ENGR. S. B. NO. 779 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 . ENGR. S. B. NO. 779 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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, ENGR. S. B. NO. 779 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ; ENGR. S. B. NO. 779 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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: ENGR. S. B. NO. 779 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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: ENGR. S. B. NO. 779 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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); ENGR. S. B. NO. 779 Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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; ENGR. S. B. NO. 779 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 , ENGR. S. B. NO. 779 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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; ENGR. S. B. NO. 779 Page 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 - ENGR. S. B. NO. 779 Page 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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; ENGR. S. B. NO. 779 Page 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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: ENGR. S. B. NO. 779 Page 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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: ENGR. S. B. NO. 779 Page 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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; ENGR. S. B. NO. 779 Page 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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, ENGR. S. B. NO. 779 Page 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. ENGR. S. B. NO. 779 Page 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 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. ENGR. S. B. NO. 779 Page 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. ENGR. S. B. NO. 779 Page 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 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 ENGR. S. B. NO. 779 Page 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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, ENGR. S. B. NO. 779 Page 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 ENGR. S. B. NO. 779 Page 29 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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; ENGR. S. B. NO. 779 Page 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. ENGR. S. B. NO. 779 Page 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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