Oklahoma 2022 Regular Session

Oklahoma House Bill HB1102 Compare Versions

Version 1 (Old)

Version 2 (New)

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1		-	An Act
2		-	ENROLLED HOUSE
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3	34		BILL NO. 1102 By: Olsen, West (Rick), Hardin
4	35		(David), Boles, Conley,
5	36		Smith, West (Kevin),
6	37		Humphrey, Russ, Stark,
7	38		Crosswhite Hader, McDugle,
8	39		Grego, Wolfley, Kendrix,
9	40		Mize, O'Donnell, Lawson ,
10	41		Stearman, Gann, Dobrinski,
11	42		Patzkowsky, West (Tammy ),
12	43		Manger, Roberts (Sean),
13	44		Lepak, Dills and Steagall
14	45		of the House
15	46
16	47		and
17	48
18		-	Daniels, Bullard, Allen,
19		-	Bergstrom, Stephens and
20		-	Jett of the Senate
	49	+	Daniels, Bullard and Allen
	50	+	of the Senate
21	51
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24	54
25	55		An Act relating to physician licensure; amending 59
26	56		O.S. 2011, Sections 509, as last am ended by Section
27	57		36, Chapter 161, O.S.L. 2020 , and 637, as last
28	58		amended by Section 42, Chapter 161, O.S.L. 2020 (59
29	59		O.S. Supp. 2020, Section s 509 and 637), which relate
30	60		to unprofessional conduct; updating statutory term;
31	61		broadening certain definitions to i nclude certain
32	62		acts; providing exceptions; providing penalties;
33	63		directing Office of the Attorney General to calculate
34	64		certain costs; requiring reporting of certain
35	65		records; providing for enforcement and effect under
36	66		certain circumstances; providing for noncodification;
37	67		and providing an effective date .
38	68
39	69
40	70
41		-	~~SUBJECT: Physician licensure~~
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42	72
43	73		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
44		-	ENR. H. B. NO. 1102 Page 2
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45	101		SECTION 1. AMENDATORY 59 O.S. 2011, Section 509, as last
46	102		amended by Section 36, Chapter 161, O.S.L. 2020 (59 O.S. Su pp. 2020,
47	103		Section 509), is amended to read as follows:
48		-
49	104		Section 509. The words "unprofessional conduct " as used in
50	105		Sections 481 through 518.1 of this title are hereby declared to
51	106		include, but shall not be limited to, the following:
52		-
53	107		1. Procuring, aiding or abetting a criminal operation;
54		-
55	108		2. The obtaining of any fee o r offering to accept any fee,
56	109		present or other form of remuneration whatsoever, on the assurance
57	110		or promise that a manifestly incurable disease can or will be cured;
58		-
59	111		3. Willfully betraying a pr ofessional secret to the detriment
60	112		of the patient;
61		-
62	113		4. Habitual intemperance or the habitual use of habit -forming
63	114		drugs;
64		-
65	115		5. Conviction or confession of, or plea of guilty, nolo
66	116		contendere, no contest or Alford plea to a felony or any offense
67	117		involving moral turpitude;
68		-
69	118		6. All advertising of medical business in which statements are
70	119		made which are grossly untrue or improbable and calculated to
71	120		mislead the public;
72		-
73	121		7. Conviction or confession of, or plea of guilty, nolo
74	122		contendere, no contest or Alford plea t o a crime involving violation
75	123		of:
76	124
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77	151		a. the antinarcotic or prohi bition laws and regulations
78	152		of the federal government,
79		-
80	153		b. the laws of this state,
81		-
82	154		c. State Board Commissioner of Health rules, or
83		-
84	155		d. a determination by a judge or jury;
85		-
86	156		8. Dishonorable or immor al conduct which is likely to deceive,
87	157		defraud, or harm the pu blic;
88		-	ENR. H. B. NO. 1102 Page 3
89	158		9. The commission of any act which is a violation of the
90	159		criminal laws of any state when such act is connected with the
91	160		physician's practice of medicine. A complaint, indictment or
92	161		confession of a criminal violation shall not be necessary for the
93	162		enforcement of this provision. Proof of the commission of the act
94	163		while in the practice of medicine or under the guise of the practice
95	164		of medicine shall be unprofessional conduct;
96		-
97	165		10. Failure to keep complete and accurate records of purchase
98	166		and disposal of controlled drugs or of narcotic drugs;
99		-
100	167		11. The writing of false or fictitious prescriptions for any
101	168		drugs or narcotics declared by the laws of this state to be
102	169		controlled or narcotic drugs;
103		-
104	170		12. Prescribing or administering a drug or treatment without
105	171		sufficient examination and the establishment of a valid physician -
106	172		patient relationship and not prescribing in a safe, medically
107	173		accepted manner;
108	174
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109	201		13. The violation, or attempted violation, direc t or indirect,
