Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB779 Latest Draft

Bill / Enrolled Version Filed 05/25/2021

                             
 
 
An Act 
ENROLLED SENATE 
BILL NO. 779 	By: Daniels, Bullard, Stephens, 
David, Taylor, Jett and 
Bergstrom of the Senate 
 
  and 
 
  Lepak, Dills, Gann, Smith, 
Patzkowsky and Roberts 
(Sean) 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; 
authorizing certain fees and contracts; limiting 
provision of abortion -inducing drugs to certain 
practitioners and procedures; directing promulgation 
of certain rules; directing establishment of certain 
requirements for manufacturers, distributors and 
physicians; providing certification systems and 
requirements for manufacturers, distributors and 
physicians; requiring physician to maintain hospital 
admitting privileges or enter into certain written 
agreement; stating con ditions of agreement; requiring 
adoption of certain reporting system; stating 
criteria of reporting system; requiring certain 
reporting of physicians; providing for reporting of 
adverse events; providing criminal pe nalties; 
providing for certain civil reme dies, disciplinary 
sanctions and injuncti ve relief; specifying certain 
judicial procedures; directing development of certain 
enforcement scheme; specif ying criteria of 
enforcement scheme; providing for certain 
restitution; directing creation of certain pub lic 
portals; requiring portals to list certain names and 
allow for certain complaints; providing for 
disposition of complaints; providing for 
confidentiality of complaints; providing certain   
 
ENR. S. B. NO. 779 	Page 2 
construction and intent; authorizing certain 
intervention; provid ing 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 State Board of Pharmacy; broadening allowed uses 
of fees; amending 59 O.S. 2011, Section 643 , which 
relates to the State Board of Osteopathic Examin ers 
Revolving Fund; amending 59 O.S. 2011, Section 644, 
as amended by Section 266, Chapter 304, O.S.L. 2012 
(59 O.S. Supp. 2020, Section 644) , which relates to 
the State Board of Osteopath ic Examiners Revolving 
Fund; broadening sources and allowed uses of monies; 
providing for codification; and providing an 
effective date. 
 
 
 
 
SUBJECT:  Oklahoma Abortion-Inducing Drug Certifi cation Program Act 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
 
SECTION 1.     NEW LAW     A new secti on 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 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 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 mea ns 
with the intent to terminat e the pregnancy of a woman known to be 
pregnant, with knowledge that the termination by those means will 
with reasonable likelihood cau se the death of the unborn child.    
 
ENR. S. B. NO. 779 	Page 3 
Such use, prescription or means is not an abortion if do ne with the 
intent to: 
 
a. save the life or preserve the health of the unborn 
child, 
 
b. remove a dead unborn child caused by spontaneou s 
abortion, accidental trauma o r a criminal assault on 
the pregnant woman or her unborn child, 
 
c. remove an ectopic pregna ncy, 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 b e pregnant, with knowledge tha t the 
termination will with reasonable likelihood cause the death of the 
unborn child.  This includes th e off-label use of drugs known to 
have abortion-inducing properties, which are prescribed specifically 
with the intent of causing an abortion, such as m ifepristone 
(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 occurrenc e associated 
with the use of a drug in humans, whether or not considered drug -
related.  It does not incl ude an adverse event or suspect ed adverse 
reaction that, had it occurred in a more severe form, might have 
caused death; 
 
4.  “Associated physician ” means a person fully licensed and in 
good standing to practice medicine in the state including medical 
doctors and doctors of osteopathy, who has entered into an 
associated physician agreement; 
   
 
ENR. S. B. NO. 779 	Page 4 
5.  “Complication” means any adverse physical or psychological 
condition arising from the performance of an abortion which 
includes, but is not limited to, uterine perfor ation, cervical 
perforation, infection, heavy or uncontrolled bleeding, hemorrhage, 
blood clots resulting in pulmonary emb olism or deep vein thrombosis, 
failure to actually terminate the pregnancy, incomplete abortion 
(retained tissue), pelvic inflammatory disease, endometritis, missed 
ectopic pregnancy, cardiac arrest, respiratory arrest, renal 
failure, metabolic disorder, s hock, 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 anesthesi a and other drugs, subsequent 
development of breast cancer, psychological complications such as 
depression, suicidal ideation, anxiety , sleeping disorders, death 
and any other adverse event as defined by the Food and Drug 
Administration criteria provided i n the Medwatch Reporting Syste m; 
 
