Oklahoma 2022 2022 Regular Session

Oklahoma Senate Bill SB779 Amended / Bill

Filed 04/07/2021

                     
 
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HOUSE OF REPRESENTATIVES - FLOOR VERSION 
 
STATE OF OKLAHOMA 
 
1st Session of the 58th Legislature (2021) 
 
ENGROSSED SENATE 
BILL NO. 779 	By: Daniels, Bullard, Stephens, 
David, Taylor and Jett of 
the Senate 
 
  and 
 
  Lepak of the House 
 
 
 
 
An Act relating to abortion; creating the Oklahoma 
Abortion-Inducing Drug Certification Program Act; 
defining terms; specifying applicability of act; 
directing creation of certification program; limiting 
provision of abortion -inducing drugs to certain 
practitioners and proc edures; authorizing certain 
fees and contracts; directing State Board of Pharmacy 
to establish certain requirements for manufacturers, 
distributors and physicians; providing certification 
systems and requirements for manufacturers, 
distributors and physici ans; requiring physician to 
maintain hospital admitting privileges or enter into 
certain written agreement; stating conditions of 
agreement; requiring Board to adopt certain reporting 
system; stating criteria of reporting system; 
requiring certain reportin g of physicians; providing 
for reporting of adverse events; providing criminal 
penalties; providing for certain civil remedies, 
disciplinary sanctions and injunctive relief; 
specifying certain judicial procedures; directing 
Board to develop certain enforce ment scheme; 
specifying criteria of enforcement scheme; providing 
for certain restitution; directing creation of 
certain public portal; requiring portal to list 
certain names and allow for certain complaints; 
providing for disposition of complaints; provid ing 
for confidentiality of complaints; providing certain 
construction and intent; authorizing certain 
intervention; providing severability; amending 59   
 
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O.S. 2011, Section 353.7, as last amended by Section 
4, Chapter 106, O.S.L. 2018 (59 O.S. Supp. 2020, 
Section 353.7), which relates to powers and duties of 
the Board; broadening allowed uses of fees; providing 
for codification; and providing an effective date . 
 
 
 
 
 
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 1 -757.1 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
Sections 1 through 1 6 of this act shall be known and may be 
cited as the “Oklahoma Abortion-Inducing Drug Certification Program 
Act”. 
SECTION 2.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1 -757.2 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
As used in this act: 
1.  “Abortion” means the act of using or prescribing any 
instrument, medicine, drug or any other substance, device or means 
with the intent to terminate the pregnancy of a woman known to be 
pregnant, with knowledge that the termination by th ose means will 
with reasonable likelihood cause the death of the unborn child.  
Such use, prescription or means is not an abortion if done with the 
intent to:   
 
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a. save the life or preserve the health of the unborn 
child, 
b. remove a dead unborn child caused by spontaneous 
abortion, accidental trauma or a criminal assault on 
the pregnant woman or her unborn child, 
c. remove an ectopic pregnancy, or 
d. treat a maternal disease or illness for which the 
prescribed drug is indicated; 
2.  “Abortion-inducing drug” means a medicine, drug or any other 
substance prescribed or dispensed with the intent of terminating the 
pregnancy of a woman known to be pregnant, with knowledge that the 
termination will with reasonable likelihood cause the death of the 
unborn child.  This includes the off-label use of drugs known to 
have abortion-inducing properties, which are prescribed specifically 
with the intent of causing an abortion, such as mifepristone 
(Mifeprex), misoprostol (Cytotec) and methotrexate.  This definition 
does not apply to drugs that may be known to cause an abortion, but 
which are prescribed for other medical indications, such as 
chemotherapeutic agents and diagnostic drugs.  The use of such drugs 
to induce abortion is also known as “medical”, “medication”, “RU–
486”, “chemical”, “Mifeprex regimen” or “drug-induced” abortion; 
3.  “Adverse Event”, according to the Food and Drug 
Administration, means any untoward medical occurrence associated 
with the use of a drug in humans, whether or not considered drug -  
 
