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28 | 28 | | STATE OF OKLAHOMA |
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29 | 29 | | |
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30 | 30 | | 2nd Session of the 58th Legislature (2022) |
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31 | 31 | | |
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32 | 32 | | HOUSE BILL 3264 By: Brewer |
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33 | 33 | | |
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34 | 34 | | |
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36 | 36 | | |
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37 | 37 | | |
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38 | 38 | | AS INTRODUCED |
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39 | 39 | | |
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40 | 40 | | An Act relating to medical professional l icenses; |
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41 | 41 | | amending 59 O.S. 2021, Section 509 , which relates to |
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42 | 42 | | unprofessional condu ct for license suspension; |
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43 | 43 | | modifying basis for determination of unprofessional |
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44 | 44 | | conduct; providing standard based on information |
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45 | 45 | | related to COVID; and providing an effective date. |
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46 | 46 | | |
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47 | 47 | | |
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49 | 49 | | |
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50 | 50 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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51 | 51 | | SECTION 1. AMENDATORY 59 O.S. 2021, Section 509, is |
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52 | 52 | | amended to read as follows : |
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53 | 53 | | Section 509. The words "unprofessional conduct " as used in |
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54 | 54 | | Sections 481 through 518.1 of this title are hereby declared to |
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55 | 55 | | include, but shall not be limited to, the following: |
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56 | 56 | | 1. Procuring, aiding o r abetting a criminal operation; |
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57 | 57 | | 2. The obtaining of any fee or offering to accept any fee, |
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58 | 58 | | present or other form of remuneration whatsoever, on the assurance |
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59 | 59 | | or promise that a manifestly incurable disease can or will be cured; |
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60 | 60 | | 3. Willfully betraying a p rofessional secret to the detriment |
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61 | 61 | | of the patient; |
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62 | 62 | | |
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87 | 87 | | |
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88 | 88 | | 4. Habitual intemperance or the habitual use of habit -forming |
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89 | 89 | | drugs; |
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90 | 90 | | 5. Conviction or confession of, or plea of guilty, nolo |
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91 | 91 | | contendere, no contest or Alford plea to a felony or an y offense |
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92 | 92 | | involving moral turpitude; |
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93 | 93 | | 6. All advertising of medical business in which statements are |
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94 | 94 | | made which are grossly untrue or improbable and calculated to |
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95 | 95 | | mislead the public; |
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96 | 96 | | 7. Conviction or confession of, or plea of guilty, nolo |
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97 | 97 | | contendere, no contest or Alford plea to a crime involving v iolation |
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98 | 98 | | of: |
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99 | 99 | | a. the antinarcotic or prohibition laws and regulations |
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100 | 100 | | of the federal government, |
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101 | 101 | | b. the laws of this state, |
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102 | 102 | | c. State Commissioner of Health rules, or |
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103 | 103 | | d. a determination by a judge or jury; |
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104 | 104 | | 8. Dishonorable or immoral co nduct which is likely to deceive, |
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105 | 105 | | defraud, or harm the public; |
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106 | 106 | | 9. The commission of any act which is a violation of the |
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107 | 107 | | criminal laws of any state when such act is connected with the |
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108 | 108 | | physician's practice of medicine. A complaint, in dictment or |
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109 | 109 | | confession of a criminal violati on shall not be necessary for the |
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110 | 110 | | enforcement of this provision. Proof of the commission of the act |
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136 | 136 | | |
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137 | 137 | | while in the practice of medicine or under the guise of the practice |
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138 | 138 | | of medicine shall be unprofessional conduc t; |
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139 | 139 | | 10. Failure to keep complete and accurat e records of purchase |
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140 | 140 | | and disposal of controlled drugs or of narcotic drugs; |
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141 | 141 | | 11. The writing of false or fictitious prescriptions for any |
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142 | 142 | | drugs or narcotics declared by the laws of this state to be |
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143 | 143 | | controlled or narcotic drugs; |
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144 | 144 | | 12. Prescribing or adminis tering a drug or treatment without |
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145 | 145 | | sufficient examination and the establishment of a valid physician - |
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146 | 146 | | patient relationship and not prescribing in a safe, medically |
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147 | 147 | | accepted manner; |
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148 | 148 | | 13. The violation, or attempted violation, direct or indirect, |
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149 | 149 | | of any of the provisions of the Oklahoma Allopathic Medical and |
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150 | 150 | | Surgical Licensure and Supervision Act, either as a principal, |
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151 | 151 | | accessory or accomplice; |
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152 | 152 | | 14. Aiding or abetting, directly or indirectly, the practice of |
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153 | 153 | | medicine by any person not du ly authorized under th e laws of this |
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154 | 154 | | state; |
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155 | 155 | | 15. The inability to practice medicine with reasonable skill |
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156 | 156 | | and safety to patients by reason of age, illness, drunkenness, |
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157 | 157 | | excessive use of drugs, narcotics, chemicals, or any other type o f |
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158 | 158 | | material or as a res ult of any mental or p hysical condition. In |
