SB354 HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 1st Session of the 58th Legislature (2021) ENGROSSED SENATE BILL NO. 354 By: Bergstrom of the Senate and Davis of the House An Act relating to out-of-state transport of dead bodies; providing for deaths in certain counties with shared state jurisdictional boundaries; authorizing release of body to funeral director in adjoining out - of-state county under certain conditions; stating eligible types of deaths; defining term; requiring a release statement; directing certificate of death be filed within certain time; establishing requirements for out-of-state funeral director to participate in removing eligible bodies from this state; directing out-of-state licenses be filed each year; restric ting transport to certain vehicle; prohibiting other methods of transport; subjecting out -of-state funeral director to state jurisdiction; requiring return of body for investigation; directing jurisdictional hold on certain bodies; stating jurisdictional h old period; making jurisdictional hold automatically expire; providing exception to automatic expir ation time; authorizing the Board of Medicolegal Investigations and Chief Medical Examiner to promulgate rules, procedures and forms; providing alternative to promulgated form; construing provisions; amending 63 O.S. 2011, Section 1 -317, as last amended by Section 2, Chapter 305, O.S.L. 2019 (63 O.S. Supp. 2020, Section 1 -317), which relates to filing death certificates; requiring certain out -of- state funeral directors to file death certificates; modifying language; amending 63 O.S. 2011, Section 1 - 329.1, as amended by Section 2, Ch apter 385, O.S.L. 2017 (63 O.S. Supp. 2020, Section 1 -329.1), which relates to cremation permits; excepting certain SB354 HFLR Page 2 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 eligible deaths from cremation fee and permit; amending 63 O.S. 201 1, Section 938, as amended by Section 6, Chapter 293, O.S.L. 2014 (63 O.S. Supp. 2020, Section 938), which relates to types of deaths to be investigated; providing certain exception for required investigation; amending 63 O.S. 2011, Section 947, as amended by Section 16, Cha pter 293, O.S.L. 2014 (63 O.S. Supp. 2020, Section 947), which relates to certificate of death; exempting medical examiner certificate of death for certain deaths; amending 63 O.S. 2011 , Section 948.1, as last amended by Section 9, Chapter 85, O.S.L. 2015 (63 O.S. Supp. 2020, Section 948.1), which relates to fee schedule; exempting certain deaths from certain fees and permits; providing for codification; providing an effective date; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 955.1 of Title 63, unless there is created a duplication in numbering, reads as follows: A. When a death occurs in a county of this state that adjoins a county of another state by a shared state jurisdictional boundary, and the person legally entitled to take custody of the deceased person’s body in this state de sires to utilize the funeral services of an out-of-state funeral establishment located in the adjoining out-of-state county, the dead body may be released to such person without a medical examiner ’s investigation or this state ’s requirement for an out -of-state transport permit or cremation permit provided the out-of-state funeral director is in compliance with the SB354 HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 provisions of this section and the death is one of the following types: 1. A natural death that occurs from natural causes such as age or disease. For purposes of this section, a “natural death” specifically excludes any death caused by or suspected to be caused by accident, injury, violence, homicide, suicide, medical procedure or equipment, unnatural or unusual circumstances, a disease that may be a threat to public safety or a suspicious or undetermined cause ; 2. An attended death caused by a diagnosed illness, disease or condition that occurs under medical supervision in an Oklahoma licensed medical facility or hospital excluding a medically unexpected death or a death that occurs during the course of a therapeutic procedure ; 3. A stillbirth that occurs under medical supervision in an Oklahoma licensed medical facility or hospital that was known in advance or medically anticipated prior to de livery; 4. An attended death caused by a diagnosed fatal or potentially fatal illness, disease or condition that occurs under medical supervision in an Oklahoma licensed hospice care facility ; 5. An attended death caused by a diagnosed fatal or potential ly fatal illness, disease or condition that occurs under licensed hospice supervision at home ; or 6. An attended death caused by a diagnosed fatal or potentially fatal illness, disease or condition or a natural death that occurs SB354 HFLR Page 4 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 under medical supervision in an Oklahoma licensed nursing home or medical-assisted care facility. B. The types of deaths eligible for removal from the jurisdiction of the county of death in this state to the adjoining out-of-state county for funeral services as authorized by subse ction A of this section shall require a signed release by the person legally entitled to take custody of the deceased person ’s body that contains a clear statement that the body will be removed to the named funeral establishment in the adjoining out -of-state county for professional funeral services. The out -of-state funeral director is required to file the release statement with the Office of Chief Medical Examiner within twenty -four (24) hours of taking custody of the body. The filing may be completed by electronic or digital means as authorized by the Chief Medical Examiner. C. The person legally entitled to take custody of the deceased person’s body or