Oklahoma Senate Bill SB458

Oklahoma 2023 Regular Session

• Introduced: 2/6/23
• Refer: 2/7/23
• Report Pass: 2/9/23
• Engrossed: 3/7/23
• Refer: 3/29/23
• Refer: 4/5/23
• Report Pass: 4/13/23

Caption

Practice of nursing; providing for independent prescriptive authority of Advanced Practice Registered Nurses who meet certain requirements; modifying various provisions of the Oklahoma Pharmacy Act and the Oklahoma Nursing Practice Act. Effective date.

Impact

The legislation aims to enhance the role of APRNs in healthcare by empowering them with independent prescriptive authority, expected to alleviate the burden on physicians while improving patient access to care. The bill modifies existing provisions in both the Oklahoma Nursing Practice Act and the Oklahoma Pharmacy Act to facilitate this change. It also establishes a Formulary Advisory Council tasked with recommending exclusions for certain drugs that APRNs may not prescribe, ensuring oversight in the prescribing process.

Summary

Senate Bill 458 (SB458) seeks to modify the prescriptive authority of Advanced Practice Registered Nurses (APRNs) in Oklahoma. The bill allows APRNs recognized as Certified Nurse Practitioners, Clinical Nurse Specialists, or Certified Nurse-Midwives to apply for independent prescriptive authority after completing specific training and clinical practice requirements. Notably, the bill stipulates a minimum of 6,240 hours of practice under supervision before an APRN can apply for this authority, alongside the successful completion of rigorous educational standards in pharmacotherapeutics and clinical applications.

Sentiment

The sentiment surrounding SB458 appears mixed. Supporters argue it represents a significant step toward expanding APRNs' professional capabilities, enhancing patient care by allowing them to prescribe necessary medications without awaiting physician orders. Conversely, some opponents express concerns regarding patient safety, suggesting that APRNs may not have the same depth of training as physicians, potentially jeopardizing care quality. This division reflects ongoing debates about the scope of practice and training in healthcare professions.

Contention

A notable point of contention in the discussions about SB458 is the balance between autonomy for APRNs and the quality of patient care. Proponents emphasize the necessity for APRNs to have the autonomy to act quickly in patient care scenarios, especially in underserved areas. Meanwhile, critics highlight that independent prescriptive authority without adequate supervision could lead to risks associated with incorrect prescribing practices. Therefore, the bill also outlines a framework for supervision and accountability, aimed at ensuring patient safety while granting APRNs greater independence.