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HOUSE OF REPRESENTATIVES - FLOOR VERSION
STATE OF OKLAHOMA
2nd Session of the 58th Legislature (2022)
COMMITTEE SUBSTITUTE
FOR
HOUSE BILL NO. 3916 By: Roberts (Dustin) and
Pfeiffer
COMMITTEE SUBSTITUTE
An Act relating to professions and occupations;
amending 59 O.S. 2021, Section 519.6, which relates
to the Physician Assistant Act; modifying practice
agreements; and providing an effective date .
BE IT ENACTED BY THE PEOPLE OF THE STATE OF O KLAHOMA:
SECTION 1. AMENDATORY 59 O.S. 2021, Secti on 519.6, is
amended to read as follows:
Section 519.6 A. No health care services may be performed by a
physician assistant unless a current license is on file with and
approved by the State Board of Medic al Licensure and Supervision.
All practice agreements and any amendments shall be filed with the
State Board of Medical Licensure and Supervision within ten (10)
business days of being executed. Practice agreements may be filed
electronically. The State Board of Medical Licensure and
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Supervision shall not charge a fee for filing or amendments of
practice agreements.
B. A physician assistant may have practice agreements with
multiple allopathic or osteopathic physicians. Each physician shall
be in good standing with the State Board of Medical Licensur e and
Supervision or the State Board of Osteopathic Examiners. The State
Board of Medical Licensure and Supervision or th e State Board of
Osteopathic Examiners shall not limit the number of physician
assistants that an allopathic or osteopathic physician may delegate
to or limit the number of practice agreements that an allopathic or
osteopathic physician has with physician assistants, except as part
of a disciplinary action involving an allopathic or osteopathic
physician.
C. The delegating physician nee d not be physically present nor
be specifically consulted before each delegated patient care service
is performed by a physician assistant, so long as the delegating
physician and physician assistant are or can be easil y in contact
with one another by mean s of telecommunication. In all patient care
settings, the delegating physician shall provide appropriate method s
of participating in health care services provided by the physician
assistant including:
a. being responsible for the formulation or approval o f
all orders and protocols, whether standing orders,
direct orders or any other orders or protocols, which
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direct the delivery of health care services provided
by a physician assis tant, and periodically reviewing
such orders and protocols,
b. regularly reviewing the health care services provided
by the physician assistant and any problems or
complications encountere d,
c. being available physically or through telemedicine or
direct telecommunications for consultation, ass istance
with medical emergencies or p atient referral,
d. reviewing a sample of outpatient medical records.
Such reviews shall take place at a site a greed upon
between the delegating physician and physician
assistant in the practice agreement which may als o
occur using electronic or virtual c onferencing, and
e. that it remains clear that the physician assistant is
an agent of the delegating physician; but, in no event
shall the delegating physician be an employee of th e
physician assistant.
D. In patients with newly diagnosed complex illnesse s, the
physician assistant shall contact the delegating physician within
forty-eight (48) hours of the physician assistant's initial
examination or treatment and schedule the patie nt for appropriate
evaluation by the de legating physician as directed by the physician.
The delegating physician shall determine which conditions qualify as
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complex illnesses based on the clinical setting and the skill and
experience of the physician assi stant.
E. 1. A physician assistant un der the direction of a
delegating physician may prescribe written and oral prescriptions
and orders. The physician assistant may prescribe drugs, in cluding
controlled medications in Schedules II through V pursuant to Section
2-312 of Title 63 of the Oklah oma Statutes, and medical supplies an d
services as delegated by the delegating physician and as approved by
the State Board of Medical Licensure and Supervision after
consultation with the State Board of Pharmacy on t he Physician
Assistant Drug Formulary.
2. A physician assistant may write a n order for a Schedule II
drug for immediate or ongoing administration on site. Prescriptions
and orders for Schedule II drugs written by a physician assistant
must be included on a written protocol determined by the d elegating
physician and approved by t he medical staff committee of the
facility or by direct verbal order of the delegating physician.
Physician assistants may not dispense drugs, but may request,
receive, and sign for professional samples and may distrib ute
professional samples to patients.
F. A physician assistant may perform health care services in
patient care settings as authorized by the delega ting physician.
G. Each physician assistant licensed under the Phys ician
Assistant Act shall keep his or h er license available for inspection
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at the primary place of business and shall, when engaged in
professional activities, identify himself or herself as a physician
assistant.
H. A physician assistant shall be bound b y the provisions
contained in Sections 725.1 through 725.5 of Title 59 of the
Oklahoma Statutes this title.
SECTION 2. This act shall become effective November 1, 2022.
COMMITTEE REPORT BY: COMMITTEE ON RULES, dated 03/03/2022 - DO PASS,
As Amended and Coauthored.