Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB723 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	ENGR. S. B. NO. 723 Page 1 1
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28		-	~~ENGROSSED~~ SENATE
29		-	~~BILL NO. 723 By: Dahm~~, ~~Bullard, Rogers and~~
30		-	~~Taylor of the Senate~~
	29	+	SENATE FLOOR VERSION
	30	+	February 22, 2021
	31	+	AS AMENDED
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32		-	and
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34		-	Olsen and Gann of the House
	33	+	SENATE BILL NO. 723 By: Dahm and Bullard
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40	39		[ abortion - fetal heartbeat - penalties -
41	40		codification - effective date ]
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46	45		BE IT ENACTED BY THE PEOPLE OF THE ST ATE OF OKLAHOMA:
47	46		SECTION 1. AMENDATORY 59 O.S. 2011, Section 509, as last
48	47		amended by Section 36, Chapter 161, O.S.L. 2020 (59 O.S. Supp. 2020,
49	48		Section 509), is amended to read as follows:
50	49		Section 509. The words “unprofessional conduct” as used in
51	50		Sections 481 through 518.1 of this title are hereby dec lared to
52	51		include, but shall not be limited to, the following:
53	52		1. Procuring, aiding or abetting a criminal operation;
54	53		2. The obtaining of any fee or offering to accept an y fee,
55	54		present or other form of remune ration whatsoever, on the assurance
56	55		or promise that a manifestly incurable disease can or will be cured;
57	56		3. Willfully betraying a professional secret to the detriment
58	57		of the patient;
59	58		4. Habitual intemperance or the h abitual use of habit -forming
60	59		drugs;
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87	87		5. Conviction or confession of, or plea of guilt y, nolo
88	88		contendere, no contest or Alford plea to a felony or any offense
89	89		involving moral turpitude;
90	90		6. All advertising of medical busin ess in which statements are
91	91		made which are grossly untrue or improbable a nd calculated to
92	92		mislead the public;
93	93		7. Conviction or confession of, or plea of guilty, nolo
94	94		contendere, no contest or Alford plea to a crime involving v iolation
95	95		of:
96	96		a. the antinarcotic or prohibition laws and regulat ions
97	97		of the federal government,
98	98		b. the laws of this state,
99	99		c. State Board of Health r ules, or
100	100		d. a determination by a judge or jury;
101	101		8. Dishonorable or immoral conduct which is likely to dece ive,
102	102		defraud, or harm the public;
103	103		9. The commission of any act which is a violation of the
104	104		criminal laws of any state when such act is connected wit h the
105	105		physician’s practice of medicine. A complaint, indictment or
106	106		confession of a criminal violation shal l not be necessary for the
107	107		enforcement of this provision. Proof of the commission of the act
108	108		while in the practice of medicine or under the guise of the practice
109	109		of medicine shall be unprofessional conduct;
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136	137		10. Failure to keep complete and accurate recor ds of purchase
137	138		and disposal of controlled drugs or of narcotic d rugs;
138	139		11. The writing of false or fic titious prescriptions for any
139	140		drugs or narcotics declared by the laws of this state to be
140	141		controlled or narcotic drugs;
141	142		12. Prescribing or administering a drug or treatment without
142	143		sufficient examination and the estab lishment of a valid physician -
143	144		patient relationship and not prescribing in a safe, med ically
144	145		accepted manner;
145	146		13. The violation, or attempted violation, direct or indirect,
146	147		of any of the provisions of the Oklahoma Allopat hic Medical and
147	148		Surgical Licensure and Supervision Act, either as a princ ipal,
148	149		accessory or accomplice;
149	150		14. Aiding or abetting, directly or indirectly, the practice of
150	151		medicine by any person not duly authorized under the laws of this
151	152		state;
152	153		15. The inability to practice medicine with reas onable skill
153	154		and safety to patients by reason of age, illness, drunkenness,
154	155		excessive use of drugs, narcotics, chemicals , or any other type of
155	156		material or as a result of any mental or physical condition. In
156	157		enforcing this section the State Board of Medica l Licensure and
157	158		Supervision may, upon probable cause, request a physician to submit
158	159		to a mental or physical examination by physicians designated by it.
