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STATE OF OKLAHOMA
2nd Session of the 58th Legislature (2022)
SENATE BILL 1517 By: Weaver
AS INTRODUCED
An Act relating to physician assistants; amen ding 59
O.S. 2021, Section 519.6 , which relates to services
performed; modifying prescripti ve authority of
physician assistants; amending 63 O.S. 2021, Section
2-312, which relates to controlled dangerous
substances; modifying refe rences; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 59 O.S. 2021, Section 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 lic ense is on file with and
approved by the State Boa rd of Medical 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
Supervision shall not charge a fee for filing or amendments of
practice agreements.
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B. A physician assistant may have practice agre ements with
multiple allopathic or osteopathic physicians. Each physician shall
be in good standing with the State Board of Medical Licensure and
Supervision or the State Board of Osteo pathic Examiners.
C. The delegating physician need 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 easily in contact
with one another by means of telecommunicati on. In all patient care
settings, the delegating physician shall provide appropr iate methods
of participating in health care services provided by the physician
assistant including:
a. being responsible for the formulation or approval of
all orders and protocols, whether standing orders ,
direct orders or any other orders or protocols, which
direct the delivery of health care services provided
by a physician assistant, and periodically rev iewing
such orders and protocols,
b. regularly reviewing the health ca re services provided
by the physician assistant and any problems or
complications encountered,
c. being available physically or through telemedici ne or
direct telecommunications for cons ultation, assistance
with medical emergencies or patient referral,
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d. reviewing a sample of outpatien t medical records.
Such reviews shall take place at a site agreed upon
between the delegating physician and physic ian
assistant in the practice agreement which may also
occur using electronic or virtual conferencing, 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 the
physician assistant.
D. In patients with newly diagnosed complex illnesses, the
physician assistant shall contact the delega ting physician within
forty-eight (48) hours of th e physician assistant’s initial
examination or treatment and sche dule the patient for appropriate
evaluation by the delegating physician as directed by the physician.
The delegating physician shall determi ne which conditions qualify as
complex illnesses based on the clinical setting and the skill and
experience of the physician assistant.
E. 1. A physician assistant under the direction of a
delegating physician may prescribe written and oral prescriptions
and orders. The physician assistant may prescrib e drugs, including
controlled medications in Schedules II through V pursuant to Section
2-312 of Title 63 of the Oklahoma Statutes , and medical supplies and
services as delegated by the delegating physician and as approved by
the State Board of Medical Lic ensure and Supervision after
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consultation with the State Board of Pharmacy on the Physician
Assistant Drug Formulary; provided, however, the physician assistant
shall not prescribe or write orders for Sche dule II opioid drugs
except as provided by paragrap h 2 of this subsection .
2. A physician assistant may write an or der for a Schedule II
drug for immediate or ongoing administration on site ; provided, that
if the Schedule II drug is an opioid drug, the physician assistant
may only write an order for immediate or ongoing administration in
an inpatient hospital setting. Prescriptions and orders for
Schedule II drugs written by a physician assistant must be included
on a written protocol determined by the delegating physician and
approved by the medical staf f committee of the facility or by direct
verbal order of the dele gating physician. Physician ass istants may
not dispense drugs, but may request, receive, and sign for
professional samples and may distribute 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 Physician
Assistant Act shall keep his or her license available for inspection
at the primary place of business and shall, when engaged in
professional activiti es, identify himself or herself as a physician
assistant.
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H. A physician assistant shall be bound by the prov isions
contained in Sections 725.1 through 725.5 of Title 59 of the
Oklahoma Statutes.
SECTION 2. AMENDATORY 63 O.S. 2021, Section 2 -312, is
amended to read as follows:
Section 2-312. A. A physician, podiatrist, optometrist or a
dentist who has comp lied with the registration requirem ents of the
Uniform Controlled Dangerous Substances Act, in good faith and in
the course of such person ’s professional practice only, may
prescribe and administer controlled dangerous substances, or may
cause the same to be administered by medical or param edical
personnel acting under the direction and supervision of the
physician, podiatrist, optometrist or dentist, and only may dispense
controlled dangerous substances pursuant to the provisions of
Sections 355, 355.1 and 355.2 of Title 59 of the Oklahoma Statutes.
B. A veterinarian who has complied with the registration
requirements of the Uniform Controlled Dangerous Substances Act, in
good faith and in the course of the professional practice of the
veterinarian only, a nd not for use by a human being, ma y prescribe,
administer, and dispense controlled dangerous substances and may
cause them to be administered by an assistant or orderly under the
direction and supervision of the veterinarian.
C. An advanced practice nurs e who is recognized to prescribe by
the Oklahoma Board of Nu rsing as an advanced registered nurse
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practitioner, clinical nurse specialist or certified nurse -midwife,
who is subject to medical direction by a supervising physician,
pursuant to Section 567.3a of Title 59 of the Oklahoma Statut es, and
who has complied with the registration requirements of the Uniform
Controlled Dangerous Substances Act, in good faith and in the course
of professional practice only, may prescribe and administer Schedule
III, IV and V controlled dangerous substanc es.
D. An advanced pract ice nurse who is recognized to order,
select, obtain and administer drugs by the Oklahoma Board of Nursing
as a certified registered nurse anesthetist pursuant to Section
353.1b of Title 59 of the Oklahoma Statutes and who has comp lied
with the registratio n requirements of the Uniform Controlled
Dangerous Substances Act, in good faith and in the course of such
practitioner’s professional practice only, may order, select, obtain
and administer Sched ules II through V controlled danger ous
substances in a prean esthetic preparation or evaluation; anesthesia
induction, maintenance or emergence; or postanesthesia care setting
only. A certified registered nurse anesthetist may order, select,
obtain and administer such drugs only during the perioperative or
periobstetrical period.
E. A physician assistant who is recognized to prescribe by the
State Board of Medical Licensure and Supervision under the medical
direction of a supervising physician, pursuant to subsection D of
Section 519.6 of Title 59 of the Oklahoma S tatutes, and who has
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complied with the registration requirements of the Uniform
Controlled Dangerous Substances Act, in good faith and in the course
of professional practice only, may prescribe an d administer Schedule
II through V controlled dangerous subs tances.
SECTION 3. This act shall become effective November 1, 2022.
58-2-3226 DC 1/20/2022 8:48:36 AM