the attending medical professional or physician shall personally sign and file the death certificate within seventy- two (72) hours after the death as provided in Section 1 -317 of Title 63 of the Oklahoma Statutes. D. Prior to removing a dead body from this state pursuant to the authority of this section, the out -of-state funeral director shall have on file with the Office of the Chief Medical Examiner in this state and the county sheriff of the county of this state that adjoins the out-of-state county where the funeral establishment is SB354 HFLR Page 5 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 located a certified copy of the valid license for the out -of-state funeral establishment and his or her funeral director license at the same address. The physical location of the funeral establishment shall be in the adjoining out -of-state county to the county in this state where the death occurred and shall be the same pla ce where the dead body will be taken for funeral services. The out -of-state licenses may be filed once each year and shall be valid for purposes of this section during the license term or calendar year, whichever occurs first. E. Removal and transport of an eligible and authorized dead body from the county of death in this state to the adjoining out -of- state county for funeral services pursuant to the provisions of this section shall be made by the out -of-state funeral director in the funeral establishmen t’s private funeral vehicle. The dead body shall not be shipped, transported by any commercial carrier or transported by any other type of vehicle or method. F. By filing an out -of-state funeral establishment license and an out-of-state funeral director license in this state as authorized by this section, the funeral establishment and funeral director each submit to the jurisdiction of this state for purposes of making and filing reports, certificates and documents required for processing a death in this state and further each voluntarily agrees to be responsible for the costs of return of the dead body removed from this state upon request of an Oklahoma law enforcement officer, SB354 HFLR Page 6 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 district attorney or Chief Medical Examiner as required for investigation of the death. A State of Oklahoma jurisdictional hold shall be placed on a dead body removed under the provisions of this section for seventy-two (72) hours during which time no burial or cremation is authorized by the out -of-state funeral director. The jurisdictional hold shall automatically expire after seventy -two (72) hours from the time the dead body is removed from this state unless the body is required to be returned to this state for investigation. G. For purposes of this section, the attending medic al professional or physician shall complete the medical certification of death within forty -eight (48) hours after death as required by law pursuant to Section 1 -317 of Title 63 of the Oklahoma Statutes. H. The Board of Medicolegal Investigations together with the Chief Medical Examiner may promulgate rules, procedures and forms to implement and enforce the provisions of this section. In the alternative to a promulgated form, the Chief Medical Examiner may accept a written release statement prepared and f iled by the out-of- state funeral director for an eligible and authorized death. I. Nothing in this section shall be construed to restrict or expand the transport, cremation or any permit issuance for a dead body into or out of this state as authorized by another provision of law in this state or the laws of another state ’s jurisdiction. SB354 HFLR Page 7 BOLD FACE denotes Committee Amendments. 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 63 O.S. 2011, Section 1 -317, as last amended by Section 2, Chapter 305, O.S.L. 2019 (63 O.S. Supp. 2020, 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 death certificate and shall be responsible 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. For purposes of Section 1 of this act, the out -of-state funeral director shall personally sign and shall be responsi ble for filing the death certificate in this state. The personal data shall be obtained f rom the next of kin or the best qualified best-qualified person or source available. The certificate shall be completed as to personal data and delivered to the attending physician or the medical examiner responsible for completing the medical certificati on portion of the certificate of death within twenty -four (24) hours after the death. No later than July 1, 2012, the The personal data, and no later than July 1, 2017, the medical certificate portion , shall be entered into the prescribed electronic syste m provided by the State Registrar of Vital Statistics and the information SB354 HFLR Page 8 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 submitted to the State Registrar of Vital Statistics. The resultant certificate produced by the electronic system shall be provided to the physician 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 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, the The medical certification portion of certificate data shall be entered into the prescribed electronic system provided by the S tate Registrar of Vital Statistics and the information submitted to the State Registrar of Vital Statistics. D. In the event that the physician in charge of the patient ’s 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 in attendance at the time of death, except: 1. When the patient is under hospice care at the time of death, the medical certification may be signed by the hospice ’s medical director; and 2. When inquiry as to the cause of death is required by Section 938 of this title. SB354 HFLR Page 9 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Provided, that