Oklahoma 2024 Regular Session

Oklahoma House Bill HB1987 Latest Draft

Bill / Enrolled Version Filed 04/26/2023

                            An Act 
ENROLLED HOUSE 
BILL NO. 1987 	By: Dollens, Pae, Luttrell, 
Echols, Waldron, Hefner and 
Deck of the House 
 
   and 
 
  Rader of the Senate 
 
 
 
 
 
 
An Act relating to public health and safety; amending 
63 O.S. 2021, Section 2 -101, as amended by Section 4, 
Chapter 265, O.S.L. 2022 (63 O.S. Supp. 2022, Section 
2-101), which relates to the Uniform Controlled 
Dangerous Substances Act; adding exception to certain 
defined term; and providing an effective date. 
 
 
 
SUBJECT: Public health and safety- Uniformed Controlled 
Dangerous Substance Act 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
 
SECTION 1.     AMENDATORY     63 O.S. 2021, Section 2-101, as 
amended by Section 4, Chapter 265, O.S.L. 2022 (63 O. S. Supp. 2022, 
Section 2-101), is amended to read as follows: 
 
Section 2-101. As used in the Uniform Controlled Dangerous 
Substances Act: 
 
1.  "Administer" means the direct application of a controlled 
dangerous substance, whether by injection, inhalation, ingestion or 
any other means, to the body of a patient, animal or research 
subject by: 
 
a. a practitioner (or, in the presence of the 
practitioner, by the authorized agent of the 
practitioner), or 
b. the patient or research subject at the direction and 
in the presence of the practitioner;  ENR. H. B. NO. 1987 	Page 2 
 
2.  "Agent" means a peace officer appointed by and who acts on 
behalf of the Director of the Oklahoma State Bureau of Narcotics and 
Dangerous Drugs Control or an authorized person who acts on behalf 
of or at the direction of a person who manufactures, distributes, 
dispenses, prescribes, administers or uses for scientific purposes 
controlled dangerous substances but does not include a common or 
contract carrier, public warehouser or employee thereof, or a person 
required to register under the Uniform Controlled Dangerous 
Substances Act; 
 
3.  "Board" means the Advisory Board to the Director of the 
Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 
 
4.  "Bureau" means the Oklahoma State Bureau of Narcotics and 
Dangerous Drugs Control; 
 
5.  "Coca leaves" includes cocaine and any compound, 
manufacture, salt, derivative, mixture or preparation of coca 
leaves, except derivatives of coca leaves which do not contain 
cocaine or ecgonine; 
 
6. "Commissioner" or "Director" means the Director of the 
Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 
 
7. "Control" means to add, remove or change the placement of a 
drug, substance or immediate precursor under the Uniform Controlled 
Dangerous Substances Act; 
 
8.  "Controlled dangerous substance" means a drug, substance or 
immediate precursor in Schedules I through V of the Uniform 
Controlled Dangerous Substances Act or any drug, substance or 
immediate precursor listed either temporarily or permanently as a 
federally controlled substance.  Any conflict between state and 
federal law with regard to the particular schedule in which a 
substance is listed shall be resolved in favor of state law; 
 
9.  "Counterfeit substance" means a controlled substance which, 
or the container or labeling of which without authorization, bears 
the trademark, trade name or other identifying marks, imprint, 
number or device or any likeness thereof of a manufacturer, 
distributor or dispenser other than the person who in fact 
manufactured, distributed or dispensed the substance; 
10.  "Deliver" or "delivery" means the actual, constructive or 
attempted transfer from one person to another of a controlled  ENR. H. B. NO. 1987 	Page 3 
dangerous substance or drug paraphernalia, whether or not there is 
an agency relationship; 
 
11.  "Dispense" means to deliver a controlled dangerous 
substance to an ultimate user or human research subject by or 
pursuant to the lawful order of a practitioner, including the 
prescribing, administering, packaging, labeling or compounding 
necessary to prepare the substance for such distribution.  
"Dispenser" is a practitioner who delivers a controlled dangerous 
substance to an ultimate user or human research subject; 
 
12.  "Distribute" means to deliver other than by administering 
or dispensing a controlled dangerous substance; 
 
13.  "Distributor" means a commercial entity engaged in the 
distribution or reverse distribution of narcotics and dangerous 
drugs and who complies with all regulations promulgated by the 
federal Drug Enforcement Administration and the Oklahoma State 
Bureau of Narcotics and Dangerous Drugs Control; 
 