110	202		of any of the provisions of the Oklahoma Allopa thic Medical and
111	203		Surgical Licensure and Supervision Act, either as a principal,
112	204		accessory or accomplice;
113		-
114	205		14. Aiding or abetting, directly or indirectly, the practice of
115	206		medicine by any person n ot duly authorized under the laws of this
116	207		state;
117		-
118	208		15. The inability to practice medicine with reasonable skill
119	209		and safety to patients by reason of age, illness, drunkenness,
120	210		excessive use of drugs, narcotics, chemicals, or any other type of
121	211		material or as a result of any mental or physical condition. In
122	212		enforcing this section the State Board of Medical Licensure and
123	213		Supervision may, upon probable cause, request a physician to submit
124	214		to a mental or physical examination by physicians designated by it.
125	215		If the physician refuses to submit to the examination, the Board
126	216		shall issue an order requiring the physician to show cause why the
127	217		physician will not submit to the examination and shall schedule a
128	218		hearing on the order within thirty (30) days after notice is se rved
129	219		on the physician, exclusive of the day of service. The p hysician
130	220		shall be notified by either personal service or by certified mail
131	221		with return receipt requested. At the hearing, the physician and
132	222		the physician's attorney are entitled to present any testimony and
133		-	other evidence to show why the physician should not be required to ~~ENR. H. B. NO. 1102 Page 4~~
	223	+	other evidence to show why the physician should not be required to
134	224		submit to the examination. After a complete hearing, the Board
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135	252		shall issue an order either requiring the physician to submit to the
136	253		examination or withdrawing the request for examination. The medical
137	254		license of a physician ordered to s ubmit for examination may be
138	255		suspended until the results of the examination are received and
139	256		reviewed by the Board;
140		-
141	257		16. a. Prescribing, dispensing or administering of controlled
142	258		substances or narcotic drugs in excess of the amount
143	259		considered good medical p ractice,
144		-
145	260		b. prescribing, dispensing or administering controlled
146	261		substances or narcotic drugs without medical need in
147	262		accordance with pertinent licensing board standards,
148	263		or
149		-
150	264		c. prescribing, dispensing or administering opioid drugs
151	265		in excess of the maximum l imits authorized in Section
152	266		2-309I of Title 63 of the Oklahoma Statutes;
153		-
154	267		17. Engaging in physical conduct with a patient which is sexual
155	268		in nature, or in any verbal beha vior which is seductive or sexually
156	269		demeaning to a patient;
157		-
158	270		18. Failure to maintain a n office record for each patient which
159	271		accurately reflects the evaluation, treatment, and medical necessity
160	272		of treatment of the patient;
161		-
162	273		19. Failure to provide necessary ongoing medical treatme nt when
163	274		a doctor-patient relationship has been established, wh ich
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164	302		relationship can be severed by either party providing a reasonable
165	303		period of time is granted; or
166		-
167	304		20. Performance of an abortion as defined by Section 1 -730 of
168	305		Title 63 of the Oklahoma Statutes, except for an abortion necessary
169	306		to prevent the death of the mother or to prevent substantial or
170	307		irreversible physical impairment of the mother that substantially
171	308		increases the risk of death. The performance of an abortion on the
172	309		basis of the mental or emotional health of the mother shall be a
173	310		violation of this paragraph, notwithstanding a claim or diagnosis
174	311		that the woman may engage in conduct which she intends to result in
175	312		her death. The Board shall impose a penalty as provi ded in Section
176	313		509.1 of this title on a licensee who violates this paragraph. The
177	314		penalty shall include, but not be limited to, suspension of the
178		-	license for a period of not less than one (1) year ; or ENR. H. B. NO. 1102 Page 5
179		-
	315	+	license for a period of not less than one (1) year ; or
180	316		21. Failure to provide a proper and safe medical faci lity
181	317		setting and qualified assistive personnel for a recognized medical
182	318		act, including but not limited to an initial in -person patient
183	319		examination, office surgery, diagnostic service or any other medical
184	320		procedure or treatment. Adequate medical records to support
185	321		diagnosis, procedure, treatment or prescribed medications must be
186	322		produced and maintained.
