Req. No. 6677 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 STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) HOUSE BILL 1709 By: Marti AS INTRODUCED An Act relating to advanced practice registered nurses; providing definitions; increasing the number of SoonerCare patients advanced pract ice registered nurses can provide care for; providing for codification; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 570 of Title 59, unless there is created a duplication in numbering, reads as follows: As used in this section: 1. "Advance Practice Registered Nurse" means a licensed Registered Nurse: a. who has completed an Advanced Practice Registered Nursing education program in preparation for one of four recognized Advanced Practice Registered Nurse roles, b. who has passed a national certification examination recognized by the Board that measures the Advanced Req. No. 6677 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 Practice Registered Nurse role and specialty competencies and who maintains recertification in the role and specialty through a national certification program, c. who has acquired advanced clinical knowledge and skills in preparation for provi ding both direct and indirect care to patients; however, the defining factor for all Advanced Practice Registered Nurses is that a significant component of the education and practice focuses on direct care of individuals, d. whose practice builds on the co mpetencies of Registered Nurses by demo nstrating a greater depth and breadth of knowledge, a greater synthesis of data, and increased complexity of skills and interventions, and e. who has obtained a license as an Advance d Practice Registered Nurse in one of the following roles: Certified Registered Nurse Anesthetist, Certified Nurse-Midwife, Clinical Nurse Specialist, or Certified Nurse Practitioner. 2. "Medicaid" means the medical assistance program authorized by 42 U.S.C., Section 1396a et seq. The program provides medical benefits for certain low-income persons. It is jointly administered by the federal and state governments; Req. No. 6677 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 3. "Primary care providers " means a provider under contract with the Oklahoma Health Care A uthority to provide primary care services and case ma nagement, including a ll medically-necessary referrals; and 4. "SoonerCare" means the Medicaid program administ ered by the Oklahoma Health Care Authority. SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 570.1 of Title 59, unless there is created a duplication in numbering, reads as follows: Advance Practice Registered Nurses may serve as primary care providers to as many as Two Thousand Five Hundred (2,500) SoonerCare members. The Chief Executive Officer of the Oklahoma Health Care Authority may increase this number at his or her discretion . SECTION 3. This act shall become effective November 1, 2023. 59-1-6677 TJ 01/17/23