14.  "Drug" means articles: 
 
a. recognized in the official United States Pharmacopeia, 
official Homeopathic Pharmacopoeia of the United 
States, or official National Formulary, or any 
supplement to any of them, 
 
b. intended for use in the diagnosis, cure, mitigation, 
treatment or prevention of disease in man or other 
animals, 
 
c. other than food, intended to affect the structure or 
any function of the body of man or other animals, and 
 
d. intended for use as a component of any article 
specified in this paragraph; 
 
provided, however, the term "drug" does not include devices or their 
components, parts or accessories; 
 
15. "Drug-dependent person" means a person who is using a 
controlled dangerous substance and who is in a state of psychic or 
physical dependence, or both, arising from administration of that 
controlled dangerous substance on a continuous basis.  Drug 
dependence is characterized by behavioral and other responses which  ENR. H. B. NO. 1987 	Page 4 
include a strong compulsion to take the substance on a continuous 
basis in order to experience its psychic effects, or to avoid the 
discomfort of its absence; 
 
16.  "Home care agency" means any sole proprietorship, 
partnership, association, corporation, or other organization which 
administers, offers, or provides home care services, for a fee or 
pursuant to a contract for such services, to clients in their place 
of residence; 
 
17.  "Home care services" means skilled or personal care 
services provided to clients in their place of residence for a fee; 
 
18.  "Hospice" means a centrally administered, nonprofit or for-
profit, medically directed, nurse-coordinated program which provides 
a continuum of home and inpatient care for the terminally ill 
patient and the patient's family.  Such term shall also include a 
centrally administered, nonprofit or for-profit, medically directed, 
nurse-coordinated program if such program is licensed pursuant to 
the provisions of the Uniform Controlled Dangerous Substances Act. 
A hospice program offers palliative and supportive care to meet the 
special needs arising out of the physical, emotional and spiritual 
stresses which are experienced during the final stages of illness 
and during dying and bereavement.  This care is available twenty-
four (24) hours a day, seven (7) days a week, and is provided on the 
basis of need, regardless of ability to pay.  "Class A" Hospice 
refers to Medicare-certified hospices.  "Class B" refers to all 
other providers of hospice services; 
 
19.  "Imitation controlled substance" means a substance that is 
not a controlled dangerous substance, which by dosage unit 
appearance, color, shape, size, markings or by representations made, 
would lead a reasonable person to believe that the substance is a 
controlled dangerous substance.  In the event the appearance of the 
dosage unit is not reasonably sufficient to establish that the 
substance is an "imitation controlled substance", the court or 
authority concerned should consider, in addition to all other 
factors, the following factors as related to "representations made" 
in determining whether the substance is an "imitation controlled 
substance": 
 
a. statements made by an owner or by any other person in 
control of the substance concerning the nature of the 
substance, or its use or effect, 
  ENR. H. B. NO. 1987 	Page 5 
b. statements made to the recipient that the substance 
may be resold for inordinate profit, 
 
c. whether the substance is packaged in a manner normally 
used for illicit controlled substances, 
 
d. evasive tactics or actions utilized by the owner or 
person in control of the substance to avoid detection 
by law enforcement authorities, 
 
e. prior convictions, if any, of an owner, or any other 
person in control of the object, under state or 
federal law related to controlled substances or fraud, 
and 
 
f. the proximity of the substances to controlled 
dangerous substances; 
 
20. "Immediate precursor" means a substance which the Director 
has found to be and by regulation designates as being the principal 
compound commonly used or produced primarily for use, and which is 
an immediate chemical intermediary used, or likely to be us ed, in 
the manufacture of a controlled dangerous substance, the control of 
which is necessary to prevent, curtail or limit such manufacture; 
 
21.  "Laboratory" means a laboratory approved by the Director as 
proper to be entrusted with the custody of control led dangerous 
substances and the use of controlled dangerous substances for 
scientific and medical purposes and for purposes of instruction; 
 
22.  "Manufacture" means the production, preparation, 
propagation, compounding or processing of a controlled danger ous 
substance, either directly or indirectly by extraction from 
substances of natural or synthetic origin, or independently by means 
of chemical synthesis or by a combination of extraction and chemical 
synthesis.  "Manufacturer" includes any person who pac kages, 
repackages or labels any container of any controlled dangerous 
substance, except practitioners who dispense or compound 
prescription orders for delivery to the ultimate consumer; 
 
