Req. No. 2283 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 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) SENATE BILL 1225 By: Bullard AS INTRODUCED An Act relating to health care; amending 25 O.S. 2021, Section 2002, which relates to parental rights; removing certain condition on parental access to medical records of minor child; amending 25 O.S. 2021, Section 2004, which relates to consent to medical treatment of minors ; broadening applicabili ty of certain requirement; amending 63 O.S. 2021, Section 2602, which relates to minor self-consent to health services; providing certain exception; requiring parental consent for certain health services; making language gender neutral; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 25 O.S. 2021, Section 2002, is amended to read as follow s: Section 2002. A. All parental rights are r eserved to a parent of a minor child without obstruction or interfer ence from this state, any political subdivision of this state, any other governmental entity or any other institution , including, but not limited to, the following rights: 1. The right to direct the education of the minor chil d; Req. No. 2283 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. All rights of parents identified in Title 70 of the Oklahoma Statutes, including the right to access and review all school records relating to the minor child; 3. The right to direct the upbringing of the mino r child; 4. The right to direct the mo ral or religious training of the minor child; 5. The right to make healthcare decisions for the minor child, unless otherwise prohibited by law; 6. The right to access and review all medical records of the minor child unless otherwise prohibited by law or the parent is the subject of an investigation of a crime committed against th e minor child and a law enforcement official requests that the information not be released; 7. The right to consent in writing before a b iometric scan of the minor child is made, shared or stored; 8. The right to consent in writing before any record of t he minor child's blood or deoxyribonucleic acid (DNA) is created, stored or shared, except as required by Sections 1 -516 and 1-524.1 of Title 63 of the Oklahoma Statutes , or unless authorized pursuant to a court order; 9. The right to consent in writing b efore the state or any of its political subdivisions makes a video or voice reco rding of the minor child, unless the video or voice record ing is made during or as a part of a court proceeding, by law enforc ement officers during Req. No. 2283 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 or as part of a law enforcem ent investigation, during or as part of a forensic interview in a criminal or De partment of Human Services investigation or to be used sol ely for any of the following: a. safety demonstrations, including the maintenance of order and discipline in the commo n areas of a school or on student transportation vehicles, b. a purpose related to a legitimate academic or extracurricular activity, c. a purpose related to regular cla ssroom instruction, d. security or surveillance of buildings or grounds, and e. a photo identification card; and 10. The right to be notified promptly if an employee of this state, any political subdivision of this state, an y other governmental entity or any other institution suspects that a criminal offense has been committed against the m inor child by someone other than a parent, unless the incident has first been reported to law enforcement and notification of the parent w ould impede a law enforcement o r Department of Human Services investigation. This paragraph does not create any new o bligation for school districts and charter schools to report misconduct between students at school, such as fighting or aggressive play, that is routinely addressed as a student disciplinary matter by the school. Req. No. 2283 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. This section does not authorize or allo w a parent to engage in conduct that is unlawful or to abuse or neglect a child in violation of the laws of this state. This section shal l not be construed to apply to a parental action or decision that wo uld end life. This section does not prohibit cour ts, law enforcement officers or employees of a government agency responsible for child welfare from acting in their official capacity with in the reasonable and prudent scope of their authority. This sectio n does not prohibit a court from issuing an order that is otherwise permitted by law. C. Any attempt to encourage or coerce a min or child to withhold information from the child 's parent shall be grounds for discipline of an employee of this state, any pol itical subdivision of this state or any other gove rnmental entity, except for law enforcement personnel. D. Unless those rights h ave been legally waived or legally terminated, parents hav e inalienable rights that are m ore comprehensive than those listed i n this section. The Parents ' Bill of Rights does not prescribe all rights of parents. Unless otherwise required by law, the righ ts of parents of minor children shall not be limited or de nied. The Parents' Bill of Rights shall not be construed to apply t o a parental action or decision that would end life. Req. No. 2283 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 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. AMENDATORY 25 O.S. 2021, Section 2004, is amended to read as follows: Section 2004. A. Except as otherwise provided by law, no person, corporation, association, org anization, state-supported institution, or individual employed by any of the se entities may procure, solicit to perform, arrange for the performance of, perform surgical procedures, or perform a physical examination upon a minor or prescribe any prescripti on drugs to a minor or administer any vaccination to a minor without first obtaining a written consent of a parent or legal guardian of the minor. Provided, however, that if written consent is provided to a school district for assessment or treatment, such consent shall be effective for the school year for which it is granted and shall be renewed each subsequent school year. If an assessment or treatment is performed through telemedicine at a school site and