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related.  It does not include an adverse event or suspected adverse 
reaction that, had it occurred in a more severe form, might have 
caused death; 
4.  “Associated physician ” means a person licensed to practice 
medicine in the state including medical doctors and doctor s of 
osteopathy, that has entered into an associated physician agreement; 
5.  “Complication” means any adverse physical or psychological 
condition arising from the performance of an abortion which 
includes, but is not limited to, uterine perforation, cervi cal 
perforation, infection, heavy or uncontrolled bleeding, hemorrhage, 
blood clots resulting in pulmonary embolism or deep vein thrombosis, 
failure to actually terminate the pregnancy, incomplete abortion 
(retained tissue), pelvic inflammatory disease, en dometritis, missed 
ectopic pregnancy, cardiac arrest, respiratory arrest, renal 
failure, metabolic disorder, shock, embolism, coma, placenta previa 
in subsequent pregnancies, preterm delivery in subsequent 
pregnancies, free fluid in the abdomen, hemolytic reaction due to 
the administration of ABO -incompatible blood or blood products, 
adverse reactions to anesthesia and other drugs, subsequent 
development of breast cancer, psychological complications such as 
depression, suicidal ideation, anxiety, sleeping d isorders, death 
and any other adverse event as defined by the Food and Drug 
Administration criteria provided in the Medwatch Reporting System;   
 
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6.  “Gestational age” means the time that has elapsed since the 
first day of the woman ’s last menstrual period, a lso known as “last 
menstrual period” or “LMP”; 
7.  “Hospital” means an institution providing medical and 
surgical treatment and nursing care for sick or injured people, or 
institutions defined under Section 1 -701 of Title 63 of the Oklahoma 
Statutes; 
8.  “Manufacturers and distributors ” means individuals or 
entities that create, produce, supply, transport or sell drugs, 
which include: 
a. any substances recognized by an official pharmacopoeia 
or formulary, 
b. any substances intended for use in the diagnosis, 
cure, mitigation, treatment, or prevention of disease, 
c. any substances other than food intended to affect the 
structure or any function of the body, or 
d. any substances intended for use as a component of a 
medicine but not a device or a component, part or 
accessory of a device; 
9.  “Obstetrician/gynecologist ”, also known as OB/GYN, means a 
licensed physician who specializes in the care of women during 
pregnancy and childbirth and in the diagnosis and treatment of 
diseases of the female reproductive orga ns and specializes in other   
 
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women’s health issues such as menopause, hormone problems, 
contraception or birth control, and infertility; 
10.  “Physician” means any person licensed to practice medicine 
in this state.  The term includes medical doctors and do ctors of 
osteopathy; 
11.  “Pregnant” or “pregnancy” means that female reproductive 
condition of having an unborn child in the mother ’s uterus; 
12.  “Provide” or “provision” means, when used regarding 
abortion-inducing drugs, any act of giving, selling, dis pensing, 
administering, transferring possession to or otherwise providing or 
prescribing an abortion -inducing drug; and 
13.  “Unborn child” means an individual organism of the species 
homo sapiens, beginning at fertilization, until the point of being 
born-alive as defined in Title 1 U.S.C., Section 8(b). 
SECTION 3.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.3 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
This act applies to any physician, health care provider or other 
person who is providing abortion -inducing drugs for use within this 
state, or any manufacturer or distributor providing abortion -
inducing drugs within this state. 
SECTION 4.    NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.4 of Title 63, unless 
there is created a duplication in numbering, reads as follows:   
 
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A.  The State Board of Pharmacy shall promulgate rules to create 
a certification program to oversee and regulate the provision of 
abortion-inducing drugs.  Abortion -inducing drugs shall be 
transported and provided in this state only by manufacturers or 
distributors certified to do so under this program.  The drugs shall 
only be provided to patients by physicians certified to do so under 
this program. 
B.  The program shall be known as the Oklahoma Abortion -Inducing 
Drug Certification Program. 
C. The Board may assess reasonable fees and enter into 
contracts with persons or entities to implement the Oklahoma 
Abortion-Inducing Drug Certification Program. 
D. Abortion-inducing drugs shall not be provided directly to 
the patient through the mail, or otherwise outside of the parameters 
of the Oklahoma Abortion -Inducing Drug Certification Pr ogram. 
SECTION 5.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.5 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
A.  The State Board of Pharmacy shall estab lish the following 
requirements for manufacturers and distributors of abortion -inducing 
drugs, at a minimum: 
1.  Require completion of the certification process for 
physicians as described in Section 7 of this act, and for   
 
