Oklahoma 2022 2022 Regular Session

Oklahoma Senate Bill SB779 Engrossed / Bill

Filed 03/11/2021

                     
 
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ENGROSSED SENATE 
BILL NO. 779 	By: Daniels, Bullard, Stephens, 
David and Taylor 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 procedures; 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 physicians; requiring physician to 
maintain hospital admitting pr ivileges or enter into 
certain written agree ment; stating conditions of 
agreement; requiring Board to adopt cer tain reporting 
system; stating criteria of reporting system; 
requiring certain report ing of physicians; providing 
for reporting of adverse events; p roviding criminal 
penalties; providing for certain civil remedies, 
disciplinary sanctions and injunctive rel ief; 
specifying certain judicial procedures; directing 
Board to develop certain enforcement scheme; 
specifying criteria of enforcement scheme; providing 
for certain restitution; directing c reation of 
certain public portal; requiring portal to list 
certain names and allow for certain compl aints; 
providing for disposition of c omplaints; providing 
for confidentiality of complaints; providing certain 
construction and intent; authorizing certain 
intervention; providing severability; amending 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), which relates to powers and duties of 
the Board; broadening allowed uses of fees; providing 
for codification; and providing an effective date . 
   
 
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BE IT ENACTED BY THE PEOPLE OF TH E 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, re ads as follows: 
Sections 1 through 16 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 s ection 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, re ads 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 those means will 
with reasonable likelihood cause the deat h of the unborn child.  
Such use, prescription or means is not an abortion if done with the 
intent to: 
a. save the life or preserve the health of the unborn 
child,   
 
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b. remove a dead unborn child caused by spont aneous 
abortion, accidental trauma or a crimina l 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 termi nating 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 includ es the off-label use of drugs known to 
have abortion-inducing properties, which are p rescribed specifically 
with the intent of causing an abortion, such as mifepristo ne 
(Mifeprex), misoprostol (Cytotec) and methotrexate.  Thi s definition 
does not apply to drugs that may be known to cause an abortion, b ut 
which are prescribed for other medi cal 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 associa ted 
with the use of a drug in humans, whether or not consid ered drug-
related.  It does not include an adverse event or suspected adverse   
 
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reaction that, had it occurred in a mo re severe form, might have 
caused death; 
4.  “Associated physician” means a person licensed to practice 
medicine in the state including medical doctors and doctors 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, cervical 
perforation, infection, heavy or uncontrolled bleed ing, hemorrhage, 
blood clots resulting in pulmonary embolism or deep vein thrombosis, 
failure to actually terminate the pregnancy, incomplete abor tion 
(retained tissue), pelvic i nflammatory disease, endometriti s, missed 
ectopic pregnancy, cardiac arrest, r espiratory arrest, renal 
failure, metabolic disorder, shock, embolism, coma, placenta previa 
in subsequent pregnancies, preterm delivery in subseq uent 
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 suc h as 
depression, suicidal ideati on, anxiety, sleeping disorders, 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 sinc e the 
first day of the woman ’s last menstrual period , also known as “last 
menstrual period” or “LMP”; 
7.  “Hospital” means an institution providing m edical and 
surgical treatment and nursing care for sick or injured people, or 
institutions defined un der Section 1-701 of Title 63 of the O klahoma 
Statutes; 
8.  “Manufacturers and distributors” means individuals or 
entities that create, produce, supply, tr ansport or sell drugs, 
which include: 
a. any substances recognized by an officia l pharmacopoeia 
or formulary, 
b. any substances intended fo r 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 compon ent of a 
medicine but not a devi ce or a component, part or 
accessory of a device; 
9.  “Obstetrician/gynecologi st”, also known as OB/GYN, means a 
licensed physician who specializes in the care of women during 
pregnancy and childbi rth and in the diagnosis an d treatment of 
diseases of the female reproductive organs 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 lice nsed to practice medicine 
in this state.  The term includes medical doctors and doctors 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, dispensing, 
administering, transferring possession to or o therwise providing or 
prescribing an abortion-inducing drug; and 
13.  “Unborn child” means an individual organism of th e 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 number ing, reads as follows: 
This act applies to any physician, health care provider or other 
person who is providing abort ion-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 progra m 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 p atients 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 Certifica tion 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 Program . 
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 establish the following 
requirements for manufacturers and di stributors of abortion-inducing 
drugs, at a minimum: 
1. Require completion of the c ertification process for 
physicians as described in Section 7 of this act, and for   
 