if consent has been provided by the parent and is currently effective, the health pr ofessional shall not be required to ver ify that the parent is at the site. B. Except as otherwise provided by law, no hospital as defined in Section 1-701 of Title 63 of the Oklahoma Statutes may permit surgical procedures to be performed upon a minor in its facilities without first having rec eived a written consent from a parent or legal guardian of the minor. C. The provisions of this section shall not apply when it has been determined by a physician that an emergenc y exists and that it Req. No. 2283 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 is necessary to perform such surgical procedures for th e treatment of an injury, illness or drug abu se, or to save the life of the patient, or when such parent or other adult authorized by law to consent on behalf of a minor cannot be located or contacted after a reasonably diligent effort. D. The provisions of this section shall not apply to an abortion, which shall be governed by the provisions of Sections 1 - 740 through 1-740.6 and Sections 1 -744 through 1-744.6 of Title 63 of the Oklahoma Statutes or any successor stat ute. E. A person who violates a provis ion of this section is guilty of a misdemeanor, punishable by a fine of not more than One Thousand Dollars ($1,000.00) or imprisonment of not more than one (1) year in the county jail, or by both such fine and impriso nment. SECTION 3. AMENDATORY 63 O.S. 2021, Section 2602, is amended to read as follows: Section 2602. A. Notwithstanding any ot her provision of law, the following minors may consent to have health services provided by health professionals in t he following cases: 1. Any minor who is married, has a dependent child or is emancipated; 2. Any minor who is separated from his parents o r legal guardian for whatever reason and is not supported by his p arents or guardian; Req. No. 2283 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Any minor who is or has be en pregnant, afflicted with any reportable communicable disease, drug and substance abuse or abusive use of alcohol; provided, however, that such self-consent only applies to the prevention, diagnosis and t reatment of those conditions specified in this sec tion; provided, further, however , that such self-consent does not apply to the receipt of contraception or family planning counseling . Any health professional who accepts the responsibility of providing su ch health services also assumes the obligation to provide counseling for the minor by a health professional. If the minor is found not to be pregnant nor suffering from a communicable disease nor drug or substance abuse nor abusive use of alcohol, the hea lth professional shall not reveal any information whatsoever to the spouse, parent or legal guardian, without the consent of the minor; 4. Any minor parent as to his child; 5. Any spouse of a minor when the mino r is unable to give consent by reason of ph ysical or mental incapacity; 6. Any minor who by reason of physical or mental capacity cannot give consent and has no known relatives or legal guardian, if two physicians agree on the health service to be given; 7. Any minor in need of emergency services for conditions which will endanger his the health or life of the minor if delay would result by obtaining consent from his the spouse, parent or legal guardian of the minor; provided, however, that the prescribing of Req. No. 2283 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 any medicine or device for t he prevention of pregnancy shall not be considered such an e mergency service; or 8. Any minor who is the victim of sexual assault; provided, however, that such self -consent only applies to a forensic medical examination by a qualified licensed health care professional. B. If any minor falsely represents that he the minor may give consent and a health professional provides health services in good faith based upon that misrepresentation, the minor shall receive full services without the consent of the minor 's parent or legal guardian and the health professional shal l incur no liability except for negligence or intentional harm. Consent of the minor shall not be subject to later disaffirmance or revocation because of his minority of the minor. B. C. 1. The health professional shall be required to make a reasonable attempt to inform the spouse, parent or legal guardian of the minor of any treatment needed or provided in the emergency circumstances described under paragraph 7 of subsection A of this section. The judgment of the health professional as to noti fication shall be final. 2. Except in the case of a minor who meets the criteria provided by paragraph 1 or 2 of subsection A of this section, the health professional s hall obtain the consent of the parent or legal guardian of the minor before providing c ontraceptive services or Req. No. 2283 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 family planning counseling to the minor or administering any vaccination to a minor. 3. In all other instances the health professional may, but shall not be required, to inform the spouse, parent or legal guardian of the minor of any treatment needed or provided. The judgment of the health professional as to notification shall be final, and his. 4. The disclosure of the health professional shall not constitute libel, slander, the breach of the right of privacy, the breach of the rule of privileged communication or result in any other breach that would incur liability. D. Information about the minor obtained through care by a health professional under the provisions of this act shall not be disseminated to any health professional, school, law enforcement agency or official, court authority, government agency or official employer, without the consent of the minor, except through specific legal requirements or if the giving of the information is necessary to the health of the minor a nd public. Statistical reporting ma y be done when the minor's identity is kept confidential. E. The health professional shall not incur criminal liability for action under the provisions of this act except for neg ligence or intentional harm. SECTION 4. This act shall become effective November 1, 2022. 58-2-2283 DC 1/10/2022 11:14:15 AM