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manufacturers and distributors, a s described in Section 6 of this 
act; 
2.  Notify manufacturers and distributors of physicians 
certified under the Oklahoma Abortion -Inducing Drug Certification 
Program; 
3.  Develop a reporting system as specified in Section 9 of this 
act; 
4.  Prohibit shipment of abortion-inducing drugs to physicians 
who become de-certified from the Oklahoma Abortion -Inducing Drug 
Certification Program; 
5.  Audit newly certified manufacturers and distributors within 
ninety (90) calendar days after the manufacturer or distri butor is 
authorized, and annually thereafter, to ensure that all processes 
and procedures are in place and functioning to support the 
requirements of the Oklahoma Abortion -Inducing Drug Certification 
Program; 
6.  If a manufacturer or distributor is found t o be non-
compliant, immediately suspend manufacturer ’s or distributor’s 
certification until the manufacturer or distributor demonstrates 
full compliance; and 
7.  Enforce compliance according to Section 1 2 of this act. 
B.  The State Board of Pharmacy shall establish the following 
requirements for physicians providing abortion -inducing drugs, at a 
minimum:   
 
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1.  Require completion of the certification process; 
2.  Audit newly certified physicians within ninety (90) calendar 
days after the physician is authorize d, and annually thereafter, to 
ensure that all required processes and procedures are in place and 
functioning to support the requirements of the Oklahoma Abortion -
Inducing Drug Certification Program; 
3.  If a physician is found to be non -compliant, immediately 
suspend the physician ’s certification until such time that the 
physician demonstrates full compliance; and 
4.  Enforce compliance according to Section 1 2 of this act. 
SECTION 6.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.6 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
The State Board of Pharmacy shall adopt a certification system 
for any manufacturer or distributor intending to provide abortion -
inducing drugs in the state.  To be eligible to be certified under 
this section, manufacturers and distributors shall: 
1.  Be licensed by the Board; 
2.  Only distribute to physicians certified under this act; 
3.  Record each serial number from pharmaceutical pa ckages 
distributed to each certified physician; 
4.  Abide by all applicable standards of the Utilization Review 
Accreditation Commission (URAC) or National Association of Boards of 
Pharmacy (NABP);   
 
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5.  For online sales or orders, hold a current “.pharmacy” or 
“.pharma” domain and abide by all the standards required by the NABP 
to maintain the domain; 
6.  Follow all other applicable state or federal laws related to 
the distribution or delivery of legend drugs including abortion -
inducing drugs; and 
7.  Follow all acceptable processes and procedures to maintain a 
distribution or delivery system that is secure, confidential and 
follows all processes and procedures including those for storage, 
handling, shipping, tracking package serial numbers, proof of 
delivery and controlled returns of abortion -inducing drugs. 
SECTION 7.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.7 of Title 63, unless 
there is created a duplication in numbering, reads as follows : 
The State Board of Pharmacy shall adopt a certification system 
for any physician intending to provide abortion -inducing drugs to 
patients in the state.  Individuals or physicians providing 
abortion-inducing drugs in other states are not automatically 
certified in this state, and shall be fully certified under this law 
prior to providing any abortion -inducing drugs to any pregnant women 
in this state.  To be eligible to be certified under this section 
physicians shall: 
1.  Be licensed to practice medicine and in good standing in the 
state;   
 