6.  “Gestational age” means the time that has elapsed since the 
first day of the woman ’s last menstrual period, also 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 th e diagnosis, 
cure, mitigation, treatment or prevention of disease, 
 
c. any substances other than food intended to affect t he 
structure or any function of the body, or 
   
 
ENR. S. B. NO. 779 	Page 5 
d. any substances intended for use as a component of a 
medicine but not a device or a com ponent, part or 
accessory of a device; 
 
9.  “Obstetrician/gynecologist”, also known as OB/GYN, means a 
licensed physician w ho specializes in the care of w omen during 
pregnancy and childbirth and in the diagnosis and treatment of 
diseases of the female repro ductive organs and specializes i n other 
women’s health issues such as menopause, hormone problem s, 
contraception or birth control, and infertility; 
 
10.  “Physician” means any person fully licensed by and in good 
standing with the State Board of Medical Lic ensure and Supervision 
or the State Board of Osteopathic Examiners 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 o f giving, selling, dispensing, 
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 th e point of being 
born-alive as defined in Title 1 U.S.C., Section 8(b). 
 
SECTION 3.     NEW LAW     A new section of la w to be codified 
in the Oklahoma Statutes as Section 1-757.3 of Title 63, unless 
there is created a duplication in numberi ng, 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, unle ss 
there is created a duplicatio n in numbering, reads as follows: 
   
 
ENR. S. B. NO. 779 	Page 6 
A. The State Board of Pharmacy, the State Board of Medical 
Licensure and Supervision a nd the State Board of Osteopathic 
Examiners shall create a certification program for abortion-inducing 
drugs. The program shall be kno wn as the Oklahoma Abortion-Inducing 
Drug Certification Program. 
 
B.  The State Board of Medical Licensure and Supervision , the 
State Board of Osteopathic Examiners and the State Board of Pharmacy 
may assess reasonable fees on their respective licensees and enter 
into contracts with persons or entities to implement the Oklahoma 
Abortion-Inducing Drug Certification Program. 
 
C. Abortion-inducing drugs shall not be provided directly to 
the patient through the mail, telemedicine or otherwise outside of 
the parameters of the Oklahoma Abortion-Inducing Drug Certification 
Program. 
 
SECTION 5.     NEW LAW     A new sec tion 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 promulg ate rules to create 
a certification program to oversee an d regulate the manufacture and 
distribution of abortion-inducing drugs by manufacturers and 
distributors licensed by the State Board of Pharmacy. 
 
B.  The State Board of Pharmacy shall establish the f ollowing 
requirements for manufacturers and distributors of abortion-inducing 
drugs, at a minimum: 
 
1.  Require completion of the certification process for 
manufacturers and distributors as described in Section 6 of this 
act; 
 
2.  Require that abortion-inducing drugs be transported and 
provided in this state only by manufacturers or distributors 
certified to do so under this program; 
 
3.  Notify manufacturers and d istributors of physicians 
certified under the Oklahoma Abortion-Inducing Drug Certification 
Program; 
   
 
ENR. S. B. NO. 779 	Page 7 
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 manufact urers and distributors within 
ninety (90) calendar days after the m anufacturer or distributor is 
authorized, and annually th ereafter, to ensure that all processes 
and procedures are in place and functioning to support the 
requirements of the Oklahoma Abort ion-Inducing Drug Certification 
Program; 
 
6.  If a manufacturer or d istributor is found to be 
noncompliant, immediately suspe nd manufacturer’s or distributor’s 
certification until the manufacturer or distributor demonstrates 
full compliance; and 
 
7.  Enforce compliance according to Section 12 of this act. 
 
C. The State Board of Medical Licensure and Supervision and the 
State Board of Osteopathic Examiners shall promulgate rules to 
create a certification program to oversee and reg ulate the provision 
of abortion-inducing drugs by physicians licensed by the respective 
state licensing board.  The drugs shall only be provided to patien ts 
by fully licensed physicians certified to do so under this program 
by their respective state licens ing boards. 
 