159	160		If the physician refuses to submit to t he examination, the Board
160	161
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186	188		shall issue an order requiring the phy sician to show cause why the
187	189		physician will not submit to the examination and shall s chedule a
188	190		hearing on the order within thirty (30) days after notice is served
189	191		on the physician, exclusive o f the day of service. The ph ysician
190	192		shall be notified by either personal service or by certified mail
191	193		with return receipt requested. At the hearing , the physician and
192	194		the physician’s attorney are entitled to present any testimony and
193	195		other evidence to sh ow why the physician should n ot be required to
194	196		submit to the examination. After a complete hearing, t he Board
195	197		shall issue an order either requiring the physician to submit to the
196	198		examination or withdrawing the request for examination. The medical
197	199		license of a physician ordered to su bmit for examination may be
198	200		suspended until the results of the examinatio n are received and
199	201		reviewed by the Board;
200	202		16. a. Prescribing, dispensing or administering of controlled
201	203		substances or narcotic drugs in excess of the amou nt
202	204		considered good medical pr actice,
203	205		b. prescribing, dispensing or administering controlled
204	206		substances or narcotic drugs without medical need in
205	207		accordance with pertinent licensing board standards,
206	208		or
207	209		c. prescribing, dispensing or administering opioid drug s
208	210		in excess of the maximum li mits authorized in Section
209	211		2-309I of Title 63 of the Oklahoma Statutes;
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236	239		17. Engaging in physical conduct with a patient which is sexual
237	240		in nature, or in any verbal behavior which is seductive or sexually
238	241		demeaning to a patient ;
239	242		18. Failure to maintain an office record for each patient whi ch
240	243		accurately reflects the evaluation, treatment, and medical necessity
241	244		of treatment of the patient;
242	245		19. Failure to provide necessary ongoing medical treatment when
243	246		a doctor-patient relationship has been established, whi ch
244	247		relationship can be severed by e ither party providing a reasonable
245	248		period of time is granted; or
246	249		20. Failure to prov ide a proper and safe medical facility
247	250		setting and qualified assistive personnel for a recognized medical
248	251		act, including but not limited to an initial in-person patient
249	252		examination, office surgery, diagnostic service or any other medical
250	253		procedure or treatment. Adequate medical records to support
251	254		diagnosis, procedure, treatment or prescribed medications must b e
252	255		produced and maintained ; or
253	256		21. Violation of the provisions o f the Heartbeat Informed
254	257		Consent Act.
255	258		SECTION 2. AMENDATORY 59 O.S. 2011, Section 637, as last
256	259		amended by Section 42, Chapter 161, O.S.L. 2020 ( 59 O.S. Supp. 2020,
257	260		Section 637), is amended to read as follows:
258	261		Section 637. A. The State Board of Osteopathic Examiners may
259	262		refuse to admit a person to an examination or may refuse to issue or
260	263
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286	290		reinstate or may suspend or revoke any licen se issued or reinstated
287	291		by the Board upon proof that the applicant or holder of such a
288	292		license:
289	293		1. Has obtained a license, license renewal or authorization to
290	294		sit for an examination, as the case may be, through fraud,
291	295		deception, misrepresentation or bribe ry; or has been granted a
292	296		license, license renewal or authorization to sit for an examination
293	297		based upon a material mistake of fact;
294	298		2. Has engaged in the use or employment of dishonest y, fraud,
295	299		misrepresentation, fals e promise, false pretense, unethical conduct
296	300		or unprofessional conduct, as may be determined by the Board, in the
297	301		performance of the functions or duties of an osteopathic physi cian,
298	302		including but not limited to the followin g:
299	303		a. obtaining or attempting to obtain any fee, charge,
300	304		tuition or other compensation by fraud, deceptio n or
301	305		misrepresentation; willfully and continually
302	306		overcharging or overtreating patients; or charging for
303	307		visits to the physician’s office which did not occur
304	308		or for services which were not rendered,
305	309		b. using intimidation, coercion or deception to obtain or
306	310		retain a patient or discourage the use of a second
307	311		opinion or consultation,
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334	339		c. willfully performing ina ppropriate or unnecessary
335	340		treatment, diagnostic tests or osteopathic medical or
336	341		surgical services,
337	342		d. delegating professional responsibilities to a pers on
338	343		who is not qualified by training, skill, competency,
339	344		age, experience or licensure to perform them, no ting
340	345		that delegation may only occur within an a ppropriate