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2.  Examine any patient in person prior to providing abortion -
inducing drugs; 
3.  Sign an annual “Dispensing Agreement Form, ” to be developed 
and provided by the State Board of Pharmacy, before providing 
abortion-inducing drugs; 
4.  Inform the patient of gestational age -specific risks of 
using abortion-inducing drugs; 
5.  Assess for signs of domestic abuse, reproductive control, 
human trafficking and other signals of coerced abortion, per current 
state guidelines; 
6.  Adequately inform the patient of gestational age -specific 
age risks of using abortion -inducing drugs; 
7.  Inform the patient that she may see the remains of her 
unborn child in the process of completing the abortion; 
8.  Inform the patient that studies show th at babies born 
following the abortion reversal process have a rate of birth defects 
no higher than the general population; 
9.  Inform the patient that studies show that following this 
reversal process or otherwise treating a woman with progesterone 
during pregnancy does not lead to increased mortality rates; 
10.  Refrain from knowingly supplying abortion -inducing drugs to 
patients who present with any of the following: 
a. absence of a pregnancy,   
 
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b. being post-seventy days gestation or post -ten weeks of 
pregnancy, and 
c. having risk factors associated with abortion -inducing 
drugs including, but not limited to: 
(1) ectopic pregnancies, 
(2) problems with the adrenal glands near the 
kidneys, 
(3) being treated with long -term corticosteroid 
therapy, 
(4) allergic reactions to abortion -inducing drugs, 
mifepristone, misoprostol or similar drugs, 
(5) bleeding problems or is taking anticoagulant drug 
products, 
(6) has inherited porphyria, 
(7) has an intrauterine device in place, or 
(8) being Rh Negative, requiring admin istration of 
Rhogam before providing abortion -inducing drugs; 
11.  Provide or refer for emergency surgical intervention in 
cases of incomplete abortion, severe bleeding or other medical 
complications, through maintaining hospital admitting privileges or 
entering into a written agreement with an associated physician as 
specified in Section 8 of this act;   
 
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12.  Assure patient access to medical facilities equipped to 
provide blood transfusions and resuscitation or other necessary 
treatments, if necessary; 
13.  Sign, and ensure that the patient signs, all legally 
required informed consent material, providing patient with a copy 
showing both signatures, and placing the original in the patient ’s 
medical record; 
14.  Record the serial number from each package of eac h 
abortion-inducing drug given to the patient in her medical record; 
15.  Submit a written protocol of how efforts will be made to 
schedule with the patient the medically indicted follow -up 
appointment within fourteen (14) days to assure a completed 
abortion; 
16.  Report to the State Board of Pharmacy, as well as the Food 
and Drug Administration, any death associated with abortion -inducing 
drugs with the following guidelines: 
a. the patient shall be noted by a non -identifiable 
reference and the serial numbe r from each package of 
abortion-inducing drug given, whether or not 
considered drug-related, 
b. this shall be done as soon as possible but no later 
than fifteen (15) calendar days from the initial 
receipt of the information by the physician, and   
 
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c. this requirement does not affect the physician ’s other 
reporting and follow -up requirements under the 
Oklahoma Abortion-Inducing Drug Certification Program 
or any additional requirements by another department 
that oversees the abortion industry in this state; 
17. Submit a written protocol of how complications will be 
handled by the certified physician and submit a copy of a signed 
contract with an associated physician credentialed to handle certain 
complications as outlined in Section 8 of this act; 
18.  Abide by all applicable state and federal laws regarding 
medical records retention, confidentiality and privacy; and 
19.  Agree to follow and document compliance with all other 
legally required conditions for performing abortion in the state 
where the patient pres ents for her appointment including, but not 
limited to, waiting periods, informed consent requirements, 
statistical reporting, parental consent or notification, and 
required inspections. 
SECTION 8.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.8 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
The State Board of Pharmacy shall also require the following of 
certified physicians: 
1.  Maintaining hospital admittin g privileges at one or more 
hospitals in the county or contiguous county where the abortion -  
 
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inducing drug was provided, and informing the patient of any 
hospital where the physician holds admitting privileges. 
2.  Alternatively, the physician may enter int o a written 
agreement with an associated physician in the county or contiguous 
county where the abortion -inducing drug was provided.  The written 
agreement shall meet these conditions: 
a. a physician who provides an abortion -inducing drug 
shall notify the patient of the location of the 
hospital at which the associated physician has 
admitting privileges, 
b. the physician shall keep, at the location of his or 
her practice, a copy of the written agreement, 
c. the physician shall submit a copy of the written 
agreement to the State Department of Health as part of 
any required clinic licensure, 
d. the State Department of Health shall verify the 
validity of the document, and shall remove any 
personal identifying information of the patient from 
the document before r eleasing the document in 
accordance with the following: 
(1) the State Department of Health shall annually 
submit a copy of the written agreement described 
in this paragraph to each hospital located in the   
 
