Oklahoma 2022 2022 Regular Session

Oklahoma Senate Bill SB511 Amended / Bill

Filed 03/31/2021

                     
 
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HOUSE OF REPRESENTATIVES - FLOOR VERSION 
 
STATE OF OKLAHOMA 
 
1st Session of the 58th Legislature (2021) 
 
ENGROSSED SENATE 
BILL NO. 511 	By: Montgomery, Hicks and 
Dossett (J.A.) of the 
Senate 
 
  and 
 
  Bush, Pae and Waldron of 
the House 
 
 
 
 
An Act relating to controlled dangerous substances; 
amending 63 O.S. 2011, Section 2 -101, as last amended 
by Section 1, Chapter 101, O.S.L. 2020 (63 O.S. Supp. 
2020, Section 2-101), which relates to definitions; 
adding and modifying definitions; amending 63 O.S. 
2011, Section 2-101.1, which relates to drug 
paraphernalia; providing exception; authorizing 
certain entities to engage in harm -reduction 
services; requiring registration with the State 
Department of Health; providing for certain allowable 
activities; providing rep orting requirements; 
directing promulgation of rules; providing for 
codification; and declaring an emergency . 
 
 
 
 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
SECTION 1.     AMENDATORY     63 O.S. 2011, Section 2 -101, as 
last amended by Section 1, Chapter 101, O.S.L. 2020 (63 O.S. Supp. 
2020, Section 2-101), is amended to read as follows:   
 
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Section 2-101.  As used in the Uniform Controlled Dangerous 
Substances Act: 
1.  “Administer” means the direct application of a controlled 
dangerous substance, whether by injection, inhalation, ingestion or 
any other means, to the body of a patient, animal or research 
subject by: 
a. a practitioner (or, in the presence of the 
practitioner, by the authorized agent of the 
practitioner), or 
b. the patient or research subject at the direction and 
in the presence of the practitioner; 
2.  “Agent” means a peace officer appointed by and who acts on 
behalf of the Director of the Oklahoma State Bureau of Narcotics and 
Dangerous Drugs Control or an authorized person who acts on behalf 
of or at the direction of a person who manufactures, distributes, 
dispenses, prescribes, administers or uses for scientific purposes 
controlled dangerous substances but does not include a common or 
contract carrier, public warehou ser or employee thereof, or a person 
required to register under the Uniform Controlled Dangerous 
Substances Act; 
3.  “Board” means the Advisory Board to the Director of the 
Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 
4.  “Bureau” means the Oklahoma State Bureau of Narcotics and 
Dangerous Drugs Control;   
 
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5.  “Coca leaves” includes cocaine and any compound, 
manufacture, salt, derivative, mixture or preparation of coca 
leaves, except derivatives of coca leaves which do not contain 
cocaine or ecgonine; 
6.  “Commissioner” or “Director” means the Director of the 
Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 
7.  “Control” means to add, remove or change the placement of a 
drug, substance or immediate precursor under the Uniform C ontrolled 
Dangerous Substances Act; 
8.  “Controlled dangerous substance ” means a drug, substance or 
immediate precursor in Schedules I through V of the Uniform 
Controlled Dangerous Substances Act or any drug, substance or 
immediate precursor listed either temporarily or permanently as a 
federally controlled substance.  Any conflict between state and 
federal law with regard to the particular schedule in which a 
substance is listed shall be resolved in favor of state law; 
9.  “Counterfeit substance ” means a controlled substance which, 
or the container or labeling of which without authorization, bears 
the trademark, trade name or other identifying marks, imprint, 
number or device or any likeness thereof of a manufacturer, 
distributor or dispenser other than the person who in fact 
manufactured, distributed or dispensed the substance; 
10.  “Deliver” or “delivery” means the actual, constructive or 
attempted transfer from one person to another of a controlled   
 