such certification, if signed by other than the attending physician, shall note on the face t he name of the attending physician 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 means of assisting suicide within the meaning of Sect ions 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 or in the box that describes how the injury occurred, the certifier shall indicate “suicide” as the manner of death. SECTION 3. AMENDATORY 63 O.S. 2011, Section 1 -329.1, as amended by Section 2, Chapter 385, O.S.L. 2017 (63 O.S. Supp. 2020, Section 1-329.1), is amended to read as follows: Section 1-329.1. Until a permit for disposal has been issued in accordance with this section, no dead human body whose death occurred within the State of Oklahoma this state shall be cremated, buried at sea, or made unavailable for further pathologic study by other recognized means of destruction or dissolution of such remains, except as otherwise authorized herein . When the person legally responsible for disposition of a dead human body, whose death occurred or was pronounced within this SB354 HFLR Page 10 BOLD FACE denotes Committee Amendments. 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, desires that the body be cremated, buried at sea , or made unavailable for further pathologic study by other recognized means of destruction or dissolution of such remains, that person shall complete an applicat ion-permit form for such procedure provided by the Office of the Chief Medical Examiner. For purposes of Section 1 of this act, no application -permit shall be required to transport an eligible body from the county of death in this state to the adjoining out-of-state county for cremation or burial provided the body is held by the out -of-state funeral director for the required seventy-two (72) hours prior to cremation or burial. The Office of the Chief Medical Examiner, in accordance with Section 948.1 of t his title, shall charge a fee for each cremation permit issued. The Medical Examiner shall be notified, as required in Section 938 of this title. He or she shall perform the required investigation and shall issue a valid death certificate as required by Section 947 of this title and execute the permit in accordance with rules established by the Office of the Chief Medical Examiner. In order to be valid, each permit must contain an individual number assigned to the particular permit by the Office of the C hief Medical Examiner. A copy of the application -permit form and the original death certificate shall be filed with the State Registrar. The original application -permit form shall be filed by the funeral director with the Office of the Chief Medical Exam iner. Such filing SB354 HFLR Page 11 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 shall occur or be postmarked within forty -eight (48) hours of the death. If death occurred or was pronounced outside the geographic limits of the State of Oklahoma this state and the body is brought into this state for such disposal, a t ransit permit or a permit for removal, issued in accordance with the laws and regulations in force where the death occurred shall authorize the transportation of the body into or through this state and shall be accepted in lieu of a certificate of death as required above. A valid permit issued for disposal of such body in accordance with the laws in the jurisdiction where the body died or death was pronounced shall be authority for cremation or burial at sea or to make the body otherwise unavailable for fu rther pathologic study by other recognized means of destruction or dissolution of such remains. SECTION 4. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 941a -1 of Title 63, unless there is created a duplication in numbering, reads as follows: For an eligible death type enumerated in subsection A of Section 1 of this act and solely for the purpose authorized in Section 1 of this act, the body of the deceased person may be released to the person legally entitled to take custody thereof upon a signed written release and statement naming the place where the body will be transported for funeral services in the adjoining out -of-state county, unless an attending medical professional, witness, law SB354 HFLR Page 12 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 enforcement officer or emergency first responder has notified the Chief Medical Examiner, or his or her designee, of the need for further investigation into the cause of death, or has notified the appropriate district attorney of such need. In the event investigation into the cause of death is required, the body shall be held by the medical examiner until such investigation is completed. SECTION 5. AMENDATORY 63 O.S. 2011, Section 938, as amended by Section 6, Chapter 293, O.S.L. 201 4 (63 O.S. Supp. 2020, Section 938), is amended to read as follows: Section 938. A. All human deaths of the types listed herein shall be investigated as provided by law: 1. Violent deaths, whether apparently homicidal, suicidal , or accidental; 2. Deaths under suspicious, unusual or unnatural circumstances; 3. Deaths related to disease which might constitute a threat to public health; 4. Deaths unattended by a licensed physician for a fatal or potentially-fatal potentially fatal illness; 5. Deaths that are medi cally unexpected and that occur in the course of a therapeutic procedure; 6. Deaths of any persons detained or occurring in custody of penal incarceration; and 7. Deaths of persons whose bodies are to be cremated, transported out of the state, donated to educational entities, to SB354 HFLR Page 13 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 include limited portions of the body, or otherwise made ultimately unavailable for pathological study ; and 8. Except as provide d in Section 1 of this act, deaths