Req. No. 8601 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 58th Legislature (2022) HOUSE BILL 3264 By: Brewer AS INTRODUCED An Act relating to medical professional l icenses; amending 59 O.S. 2021, Section 509 , which relates to unprofessional condu ct for license suspension; modifying basis for determination of unprofessional conduct; providing standard based on information related to COVID; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 59 O.S. 2021, Section 509, is amended to read as follows : Section 509. The words "unprofessional conduct " as used in Sections 481 through 518.1 of this title are hereby declared to include, but shall not be limited to, the following: 1. Procuring, aiding o r abetting a criminal operation; 2. The obtaining of any fee or offering to accept any fee, present or other form of remuneration whatsoever, on the assurance or promise that a manifestly incurable disease can or will be cured; 3. Willfully betraying a p rofessional secret to the detriment of the patient; Req. No. 8601 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 4. Habitual intemperance or the habitual use of habit -forming drugs; 5. Conviction or confession of, or plea of guilty, nolo contendere, no contest or Alford plea to a felony or an y offense involving moral turpitude; 6. All advertising of medical business in which statements are made which are grossly untrue or improbable and calculated to mislead the public; 7. Conviction or confession of, or plea of guilty, nolo contendere, no contest or Alford plea to a crime involving v iolation of: a. the antinarcotic or prohibition laws and regulations of the federal government, b. the laws of this state, c. State Commissioner of Health rules, or d. a determination by a judge or jury; 8. Dishonorable or immoral co nduct which is likely to deceive, defraud, or harm the public; 9. The commission of any act which is a violation of the criminal laws of any state when such act is connected with the physician's practice of medicine. A complaint, in dictment or confession of a criminal violati on shall not be necessary for the enforcement of this provision. Proof of the commission of the act Req. No. 8601 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 while in the practice of medicine or under the guise of the practice of medicine shall be unprofessional conduc t; 10. Failure to keep complete and accurat e records of purchase and disposal of controlled drugs or of narcotic drugs; 11. The writing of false or fictitious prescriptions for any drugs or narcotics declared by the laws of this state to be controlled or narcotic drugs; 12. Prescribing or adminis tering a drug or treatment without sufficient examination and the establishment of a valid physician - patient relationship and not prescribing in a safe, medically accepted manner; 13. The violation, or attempted violation, direct or indirect, of any of the provisions of the Oklahoma Allopathic Medical and Surgical Licensure and Supervision Act, either as a principal, accessory or accomplice; 14. Aiding or abetting, directly or indirectly, the practice of medicine by any person not du ly authorized under th e laws of this state; 15. The inability to practice medicine with reasonable skill and safety to patients by reason of age, illness, drunkenness, excessive use of drugs, narcotics, chemicals, or any other type o f material or as a res ult of any mental or p hysical condition. In enforcing this section the State Board of Medical Licensure and Supervision may, upon probable cause, request a physician to submit Req. No. 8601 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 to a mental or physical examination by physicians designa ted by it. If the physician refuses to subm it to the examination, the Board shall issue an order requiring the physician to show cause why the physician will not submit to the examination and shall schedule a hearing on the order within thirty (30) days a fter notice is served on the physician, excl usive of the day of service. The physician shall be notified by either personal service or by certified mail with return receipt requested. At the hearing, the physician and the physician's attorney are entitle d to present any testi mony and other evidence to show why the physician should not be required to submit to the examination. After a complete hearing, the Board shall issue an order either requiring the physician to submit to the examination or withdrawin g the request for exam ination. The medical license of a physician ordered to submit for examination may be suspended until the results of the examination are received and reviewed by the Board; 16. a. Prescribing, dispensing or administering of controlled substances or narcoti c drugs in excess of t he amount considered good medical practice, b. Prescribing, dispensing or administering controlled substances or narcotic drugs without medical need in accordance with pertinent licensing board standards, or Req. No. 8601 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 c. Prescribing, dispensing or administering opio id drugs in excess of the maximum limits authorized in Section 2-309I of Title 63 of the Oklahoma Statutes; 17. Engaging in physical conduct with a patient which is sexual in nature, or in any verbal behavior wh ich is seductive or se xually demeaning to a patient; 18. Failure to maintain an office record for each patient which accurately reflects the evaluation, treatment, and medical necessity of treatment of the patient; 19. Failure to provide necessary ongoin g medical treatment wh en a doctor-patient relationship has been established, which relationship can be severed by either party providing a reasonable period of time is granted; 20. Performance of an abortion as defined by Section 1 -730 of Title 63 of the Oklahoma Statutes, exc ept for an abortion n ecessary to prevent the death of the mother or to prevent substantial or irreversible physical impairment of the mother that substantially increases the risk of death. The performance of an abortion on the basis of the mental or emoti onal health of the mo ther shall be a violation of this paragraph, notwithstanding a claim or diagnosis that the woman may engage in conduct which she intends to result in her death. The Board shall impose a penalty as provided in Sec tion 509.1 of this title on a licensee who violates this paragraph. The Req. No. 8601 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 penalty shall include, but not be limited to, suspension of the license for a period of not less than one (1) year; or 21. Failure to provide a proper and safe medical facility setting and qualified assis tive personnel for a recognized medical act, including but not limited to an initial in -person patient examination, office surgery, diagnostic service or any other medical procedure or treatment. Adequate medical records to support diagnosis, procedure, t reatment or prescribe d medications must be produced and maintained ; or 22. Generating and spreading C OVID-19 vaccine misinformation or disinformation including, but not limited to: a. any information that is not factual, scientifically grounded and consensus-driven for the betterment of public health, b. information that contradicts the eth ical responsibility to practice medicine in the best interests of patients, or c. information which threatens to further erode public trust in the medical profession and puts patients at risk. SECTION 2. This act shall become effective November 1, 2022. 58-2-8601 KN 12/01/21