D.  The State Board of Medical Licensure and Supervision and the 
State Board of Osteo pathic Examiners shall establish the following 
requirements for physicians providing abortion -inducing drugs, at a 
minimum: 
 
1.  Require completion of the certification process for 
physicians as described in Section 7 of this act; 
 
2.  Audit newly certified physicians within ninety (90) calendar 
days after the physician is authorized, 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; 
   
 
ENR. S. B. NO. 779 	Page 8 
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; 
 
4. Develop a reporting system as specified in Section 9 of this 
act; and 
 
5. Enforce compliance according to Section 12 of this a ct. 
 
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 a s follows: 
 
The State Board of Pharmacy shall adopt a cert ification 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 shal l: 
 
1.  Be licensed by the Board; 
 
2.  Only distribute to p hysicians 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 (URAC) or National Association of Boards of 
Pharmacy (NABP); 
 
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 accept able processes and procedures to maintain a 
distribution or delivery system that is secure, confiden tial and 
follows all processes and procedures including t hose for storage, 
handling, shipping, tracking package serial numbers, proof of 
delivery and controlled returns of abortion-inducing drugs.   
 
ENR. S. B. NO. 779 	Page 9 
 
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 Medical Licensure and Supervision and the 
State Board of Osteopathic Examiners shall adopt a certification 
system for any physician intending to pr ovide 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 sect ion 
physicians shall: 
 
1.  Be fully licensed by and in good standing with either the 
State Board of Medical Licensure and Supervision or the State Board 
of Osteopathic Examiners to practice medicine in the state; 
 
2.  Examine any patient in person prior to p roviding abortion-
inducing drugs; 
 
3. Sign an annual “Dispensing Agreement Form ”, to be developed 
and provided by the physician’s state licensing board , 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 curr ent 
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 that babies born 
following the abortion reversal process have a rate of birth defects 
no higher than the general population;   
 
ENR. S. B. NO. 779 	Page 10 
 
9.  Inform the patient that studies show that following this 
reversal process or otherwise treating a w oman 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, 
 
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 ne ar 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 porphy ria, 
 
(7) has an intrauterine device in place, or 
 
(8) being Rh Negative, requiring administration 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 hospi tal admitting privileges or 
entering into a written agreement with an associated physician as 
specified in Section 8 of this act;   
 
ENR. S. B. NO. 779 	Page 11 
 
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 n umber from each package of each 
abortion-inducing drug given to the patient in her medi cal record; 
 
15.  Submit a written protocol of ho w efforts will be made to 
schedule with the patient the medicall y indicated follow-up 
appointment within fourteen (14) da ys to assure a completed 
abortion; 
 
16.  Report to the State Board of Pharmacy, the physician’s 
state licensing board and 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 each package of 
abortion-inducing drug given, whether or not 
considered drug-related, 
 
b. this shall be done as soon as possible bu t no later 
than fifteen (15) calendar days from the initi al 
receipt of the information by the physician, and 
 
c. this requirement does not a ffect the physician’s other 
reporting and follow-up requirements under the 
Oklahoma Abortion-Inducing Drug Certificat ion Program 
or any additional requirements by another dep artment 
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;   
 
ENR. S. B. NO. 779 	Page 12 
 
18.  Abide by all applicable st ate and federal laws regarding 
medical records retentio n, confidentiality and privacy; and 
 
19.  Agree to follow and doc ument compliance with all other 
legally required conditio ns for performing abortion in the state 
where the patient presents for her appo intment including, but not 
limited to, waiting periods, informed consent requirements, 
statistical reporting, parental c onsent 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 Medical Licensure and Supervision and t he 
State Board of Osteopathic Examiners shall also require the 
following of certified physicians: 
 
1.  Maintaining hospital admitting pr ivileges at one or more 
hospitals in the county or contiguous co unty where the abortion-
inducing drug was provided, and i nforming the patient of any 
hospital where the physician holds admitting pri vileges; or 
 
2.  Alternatively, the physician may enter into 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 p hysician has 
admitting privileges, 
 
b. the physician shall keep, at the location of his or 
her practice, a copy of the written agre ement, 
 
c. the physician shall submit a copy of the written 
agreement to their state licensing board and the State 
Department of Health as part of any required clinic 
licensure, 
   
 
ENR. S. B. NO. 779 	Page 13 
d. the State Department of Health shall verify the 
validity of the document, and shall remove any 
personal identifying information of the pat ient 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 
county or a county t hat 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 req uired to be submitted under 
this section for an abortion clinic ha s been 
received by the Department, 
 
e. the agreement shall be ren ewed annually, or more often 
as required by the physician’s state licensing board , 
 
f. the agreement shall include a requirem ent that the 
physician provide to the patient and require the 
patient to sign all legally required informed consent 
material, and 
 
g. the agreement shall require the adherence to all 
reporting requirements from the State Department of 
Health and the physician’s licensing board. 
 