transported out of state . B. The Chief Medical Examiner shall stat e on the certificate of death of all persons whose death was caused by execution pursuant to a lawful court order that the cause of death was the execution of such order. SECTION 6. AMENDATORY 63 O.S. 2011, Section 947, as amended by Section 16, Chapter 293, O.S.L. 2014 (63 O.S. Supp. 2020, Section 947), is amended to read as follows: Section 947. A. The certification of death of any person whose death is investigated under Section 931 et seq. of this title shall be made by the Chief Medical Examiner or his or her designee upon a medical examiner death certificate provided by the State Registrar of Vital Statistics. Such death certificates shall be valid only when signed by the Chief Medical Examiner or his or her designee. Copies of all such certificates shall be forwarded immediately upon receipt by the State Registrar of Vital Statistics to the Office of the Chief Medical Examiner. B. Any certification of death by an attending physician may be referred by the State Registrar of Vital Statistics to the Chief Medical Examiner for investigation and the amending of the original certificate of death by the filing of a medical examiner death SB354 HFLR Page 14 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 certificate by the Chief Medical Examiner or his or her designee when the death is determined by the Chief Medical Examiner to be one properly requiring investigation under Section 938 of this title. C. Medical examiner death certificates will not be required in cases investigated solely for the purpose of issuing a permit for transport of a body out of state. D. Medical examiner death certificates will not be required for transport of a body from the county of death in this state to the adjoining out-of-state county as authorized by Section 1 of this act. SECTION 7. AMENDATORY 63 O.S. 2011, Section 948.1, as last amended by Section 9, Chapter 85, O.S.L. 2015 (63 O.S. Supp. 2020, Section 948.1), is amended to read as follows: Section 948.1. A. The Board of Medicolegal Investigations may establish a fee schedule for forensi c services, permits and reports rendered to members of the public and other agencies. 1. No fee schedule may be established or amended by the Board except during a regular legislative session. The Board shall comply with the Administrative Procedures Act for adoption of rules and establishing or amending any such fee schedule. 2. Except as otherwise specified in this section, the Board shall charge fees only within the following ranges: SB354 HFLR Page 15 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 a. permit for cremations that occur within the state: One Hundred Dollars ($100.00) to Two Hundred Dollars ($200.00), b. forensic science service: One Hundred Dollars ($100.00) to Three Thousand Dollars ($3,000.00), c. report copies: Ten Dollars ($10.00) for report of investigation, including toxicology, and Twenty Dollars ($20.00) for an autopsy report , including toxicology, d. x-rays: Fifteen Dollars ($15.00) each, e. microscopic slides, Hematoxylin , and Eosin (H&E): Ten Dollars ($10.00) each, f. special stains: Fifteen Dollars ($15.00) each, and g. photographs: Twenty-five Dollars ($25.00) per compact disc (CD) or other suitable digital storage media. 3. Medical examiner permit certificates shall be required in cases investigated solely for the purpose of issuing a permit for transporting a body out of state , except as provided in paragraph 6 of this subsection. 4. The Board of Medicolegal Investigations shall charge a fee for out-of-state shipment of human remains whenever the Office of the Chief Medical Examiner has not been required to conduct an investigation of the death. SB354 HFLR Page 16 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 5. An out-of-state transport permit and cremation permit shall both be required for bodies containing body parts sent out of state or out of country, while remaining body parts remain unused. 6. No fee shall be charged, and no permit shall be required for an eligible body transported from the county of death in this state to the adjoining out -of-state county as authorized by Section 1 of this act. B. The Board shall base the fee schedule for forensic science services, permits and reports up on reasonable costs of review, investigation and forensic science service delivery; provided, however, the fee schedule shall be within the ranges specified in subsection A of this section. The Board shall continue a system of basic and continuing educati onal service and training for all personnel who render forensic science services in order to ensure uniform statewide application of the rules of the Board. The Board shall consider the reasonable costs associated with such training and continuing educati on in setting the forensic science service fees. C. The Board may exempt by rule any agency or class of individuals from the requirements of the fee schedule if the Board determines that the fees would cause an unreasonable economic hardship or would othe rwise hinder or conflict with an agency ’s responsibilities. SB354 HFLR Page 17 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 D. All statutory fees currently in effect for permits or forensic science services administered by the Chief Medical Examiner and the Board of Medicolegal Investigations within the jurisdiction of the Office of the Chief Medical Examiner shall remain in effect until such time as the Board acts to implement new schedules pursuant to the provisions of this section and Section 948 of this title. SECTION 8. This act shall become effec tive July 1, 2021. SECTION 9. It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and a fter its passage and approval. COMMITTEE REPORT BY: COMMITTEE ON TRANSPORTATION, dated 04/08/2021 - DO PASS.