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dangerous substance or drug paraphernalia, whether or not there is 
an agency relationship; 
11.  “Dispense” means to deliver a controlled dangerous 
substance to an ultimate user or human research subject by or 
pursuant to the lawful order of a practitioner , including the 
prescribing, administering, packaging, lab eling or compounding 
necessary to prepare the substance for such distribution.  
“Dispenser” is a practitioner who delivers a controlled dangerous 
substance to an ultimate user or human research subject; 
12.  “Distribute” means to deliver other than by admi nistering 
or dispensing a controlled dangerous substance; 
13.  “Distributor” means a commercial entity engaged in the 
distribution or reverse distribution of narcotics and dangerous 
drugs and who complies with all regulations promulgated by the 
federal Drug Enforcement Administration and the Oklahoma State 
Bureau of Narcotics and Dangerous Drugs Control; 
14.  “Drug” means articles: 
a. recognized in the official United States 
Pharmacopoeia, official Homeopathic Pharmacopoeia of 
the United States, or official National Formulary, or 
any supplement to any of them, 
b. intended for use in the diagnosis, cure, mitigation, 
treatment or prevention of disease in man or other 
animals,   
 
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c. other than food, intended to affect the structure or 
any function of the body of m an or other animals, and 
d. intended for use as a component of any article 
specified in this paragraph; 
provided, however, the term “drug” does not include devices or their 
components, parts or accessories; 
15.  “Drug-dependent person” means a person who i s using a 
controlled dangerous substance and who is in a state of psychic or 
physical dependence, or both, arising from administration of that 
controlled dangerous substance on a continuous basis.  Drug 
dependence is characterized by behavioral and other r esponses which 
include a strong compulsion to take the substance on a continuous 
basis in order to experience its psychic effects, or to avoid the 
discomfort of its absence; 
16.  “Home care agency” means any sole proprietorship, 
partnership, association, c orporation, or other organization which 
administers, offers, or provides home care services, for a fee or 
pursuant to a contract for such services, to clients in their place 
of residence; 
17.  “Home care services” means skilled or personal care 
services provided to clients in their place of residence for a fee; 
18.  “Hospice” means a centrally administered, nonprofit or 
profit, medically directed, nurse -coordinated program which provides 
a continuum of home and inpatient care for the terminally ill   
 
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patient and the patient’s family.  Such term shall also include a 
centrally administered, nonprofit or profit, medically directed, 
nurse-coordinated program if such program is licensed pursuant to 
the provisions of the Uniform Controlled Dangerous Substances Act. 
A hospice program offers palliative and supportive care to meet the 
special needs arising out of the physical, emotional and spiritual 
stresses which are experienced during the final stages of illness 
and during dying and bereavement.  This care is availa ble twenty-
four (24) hours a day, seven (7) days a week, and is provided on the 
basis of need, regardless of ability to pay.  “Class A” Hospice 
refers to Medicare certified hospices.  “Class B” refers to all 
other providers of hospice services; 
19.  “Imitation controlled substance ” means a substance that is 
not a controlled dangerous substance, which by dosage unit 
appearance, color, shape, size, markings or by representations made, 
would lead a reasonable person to believe that the substance is a 
controlled dangerous substance.  In the event the appearance of the 
dosage unit is not reasonably sufficient to establish that the 
substance is an “imitation controlled substance ”, the court or 
authority concerned should consider, in addition to all other 
factors, the following factors as related to “representations made ” 
in determining whether the substance is an “imitation controlled 
substance”:   
 
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a. statements made by an owner or by any other person in 
control of the substance concerning the nature of the 
substance, or its use or effect, 
b. statements made to the recipient that the substance 
may be resold for inordinate profit, 
c. whether the substance is packaged in a manner normally 
used for illicit controlled substances, 
d. evasive tactics or actions utilized by the owner or 
person in control of the substance to avoid detection 
by law enforcement authorities, 
e. prior convictions, if any, of an owner, or any other 
person in control of the object, under state or 
federal law related to controlled substances or fraud , 
and 
f. the proximity of the substances to controlled 
dangerous substances; 
20.  “Immediate precursor” means a substance which the Director 
has found to be and by regulation designates as being the principal 
compound commonly used or produced primarily fo r use, and which is 
an immediate chemical intermediary used, or likely to be used, in 
the manufacture of a controlled dangerous substance, the control of 
which is necessary to prevent, curtail or limit such manufacture; 
21.  “Laboratory” means a laboratory approved by the Director as 
proper to be entrusted with the custody of controlled dangerous   
 