SECTION 9.     NEW LAW     A n ew section of law to be codified 
in the Oklahoma Statutes as Sec tion 1-757.9 of Title 63, unless 
there is created a dupli cation in numbering, reads as follows: 
 
A.  The State Board of Medical Licensure and Supervision and the 
State Board of Osteopathic Exam iners shall adopt an electronically 
based reporting system for c ertified physicians to report annually 
the following: 
 
1.  The number of patients served; 
 
2.  Age of patients served;   
 
ENR. S. B. NO. 779 	Page 14 
 
3.  Race of patients served; 
 
4.  County and state of residence of patients served; 
 
5.  If the patient resides outside the United States, ci ty and 
country of residence; 
 
6.  County and state of serv ice; 
 
7.  A list of staff attending patients including lic ensing 
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; an d 
 
10.  Unresolved cases. 
 
B.  This reporting system sh all also be used by emergency 
department physicians and private physicians who tre at post-abortion 
complications. 
 
C.  Physicians shall protect fro m disclosure any personally 
identifiable information of t he patient in accordance with 
applicable federal and state law. 
 
D.  A certified physician shall also report to their licensing 
board, the State Board of Pharmacy and the Medwatch Reporting System 
of the Food and Drug Administration (FDA), any complication or 
adverse event as defined according to the FDA cr iteria given in the 
Medwatch Reporting System. 
 
E.  The State Board of Medical Licensure and Supervision and the 
State Board of Osteopathic Examiners shall develop a system of 
reporting adverse events from the use of abortion-inducing drugs for 
this state. The system shall require reporting of complications and 
adverse events including, b ut not limited to: 
 
1.  Death; 
   
 
ENR. S. B. NO. 779 	Page 15 
2.  Blood loss including hemorrhag e; 
 
3.  Infection including sepsis; 
 
4.  Blood transfusions ; 
 
5.  Administer drug for an ectopic pregnanc y; and 
 
6.  Other adverse effects requiring hospitaliz ation or 
additional medical care. 
 
F.  The State Board of Medical Licensure and Supervision and the 
State Board of Osteopathic Examiners shall require the foll owing 
providers and entities to report comp lications 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 shal l 
also report adverse events and any patient deaths to the FDA; and 
 
5.  Other individuals or entities as determined by the State 
Board of Medical Licensure an d Supervision or the State B oard of 
Osteopathic Examiners. 
 
SECTION 10.     NEW LAW    A new section of law to be codifi ed 
in the Oklahoma Statutes as Section 1 -757.10 of Title 63, unl ess 
there is created a duplication in numbering, reads as follows: 
 
A.  Individuals or entitie s not certified under the Oklahoma 
Abortion-Inducing Drug Certification Program that provide drugs for 
the purpose of inducing abortion are in violation of this ac t. 
 
B.  Individuals or entities that provide abortion -inducing drugs 
to any person or entity that is not certified, or otherwise 
authorized, to provide abor tion-inducing drugs under the Oklahom a   
 
ENR. S. B. NO. 779 	Page 16 
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 intent ionally, knowingly or recklessly viol ates 
any provision of this act by fraudulent use of an abortion -inducing 
drug, with or without the knowledge of the pregn ant 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 codi fied 
in the Oklahoma Statutes as Section 1-757.11 of Title 63, unless 
there is created a duplicati on 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: 
 
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 woman. 
 
B. When requested, the court shall allow a woman to proceed 
using solely her initials or a pseudonym and may c lose any 
proceedings in the case and enter other protective orde rs to 
preserve the privacy of the woman upon whom the dru g-induced 
abortion was attempted, induced or performed. 
 
C.  If judgment is rendered in favor of th e plaintiff, the court 
shall also render judgment for reasonable attorney fees in favor of 
the plaintiff against the defendant. 
   