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manufacturers and distributors, as describ ed 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 distributor 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 to be non -
compliant, immediately su spend manufacturer’s or distributor’s 
certification until th e manufacturer or distributor demonstrates 
full compliance; and 
7.  Enforce compliance according to Section 12 of this act. 
B.  The State Board of Pharmacy shall establish the following 
requirements for physicians prov iding 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 authorized, and an nually 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 ti me that the 
physician demonstrates ful l compliance; and 
4.  Enforce compliance accor ding to Section 12 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 n umbering, reads as follows: 
The State Board of Pharmacy shall adopt a certification system 
for any manufacturer or distributor intend ing 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 packages 
distributed to each certified physician ; 
4. Abide by all applicable standards of the Utilization Review 
Accreditation Commission (UR AC) 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 requ ired by the NABP 
to maintain the domai n; 
6.  Follow all other applicable state or fe deral 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 t o provide abortion-inducing drugs to 
patients in the state.  Individuals or physicians providing 
abortion-inducing drugs in other states are not automatica lly 
certified in this state, and shall be fully certified under this law 
prior to providing any abort ion-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 go od standing in the 
state;   
 
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2.  Examine any patient in person prior to providing aborti on-
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 gestat ional age-specific risks of 
using abortion-inducing drugs; 
5.  Assess for signs of domestic abu se, 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 s ee the remains of her 
unborn child in the process of completing the abortion ; 
8.  Inform the patient that studies show that babies born 
following the abortion re versal 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 mor tality rates; 
10. Refrain from knowingly supplying ab ortion-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 administration of 
Rhogam before providing abo rtion-inducing drugs; 
11.  Provide or refer for emerge ncy surgical intervention in 
cases of incomplete abortion, severe bleeding or other medical 
complications, through mai ntaining 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 medi cal 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, provi ding 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 each 
abortion-inducing drug given to the p atient in her medical record; 
15.  Submit a written pro tocol 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 number from ea ch 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 compli cations will be 
handled by the certified physician an d 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 an d privacy; and 
19.  Agree to follow and document co mpliance with all other 
legally required conditions for performing abortion in the state 
where the patient presents fo r her appointment including, but not 
limited to, waiting periods, informed consent requ irements, 
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 d uplication in numbering, reads as follows: 
The State Board of Pharmacy shall also require the following of 
certified physicians: 
1.  Maintaining hospital admitting privile ges at one or more 
hospitals in the county or c ontiguous county where the abortion -  
 
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inducing drug was provided, and informing the pa tient of any 
hospital where the physician holds admitting privi leges. 
2.  Alternatively, the physician may enter into a writt en 
agreement with an associated physician in th e county or contiguous 
county where the abortion-inducing drug was provided.  Th e written 
agreement shall meet these conditions: 
a. a physician who provides an abortion -inducing drug 
shall notify the patient o f the location of the 
hospital at which the ass ociated 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 shal l remove any 
personal identifying inf ormation of the patient from 
the document before releasing 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 b e submitted under 
this section for an abortion clinic has been 
received by the Department, 
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 l egally required informed consent 
material, and 
g. the agreement shall require the adherence to all 
reporting requirement s 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 Statu tes as Section 1-757.9 of Title 63, unless 
there is created a duplication in numberin g, reads as follows: 
A.  The State Board of Pharmacy shall adopt an electro nically 
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 serv ed; 
5.  If the patient resides outside the United States, city and 
country of residence ; 
6.  County and state of service ; 
7.  A list of staff attending patients including licensing 
numbers and evidence of other qualifications; 
8.  Each medication used or p rovided 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 p ost-abortion 
complications. 
C.  Physicians shall protect from disclosure any personally 
identifiable information of t he patient in accordance with 
applicable federal a nd state law. 
D.  A certified physicia n 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 adverse event as 
defined according to the FDA criteria given i n the Medwatch 
Reporting System. 
E.  The State Board of Pharmacy shall develop a system o f 
reporting adverse events from the use of abortion -inducing drugs for   
 
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this state.  The system shall require reporting 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 requiring hospitalization or 
additional medical care . 
F.  The State Board of Pharmacy shall require the following 
providers and entities to repor t 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 F DA; and 
5.  Other individuals or entities as de termined by the State 
Board of Pharmacy. 
SECTION 10.     NEW LAW     A ne w section of law to be codified 
in the Oklahoma Statut es as Section 1-757.10 of Title 63, unless 
there is created a dupli cation 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 inducin g abortion are in violation of this act. 
B.  Individuals or entiti es 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 violat es 
any provision of this act is guilty of a misdemeanor. 
D.  A person who intentionally, knowingly or recklessly violates 
any provision of thi s act by fraudulent use of an abortion -inducing 
drug, with or without the knowledge of the pregnant woman, is guil ty 
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 nu mbering, reads as follows: 
A.  In addition to whatev er remedies are available under the 
common or statutory law of this state, failure to comply w ith 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 for the woman’s survivors for 
the wrongful death of the w oman. 
B.  When requested, the court sh all allow a woman to proceed 
using solely her init ials or a pseudonym and may close any 
proceedings in the case and enter other protective orders to 
preserve the privacy o f the woman upon whom the drug -induced 
abortion was attempted, induced or performed. 
C.  If judgment is rendered in favor of the plaint iff, the court 
shall also render judgment for reaso nable attorney’s fees in favor 
of the plaintiff against the defendant. 
D.  If judgment is rendered in favor of the de fendant 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 plaintiff. 
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, parent or gua rdian of, or a 
current or former licensed healt h 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 jurisdicti on. 
The injunction shall prevent the defendant from providing 
further abortion-inducing drugs in violation of this ac t. 
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 enti ty provides abortion-inducing 
drugs without first seeking certification under this act, the State 
Board of Pharmacy shall: 
a. immediately report the illegal act to loca l 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 dist ributor or physician is 
determined to be in non -compliance, suspend certification until 
compliance is proven to the satis faction of the State Board of 
Pharmacy;   
 