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substances and the use of controlled dangerous substances for 
scientific and medical purposes and for purposes of instruction; 
22.  “Manufacture” means the production, preparation, 
propagation, compounding or processing of a controlled dangerous 
substance, either directly or indirectly by extraction from 
substances of natural or synthetic origin, or independently by means 
of chemical synthesis or by a combination of extraction and chemical 
synthesis.  “Manufacturer” includes any person who packages, 
repackages or labels any container of any controlled dangerous 
substance, except practitioners who dispense or compound 
prescription orders for delivery to the ultimate c onsumer; 
23.  “Marijuana” means all parts of the plant Cannabis sativa 
L., whether growing or not; the seeds thereof; the resin extracted 
from any part of such plant; and every compound, manufacture, salt, 
derivative, mixture or preparation of such plant, its seeds or 
resin, but shall not include: 
a. the mature stalks of such plant or fiber produced from 
such stalks, 
b. oil or cake made from the seeds of such plant , 
including cannabidiol derived from the seeds of the 
marijuana plant, 
c. any other compound, manufacture, salt, derivative, 
mixture or preparation of such mature stalks (except   
 
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the resin extracted therefrom) , including cannabidiol 
derived from mature stalks, fiber, oil or cake, 
d. the sterilized seed of such plant which is incapable 
of germination, 
e. for any person participating in a clinical trial to 
administer cannabidiol for the treatment of severe 
forms of epilepsy pursuant to Section 2 -802 of this 
title, a drug or substance approved by the federal 
Food and Drug Administration for use by those 
participants, 
f. for any person or the parents, legal guardians or 
caretakers of the person who have received a written 
certification from a physician licensed in this state 
that the person has been diagnosed by a physician as 
having Lennox-Gastaut syndrome, Dravet syndrome, also 
known as Severe Myoclonic Epilepsy of Infancy, or any 
other severe form of epilepsy that is not adequately 
treated by traditional medical therapies, spasticity 
due to multiple sclerosis or due to paraplegia, 
intractable nausea and vomiting, appetite stimulation 
with chronic wasting diseases, the substance 
cannabidiol, a nonpsychoactive cannabinoid, found in 
the plant Cannabis sativa L. or any other preparation 
thereof, that has a tetrahydrocannabinol concentration   
 
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of not more than three-tenths of one percent (0.3%) 
and that is delivered to the patient in the form of a 
liquid, 
g. any federal Food and Drug Administration -approved 
cannabidiol drug or substance, or 
h. industrial hemp, from the plant Cannabis sativa L. and 
any part of such plant, whether growing or not, with a 
delta-9 tetrahydrocannabinol concentration of not more 
than three-tenths of one percent (0.3%) on a dry 
weight basis which shall only be grown pursuant to the 
Oklahoma Industrial Hemp Program and may be shipped 
intrastate and interstate; 
24.  “Medical purpose” means an intention to utilize a 
controlled dangerous substance for physical or mental treatment, for 
diagnosis, or for the prevention of a disease condition not in 
violation of any state or federal law and not for the purpose of 
satisfying physiological or psychological dependence or other abuse; 
25.  “Mid-level practitioner” means an Advanced Practice 
Registered Nurse as defined and within parameters specified in 
Section 567.3a of Title 59 of the Oklahoma Statu tes, or a certified 
animal euthanasia technician as defined in Section 698.2 of Title 59 
of the Oklahoma Statutes, or an animal control officer registered by 
the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control 
under subsection B of Section 2 -301 of this title within the   
 
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parameters of such officer ’s duty duties under Sections 501 through 
508 of Title 4 of the Oklahoma Statutes; 
26.  “Narcotic drug” means any of the following, whether 
produced directly or indirectly by extraction from substance s of 
vegetable origin, or independently by means of chemical synthesis, 
or by a combination of extraction and chemical synthesis: 
a. opium, coca leaves and opiates, 
b. a compound, manufacture, salt, derivative or 
preparation of opium, coca leaves or opiate s, 
c. cocaine, its salts, optical and geometric isomers, and 
salts of isomers, 
d. ecgonine, its derivatives, their salts, isomers and 
salts of isomers, and 
e. a substance, and any compound, manufacture, salt, 
derivative or preparation thereof, which is che mically 
identical with any of the substances referred to in 
subparagraphs a through d of this paragraph, except 
that the words “narcotic drug” as used in Section 2 -
101 et seq. of this title shall not include 
decocainized coca leaves or extracts of coca lea ves, 
which extracts do not contain cocaine or ecgonine; 
27.  “Opiate” or “opioid” means any Schedule II, III, IV or V 
substance having an addiction -forming or addiction -sustaining 
liability similar to morphine or being capable of conversion into a   
 