 
ENR. S. B. NO. 779 	Page 17 
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 judg ment for reasonable attorney 
fees in favor of the defendant agai nst the plaintiff. 
 
E.  A cause of action for injunctive r elief against a person who 
has provided an abortion-inducing drug in violation of this act may 
be maintained by: 
 
1.  A woman to whom su ch an abortion-inducing drug was provided; 
 
2.  A person who is t he spouse, parent 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 
 
3.  A prosecuting attorney with appro priate jurisdiction. 
 
The injunction shall prevent the defendant from providing 
further abortion-inducing drugs in violati on 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 numbe ring, reads as follows: 
 
A.  The State Board of Pharmacy , the State Board of Medical 
Licensure and Supervision and the State Board of Osteopathic 
Examiners shall develop an enforcement scheme for their licensees to 
enforce this act, which includes: 
 
1.  When an individual or entity provides abortion -inducing 
drugs without first seeking certification under this act, the 
appropriate licensing board shall: 
 
a. immediately report the illegal act to lo cal law 
enforcement, or other applicable state and local 
agencies for investigation or other appropriate 
action, where appropriate, and 
 
b. impose a fine of no less than Five Million Dollars 
($5,000,000.00) for manufactu rers or distributors and 
Two Hundred Fifty Thousand Dollars ($250,000.00) for 
physicians;   
 
ENR. S. B. NO. 779 	Page 18 
 
2.  When a certified manufacturer , distributor or physician is 
determined to be in noncompliance, suspend certification until 
compliance is proven to the satisfaction of their licensing board ; 
 
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 certif ication and prohibit 
continued provision of abortion-inducing drugs by the manufacturer 
or distributor until compliance is demonstrated to the satisfaction 
of their licensing board; 
 
4.  When a certified manufacturer, dis tributor or physician is 
in noncompliance, suspend all annual recertifica tion until 
compliance is demonstrated to the satisfaction of their licensing 
board; and 
 
5.  Where a current or previously certified manufacturer, 
distributor or physician is found to have intentionally or knowingly 
violated this act, or refuses to bring op erations into compliance: 
 
a. immediately suspend the manufacture r’s, distributor’s 
or physician’s certification until ful l compliance is 
demonstrated, 
 
b. for certified manufacturers or distributors, impose 
fines of not less than One Million Dollars 
($1,000,000.00) per offense, by the State Board of 
Pharmacy, 
 
c. for certified physicians, impose fines of not less 
than One Hundred Thousand Dollars ($100,000.00) per 
offense, by the physician’s licensing board, 
 
d. permanently revoke the certification of the offe nder 
if offender fails to demonstrate compliance with their 
licensing board within ninety (90) calendar days, 
 
e. impose remedial actions, which may include additional 
education, additional reporting or other actions as 
required by the relevant licensing bo ard,   
 
ENR. S. B. NO. 779 	Page 19 
 
f. in the case of a manufacturer or distributor, 
recommend sanctioning to the appropriate disciplinary 
committee of the State Board of Pharmacy, 
 
g. in the case of a physician, report the violation to 
the appropriate physician licensing board, 
 
h. publicly report any disciplinary actions, consistent 
with the practices of the relevant licensing board , 
 
i. permanently revoke the certification of the offender, 
 
j. in the case of a licensed manufacturer or distributor, 
recommend permanent revocation of licensu re, 
 
k. in the case of a physician, recommend appropriate 
sanctioning to the appropriate physician licensing 
board, and 
 
l. publicly report any disciplinary actions consistent 
with the practices of the relevant licensing board. 
 
B.  Individuals have a Private Right of Action to seek 
restitution in any court of law with ap propriate jurisdiction for 
any and all damages suffere d due to a violation of this act. 
 
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 dupli cation 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 by nonphysicians at no charge to the parties named in 
this subsection. 
 
B.  The State Board of Medical Licensure and Supervision and the 
State Board of Osteopathic Examine rs shall develop on their 
respective websites a complaint portal for patients, pharmacy, 
nursing and medical professionals and the public to submit   
 
ENR. S. B. NO. 779 	Page 20 
information about potential violations by physicians at no charge to 
the parties named in this subsection. 
 
C.  The portal developed by the State Board of Pharmacy shall 
list the names of manufacturers and dist ributors that are certified 
under the program. 
 