341	346		doctor-patient relationship, wherein a proper patient
342	347		record is maintained including, but not limited to, at
343	348		the minimum, a current history and physical,
344	349		e. misrepresenting that any disease, ailment , or
345	350		infirmity can be cured by a method, proced ure,
346	351		treatment, medicine or devic e,
347	352		f. acting in a manner which result s in final disciplinary
348	353		action by any professional society or association or
349	354		hospital or medical staff of such hospital in this or
350	355		any other state, whether agreed to voluntarily or not,
351	356		if the action was in any way rela ted to professional
352	357		conduct, professional competence, malpractice or any
353	358		other violation of the Oklahoma Osteopathic Medicine
354	359		Act,
355	360		g. signing a blank prescription form; or disp ensing,
356	361		prescribing, administering or otherwise distributing
357	362		any drug, controlled substance or other treatment
358	363
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384	390		without sufficient examination or the est ablishment of
385	391		a physician-patient relationship, or for other than
386	392		medically accepted therapeutic or expe rimental or
387	393		investigational purpose duly author ized by a state or
388	394		federal agency, or not in good faith to relieve pai n
389	395		and suffering, or not to treat an ailment, physical
390	396		infirmity or disease, or violating any state or
391	397		federal law on controlled dangerous s ubstances
392	398		including, but not limited to, prescr ibing, dispensing
393	399		or administering opioid drugs in excess of the maxim um
394	400		limits authorized in Section 2 -309I of Title 63 of the
395	401		Oklahoma Statutes,
396	402		h. engaging in any sexual activity within a physician -
397	403		patient relationship,
398	404		i. terminating the care of a pati ent without adequate
399	405		notice or without making other arrangements for t he
400	406		continued care of the patient,
401	407		j. failing to furnish a copy of a patient ’s medical
402	408		records upon a proper request from the patient or
403	409		legal agent of the patient or another physician; o r
404	410		failing to comply with any othe r law relating to
405	411		medical records,
406	412		k. failing to comply with any subpoen a issued by the
407	413		Board,
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434	441		l. violating a probation agreement or order with this
435	442		Board or any other agency, and
436	443		m. failing to keep complete and accurate re cords of
437	444		purchase and disposal of controlled drugs or narcotic
438	445		drugs;
439	446		3. Has engaged in gross negligence , gross malpractice or gross
440	447		incompetence;
441	448		4. Has engaged in repeated acts of negligence, malpractice o r
442	449		incompetence;
443	450		5. Has been finally adjudicate d and found guilty, or entered a
444	451		plea of guilty or nolo contendere in a criminal prosecution, for any
445	452		offense reasonably related to the qualifications, functions or
446	453		duties of an osteopathic physician, whether or not sentence is
447	454		imposed, and regardless of t he pendency of an appeal;
448	455		6. Has had the authority to engage in the a ctivities regulated
449	456		by the Board revoked, suspended, restricted, modified or limited, or
450	457		has been reprimanded, warned or censured, probated or otherwise
451	458		disciplined by any other state or federal agency whether or not
452	459		voluntarily agreed to by the physician including, but not limited
453	460		to, the denial of licensure, surrender of the license, permit or
454	461		authority, allowing the license, permit or auth ority to expire or
455	462		lapse, or discontinuing or l imiting the practice of osteopath ic
456	463		medicine pending disposition of a complaint or completion of an
457	464		investigation;
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484	492		7. Has violated, or failed to comply with provisions of any act
485	493		or regulation administered by the Board;
486	494		8. Is incapable, for medical or ps ychiatric or any other good
487	495		cause, of discharging the functions of an osteopathic physician in a
488	496		manner consistent with the public ’s health, safety and welfare;
489	497		9. Has been guilty of advertising by means of k nowingly false
490	498		or deceptive statements;
491	499		10. Has been guilty of advertising, pra cticing, or attempting
492	500		to practice under a name other than one ’s own;
493	501		11. Has violated or refused to comply with a lawful order of
494	502		the Board;
495	503		12. Has been guilty of habitual drunkenness, or habitual
496	504		addiction to the use o f morphine, cocaine or other habi t-forming
497	505		drugs;
498	506		13. Has been guilty of personal offensive behavior, wh ich would
499	507		include, but not be limited to obscenity, lewdness and molestation;
500	508		and
501	509		14. Has been adjudica ted to be insane, or incompetent, or
502	510		admitted to an institution for the treatmen t of psychiatric
503	511		disorders; and
504	512		15. Has violated the provisions of the Heartbeat Informed
505	513		Consent Act.
