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HOUSE OF REPRESENTATIVES - FLOOR VERSION
STATE OF OKLAHOMA
1st Session of the 59th Legislature (2023)
COMMITTEE SUBSTITUTE
FOR
HOUSE BILL NO. 1709 By: Marti
COMMITTEE SUBSTITUTE
An Act relating to advanced practice registered
nurses; providing definitions; increasing the number
of SoonerCare patients advanced p ractice registered
nurses can provide care for; providing exception;
providing for codification; and declaring an
emergency.
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 numberi ng, reads as follows:
As used in this section:
1. "Advanced Practice Registered Nurse" means a licensed
Registered Nurse:
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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 cer tification examination
recognized by the Board that measures the Advanced
Practice Registered Nurse role and specialty
competencies and who maintains recertification in the
role and specialty th rough a national certification
program,
c. who has acquired advanced clinical knowledge and
skills in preparation for providing 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 d irect care of individuals,
d. whose practice builds on the competencies of
Registered Nurses by demon strating 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
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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;
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 al l 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:
A. Except as otherwise provided by subsection B of this
section, Advanced Practice Registered Nurses may serve as primary
care providers to as many as Two Thousand Five Hundred (2,500)
SoonerCare members.
B. The director of the Oklahoma Health Care Authority shall
have the discretion to waive the numerical limit otherwise
prescribed by subsection A of this section.
SECTION 3. It being immediately necessary for the preservation
of the public peace, health or safety, an emergency is hereby
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declared to exist, by reason whereof this act shall take effect and
be in full force from and after its passage and approval.
COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 02/20/2023 -
DO PASS, As Amended.