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3.  Where a current or previously certified m anufacturer or 
distributer is found to have intent ionally 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 physi cian is 
in non-compliance, suspend all annual r ecertification 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 have inten tionally or knowingly 
violated this act, or refuses to bring operations into complian ce: 
a. immediately suspend the manufacturer’s, distributor’s 
or physician’s certification until full compliance is 
demonstrated, 
b. for certified manufacturers or distribu tors, impose 
fines of not less than One Million Dollars 
($1,000,000.00) per offense, 
c. for certified physicians, impose fines of not l ess 
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 wit hin 
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 di sciplinary actions, con sistent 
with the practices of the State Board of Pharmacy, 
i. permanently revoke the certification of the offen der, 
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 dis ciplinary actions consistent 
with the practices of the State Board of Pharmacy. 
B.  Individuals have a Private Right of Ac tion to seek 
restitution in any court of law wi th 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 fol lows: 
A.  The State Board of Pharmacy shall devel op 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 thi s 
subsection. 
B.  The portal shall list the names of manufacturers and 
distributors that are certif ied under the program, as well as the 
physicians that are certified 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 o f the complaint shall be 
protected at all times except for intra-state referrals for 
investigation. 
SECTION 14.     NEW LAW     A n ew section of law to be codified 
in the Oklahoma Statutes as Section 1-757.14 of Title 63, unless 
there is created a dup lication in numbering, reads as follow s: 
A.  Nothing in this act shall be construed as creating or 
recognizing a right to abor tion.   
 
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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 as Section 1-757.15 of Title 63, unless 
there is created a duplication in numbering, reads as f ollows: 
The Legislature, by joint resolution, may appoint one or more of 
its members, who sponso red or cosponsored this act in his or her 
official capacity, to intervene a s 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 dup lication in numbering, reads as follows: 
If any one or more provisions, sections, sub sections, 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 th e balance of this act shall 
remain effective notwithstand ing such unconstitutionality.  The 
Legislature hereby declares that it would have passed this ac t, and 
each provision, section, subsection, sentence, clause, phrase or 
word thereof, irrespective of th e fact that any one or more 
provisions, sections, subsec tions, 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. Sup p. 
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 distributi on of drugs, medicines, 
chemicals and poisons; 
3.  Regulate the dispensi ng 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 th e 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 expiration 
date; 
7.  Prescribe minimum standards with resp ect 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 the safety and welfare of the 
public, and to refuse the is suance 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 i n OAC 310:667; 
8.  Authorize its inspectors, co mpliance 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, d ispensed, manufactured, r epackaged or 
transported; 
9.  Employ the number of inspectors and pharmacist compliance 
officers necessary in the investigation of criminal activity or 
preparation of administrative ac tions at an annual salary to be 
fixed by the Board, and to authorize nec essary 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 off icers 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, chemica ls 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 complaints, 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 enforcement of t he Oklahoma 
Pharmacy Act; 
12.  Reprimand, place on probation, suspend, r evoke 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 Oklahoma 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, witn ess 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 actio ns 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 of a high standard   
 
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of integrity and dignity in the profes sion of pharmacy.  Such r ules 
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 provisions of t he Oklahoma Pharmacy 
Act, Oklahoma drug laws an d rules, federal drug law s 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 appropriate fees for licenses, 
permits, inspections , and services provided; and such fee s 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 Prog ram 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 an d 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, solicitat ion of gift or 
by any other manner, and to main tain, 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 by the Okl ahoma 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 provisions and enforcement of the 
Oklahoma Pharmacy Act may re quire; 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 efficient 
manner.  Such approvals may include provisions g ranting exemptions 
to any rule adopted by the Board. 
SECTION 18.  This act shall become effective November 1, 2021.   
 
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Passed the Senate the 10th day of March, 2021. 
 
 
  
 	Presiding Officer of the Senate 
 
 
Passed the House of Representatives the ____ day of __________, 
2021. 
 
 
  
 	Presiding Officer of the House 
 	of Representatives