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county or a county that is contiguous to the 
county where the abortion was performed, and 
(2) the State Department of Health shall confirm to a 
member of the public, upon request, that the 
written agreement required to be submitted under 
this section for an abortion clinic has been 
received by the Departme nt, 
e. the agreement shall be renewed annually, or more often 
as required by the State Board of Pharmacy, 
f. the agreement shall include a requirement that the 
physician provide to the patient and require the 
patient to sign all legally required informed c onsent 
material, and 
g. the agreement shall require the adherence to all 
reporting requirements from the State Board of 
Pharmacy and the State Department of Health. 
SECTION 9.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.9 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
A.  The State Board of Pharmacy shall adopt an electronically 
based reporting system for certified physicians to report annually 
the following: 
1.  The number of patients served; 
2.  Age of patients served;   
 
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3.  Race of patients served; 
4.  County and state of residence of patients served; 
5.  If the patient resides outside the United States, city and 
country of residence; 
6.  County and state o f service; 
7.  A list of staff attending patients including licensing 
numbers and evidence of other qualifications; 
8.  Each medication used or provided per patient, by date; 
9.  Any known complications or adverse events, and how they were 
addressed, by date; and 
10.  Unresolved cases. 
B.  This reporting system shall also be used by emergency 
department physicians and private physicians who treat post -abortion 
complications. 
C.  Physicians shall protect from disclosure any personally 
identifiable informatio n of the patient in accordance with 
applicable federal and state law. 
D.  A certified physician shall also report to the State Board 
of Pharmacy, as well as the Medwatch Reporting System of the Food 
and Drug Administration (FDA), any complication or advers e event as 
defined according to the FDA criteria given in the Medwatch 
Reporting System. 
E.  The State Board of Pharmacy shall develop a system of 
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this state.  The system shall require re porting of complications and 
adverse events including, but not limited to: 
1.  Death; 
2.  Blood loss including hemorrhage; 
3.  Infection including sepsis; 
4.  Blood transfusions; 
5.  Administer drug for an ectopic pregnancy; and 
6.  Other adverse effects r equiring hospitalization or 
additional medical care. 
F.  The State Board of Pharmacy shall require the following 
providers and entities to report complications and adverse events in 
writing: 
1.  Physicians certified to provide abortion -inducing drugs; 
2.  Emergency room physicians; 
3.  Any doctor licensed in this state including an 
obstetrician/gynecologist who treats women with adverse events; 
4.  Provision of certification requires that the physician shall 
also report adverse events and any patient deaths to the FDA; and 
5.  Other individuals or entities as determined by the State 
Board of Pharmacy. 
SECTION 10.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.10 of Title 63, unless 
there is created a duplication in numbering, reads as follows:   
 
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A.  Individuals or entities not certified under the Oklahoma 
Abortion-Inducing Drug Certification Program that provide drugs for 
the purpose of inducing abortion are in violation of this act. 
B.  Individuals or entities that provide abortion -inducing drugs 
to any person or entity that is not certified, or otherwise 
authorized, to provide abortion -inducing drugs under the Oklahoma 
Abortion-Inducing Drug Certification Program are in violation of 
this act. 
C.  A person who intentionally, knowingly or recklessly violates 
any provision of this act is guilty of a misdemeanor. 
D.  A person who intentionally, knowingly or recklessly violates 
any provision of this act by fraudulent use of an abortion -inducing 
drug, with or without the knowledge of the pregnant woman, is guilty 
of a felony. 
E.  No civil or criminal penalty may be assessed against the 
pregnant woman upon whom the drug -induced abortion is attempted, 
induced or performed. 
SECTION 11.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.11 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
A.  In addition to whatever remedies are available under the 
common or statutory law of this state, failure to comply with the 
requirements of this act shall:   
 
