Req. No. 9805 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 3540 By: Caldwell (Chad) AS INTRODUCED An Act relating to physician assistants; amending 63 O.S. 2021, Section 1-317, which relates to death certificates; permitting physician assistants to sign the medical certification of a death certificate; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1-317, is amended to read as follows : Section 1-317. A. A death certificate for each death which occurs in this state shall be filed with the State Department of Health, within three (3) days after such death. B. The funeral director shall personally sign the deat h certificate and shall be resp onsible for filing the death certificate. If the funeral director is not available, the person acting as such who first assumes custody of a dead body in accordance with Section 1158 of Title 21 of the Oklahoma Statutes shall personally sign and file the death certificate. The personal data shall be obtained from the next of kin or the best qualified Req. No. 9805 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 person or source available. The certificate shall be completed as to personal data and delivered to the attending physician or the medical examiner responsi ble for completing the medical certification portion of the certificate of death within twenty -four (24) hours after the death. No later than July 1, 2012, the personal data, and no later than July 1, 2017, the medical certificate portion, shall be entere d into the prescribed electronic system provided by the State Registrar of Vital Statistics and the information submitted to the State Registrar of Vital Statistics. The resultant certificate produced by the electronic system shall be provided to the phys ician or medical examiner for medical certification within twenty -four (24) hours after the death. C. The medical certification shall be completed and signed within forty-eight (48) hours after death by the physician or advanced practice registered nurse or physician assistant in charge of the patient's care for the illness or condition which resulted in death, except when inquiry as to the cause of death is required by Section 938 of this title. No later than July 1, 2017, t he medical certification portion of cer tificate data shall be entered into the prescribed electronic system provided by the State Registrar of Vital Statistics and the information submitted to the State Registrar of Vital Statistics. D. In the event that the physician or advanced practice registered nurse or physician assistant in charge of the patient 's Req. No. 9805 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 care for the illness or condition which resulted in death is not in attendance at the time of death, the medical certification shall be completed and signed within forty-eight (48) hours after death by the physician or advanced practice registered nurse or physician assistant in attendance at the time of death, except: 1. When the patient is under hospice care at the time of death, the medical certificatio n may be signed by the hospice 's medical director; and 2. When inquiry as to the cause of deat h is required by Section 938 of this title. Provided, that such certification, if signed by other than the attending physician or advanced practice registered nu rse or physician assistant, shall note on the face the name of the attending physician or advanced practice registere d nurse and that the information shown is only as reported. E. A certifier completing cause of death on a certificate of death who knows that a lethal drug, overdose or other me ans of assisting suicide within the meaning of Sections 3141.2 through 3141.4 of this title caused or contributed to the death shall list that means among the chain of events under cause of death or list it in the box that describes how the injury occurred . If such means is in the chain of events under cause of death or in the box that describes how the injury occurred, the certifier shall indicate "suicide" as the manner of death. Req. No. 9805 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 SECTION 2. This act shall become effective November 1, 2022. 58-2-9805 KN 01/06/22