506	514		B. The State Board of Osteopathic Examiners shall neither
507	515		refuse to renew, nor suspend, nor revoke any license, howeve r, for
508	516
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534	543		any of these causes, unless the person accused has been given a t
535	544		least twenty (20) days ’ notice in writing of the charge against him
536	545		or her and a public hearing by the Board provided, three -fourths
537	546		(3/4) of a quorum present at a meeting may vote to suspend a license
538	547		in an emergency situation if the licensee affected i s provided a
539	548		public hearing within thirty (30) days of the emergency suspension.
540	549		C. The State Board of Osteopathic Examiners shall have th e
541	550		power to order or subpoena the attendance of witnesses, the
542	551		inspection of records and premises and the production o f relevant
543	552		books and papers for the investigation of matters that may come
544	553		before them. The presiding officer of the Board shall have the
545	554		authority to compel the giving of testimony as is conferred on
546	555		courts of justice.
547	556		D. Any osteopathic physician in th e State of Oklahoma whose
548	557		license to practice osteopathic medicine is revoked or suspended
549	558		under this section shall have the right to seek judicial review of a
550	559		ruling of the Board pursua nt to the Administrative Procedures Act.
551	560		E. The Board may enact rules and regulations pursuant to the
552	561		Administrative Procedures Act setting out additional acts of
553	562		unprofessional conduct; which acts shall be g rounds for refusal to
554	563		issue or reinstate, or fo r action to condition, suspend or revoke a
555	564		license.
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582	592		SECTION 3. AMENDATORY Section 4, Chapter 159, O.S.L.
583	593		2012 (63 O.S. Supp. 20 20, Section 1-745.14), is amended to read as
584	594		follows:
585	595		Section 1-745.14. A. Any abortion provider who knowingly
586	596		performs or induces any abortion shall com ply with the requirements
587	597		of the Heartbeat Informed Consent Act.
588	598		B. Prior to a woman giving informed consent to having any part
589	599		of an abortion performed or induced, if the pregnancy is at least
590	600		eight (8) six (6) weeks after fertilization, the abortion pro vider
591	601		who is to perform or induce the abortion or an agent of the abortion
592	602		provider shall tell the woman that it may be possible to make
593	603		determine if the embryonic or fetal heartbeat of the unborn child is
594	604		audible for the pregnant woman to hear and ask the woman if she
595	605		would like to hear the heartbeat. If the woman would like to hear
596	606		the heartbeat, the abortion provider shall, using a Doppler fetal
597	607		heart rate monitor, make the embryonic or fetal heartbeat of the
598	608		unborn child audible for the pregnant woman to hear. No physician
599	609		shall perform an abortion if the physician determines the embryonic
600	610		or fetal heartbeat is audible. An abortion provider , or an agent of
601	611		the abortion provider shall not be in violat ion of the requirements
602	612		of this subsection if:
603	613		1. The provider or agent has attempted, consistent with
604	614		standard medical practice, to make the embryonic or fetal heartbeat
605	615
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631	642		of the unborn child audible for the p regnant woman to hear using a
632	643		Doppler fetal heart rate monitor;
633	644		2. That attempt does not result in the heartbeat being made
634	645		audible; and
635	646		3. The provider has offered to attempt to make the heartbeat
636	647		audible at a subsequent date.
637	648		C. Nothing in this sectio n shall be construed to prevent the
638	649		pregnant woman from not listening to the sounds detected by the
639	650		Doppler fetal heart rate monitor pursuant to the requirements of
640	651		subsection B of this section.
641	652		SECTION 4. AMENDATORY Section 6, Ch apter 159, O.S.L.