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1.  Provide a basis for a civil malpractice action for actual 
and punitive damages; 
2.  Provide a basis for a professional disciplinary action; and 
3.  Provide a basis for recovery f or the woman’s survivors for 
the wrongful death of the woman. 
B.  When requested, the court shall allow a woman to proceed 
using solely her initials or a pseudonym and may close any 
proceedings in the case and enter other protective orders to 
preserve the privacy of the woman upon whom the drug -induced 
abortion was attempted, induced or performed. 
C.  If judgment is rendered in favor of the plaintiff, the court 
shall also render judgment for reasonable attorney ’s fees in favor 
of the plaintiff against the d efendant. 
D.  If judgment is rendered in favor of the defendant and the 
court finds that the plaintiff ’s suit was frivolous and brought in 
bad faith, the court may render judgment for reasonable attorney ’s 
fees in favor of the defendant against the plainti ff. 
E.  A cause of action for injunctive relief against a person who 
has provided an abortion -inducing drug in violation of this act may 
be maintained by: 
1.  A woman to whom such an abortion -inducing drug was provided; 
2.  A person who is the spouse, pare nt or guardian of, or a 
current or former licensed health care provider of, a woman to whom 
such an abortion-inducing drug was provided; or   
 
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3.  A prosecuting attorney with appropriate jurisdiction. 
The injunction shall prevent the defendant from providing 
further abortion-inducing drugs in violation of this act. 
SECTION 12.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.12 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
A.  The State Board of Pharmacy shall develop an enforcement 
scheme to enforce this act, which includes: 
1.  When an individual or entity provides abortion -inducing 
drugs without first seeking certification under this act, the State 
Board of Pharmacy shall: 
a. immediately report the illegal act to local law 
enforcement, or other applicable state and local 
agencies for investigation or other appropriate 
action, where appropriate, 
b. impose a fine of no less than Five Million Dollars 
($5,000,000.00) for manufacturers or distributors and 
Two Hundred Fifty Thousand Dollars ($250,000.00) for 
physicians; 
2.  When a certified manufacturer or distributor or physician is 
determined to be in non -compliance, suspend certification until 
compliance is proven to the satisfaction of the State Board of 
Pharmacy;   
 
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3.  Where a current or previously certified manufacturer or 
distributer is found to have intentionally or knowingly violated 
this act, or refuses to bring operations into compliance within 
ninety (90) calendar days, remove certification and prohibit 
continued provision of abortion -inducing drugs by the manufacturer 
or distributor until compliance is demonstrated to the satisfaction 
of the State Board of Pharmacy; 
4.  When a certified manufacturer, distributor or physician is 
in non-compliance, suspend all annual recertification until 
compliance is demonstrated to the satisfaction of the State Board of 
Pharmacy; and 
5.  Where a current or previously certified manufacturer, 
distributer or physician is found to h ave intentionally or knowingly 
violated this act, or refuses to bring operations into compliance: 
a. immediately suspend the manufacturer ’s, distributor’s 
or physician’s certification until full compliance is 
demonstrated, 
b. for certified manufacturers or distributors, impose 
fines of not less than One Million Dollars 
($1,000,000.00) per offense, 
c. for certified physicians, impose fines of not less 
than One Hundred Thousand Dollars ($100,000.00) per 
offense,   
 
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d. permanently revoke the certification of the offender 
if offender fails to demonstrate compliance within 
ninety (90) calendar days, 
e. impose remedial actions, which may include additional 
education, additional reporting or other actions as 
required by the State Board of Pharmacy, 
f. in the case of a licensed manufacturer or distributor, 
recommend sanctioning to the appropriate disciplinary 
committee of the State Board of Pharmacy, 
g. in the case of a licensed physician, report the 
violation to the appropriate medical licensing board, 
h. publicly report any disciplinary actions, consistent 
with the practices of the State Board of Pharmacy, 
i. permanently revoke the certification of the offender, 
j. in the case of a licensed manufacturer or distributor, 
recommend permanent revocation of licensure, 
k. in the case of a licensed physician, recommend 
appropriate sanctioning to the appropriate medical 
licensing board, and 
l. publicly report any disciplinary actions consistent 
with the practices of the State Board of Pharmacy. 
B.  Individuals have a Private Ri ght of Action to seek 
restitution in any court of law with appropriate jurisdiction for 
any and all damages suffered due to a violation of this act.   
 