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drug having such addiction-forming or addiction -sustaining 
liability.  The terms do not include, unless specifically designated 
as controlled under the Uniform Controlled Dangerous Substances Act, 
the dextrorotatory isomer of 3 -methoxy-n-methyl-morphinan and its 
salts (dextromethorphan).  The terms do include the racemic and 
levorotatory forms; 
28.  “Opium poppy” means the plant of the species Papaver 
somniferum L., except the seeds thereof; 
29.  “Peace officer” means a police officer, sheriff, deputy 
sheriff, district attorney’s investigator, investigator from the 
Office of the Attorney General, or any other person elected or 
appointed by law to enforce any of the criminal laws of this state 
or of the United States; 
30.  “Person” means an individual, corporation, g overnment or 
governmental subdivision or agency, business trust, estate, trust, 
partnership or association, or any other legal entity; 
31.  “Poppy straw” means all parts, except the seeds, of the 
opium poppy, after mowing; 
32.  “Practitioner” means: 
a. (1) a medical doctor or osteopathic physician, 
(2) a dentist, 
(3) a podiatrist, 
(4) an optometrist, 
(5) a veterinarian,   
 
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(6) a physician assistant or Advanced Practice 
Registered Nurse under the supervision of a 
licensed medical doctor or osteopathic physician , 
(7) a scientific investigator, or 
(8) any other person, 
licensed, registered or otherwise permitted to 
prescribe, distribute, dispense, conduct research with 
respect to, use for scientific purposes or administer 
a controlled dangerous substance in the co urse of 
professional practice or research in this state, or 
b. a pharmacy, hospital, laboratory or other institution 
licensed, registered or otherwise permitted to 
distribute, dispense, conduct research with respect 
to, use for scientific purposes or admin ister a 
controlled dangerous substance in the course of 
professional practice or research in this state; 
33.  “Production” includes the manufacture, planting, 
cultivation, growing or harvesting of a controlled dangerous 
substance; 
34.  “State” means the State of Oklahoma or any other state of 
the United States; 
35.  “Ultimate user” means a person who lawfully possesses a 
controlled dangerous substance for the person ’s own use or for the 
use of a member of the person ’s household or for administration to   
 
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an animal owned by the person or by a member of the person ’s 
household; 
36.  “Drug paraphernalia” means all equipment, products and 
materials of any kind which are used, intended for use, or fashioned 
specifically for use in planting, propagating, cultivating, growing, 
harvesting, manufacturing, compounding, converting, producing, 
processing, preparing, testing, analyzing, packaging, repackaging, 
storing, containing, concealing, injecting, ingesting, inhaling or 
otherwise introducing into the human body, a cont rolled dangerous 
substance in violation of the Uniform Controlled Dangerous 
Substances Act including, but not limited to: 
a. kits used, intended for use, or fashioned specifically 
for use in planting, propagating, cultivating, growing 
or harvesting of any species of plant which is a 
controlled dangerous substance or from which a 
controlled dangerous substance can be derived, 
b. kits used, intended for use, or fashioned specifically 
for use in manufacturing, compounding, converting, 
producing, processing or preparing controlled 
dangerous substances, 
c. isomerization devices used, intended for use, or 
fashioned specifically for use in increasing the 
potency of any species of plant which is a controlled 
dangerous substance,   
 
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d. testing equipment used, intended f or use, or fashioned 
specifically for use in identifying, or in analyzing 
the strength, effectiveness or purity of controlled 
dangerous substances, 
e. scales and balances used, intended for use, or 
fashioned specifically for use in weighing or 
measuring controlled dangerous substances, 
f. diluents and adulterants, such as quinine 
hydrochloride, mannitol, mannite, dextrose and 
lactose, used, intended for use, or fashioned 
specifically for use in cutting controlled dangerous 
substances, 
g. separation gins and sifters used, intended for use, or 
fashioned specifically for use in removing twigs and 
seeds from, or in otherwise cleaning or refining, 
marijuana, 
h. blenders, bowls, containers, spoons and mixing devices 
used, intended for use, or fashioned specificall y for 
use in compounding controlled dangerous substances, 
i. capsules, balloons, envelopes and other containers 
used, intended for use, or fashioned specifically for 
use in packaging small quantities of controlled 
dangerous substances,   
 
