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53	53	STATE OF OKLAHOMA
54	54
55	55	2nd Session of the 58th Legislature (2022)
56	56
57	57	SENATE BILL 1517 By: Weaver
58	58
59	59
60	60
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63	63	AS INTRODUCED
64	64
65	65	An Act relating to physician assistants; amen ding 59
66	66	O.S. 2021, Section 519.6 , which relates to services
67	67	performed; modifying prescripti ve authority of
68	68	physician assistants; amending 63 O.S. 2021, Section
69	69	2-312, which relates to controlled dangerous
70	70	substances; modifying refe rences; and providing an
71	71	effective date.
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77	77	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
78	78	SECTION 1. AMENDATORY 59 O.S. 2021, Section 519.6, is
79	79	amended to read as follows:
80	80	Section 519.6. A. No health care services may be performed by
81	81	a physician assistant unless a current lic ense is on file with and
82	82	approved by the State Boa rd of Medical Licensure and Supervision.
83	83	All practice agreements and any amendments shall be filed with the
84	84	State Board of Medical Licensure and Supervision within ten (10)
85	85	business days of being executed. Practice agreements may be filed
86	86	electronically. The State Board of Medical Licensure and
87	87	Supervision shall not charge a fee for filing or amendments of
88	88	practice agreements.
89	89
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140	140	B. A physician assistant may have practice agre ements with
141	141	multiple allopathic or osteopathic physicians. Each physician shall
142	142	be in good standing with the State Board of Medical Licensure and
143	143	Supervision or the State Board of Osteo pathic Examiners.
144	144	C. The delegating physician need not be physically present nor
145	145	be specifically consulted before each delegated patient care service
146	146	is performed by a physician assistant, so long as the delegating
147	147	physician and physician assistant are or can be easily in contact
148	148	with one another by means of telecommunicati on. In all patient care
149	149	settings, the delegating physician shall provide appropr iate methods
150	150	of participating in health care services provided by the physician
151	151	assistant including:
152	152	a. being responsible for the formulation or approval of
153	153	all orders and protocols, whether standing orders ,
154	154	direct orders or any other orders or protocols, which
155	155	direct the delivery of health care services provided
156	156	by a physician assistant, and periodically rev iewing
157	157	such orders and protocols,
158	158	b. regularly reviewing the health ca re services provided
159	159	by the physician assistant and any problems or
160	160	complications encountered,
161	161	c. being available physically or through telemedici ne or
162	162	direct telecommunications for cons ultation, assistance
163	163	with medical emergencies or patient referral,
164	164
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215	215	d. reviewing a sample of outpatien t medical records.
216	216	Such reviews shall take place at a site agreed upon
217	217	between the delegating physician and physic ian
218	218	assistant in the practice agreement which may also
219	219	occur using electronic or virtual conferencing, and
220	220	e. that it remains clear that the physician assistant is
221	221	an agent of the delegating physician; but, in no event
222	222	shall the delegating physician be an employee of the
223	223	physician assistant.
224	224	D. In patients with newly diagnosed complex illnesses, the
225	225	physician assistant shall contact the delega ting physician within
226	226	forty-eight (48) hours of th e physician assistant’s initial
227	227	examination or treatment and sche dule the patient for appropriate
228	228	evaluation by the delegating physician as directed by the physician.
229	229	The delegating physician shall determi ne which conditions qualify as
230	230	complex illnesses based on the clinical setting and the skill and
231	231	experience of the physician assistant.
232	232	E. 1. A physician assistant under the direction of a
233	233	delegating physician may prescribe written and oral prescriptions
234	234	and orders. The physician assistant may prescrib e drugs, including
235	235	controlled medications in Schedules II through V pursuant to Section
236	236	2-312 of Title 63 of the Oklahoma Statutes , and medical supplies and
237	237	services as delegated by the delegating physician and as approved by
238	238	the State Board of Medical Lic ensure and Supervision after
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290	290	consultation with the State Board of Pharmacy on the Physician
291	291	Assistant Drug Formulary; provided, however, the physician assistant
292	292	shall not prescribe or write orders for Sche dule II opioid drugs
293	293	except as provided by paragrap h 2 of this subsection .