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SECTION 13.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.13 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
A.  The State Board of Pharmacy shall develop on its website a 
complaint portal for patients, pharmacy, nursing and medical 
professionals and the public to submit information about potential 
violations offered at no charge to the parties named in this 
subsection. 
B.  The portal shall list the names of manufacturers and 
distributors that are certified under the program, as well as the 
physicians that are certi fied under the program. 
C.  The portal shall allow the party to make a complaint 
anonymously. 
D.  The State Board of Pharmacy shall review each complaint and 
determine a disposition including referral to another appropriate 
state agency, within thirty (30) days. 
E.  Confidentiality of the originator of the complaint shall be 
protected at all times except for intra -state referrals for 
investigation. 
SECTION 14.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Sec tion 1-757.14 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
A.  Nothing in this act shall be construed as creating or 
recognizing a right to abortion.   
 
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B.  It is not the intention of this act to make lawful an 
abortion that is otherwise unlawful. 
C.  Nothing in this act repeals, replaces or otherwise 
invalidates existing federal or state laws, regulations or policies. 
SECTION 15.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes a s Section 1-757.15 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
The Legislature, by joint resolution, may appoint one or more of 
its members, who sponsored or cosponsored this act in his or her 
official capacity, to in tervene as a matter of right in any case in 
which the constitutionality of this act is challenged. 
SECTION 16.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 1-757.16 of Title 63, unless 
there is created a duplication in numbering, reads as follows: 
If any one or more provisions, sections, subsections, sentences, 
clauses, phrases or words of this act or the application thereof to 
any person or circumstance is found to be unconstitutional, the same 
is hereby declared to be severable and the balance of this act shall 
remain effective notwithstanding such unconstitutionality.  The 
Legislature hereby declares that it would have passed this act, and 
each provision, section, subsection, sentence, clause, phra se or 
word thereof, irrespective of the fact that any one or more 
provisions, sections, subsections, sentences, clauses, phrases or 
words be declared unconstitutional.   
 
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SECTION 17.     AMENDATORY     59 O.S. 2011, Section 353.7, as 
last amended by Section 4, Chapter 106, O.S.L. 2018 (59 O.S. Supp. 
2020, Section 353.7), is amended to read as follows: 
Section 353.7. The State Board of Pharmacy shall have the power 
and duty to: 
1.  Regulate the practice of pharmacy; 
2.  Regulate the sale and d istribution of drugs, medicines, 
chemicals and poisons; 
3.  Regulate the dispensing of drugs and medicines in all places 
where drugs and medicines are compounded and/or dispensed; 
4.  Examine and issue appropriate certificates of licensure as 
Doctor of Pharmacy to all applicants whom the Board deems qualified 
under the provisions of the Oklahoma Pharmacy Act; 
5.  Issue licenses to manufacturers, repackagers, outsourcing 
facilities, wholesale distributors, third -party logistics providers, 
pharmacies, and other dispensers, medical gas suppliers , and medical 
gas distributors; 
6.  Issue sterile compounding and drug supplier permits for 
pharmacies at the fee set by the Board, with the expiration date of 
such permits to coincide with the pharmacy license annual ex piration 
date; 
7.  Prescribe minimum standards with respect to floor space and 
other physical characteristics of pharmacies and hospital drug rooms 
as may be reasonably necessary for the maintenance of professional   
 