D. The portals developed by the State Board of Medical 
Licensure and Supervision and the State Board of Os teopathic 
Examiners shall list the nam es of the fully licensed physicians 
certified under the program. 
 
E.  The portal shall allow the party to make a complaint 
anonymously. 
 
F.  The State Board of Pharmacy and physician licensing boards 
shall review each co mplaint and determine a disposition in cluding 
referral to another appropriate state agency, within thi rty (30) 
days of receipt of a complaint . 
 
G.  Confidentiality of the originator of the complaint shall be 
protected at all times except for intra -state referrals for 
investigation or if any disciplinary action is brought by a 
licensing board pursuant to thi s act. 
 
SECTION 14.     NEW LAW    A new section of law to be codified 
in the Oklahoma Statutes as Section 1 -757.14 of Title 63, unless 
there is created a duplication in numberi ng, reads as follows: 
 
A.  Nothing in this act shall be construed as creating or 
recognizing a right to abort ion. 
 
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 oth erwise 
invalidates existing federal or state laws, regulations o r 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, unles s 
there is created a duplication in nu mbering, reads as follows: 
   
 
ENR. S. B. NO. 779 	Page 21 
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 intervene as a matter of right in any c ase 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 provis ions, sections, subsections, sentences, 
clauses, phrases or word s of this act or the application there of 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 notwithstanding such unconstitutionality.  The 
Legislature hereby declares that it would have p assed this act, and 
each provision, section, subsection, sentence, clause, phrase or 
word thereof, irrespective of t he fact that any one or more 
provisions, sections, subsections, sentences, clauses, phrases or 
words be declared unconstitutional. 
 
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 powe r 
and duty to: 
 
1.  Regulate the practice of pharmacy; 
 
2.  Regulate the sale and distribution 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 dis pensed; 
 
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 manufacture rs, repackagers, outsourcing 
facilities, wholesale distributors, third-party logistics providers,   
 
ENR. S. B. NO. 779 	Page 22 
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, w ith the expiration date of 
such permits to coincide with the pharmacy license annual expiration 
date; 
 
7.  Prescribe minimum s tandards with respect to floor space and 
other physical characteristics of pharmacies and hospital dr ug rooms 
as may be reasonably necessary for the maintenance of professional 
surroundings and for the protection of the safety and welfare of the 
public, and to refuse the issuance of new or re newal licenses for 
failure to comply with such standards.  Minim um 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, manufactu red, repackaged or 
transported; 
 
9.  Employ the number of inspect ors and pharmacist complian ce 
officers necessary in the investigation of criminal activity or 
preparation of administrative actions at an annual salary to be 
fixed by the Board, and to authori ze necessary expenses.  Any 
inspector certified as a peace offic er by the Council of Enforc ement 
Education and Training shall have statewide jurisdiction to perform 
the duties authorized by this section.  In addition, t he inspectors 
shall be considered pea ce 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, 
vended, given away, compounded, dispensed or manufactured contrary 
to the provisions of the Oklahoma Pharmacy Act; 
 
10.  Investigate complaints, subpoena witnesses and record s, 
initiate prosecution, and hold hearings; 
   
 
ENR. S. B. NO. 779 	Page 23 
11.  Administer oaths in all manners pertaining to the af fairs 
of the Board and to take evidence and compel the attendance of 
witnesses on questions pertaining to the enforcement of the Oklahoma 
Pharmacy Act; 
 
12. Reprimand, place on probation, susp end, revoke permanently 
and levy fines not to exceed Three Thous and Dollars ($3,000.00) for 
each count for which any person charged with violating the Oklahoma 
Pharmacy Act or Oklahoma Board of Pharmacy administrative r ules has 
been convicted in Board hear ings.  The Board also may take other 
disciplinary action.  The B oard 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 ad ditional continuing educ ation, including 
attendance at a live continuing education program, and may require 
participation in a rehabilitation program for t he 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 of a high standard 
of integrity and dig nity 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 provisions of the Oklahoma Pharmacy 
Act, Oklahoma drug laws and rules, federal dr ug laws and 
regulations, and make such other rules as in its dis cretion 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 su ch fees shall be 
nonrefundable.  Such fees shall be promulgated to implement the 
provisions of the Oklahoma Pharmacy Act and the Oklahoma Abortion -
Inducing Drug Certification Program Act under the provisions of the 
Administrative Procedures Act ; 
 
