |
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6|organization if that action occurred while the licensee was under |
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7|formal or informal investigation or review by that body for any |
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8|reason related to possible medical incompetence, unprofessional or |
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9|unethical conduct, or mental or physical impairment; |
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10| 7. Whether the licensee has abused or has been addicted to or |
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11|treated for addiction to alcohol or any chemical substance during |
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12|the previous registration period, unless such person is in a |
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13|rehabilitation program approved by the Board; |
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14| 8. Whether the licensee has had any physical injury or disease |
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15|or mental illness during the previous registration period that |
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16|affected or interrupted his or her practice of medicine and surgery; |
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17|and |
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18| 9. The licensee's completion of continuing medical education or |
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19|other forms of professional maintenance or evaluation, including |
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20|specialty board certification or recertification, during the |
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21|previous registration period. |
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22| B. The Board may require continuing medical education for |
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23|license reregistration and require documentation of that education. |
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24|The Board shall promulgate rules on the specific requirements of the |
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1|amount of continuing medical education needed for reregistration. |
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2|Failure to meet the requirements in the allotted time may result in |
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3|the licensee being required to pay a nondisciplinary fine by the |
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4|Board secretary of up to but not more than One Thousand Dollars |
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5|($1,000.00). |
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6| C. The Board shall require that the licensee receive not less |
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7|than one: |
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8| 1. One (1) hour of education in pain management or one (1) hour |
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9|of education in opioid use or addiction each year preceding an |
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10|application for renewal of a license, unless the licensee has |
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11|demonstrated to the satisfaction of the Board that the licensee does |
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12|not currently hold a valid federal Drug Enforcement Administration |
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13|registration number; and |
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14| 2. One (1) hour of education in integrated behavioral health |
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15|care. |
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16| D. The licensee shall sign and attest to the veracity of the |
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17|application form for license reregistration. Failure to report |
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18|fully and correctly shall be grounds for disciplinary action by the |
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19|Board. |
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20| E. The Board shall establish a system for reviewing |
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21|reregistration forms. The Board may initiate investigations and |
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22|disciplinary proceedings based on information submitted by licensees |
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23|for license reregistration. |
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24| |
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1| F. Upon a finding by the Board that the licensee is fit to |
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2|continue to practice medicine and surgery in this state, the Board |
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3|shall issue to the licensee a license to practice medicine and |
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4|surgery during the next registration period. |
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5| SECTION 2. NEW LAW A new section of law to be codified |
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6|in the Oklahoma Statutes as Section 510.2 of Title 59, unless there |
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7|is created a duplication in numbering, reads as follows: |
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8| A. A physician shall provide an evidence-based, validated |
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9|mental health screening instrument as prescribed by the State Board |
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10|of Medical Licensure and Supervision to each patient during or |
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11|before a routine primary care visit. |
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12| B. The Board shall promulgate rules pertaining to the required |
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13|screening instrument and shall create such information and |
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14|educational materials necessary to implement the provisions of this |
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15|section. The Board may collaborate with the State Board of |
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16|Osteopathic Examiners and the Oklahoma Board of Nursing to develop |
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17|such rules, information, and educational materials. |
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18| SECTION 3. AMENDATORY 59 O.S. 2021, Section 519.8, is |
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19|amended to read as follows: |
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20| Section 519.8. A. Licenses issued to physician assistants |
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21|shall be renewed annually on a date determined by the State Board of |
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22|Medical Licensure and Supervision. Each application for renewal |
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23|shall document that the physician assistant has earned at least |
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24|twenty (20) hours of continuing medical education during the |
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1|preceding calendar year. Such continuing medical education shall |
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2|include not less than one: |
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3| 1. One (1) hour of education in pain management or one (1) hour |
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4|of education in opioid use or addiction; and |
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5| 2. One (1) hour of education in integrated behavioral health |
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6|care. |
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7| B. The Board shall promulgate, in the manner established by its |
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8|rules, fees for the following: |
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9| 1. Initial licensure; |
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10| 2. License renewal; |
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11| 3. Late license renewal; and |
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12| 4. Disciplinary hearing. |
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13| SECTION 4. NEW LAW A new section of law to be codified |
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14|in the Oklahoma Statutes as Section 519.13 of Title 59, unless there |
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15|is created a duplication in numbering, reads as follows: |
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16| A. A physician assistant shall provide an evidence-based, |
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17|validated mental health screening instrument as prescribed by the |
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18|State Board of Medical Licensure and Supervision to each patient |
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19|during or before a routine primary care visit. |