294	294	2. A physician assistant may write an or der for a Schedule II
295	295	drug for immediate or ongoing administration on site ; provided, that
296	296	if the Schedule II drug is an opioid drug, the physician assistant
297	297	may only write an order for immediate or ongoing administration in
298	298	an inpatient hospital setting. Prescriptions and orders for
299	299	Schedule II drugs written by a physician assistant must be included
300	300	on a written protocol determined by the delegating physician and
301	301	approved by the medical staf f committee of the facility or by direct
302	302	verbal order of the dele gating physician. Physician ass istants may
303	303	not dispense drugs, but may request, receive, and sign for
304	304	professional samples and may distribute professional samples to
305	305	patients.
306	306	F. A physician assistant may perform health care services in
307	307	patient care settings as authorized by the delega ting physician.
308	308	G. Each physician assistant licensed under the Physician
309	309	Assistant Act shall keep his or her license available for inspection
310	310	at the primary place of business and shall, when engaged in
311	311	professional activiti es, identify himself or herself as a physician
312	312	assistant.
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364	364	H. A physician assistant shall be bound by the prov isions
365	365	contained in Sections 725.1 through 725.5 of Title 59 of the
366	366	Oklahoma Statutes.
367	367	SECTION 2. AMENDATORY 63 O.S. 2021, Section 2 -312, is
368	368	amended to read as follows:
369	369	Section 2-312. A. A physician, podiatrist, optometrist or a
370	370	dentist who has comp lied with the registration requirem ents of the
371	371	Uniform Controlled Dangerous Substances Act, in good faith and in
372	372	the course of such person ’s professional practice only, may
373	373	prescribe and administer controlled dangerous substances, or may
374	374	cause the same to be administered by medical or param edical
375	375	personnel acting under the direction and supervision of the
376	376	physician, podiatrist, optometrist or dentist, and only may dispense
377	377	controlled dangerous substances pursuant to the provisions of
378	378	Sections 355, 355.1 and 355.2 of Title 59 of the Oklahoma Statutes.
379	379	B. A veterinarian who has complied with the registration
380	380	requirements of the Uniform Controlled Dangerous Substances Act, in
381	381	good faith and in the course of the professional practice of the
382	382	veterinarian only, a nd not for use by a human being, ma y prescribe,
383	383	administer, and dispense controlled dangerous substances and may
384	384	cause them to be administered by an assistant or orderly under the
385	385	direction and supervision of the veterinarian.
386	386	C. An advanced practice nurs e who is recognized to prescribe by
387	387	the Oklahoma Board of Nu rsing as an advanced registered nurse
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439	439	practitioner, clinical nurse specialist or certified nurse -midwife,
440	440	who is subject to medical direction by a supervising physician,
441	441	pursuant to Section 567.3a of Title 59 of the Oklahoma Statut es, and
442	442	who has complied with the registration requirements of the Uniform
443	443	Controlled Dangerous Substances Act, in good faith and in the course
444	444	of professional practice only, may prescribe and administer Schedule
445	445	III, IV and V controlled dangerous substanc es.
446	446	D. An advanced pract ice nurse who is recognized to order,
447	447	select, obtain and administer drugs by the Oklahoma Board of Nursing
448	448	as a certified registered nurse anesthetist pursuant to Section
449	449	353.1b of Title 59 of the Oklahoma Statutes and who has comp lied
450	450	with the registratio n requirements of the Uniform Controlled
451	451	Dangerous Substances Act, in good faith and in the course of such
452	452	practitioner’s professional practice only, may order, select, obtain
453	453	and administer Sched ules II through V controlled danger ous
454	454	substances in a prean esthetic preparation or evaluation; anesthesia
455	455	induction, maintenance or emergence; or postanesthesia care setting
456	456	only. A certified registered nurse anesthetist may order, select,
457	457	obtain and administer such drugs only during the perioperative or
458	458	periobstetrical period.
459	459	E. A physician assistant who is recognized to prescribe by the
460	460	State Board of Medical Licensure and Supervision under the medical
461	461	direction of a supervising physician, pursuant to subsection D of
462	462	Section 519.6 of Title 59 of the Oklahoma S tatutes, and who has
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514	514	complied with the registration requirements of the Uniform
515	515	Controlled Dangerous Substances Act, in good faith and in the course
516	516	of professional practice only, may prescribe an d administer Schedule
517	517	II through V controlled dangerous subs tances.
518	518	SECTION 3. This act shall become effective November 1, 2022.
519	519
520	520	58-2-3226 DC 1/20/2022 8:48:36 AM

Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB1517 Compare Versions