187		-
188	323		SECTION 2. AMENDATORY 59 O.S. 2011, Section 637, as last
189	324		amended by Section 42, Chapter 161, O.S.L. 2020 (59 O.S. Supp. 2020,
190	325		Section 637), is amended to read as follows:
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191	352
192	353		Section 637. A. The State Board of Osteopat hic Examiners may
193	354		refuse to admit a person to an examination or may refuse to issue or
194	355		reinstate or may suspend or revoke any license issued or reinstated
195	356		by the Board upon proof that the applic ant or holder of such a
196	357		license:
197		-
198	358		1. Has obtained a license, l icense renewal or authorization to
199	359		sit for an examination, as the case may be, through fraud,
200	360		deception, misrepresentation or bribery; or has been granted a
201	361		license, license renewal or authoriza tion to sit for an examination
202	362		based upon a material mistake o f fact;
203		-
204	363		2. Has engaged in the use or employment of dishonesty, fraud,
205	364		misrepresentation, false promise, false pretense, unethical conduct
206	365		or unprofessional conduct, as m ay be determined by the Board, in the
207	366		performance of the functions or duties of an ost eopathic physician,
208	367		including but not limited to the following:
209		-
210	368		a. obtaining or attempting to obtain any fee, charge,
211	369		tuition or other compensation by fraud, deception or
212	370		misrepresentation; will fully and continually
213	371		overcharging or overtreating patients; o r charging for
214	372		visits to the physician 's office which did not occur
215	373		or for services which were not rendered,
216		-
217	374		b. using intimidation, coercion or deception to obtain or
218	375		retain a patient or discour age the use of a second
219	376		opinion or consultation,
220	377
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221	404		c. willfully performing inappropriate or unnecessary
222	405		treatment, diagnostic tests or osteopathic medical or
223		-	surgical services, ENR. H. B. NO. 1102 Page 6
224		-
	406	+	surgical services,
225	407		d. delegating professional responsibilities to a person
226	408		who is not qualified by t raining, skill, competency,
227	409		age, experience or licensure to pe rform them, noting
228	410		that delegation may only occur within an appropriate
229	411		doctor-patient relationship, wherein a proper patient
230	412		record is maintained including, but not limi ted to, at
231	413		the minimum, a current history and physical,
232		-
233	414		e. misrepresenting that any di sease, ailment, or
234	415		infirmity can be cured by a method, procedure,
235	416		treatment, medicine or device,
236		-
237	417		f. acting in a manner which results in final disciplinary
238	418		action by any professional society or a ssociation or
239	419		hospital or medical staff of such hospital in th is or
240	420		any other state, whether agreed to voluntarily or not,
241	421		if the action was in any way related to professional
242	422		conduct, professional competence, malpractice or any
243	423		other violation of the Okla homa Osteopathic Medicine
244	424		Act,
245		-
246	425		g. signing a blank prescription form; or dispensing,
247	426		prescribing, administering or otherwise distributing
248	427		any drug, controlled substance or other treatment
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249	455		without sufficient examination or the establi shment of
250	456		a physician-patient relationship, or for other than
251	457		medically accepted thera peutic or experimental or
252	458		investigational purpose duly authorized by a state or
253	459		federal agency, or not in good faith to relieve pain
254	460		and suffering, or not to treat an ail ment, physical
255	461		infirmity or disease, or violating any state or
256	462		federal law on controll ed dangerous substances
257	463		including, but not limited to, prescribing, dispensing
258	464		or administering opioid drugs in excess of the maximum
259	465		limits authorized in Section 2 -309I of Title 63 of the
260	466		Oklahoma Statutes,
261		-
262	467		h. engaging in any sexual activity within a phys ician-
263	468		patient relationship,
264		-
265	469		i. terminating the care of a patient without adequate
266	470		notice or without making other arrangements for the
267	471		continued care of the patient,
268		-	ENR. H. B. NO. 1102 Page 7
269	472		j. failing to furnish a copy of a patient's medical
270	473		records upon a proper request from the patient or
271	474		legal agent of the patient or another physician; or
272	475		failing to comply with any other law relating to