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20| B. The Board shall promulgate rules pertaining to the required |
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21|screening instrument and shall create such information and |
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22|educational materials necessary to implement the provisions of this |
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23|section. The Board may collaborate with the State Board of |
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24| |
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1|Osteopathic Examiners and the Oklahoma Board of Nursing to develop |
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2|such rules, information, and educational materials. |
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3| SECTION 5. AMENDATORY 59 O.S. 2021, Section 567.5a, as |
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4|amended by Section 1, Chapter 94, O.S.L. 2024 (59 O.S. Supp. 2024, |
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5|Section 567.5a), is amended to read as follows: |
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6| Section 567.5a. A. All applicants for a license to practice as |
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7|an Advanced Practice Registered Nurse shall be subject to Section |
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8|567.8 of this title. |
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9| B. An applicant for an initial license to practice as an |
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10|Advanced Practice Registered Nurse shall: |
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11| 1. Submit a completed written application and appropriate fees |
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12|as established by the Board; |
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13| 2. Submit a criminal history records check that complies with |
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14|Section 567.18 of this title; |
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15| 3. Hold a current Registered Nurse license in this state; |
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16| 4. Have completed an advanced practice registered nursing |
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17|education program in one of the four advanced practice registered |
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18|nurse roles and a specialty area recognized by the Board. Effective |
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19|January 1, 2016, the applicant shall have completed an accredited |
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20|graduate level advanced practice registered nursing education |
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21|program in at least one of the following population foci: |
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22|family/individual across the lifespan, adult-gerontology, neonatal, |
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23|pediatrics, women's health/gender-related, or psychiatric/mental |
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24|health; |
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1| 5. Be currently certified in an advanced practice specialty |
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2|certification consistent with educational preparation and by a |
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3|national certifying body recognized by the Board; and |
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4| 6. Provide any and all other evidence as required by the Board |
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5|in its rules. |
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6| C. The Board may issue a license by endorsement to an Advanced |
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7|Practice Registered Nurse licensed under the laws of another state |
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8|if the applicant meets the qualifications for licensure in this |
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9|state. An applicant by endorsement shall: |
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10| 1. Submit a completed written application and appropriate fees |
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11|as established by the Board; |
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12| 2. Submit a criminal history records check that complies with |
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13|Section 567.18 of this title; |
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14| 3. Hold a current Registered Nurse license in this state; |
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15| 4. Hold recognition as an Advanced Practice Registered Nurse in |
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16|a state or territory; |
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17| 5. Have completed an advanced practice registered nursing |
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18|education program in one of the four roles and a specialty area |
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19|recognized by the Board. Effective January 1, 2016, the applicant |
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20|shall have completed an accredited graduate level advanced practice |
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21|registered nursing education program in at least one of the |
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22|following population foci: family/individual across the lifespan, |
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23|adult-gerontology, neonatal, pediatrics, women's |
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24|health/gender-related, or psychiatric/mental health; |
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1| 6. Be currently certified in an advanced practice specialty |
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2|certification consistent with educational preparation and by a |
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3|national certifying body recognized by the Board; |
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4| 7. Meet continued competency requirements as set forth in Board |
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5|rules; and |
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6| 8. Provide any and all other evidence as required by the Board |
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7|in its rules. |
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8| D. The Board may issue prescriptive authority recognition by |
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9|endorsement to an Advanced Practice Registered Nurse licensed as an |
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10|APRN-CNP, APRN-CNS, or APRN-CNM under the laws of another state if |
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11|the applicant meets the requirements set forth in this section. An |
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12|applicant for prescriptive authority recognition by endorsement |
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13|shall: |
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14| 1. Submit a completed written application and appropriate fees |
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15|as established by the Board; |
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16| 2. Hold current Registered Nurse and Advanced Practice |
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17|Registered Nurse licenses (APRN-CNP, APRN-CNS, or APRN-CNM) in the |
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18|state; |
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19| 3. Hold current licensure or recognition as an Advanced |
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20|Practice Registered Nurse in the same role and specialty with |
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21|prescribing privileges in another state or territory; |
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22| 4. Submit documentation verifying successful completion of a |
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23|graduate level advanced practice registered nursing education |
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24|program that included an academic course in pharmacotherapeutic |
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1|management, and didactic and clinical preparation for prescribing |
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2|incorporated throughout the program; |
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3| 5. Submit a written statement from an Oklahoma licensed |
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4|physician supervising prescriptive authority as required by the |
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5|Board in its rules; |
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6| 6. Meet continued competency requirements as set forth in Board |
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7|rules; and |
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8| 7. Provide any and all other evidence as required by the Board |
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9|in its rules. |