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j. containers and other objects used, intended for use, 
or fashioned specifically for use in parenterally 
injecting controlled dangerous substances into the 
human body, 
k. hypodermic syringes, needles and other objects used, 
intended for use, or fashioned specifically for use in 
parenterally injecting controlled dangerous substances 
into the human body except as authorized by Section 3 
of this act, 
l. objects used, intended for use, or fashioned 
specifically for use in ingesting, inhaling or 
otherwise introducing marijuana, co caine, hashish or 
hashish oil into the human body, such as: 
(1) metal, wooden, acrylic, glass, stone, plastic or 
ceramic pipes with or without screens, permanent 
screens, hashish heads or punctured metal bowls, 
(2) water pipes, 
(3) carburetion tubes and de vices, 
(4) smoking and carburetion masks, 
(5) roach clips, meaning objects used to hold burning 
material, such as a marijuana cigarette, that has 
become too small or too short to be held in the 
hand, 
(6) miniature cocaine spoons and cocaine vials,   
 
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(7) chamber pipes, 
(8) carburetor pipes, 
(9) electric pipes, 
(10) air-driven pipes, 
(11) chillums, 
(12) bongs, or 
(13) ice pipes or chillers, 
m. all hidden or novelty pipes, and 
n. any pipe that has a tobacco bowl or chamber of less 
than one-half (1/2) inch in dia meter in which there is 
any detectable residue of any controlled dangerous 
substance as defined in this section or any other 
substances not legal for possession or use; 
provided, however, the term “drug paraphernalia” shall not include 
separation gins inte nded for use in preparing tea or spice, clamps 
used for constructing electrical equipment, water pipes designed for 
ornamentation in which no detectable amount of an illegal substance 
is found or pipes designed and used solely for smoking tobacco, 
traditional pipes of an American Indian tribal religious ceremony, 
or antique pipes that are thirty (30) years of age or older; 
37. a. “Synthetic controlled substance ” means a substance: 
(1) the chemical structure of which is substantially 
similar to the chemical structure of a controlled 
dangerous substance in Schedule I or II,   
 
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(2) which has a stimulant, depressant, or 
hallucinogenic effect on the central nervous 
system that is substantially similar to or 
greater than the stimulant, depressant or 
hallucinogenic effect on the central nervous 
system of a controlled dangerous substance in 
Schedule I or II, or 
(3) with respect to a particular person, which such 
person represents or intends to have a stimulant, 
depressant, or hallucinogenic effect on the 
central nervous system that is substantially 
similar to or greater than the stimulant, 
depressant, or hallucinogenic effect on the 
central nervous system of a controlled dangerous 
substance in Schedule I or II. 
b. The designation of gamma butyrolactone or any other 
chemical as a precursor, pursuant to Section 2 -322 of 
this title, does not preclude a finding pursuant to 
subparagraph a of this paragraph that the chemical is 
a synthetic controlled substance. 
c. “Synthetic controlled substance ” does not include: 
(1) a controlled dangerous substance, 
(2) any substance for which there is an approved new 
drug application,   
 
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(3) with respect to a particular person any 
substance, if an exemption is in effect for 
investigational use, for that person under the 
provisions of Section 505 of the Federal Food, 
Drug and Cosmetic Act, Title 21 of the United 
States Code, Section 355, to the extent conduct 
with respect to such substance is pursuant to 
such exemption, or 
(4) any substance to the extent not intended for 
human consumption before s uch an exemption takes 
effect with respect to that substance. 
d. Prima facie evidence that a substance containing 
salvia divinorum has been enhanced, concentrated or 
chemically or physically altered shall give rise to a 
rebuttable presumption that the subs tance is a 
synthetic controlled substance; 
38.  “Tetrahydrocannabinols ” means all substances that have been 
chemically synthesized to emulate the tetrahydrocannabinols of 
marijuana; 
39.  “Isomer” means the optical isomer, except as used in 
subsections C and F of Section 2-204 of this title and paragraph 4 
of subsection A of Section 2 -206 of this title.  As used in 
subsections C and F of Section 2 -204 of this title, “isomer” means 
the optical, positional or geometric isomer.  As used in paragraph 4   
 