273	476		medical records,
274		-
275	477		k. failing to comply with any subpoena is sued by the
276	478		Board,
277	479
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278	506		l. violating a probation agreement or order with this
279	507		Board or any other agency, and
280		-
281	508		m. failing to keep complete and accurate records of
282	509		purchase and disposal of controlled drugs or narcotic
283	510		drugs;
284		-
285	511		3. Has engaged in gross negligence, gr oss malpractice or gross
286	512		incompetence;
287		-
288	513		4. Has engaged in repeated acts of negligence, malpractice or
289	514		incompetence;
290		-
291	515		5. Has been finally adjudicated and found guilty, or entered a
292	516		plea of guilty or nolo contendere in a criminal prosecution, for any
293	517		offense reasonably related to t he qualifications, functions or
294	518		duties of an osteopathic physi cian, whether or not sentence is
295	519		imposed, and regardless of the pendency of an appeal;
296		-
297	520		6. Has had the authority to engage in the activities regulated
298	521		by the Board revoked, suspended, restricted , modified or limited, or
299	522		has been reprimanded, warned or cens ured, probated or otherwise
300	523		disciplined by any other state or federal agency whether or not
301	524		voluntarily agreed to by the physician including, but not limited
302	525		to, the denial of licensure, surrend er of the license, permit or
303	526		authority, allowing the license, permit or authority to expire or
304	527		lapse, or discontinuing or limiting the practice of osteopathic
305	528		medicine pending disposition of a complaint or completion of an
306	529		investigation;
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308	557		7. Has violated, or failed to comply with provisions of any act
309	558		or regulation administered by the Board;
310		-
311	559		8. Is incapable, for medical or psychiatric or any other good
312	560		cause, of discharging the functions of an osteopathic physician in a
313		-	manner consistent with the public 's health, safety and welfare; ENR. H. B. NO. 1102 Page 8
314		-
	561	+	manner consistent with the public 's health, safety and welfare;
315	562		9. Has been guilty of advertising by means of knowingly false
316	563		or deceptive statements;
317		-
318	564		10. Has been guilty of advertising, practicing, or attempting
319	565		to practice under a name other than one 's own;
320		-
321	566		11. Has violated or refused t o comply with a lawful order of
322	567		the Board;
323		-
324	568		12. Has been guilty of habitual drunkenness, or habitual
325	569		addiction to the use of morphine, cocaine or other habit -forming
326	570		drugs;
327		-
328	571		13. Has been guilty of personal offensive behavior, which would
329	572		include, but not be limited to, obscenity, lewdness, and
330	573		molestation; and
331		-
332	574		14. Has performed an abortion as defined by Section 1 -730 of
333	575		Title 63 of the Oklahoma Statutes, except for an abortion necessary
334	576		to prevent the death of the mother or to prevent substantial or
335	577		irreversible physical impairment of the mother that substantially
336	578		increases the risk of death. The performance of an abortion on the
337	579		basis of the mental or emotional health of the mother shall be a
338	580		violation of this paragraph, notwithsta nding a claim or diagnosis
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339	608		that the woman may engage in conduct which she intends to r esult in
340	609		her death. The Board shall impose a penalty as provided in this
341	610		section and in Section 637.1 of this title on a licensee who
342	611		violates this paragraph. The penal ty shall include, but no t be
343	612		limited to, suspension of the license for a period of not less than
344	613		one (1) year; or
345		-
346	614		15. Has been adjudicated to be insane, or incompetent, or
347	615		admitted to an institution for the treatment of psychiatric
348	616		disorders.
349		-
350	617		B. The State Board of Osteopathic E xaminers shall neither
351	618		refuse to renew, nor suspend, nor revok e any license, however, for
352	619		any of these causes, unless the person accused has been given at
353	620		least twenty (20) days ' notice in writing of the charge against him
354	621		or her and a public hearing by th e Board; provided, three-fourths
355	622		(3/4) of a quorum present at a meeting may vote to suspend a license
356	623		in an emergency situation if the licensee affected is provided a
357	624		public hearing within thirty (30) days of the emergency suspensio n.