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surroundings and for the protection of th e safety and welfare of the 
public, and to refuse the issuance of new or renewal licenses for 
failure to comply with such standards.  Minimum standards for 
hospital drug rooms shall be consistent with the State Department of 
Health, Hospital Standards, as defined in OAC 310:667; 
8.  Authorize its inspectors, compliance officers , and duly 
authorized representatives to enter and inspect any and all places , 
including premises, vehicles, equipment, contents and records, where 
drugs, medicines, chemicals , or poisons are stored, sold, vended, 
given away, compounded, dispensed, manufactured, repackaged or 
transported; 
9.  Employ the number of inspectors and pharmacist compliance 
officers necessary in the investigation of criminal activity or 
preparation of administ rative actions at an annual salary to be 
fixed by the Board, and to authorize necessary expenses.  Any 
inspector certified as a peace officer by the Council of Enforcement 
Education and Training shall have statewide jurisdiction to perform 
the duties authorized by this section.  In addition, the inspectors 
shall be considered peace officers and shall have the same powers 
and authority as that granted to peace officers.  In addition, such 
inspectors or pharmacist compliance officers shall have the 
authority to take and copy records and the duty to confiscate all 
drugs, medicines, chemicals or poisons found to be stored, sold,   
 
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vended, given away, compounded, dispensed or manufactured contrary 
to the provisions of the Oklahoma Pharmacy Act; 
10.  Investigate com plaints, subpoena witnesses and records, 
initiate prosecution , and hold hearings; 
11.  Administer oaths in all manners pertaining to the affairs 
of the Board and to take evidence and compel the attendance of 
witnesses on questions pertaining to the enforce ment of the Oklahoma 
Pharmacy Act; 
12.  Reprimand, place on probation, suspend, revoke permanently 
and levy fines not to exceed Three Thousand Dollars ($3,000.00) for 
each count for which any person charged with violating the Oklahoma 
Pharmacy Act or Oklah oma Board of Pharmacy administrative rules has 
been convicted in Board hearings.  The Board also may take other 
disciplinary action.  The Board may impose as part of any 
disciplinary action the payment of costs expended by the Board for 
any legal fees and costs, including, but not limited to, staff time, 
salary and travel expense, witness fees and attorney fees.  The 
Board may also require additional continuing education , including 
attendance at a live continuing education program, and may require 
participation in a rehabilitation program for the impaired.  The 
Board may take such actions singly or in combination, as the nature 
of the violation requires; 
13.  Adopt and establish rules of professional conduct 
appropriate to the establishment and maintenance o f a high standard   
 
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of integrity and dignity in the profession of pharmacy.  Such rules 
shall be subject to amendment or repeal by the Board as the need may 
arise; 
14.  Make and publish rules such as may be necessary for 
carrying out and enforcing the provis ions of the Oklahoma Pharmacy 
Act, Oklahoma drug laws and rules, federal drug laws and 
regulations, and make such other rules as in its discretion may be 
necessary to protect the health, safety , and welfare of the public; 
15.  Establish and collect appropr iate fees for licenses, 
permits, inspections , and services provided; and such fees shall be 
nonrefundable.  Such fees shall be promulgated to implement the 
provisions of the Oklahoma Pharmacy Act under the provisions of the 
Administrative Procedures Act and the Oklahoma Abortion -Inducing 
Drug Certification Program Act ; 
16.  Regulate: 
a. personnel working in a pharmacy, such as interns and 
supportive personnel , including technicians, and issue 
pharmacy technician permits and intern licenses, 
b. interns, preceptors and training areas through which 
the training of applicants occurs for licensure as a 
pharmacist, and 
c. such persons regarding all aspects relating to the 
handling of drugs, medicines, chemicals , and poisons;   
 
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17.  Acquire by purchase, lease, gift, solicitation of gift or 
by any other manner, and to maintain, use and operate or to contract 
for the maintenance, use and operation of or lease of any and all 
property of any kind, real, personal or mixed or any interest 
therein unless otherwise provided b y the Oklahoma Pharmacy Act; 
provided, all contracts for real property shall be subject to the 
provisions of Section 63 of Title 74 of the Oklahoma Statutes; 
18.  Perform other such duties, exercise other such powers and 
employ such personnel as the provis ions and enforcement of the 
Oklahoma Pharmacy Act may require; and 
19.  Approve pilot projects designed to utilize new or expanded 
technology or processes and provide patients with better pharmacy 
products or provide pharmacy services in a more safe and ef ficient 
manner.  Such approvals may include provisions granting exemptions 
to any rule adopted by the Board. 
SECTION 18.  This act shall become effective November 1, 2021. 
 
COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 04/07/2021 - 
DO PASS, As Coauthored.