SB690 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. 690 By: Pugh of the Senate
and
Hasenbeck of the House
An Act relating to telemedicine; amending Section 2,
Chapter 228, O.S.L. 2017 (59 O.S. Supp. 2020, Section
478.1), which relates to establishment of physician -
patient relationship; broadening types of allowed
licenses; and providing an effective date .
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY Section 2, Chapter 228, O.S.L.
2017 (59 O.S. Supp. 2020, Section 478.1), is amended to read as
follows:
Section 478.1. A. Unless otherwise prohibited by law, a valid
physician-patient relationship may be establi shed by an allopathic
or osteopathic physician with a patient located in this state
through telemedicine, provided that the physician:
1. Holds a license to practice medicine in this state , a
license issued by endorsement by the State Board of Medical
Licensure and Supervision under Section 493.3 of this title or a
SB690 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
license issued without examination by the State Board of Osteopathic
Examiners under Section 634 of this title ;
2. Confirms with the patient the patient ’s identity and
physical location; and
3. Provides the patient with the treating physician ’s identity
and professional credentials.
B. Telemedicine and store and forward technology encounters
shall comply with the Health Insurance Portability and
Accountability Act of 1996 and ensure that all p atient
communications and records are secure and confidential.
C. Telemedicine encounters and encounters involving store and
forward technologies in this state shall not be used to establish a
valid physician-patient relationship for the purpose of prescr ibing
opiates, synthetic opiates, semisynthetic opiates, benzodiazepine or
carisprodol, but may be used to prescribe opioid antagonists or
partial agonists pursuant to Sections 1 -2506.1 and 1-2506.2 of Title
63 of the Oklahoma Statutes.
D. A physician-patient relationship shall not be created solely
based on the receipt of patient health information by a physician.
The duties and obligations created by a physician -patient
relationship shall not apply until the physician affirmatively:
1. Undertakes to di agnose and treat the patient; or
2. Participates in the diagnosis and treatment of the patient.
SB690 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
SECTION 2. This act shall become effective November 1, 2021.
COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 03/31/2021 -
DO PASS.