358		-	ENR. H. B. NO. 1102 Page 9
359	625		C. The State Board o f Osteopathic Examiners shall have the
360	626		power to order or subpo ena the attendance of witnesses, the
361	627		inspection of records and premises and the production of relevant
362	628		books and papers for the investigation of matters that may come
363	629		before them. The presiding officer of the Board shall have the
364	630		authority to compel the g iving of testimony as is conferred on
365	631		courts of justice.
366	632
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367	659		D. Any osteopathic physician in the State of Oklahoma whose
368	660		license to practice osteopathic medicine is revoked or suspended
369	661		under this section shall have the right to seek judicial review of a
370	662		ruling of the Board pursuant to the Administrative Procedures Act.
371		-
372	663		E. The Board may enact rules and regulations pursuant to the
373	664		Administrative Procedures Act setting out add itional acts of
374	665		unprofessional conduct;, which acts shall be grounds for refusal to
375	666		issue or reinstate, or for action to condition, suspend or revoke a
376	667		license.
377		-
378	668		SECTION 3. NEW LAW A new section of law not to be
379	669		codified in the Oklahoma Statutes reads as follows:
380		-
381	670		In the event that any provision of Section 509 or 637 of Title
382	671		59 of the Oklahoma Statutes , as last amended by Section 1 or 2 of
383	672		this act, is challenged in court in any action alleging violation of
384	673		either the Constitution o f the United States of A merica or the State
385	674		of Oklahoma, the Office of the Attorney Ge neral shall determine the
386	675		amount of state or local funds expended to defend such action. Such
387	676		determination shall include the number of hours of time spent by any
388	677		public employee in such defens e multiplied by the rate of
389	678		compensation paid to such employee , as well as the costs of any
390	679		outside counsel paid for such purpose, and shall include both direct
391	680		and indirect costs. The Office of the Attorney General shall report
392	681		such amounts for each cale ndar quarter to all members of the
393	682		Legislature.
394	683
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395	710		SECTION 4. NEW LAW A new section of law not to be
396	711		codified in the Oklahoma Statut es reads as follows:
397		-
398	712		In the event that any provision of Section 509 or 637 of Title
399	713		59 of the Oklahoma Statutes, as last amended by Section 1 or 2 of
400	714		this act, is ever temporarily or permanently restrained or enjoined
401	715		by court order, the remaining provisions of such section shall be
402	716		enforced as though the restrained or enjoined pro visions had not
403		-	been adopted; provided, however, if such temporary or permanent ~~ENR. H. B. NO. 1102 Page 10~~
	717	+	been adopted; provided, however, if such temporary or permanent
404	718		restraining order or injunction is stayed, dissolved or otherwise
405	719		ceases to have effect, such provisions shall have full force and
406	720		effect.
407		-
408	721		SECTION 5. This act shall become effective November 1, 2021.
409		-	ENR. H. B. NO. 1102 Page 11
410		-	Passed the House of Representatives the 9th day of March, 2021.
411		-
412		-
413		-
414		-
415		-	Presiding Officer of the House
416		-	of Representatives
417		-
418		-
419		-	Passed the Senate the 20th day of April, 2021.
420		-
421		-
422		-
423		-
424		-	Presiding Officer of the Senate
425		-
426		-
427		-
428		-	OFFICE OF THE GOVERNOR
429		-	Received by the Office of the Governor this ____________________
430		-	day of ___________________, 20_______, at _______ o'clock _______ M.
431		-	By: _________________________________
432		-	Approved by the Governor of the State of Oklahoma this _________
433		-	day of ___________________, 20_______, at _______ o'clock _______ M.
434		-
435		-
436		-	_________________________________
437		-	Governor of the State of Oklahoma
438		-
439		-	OFFICE OF THE SECRETARY OF STATE
440		-	Received by the Office of the Se cretary of State this __________
441		-	day of ___________________, 20_______, at _______ o'clock _______ M.
442		-	By: _________________________________
443		-
	722	+	COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES
	723	+	March 29, 2021 - DO PASS