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159 | 159 | | enforcing this section the State Board of Medical Licensure and |
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160 | 160 | | Supervision may, upon probable cause, request a physician to submit |
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187 | 187 | | to a mental or physical examination by physicians designa ted by it. |
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188 | 188 | | If the physician refuses to subm it to the examination, the Board |
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189 | 189 | | shall issue an order requiring the physician to show cause why the |
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190 | 190 | | physician will not submit to the examination and shall schedule a |
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191 | 191 | | hearing on the order within thirty (30) days a fter notice is served |
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192 | 192 | | on the physician, excl usive of the day of service. The physician |
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193 | 193 | | shall be notified by either personal service or by certified mail |
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194 | 194 | | with return receipt requested. At the hearing, the physician and |
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195 | 195 | | the physician's attorney are entitle d to present any testi mony and |
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196 | 196 | | other evidence to show why the physician should not be required to |
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197 | 197 | | submit to the examination. After a complete hearing, the Board |
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198 | 198 | | shall issue an order either requiring the physician to submit to the |
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199 | 199 | | examination or withdrawin g the request for exam ination. The medical |
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200 | 200 | | license of a physician ordered to submit for examination may be |
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201 | 201 | | suspended until the results of the examination are received and |
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202 | 202 | | reviewed by the Board; |
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203 | 203 | | 16. a. Prescribing, dispensing or administering of controlled |
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204 | 204 | | substances or narcoti c drugs in excess of t he amount |
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205 | 205 | | considered good medical practice, |
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206 | 206 | | b. Prescribing, dispensing or administering controlled |
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207 | 207 | | substances or narcotic drugs without medical need in |
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208 | 208 | | accordance with pertinent licensing board standards, |
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209 | 209 | | or |
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236 | 236 | | c. Prescribing, dispensing or administering opio id drugs |
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237 | 237 | | in excess of the maximum limits authorized in Section |
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238 | 238 | | 2-309I of Title 63 of the Oklahoma Statutes; |
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239 | 239 | | 17. Engaging in physical conduct with a patient which is sexual |
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240 | 240 | | in nature, or in any verbal behavior wh ich is seductive or se xually |
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241 | 241 | | demeaning to a patient; |
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242 | 242 | | 18. Failure to maintain an office record for each patient which |
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243 | 243 | | accurately reflects the evaluation, treatment, and medical necessity |
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244 | 244 | | of treatment of the patient; |
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245 | 245 | | 19. Failure to provide necessary ongoin g medical treatment wh en |
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246 | 246 | | a doctor-patient relationship has been established, which |
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247 | 247 | | relationship can be severed by either party providing a reasonable |
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248 | 248 | | period of time is granted; |
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249 | 249 | | 20. Performance of an abortion as defined by Section 1 -730 of |
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250 | 250 | | Title 63 of the Oklahoma Statutes, exc ept for an abortion n ecessary |
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251 | 251 | | to prevent the death of the mother or to prevent substantial or |
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252 | 252 | | irreversible physical impairment of the mother that substantially |
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253 | 253 | | increases the risk of death. The performance of an abortion on the |
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254 | 254 | | basis of the mental or emoti onal health of the mo ther shall be a |
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255 | 255 | | violation of this paragraph, notwithstanding a claim or diagnosis |
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256 | 256 | | that the woman may engage in conduct which she intends to result in |
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257 | 257 | | her death. The Board shall impose a penalty as provided in Sec tion |
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258 | 258 | | 509.1 of this title on a licensee who violates this paragraph. The |
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285 | 285 | | penalty shall include, but not be limited to, suspension of the |
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286 | 286 | | license for a period of not less than one (1) year; or |
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287 | 287 | | 21. Failure to provide a proper and safe medical facility |
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288 | 288 | | setting and qualified assis tive personnel for a recognized medical |
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289 | 289 | | act, including but not limited to an initial in -person patient |
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290 | 290 | | examination, office surgery, diagnostic service or any other medical |
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291 | 291 | | procedure or treatment. Adequate medical records to support |
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292 | 292 | | diagnosis, procedure, t reatment or prescribe d medications must be |
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293 | 293 | | produced and maintained ; or |
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294 | 294 | | 22. Generating and spreading C OVID-19 vaccine misinformation or |
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295 | 295 | | disinformation including, but not limited to: |
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296 | 296 | | a. any information that is not factual, scientifically |
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297 | 297 | | grounded and consensus-driven for the betterment of |
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298 | 298 | | public health, |
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299 | 299 | | b. information that contradicts the eth ical |
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300 | 300 | | responsibility to practice medicine in the best |
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301 | 301 | | interests of patients, or |
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302 | 302 | | c. information which threatens to further erode public |
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303 | 303 | | trust in the medical profession and puts patients at |
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304 | 304 | | risk. |
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305 | 305 | | SECTION 2. This act shall become effective November 1, 2022. |
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306 | 306 | | |
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307 | 307 | | 58-2-8601 KN 12/01/21 |
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