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of subsection A of Section 2-206 of this title, the term “isomer” 
means the optical or geometric isomer; 
40.  “Hazardous materials” means materials, whether solid, 
liquid or gas, which are toxic to human, animal, aquatic or plant 
life, and the disposal of which mat erials is controlled by state or 
federal guidelines; 
41.  “Anhydrous ammonia” means any substance that exhibits 
cryogenic evaporative behavior and tests positive for ammonia; 
42.  “Acute pain” means pain, whether resulting from disease, 
accidental or intentional trauma or other cause, that the 
practitioner reasonably expects to last only a short period of time.  
“Acute pain” does not include chronic pain, pain being treated as 
part of cancer care, hospice or other end -of-life care, or pain 
being treated as part of palliative care; 
43.  “Chronic pain” means pain that persists beyond the usual 
course of an acute disease or healing of an injury.  “Chronic pain” 
may or may not be associated with an acute or chronic pathologic 
process that causes continuous or in termittent pain over months or 
years; 
44.  “Initial prescription ” means a prescription issued to a 
patient who: 
a. has never previously been issued a prescription for 
the drug or its pharmaceutical equivalent in the past 
year, or   
 
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b. requires a prescription for the drug or its 
pharmaceutical equivalent due to a surgical procedure 
or new acute event and has previously had a 
prescription for the drug or its pharmaceutical 
equivalent within the past year. 
When determining whether a patient was previously issued a 
prescription for a drug or its pharmaceutical equivalent, the 
practitioner shall consult with the patient and review the medical 
record and prescription monitoring information of the patient; 
45.  “Patient-provider agreement” means a written contract or 
agreement that is executed between a practitioner and a patient, 
prior to the commencement of treatment for chronic pain using an 
opioid drug as a means to: 
a. explain the possible risk of development of physical 
or psychological dependence in the patient and prevent 
the possible development of addiction, 
b. document the understanding of both the practitioner 
and the patient regarding the patient -provider 
agreement of the patient, 
c. establish the rights of the patient in association 
with treatment and the obligations of the patient in 
relation to the responsible use, discontinuation of 
use, and storage of opioid drugs , including any   
 
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restrictions on the refill of prescriptions or the 
acceptance of opioid prescriptions from practitioners, 
d. identify the specific medications and other modes of 
treatment, including physical therapy or exercise, 
relaxation or psychological counseling, that are 
included as a part of the patient -provider agreement, 
e. specify the measures the practitioner may employ to 
monitor the compliance of the patient including, but 
not limited to, random specimen screens and pill 
counts, and 
f. delineate the process for terminating the agreement , 
including the consequences if the practitioner has 
reason to believe that the patient is not com plying 
with the terms of the agreement.  Compliance with the 
“consent items” shall constitute a valid, informed 
consent for opioid therapy.  The practitioner shall be 
held harmless from civil litigation for failure to 
treat pain if the event occurs because of nonadherence 
by the patient with any of the provisions of the 
patient-provider agreement; 
46.  “Serious illness” means a medical illness or physical 
injury or condition that substantially affects quality of life for 
more than a short period of time.  “Serious illness” includes, but 
is not limited to, Alzheimer ’s disease or related dementias, lung   
 
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disease, cancer, heart failure, renal failure, liver failure or 
chronic, unremitting or intractable pain such as neuropathic pain; 
and 
47.  “Surgical procedure” means a procedure that is performed 
for the purpose of structurally altering the human body by incision 
or destruction of tissues as part of the practice of medicine.  This 
term includes the diagnostic or therapeutic treatment of conditions 
or disease processes by use of instruments such as lasers, 
ultrasound, ionizing, radiation, scalpels, probes or needles that 
cause localized alteration or transportation of live human tissue by 
cutting, burning, vaporizing, freezing, suturing, probing or 
manipulating by closed reduction for major dislocations or 
fractures, or otherwise altering by any mechanical, thermal, light -
based, electromagnetic or chemical means ; and 
48.  “Harm-reduction services” means programs established to: 
a. reduce the spread of infectious d iseases related to 
injection drug use, 
b. reduce drug dependency, overdose deaths and associated 
complications, and 
c. increase safe recovery and disposal of used syringes 
and sharp waste. 
SECTION 2.     AMENDATORY     63 O.S. 2011, Secti on 2-101.1, is 
amended to read as follows:   
 
