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STATE OF OKLAHOMA
1st Session of the 59th Legislature (2023)
SENATE BILL 977 By: Green
AS INTRODUCED
An Act relating to the practice of nursing ; providing
for independent prescriptive authority of Advanced
Practice Registered Nurses who meet certain
requirements; stating application criteria;
specifying duration of authority; imposing certain
restrictions on practice setting or patient
population of Advanced Practice Registered Nurs e with
independent prescriptive authority ; authorizing
supervision by Advanced Practice Registered Nurse
with independent prescriptive authority who meets
certain requirements; authorizing Oklahoma Board of
Nursing to prescribe additional qualifications;
providing for application approva l, denial,
reapplication, fees, and independent prescriptive
authority revocation; providing for codification; and
providing an effective date .
BE IT ENACTED BY THE PEOPLE OF THE STA TE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 567.4c of Title 59, unless there
is created a duplication in numbering, reads as follow s:
A. 1. An Advanced Practice Registered Nurse recognized by the
Oklahoma Board of Nursing as a Certified Nurse Practition er or
Clinical Nurse Specialist who holds a Doctor of Nursing P ractice
(DNP) degree and who has completed a minimum of two thousand (2,000)
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hours of practice with prescriptive authority supervised by a
physician or a supervising Advanced Practice Registered Nurse may
apply to the Oklahoma Board of Nursing for authority to prescribe
and order independent of supervision.
2. The application for independent prescriptive autho rity shall
include proof that the Certified Nurse Practitioner or Clinical
Nurse Specialist:
a. has satisfied the educational requirements stated in
Section 567.5a of Title 59 of the Oklahoma Statutes,
b. holds a Doctor of Nursing P ractice (DNP) degree,
c. has successfully passed a national certification
examination recognized by the Board that measures the
Advanced Practice Registered Nurse role and specialty
competencies,
d. holds a valid, current license in the appropriate
Advanced Practice Registered Nurse role issued by the
Board and is in good standing with the Board , and
e. has completed a minimum of two thousand (2,000) hours
of practice with prescriptive authority supervised by
a physician or supervising Advanced Practice
Registered Nurse.
3. Independent prescriptive authority granted under this
subsection shall be valid until the expi ration of the current
license to practice and may be r enewed upon application to the Board
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at the same time and for the same period as the renewal of the
license to practice.
B. An Advanced Practice Registered Nurse who has obtained
independent prescriptive authority under subsection A of this
section shall either:
1. Practice exclusively in one or more Medically Underserved
Areas (MUAs) designated by the Health R esources and Services
Administration;
2. Provide care exclusively to one or more Medically
Underserved Populations (MUPs ) designated by the Health R esources
and Services Administration ; or
3. Meet the conditions of both paragraph 1 and paragraph 2 of
this subsection.
C. 1. A Certified Nurse Practitioner or Clinical Nurse
Specialist who has obtained independent prescriptive authority under
subsection A of this section and who has completed a minimum of
eight thousand (8,000) hours of practice with independen t
prescriptive authority may serve as a supervising Advanced Practice
Registered Nurse.
2. Notwithstanding paragraph 1 of this subsection, an Advanced
Practice Registered Nurse who has been licensed and in practice for
a minimum of five (5) years as of the effective date of this act
without a lapse of work, upon obtainment of independent prescriptive
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authority under subsection A of this section , may serve as a
supervising Advanced Practice Registered Nurse.
3. The Board may at its discretion prescribe by rule additional
qualifications for supervising Advanced Practice Registered Nurses
including, but not limited to, qualifications pertaining to the
Advanced Practice Registered Nurse role or specialty.
D. The Board shall review any application submitted under this
section and shall approve or deny the application, stati ng the
reason or reasons for denial, if denied. The Board shall mail the
approval or denial letter to the applicant within fourteen (14)
calendar days of receip t of the application. If denied, the
applicant may reapply using th e process prescribed by subsection A
of this section.
E. The Board may suspend or revoke independent prescriptive
authority granted under this section for good cause at any time.
F. The Board may establish a fe e for the review of initial and
renewal applications under the provisions of this section.
SECTION 2. This act shall become effective November 1, 2023.
59-1-1181 DC 1/19/2023 12:03:00 PM