16.  Regulate: 
   
 
ENR. S. B. NO. 779 	Page 24 
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 whic h 
the training of applicants occurs f or licensure as a 
pharmacist, and 
 
c. such persons regarding all aspects relating to the 
handling of drugs, medicines, chemicals, and poisons; 
 
17.  Acquire by purchase, lease, gift, solicitation of gift or 
by any other manner, and to maintain, use and opera te or to contract 
for the maintenance, use and operation of or l ease of any and all 
property of any kind, real, personal or mixed or any interest 
therein unless otherwise provided by the Oklahoma Pharmacy Act; 
provided, all contracts for real property shal l 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 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 efficient 
manner.  Such approvals may in clude provisions granting exemptions 
to any rule adopted by the Board. 
 
SECTION 18.    AMENDATORY    59 O.S. 2011, Section 643, is 
amended to read as follows: 
 
Section 643. The funds received pursuant to the Oklahom a 
Osteopathic Medicine Act or the Oklahoma Abortion-Inducing Drug 
Certification Program Act shall be deposited to the credit of the 
State Board of Osteopathic Examiners Revolving Fund and may be 
expended by the State Board of Osteopathic Examiners and und er its 
direction in assisti ng in the enforcement of the laws of this state 
prohibiting the unlawful practice of osteopathic m edicine, assisting 
in the support of a peer assistance program, and for the 
dissemination of information to prevent the violation o f such laws, 
and for the purchasing of supplies and such othe r expense as is   
 
ENR. S. B. NO. 779 	Page 25 
necessary to properly carry out the provisions o f the Oklahoma 
Osteopathic Medicine Act or the Oklahoma Abortion-Inducing Drug 
Certification Program Act . 
 
SECTION 19.     AMENDATORY     59 O .S. 2011, Section 644, as 
amended by Section 266, Chapter 304, O.S.L. 2012 (59 O.S. Supp. 
2020, Section 644), is amended to read as follows: 
 
Section 644. There is hereby created in the State Treasury a 
revolving fund for the State Board of Osteopathic Exa miners, to be 
designated the “State Board of Osteopathic Examiner ’s Revolving 
Fund”.  The fund shall be a continuing fund, not subject to fiscal 
year limitations, and shall consist of all monies received by the 
Board pursuant to the provisions of the Oklah oma Osteopathic 
Medicine Act or the Oklahoma Abortion-Inducing Drug Certification 
Program Act.  All monies accruing to the credit of said fund are 
hereby appropriated and may be budgeted and expended by the Board 
for the purpose of enforcing the laws of th is state which prohibit 
the unlawful practice of osteopathic medicine, for the dissemination 
of information to prevent the violation of such laws, and for the 
purchase of supplies and such other expense as is necessary to 
properly implement the provisions of the Oklahoma Osteopathic 
Medicine Act or the Oklahoma Abortion-Inducing Drug Certification 
Program Act.  Expenditures from said fund shall be made upon 
warrants issued by the State Treasurer against claims signed by a n 
authorized employee or employees o f the State Board of Osteopathic 
Examiners and filed as prescribed by law with the Director of the 
Office of Management and Enterprise Services for approval and 
payment. 
 
SECTION 20.  This act shall become effective November 1, 2021. 
   
 
ENR. S. B. NO. 779 	Page 26 
Passed the Senate the 19th day of May, 2021. 
 
 
  
 	Presiding Officer of the Senate 
 
 
Passed the House of R epresentatives the 25th day of May, 2021. 
 
 
  
 	Presiding Officer of the House 
 	of Representatives 
 
OFFICE OF THE GOVERNOR 
Received by the Office of the Governor this _______ _____________ 
day of _________________ __, 20_______, at _______ o'clock _______ M . 
By: _________________________________ 
Approved by the Governor of the State of Oklahoma this _____ ____ 
day of _________________ __, 20_______, at _______ o'clock _______ M. 
 
 	_________________________________ 
 	Governor of the State of Oklahoma 
 
 
OFFICE OF THE SECRETARY OF STATE 
Received by the Office of the Secretary of State this _______ ___ 
day of __________________, 20 _______, at _______ o'clock _______ M. 
By: _______________________________ __