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Section 2-101.1. In determining whether an object is “drug 
paraphernalia”, a court or jury shall consider, in addition to all 
other logically relevant factors, the following: 
1.  Statements by an owner or by anyo ne in control of the object 
concerning its use; 
2.  The proximity of the object, in time and space, to a direct 
violation of the Uniform Controlled Dangerous Substances Act; 
3.  The proximity of the object to controlled dangerous 
substances; 
4.  The existence of any residue of controlled dangerous 
substances on the object; 
5.  Direct or circumstantial evidence of the intent of an owner, 
or of anyone in control of the object, to deliver it to any person 
who intends to use the object to facilitate a violation of the 
Uniform Controlled Dangerous Substances Act.  The innocence of an 
owner, or of anyone in control of the object, as to a direct 
violation of this act shall not prevent a finding that the object is 
intended for use, or fashioned specifically for use, as drug 
paraphernalia; 
6.  Instructions, oral or written, provided with the object 
which either state directly or imply that the object is to be used 
for the consumption of controlled dangerous substances;   
 
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7.  Descriptive materials accompanying the object which explain 
or depict its use as an object for the consumption of controlled 
dangerous substances; 
8.  The manner in which the object is displayed for sale; 
9.  Whether the owner, or anyone in control of the object, is a 
legitimate supplier of like or r elated items to the community, such 
as a licensed distributor or dealer of tobacco products; 
10.  Direct or circumstantial evidence of the ratio of sales of 
the object or objects to the total sales of the business enterprise; 
11.  The existence and scope o f legitimate uses for the object 
in the community; and 
12.  Expert testimony concerning its use . 
Provided, nothing in this section shall apply to objects in the 
possession of harm-reduction services providers as authorized by 
Section 3 of this act . 
SECTION 3.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 2 -1101 of Title 63, unless there 
is created a duplication in numbering, reads as follows: 
A.  Until July 1, 2026, the following are hereby authorize d to 
engage in harm-reduction services: 
1.  Government entities including, but not limited to, the State 
Department of Health and the Department of Mental Health and 
Substance Abuse Services; provided, no state dollars shall be used 
to purchase hypodermic needles;   
 
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2.  Religious institutions or churches; 
3.  Nonprofit organizations; 
4.  For-profit companies; 
5.  Nongovernment entities partnering with a governmental 
agency; and 
6.  Tribal governments. 
B.  Those offering harm -reduction services shall register with 
the State Department of Health and may engage in the following 
activities in order to reduce the use of drugs, prevent outbreaks of 
infectious diseases and reduce morbidity among people who use 
injection drugs: 
1.  Offer referrals and resources to tre at substance use 
disorders; 
2.  Provide education on the risk of transmission of infectious 
diseases, including human immunodeficiency virus (HIV) and viral 
hepatitis; 
3.  Rapid testing for HIV, hepatitis C and sexually transmitted 
infections (STIs); 
4.  Referrals for medical and mental health services; 
5.  Collect used hypodermic needles for safe disposal; 
6.  Possess and distribute hypodermic needles, cleaning kits, 
test kits and opioid antagonists; and   
 
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7.  Rapid substance testing products used, intended for use, or 
fashioned specifically for the use in identifying or analyzing the 
potency or toxicity of unknown substances. 
C.  Registered providers of harm -reduction services shall report 
at least quarterly to the State Department of Health: 
1.  The number of clients served including basic demographic 
information; 
2.  Number and type of referrals provided; 
3.  Number of syringes, test kits and antagonists distributed; 
4.  Number of used syringes collected; and 
5.  Number of rapid HIV and viral hepatitis test s performed 
including the number of reactive test results. 
D.  The State Commissioner of Health shall promulgate rules for 
the implementation of this section. 
SECTION 4.  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 after its passage and approval. 
 
COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 03/31/2021 - 
DO PASS, As Coauthored.