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10| E. An Advanced Practice Registered Nurse license issued under |
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11|this section shall be renewed concurrently with the registered nurse |
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12|license provided that qualifying criteria continue to be met. |
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13| F. The Board may reinstate a license as set forth in Board |
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14|rules. |
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15| G. Continuing education requirements prescribed by the Board |
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16|for Advanced Practice Registered Nurses shall include not less than |
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17|one (1) hour of education in integrated behavioral health care. |
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18| SECTION 6. NEW LAW A new section of law to be codified |
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19|in the Oklahoma Statutes as Section 567.32 of Title 59, unless there |
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20|is created a duplication in numbering, reads as follows: |
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21| A. An Advanced Practice Registered Nurse shall provide an |
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22|evidence-based, validated mental health screening instrument as |
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23|prescribed by the Oklahoma Board of Nursing to each patient during |
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24|or before a routine primary care visit. |
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1| B. The Board shall promulgate rules pertaining to the required |
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2|screening instrument and shall create such information and |
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3|educational materials necessary to implement the provisions of this |
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4|section. The Board may collaborate with the State Board of Medical |
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5|Licensure and Supervision and the State Board of Osteopathic |
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6|Examiners to develop such rules, information, and educational |
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7|materials. |
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8| SECTION 7. NEW LAW A new section of law to be codified |
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9|in the Oklahoma Statutes as Section 638.2 of Title 59, unless there |
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10|is created a duplication in numbering, reads as follows: |
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11| A. An osteopathic physician shall provide an evidence-based, |
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12|validated mental health screening instrument as prescribed by the |
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13|State Board of Osteopathic Examiners to each patient during or |
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14|before a routine primary care visit. |
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15| B. The Board shall promulgate rules pertaining to the required |
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16|screening instrument and shall create such information and |
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17|educational materials necessary to implement the provisions of this |
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18|section. The Board may collaborate with the State Board of Medical |
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19|Licensure and Supervision and the Oklahoma Board of Nursing to |
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20|develop such rules, information, and educational materials. |
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21| SECTION 8. AMENDATORY 59 O.S. 2021, Section 641, is |
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22|amended to read as follows: |
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23| Section 641. A. All persons legally licensed to practice |
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24|osteopathic medicine in this state, on or before the first day of |
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1|July of each year, shall apply to the secretary-treasurer of the |
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2|Board, on forms furnished thereby, for a renewal certificate of |
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3|registration entitling such licensee to practice osteopathic |
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4|medicine and surgery in Oklahoma during the next ensuing fiscal |
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5|year. |
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6| B. Each application shall be accompanied by a renewal fee in an |
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7|amount sufficient to cover the cost and expense incurred by the |
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8|State Board of Osteopathic Examiners, for a renewal of the person's |
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9|certificate to practice osteopathic medicine. |
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10| C. 1. In addition to the payment of the annual renewal fee |
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11|each licensee applying for a renewal of the certificate shall |
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12|furnish to the State Board of Osteopathic Examiners proof that the |
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13|person has attended at least two (2) days of the annual educational |
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14|program conducted by the Oklahoma Osteopathic Association, or its |
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15|equivalent, as determined by the Board, in the fiscal year preceding |
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16|the application for a renewal; provided, the Board may excuse the |
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17|failure of the licensee to attend the educational program in the |
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18|case of illness or other unavoidable casualty rendering it |
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19|impossible for the licensee to have attended the educational program |
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20|or its equivalent. |
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21| 2. The Board shall require that the licensee receive not less |
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22|than: |
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23| a. one (1) hour of education in pain management or one |
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24| (1) hour of education in opioid use or addiction each |
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1| year preceding an application for renewal of a |
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2| license, unless the licensee has demonstrated to the |
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3| satisfaction of the Board that the licensee does not |
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4| currently hold a valid federal Drug Enforcement |
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5| Administration registration number, and |
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6| b. one (1) hour of education in integrated behavioral |
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7| health care. |
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8| Such education may be held at the annual educational program |
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9|referenced in paragraph 1 of this subsection. |
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10| D. The secretary of the State Board of Osteopathic Examiners |
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11|shall send a written notice to every person holding a legal |
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12|certificate to practice osteopathic medicine in this state, at least |
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13|thirty (30) days prior to the first day of July each year, directed |
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14|to the last-known address of the licensee, notifying the licensee |
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15|that it will be necessary for the licensee to pay the renewal |
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16|license fee as herein provided, and proper forms shall accompany the |
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17|notice upon which the licensee shall make application for renewal of |
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18|the certificate. |
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19| SECTION 9. This act shall become effective November 1, 2025. |
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20|COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES |
|March 3, 2025 - DO PASS AS AMENDED |
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