642	653		2012 (63 O.S. Supp. 20 20, Section 1-745.16), is amended to read as
643	654		follows:
644	655		Section 1-745.16. A. Any person who intentionally or
645	656		recklessly performs or induces an abortion in violation of the
646	657		Heartbeat Informed Consent Act shall be guil ty of a misdemeanor. No
647	658		penalty shall be asses sed against the woman upon whom the abortion
648	659		is performed or induced or attempted to be performed or induced.
649	660		B. Any woman upon whom an abortion has been performed or
650	661		induced in violation of this act the Heartbeat Informed consent Act,
651	662		or the father of the unborn child who was the subject of such an
652	663		abortion, may maintain an action agains t the person who performed or
653	664		induced the abortion in intentional or reckless violation of this
654	665		act for actual and punitive damages. Any woman upon whom an
655	666
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681	693		abortion has been attempted in violation of this act may maintain an
682	694		action against the person who attempted to perform or induce the
683	695		abortion in an intentional or reckless violation of this act for
684	696		actual and punitive dama ges.
685	697		C. A cause of action for injunctive relief against any person
686	698		who has intentionally or recklessly violated this act the Heartbeat
687	699		Informed Consent Act may be maintained by the woman upon whom an
688	700		abortion was performed or induced in violation of this act; by any
689	701		person who is the spouse, parent, sibling , or guardian of, or a
690	702		current or former licensed health care pr ovider of, the woman upon
691	703		whom an abortion has bee n performed or induced in violation of this
692	704		act; by a district attorney with appropriate jurisdiction; or by the
693	705		Attorney General. The injunction shall prevent the a bortion
694	706		provider from performing or indu cing further abortions in violation
695	707		of this act in the state.
696	708		D. If judgment is rendered in favor of the plaintiff in an
697	709		action described in this section, the court shall also render
698	710		judgment for a reasonable attorn ey fee in favor of the plaintiff
699	711		against the defendant.
700	712		E. If judgment is rendered in fav or of the defendant and the
701	713		court finds that the plaintiff ’s suit was frivolous and broug ht in
702	714		bad faith, the court shall also render judgment for a reasonable
703	715		attorney fee in favor of the defendant against the plaintiff.
704	716
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730	743		F. No damages or attorney fee may be assessed against the woman
731	744		upon whom an abortion was performed or attempted to be per formed or
732	745		induced except in accordance with subsection E of this section.
733	746		G. In addition to all other penalties pres cribed by this
734	747		section, a physician who intentiona lly or recklessly performs or
735	748		induces an abortion in violation of the Heartbeat Informed Consent
736	749		Act shall be prohibited from obtaining or renewing a license to
737	750		practice medicine in this state. The State B oard of Medical
738	751		Licensure and Supervision shall re voke the license of a medical
739	752		doctor who intentionally or recklessly performs or induces an
740	753		abortion in violation of the Heartbeat Informed Consent Act. The
741	754		State Board of Osteopathic Examiners shall revok e the license of a
742	755		doctor of osteopathy who intent ionally or recklessly performs or
743	756		induces an abortion in violation of the Heartbeat Infor med Consent
744	757		Act.
745	758		SECTION 5. NEW LAW A new section of law to be codified
746	759		in the Oklahoma Statu tes as Section 1-745.20 of Title 63, unless
747	760		there is created a duplication in numbering, reads as follows:
748	761		If some or all of the provisions of Section 1, 2, 3 or 4 of this
749	762		act are ever temporarily or permanently rest rained or enjoined by
750	763		court order, the remaining provisions of such section shall be
751	764		enforced as though the restrained or enjoined provisions had not
752	765		been adopted; provided, howev er, if such temporary or permanent
753	766		restraining order or injunction is stayed or dissolved, or otherwise
754	767
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780	794		ceases to have effect, such provisions shall have full force a nd
781	795		effect.
782	796		SECTION 6. This act shall become effective November 1, 202 1.
783		-	Passed the Senate the 10th day of March, 2021.
784		-
785		-
786		-
787		-	Presiding Officer of the Senate
788		-
789		-
790		-	Passed the House of Representatives the ____ day of __________,
791		-	2021.
792		-
793		-
794		-
795		-	Presiding Officer of the House
796		-	of Representatives
797		-
	797	+	COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES
	798	+	February 22, 2021 - DO PASS AS AMENDED