23.  "Marijuana" means all parts of the plant Cannabis sativa 
L., whether growing or not; the seeds thereof; the resin extracted 
from any part of such plant; and every compound, manufacture, salt, 
derivative, mixture or preparation of such plant, its seeds or 
resin, but shall not include:  ENR. H. B. NO. 1987 	Page 6 
 
a. the mature stalks of such plant o r fiber produced from 
such stalks, 
 
b. oil or cake made from the seeds of such plant, 
including cannabidiol derived from the seeds of the 
marijuana plant, 
 
c. any other compound, manufacture, salt, derivative, 
mixture or preparation of such mature stalks (ex cept 
the resin extracted therefrom), including cannabidiol 
derived from mature stalks, fiber, oil or cake, 
 
d. the sterilized seed of such plant which is incapable 
of germination, 
 
e. for any person participating in a clinical trial to 
administer cannabidiol for the treatment of severe 
forms of epilepsy pursuant to Section 2-802 of this 
title, a drug or substance approved by the federal 
Food and Drug Administration for use by those 
participants, 
 
f. for any person or the parents, legal guardians or 
caretakers of the person who have received a written 
certification from a physician licensed in this state 
that the person has been diagnosed by a physician as 
having Lennox-Gastaut syndrome, Dravet syndrome, also 
known as severe myoclonic epilepsy of infancy, or any 
other severe form of epilepsy that is not adequately 
treated by traditional medical therapies, spasticity 
due to multiple sclerosis or due to paraplegia, 
intractable nausea and vomiting, appetite stimulation 
with chronic wasting diseases, the substance 
cannabidiol, a nonpsychoactive cannabinoid, found in 
the plant Cannabis sativa L. or any other preparation 
thereof, that has a tetrahydrocannabinol concentration 
of not more than three-tenths of one percent (0.3%) 
and that is delivered to the patient in the form of a 
liquid, 
g. any federal Food-and-Drug-Administration-approved drug 
or substance, or 
 
h. industrial hemp, from the plant Cannabis sativa L. and 
any part of such plant, whether growing or not, with a  ENR. H. B. NO. 1987 	Page 7 
delta-9 tetrahydrocannabinol concentration of not more 
than three-tenths of one percent (0.3%) on a dry-
weight basis which shall only be grown pursuant to the 
Oklahoma Industrial Hemp Program and may be shipped 
intrastate and interstate; 
 
24.  "Medical purpose" means an intention to utilize a 
controlled dangerous substance for physical or mental treatment, for 
diagnosis, or for the prevention of a disease condition not in 
violation of any state or federal law and not for the purpose of 
satisfying physiological or psychological dependence or other abuse; 
 
25.  "Mid-level practitioner" means an Advanced Practice 
Registered Nurse as defined and within parameters specified in 
Section 567.3a of Title 59 of the Oklahoma Statutes, or a certified 
animal euthanasia technician as defined in Section 698.2 of Title 59 
of the Oklahoma Statutes, or an animal control officer registered by 
the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control 
under subsection B of Section 2-301 of this title within the 
parameters of such officer's duties under Sections 501 throug h 508 
of Title 4 of the Oklahoma Statutes; 
 
26.  "Narcotic drug" means any of the following, whether 
produced directly or indirectly by extraction from substances of 
vegetable origin, or independently b y means of chemical synthesis, 
or by a combination of e xtraction and chemical synthesis: 
 
a. opium, coca leaves and opiates, 
 
b. a compound, manufacture, salt, derivative or 
preparation of opium, coca leaves or opiates, 
 
c. cocaine, its salts, optical and ge ometric isomers, and 
salts of isomers, 
 
d. ecgonine, its derivatives, their salts, isomers and 
salts of isomers, and 
 
e. a substance, and any compound, manufacture, salt, 
derivative or preparation thereof, which is chemically 
identical with any of the subs tances referred to in 
subparagraphs a through d of this pa ragraph, except 
that the words "narcotic drug" as used in Section 2-
101 et seq. of this title shall not include  ENR. H. B. NO. 1987 	Page 8 
decocainized coca leaves or extracts of coca leaves, 
which extracts do not contain coc aine or ecgonine; 
 
27.  "Opiate" or "opioid" means any Schedule II, III, IV or V 
substance having an addiction-forming or addiction-sustaining 
liability similar to morphine or being capable of conversion into a 
drug having such addiction-forming or addiction-sustaining 
liability. The terms do not include, unless specifically designated 
as controlled under the Uniform Controlled Dangerous Substances Act, 
the dextrorotatory isomer of 3-methoxy-n-methyl-morphinan and its 
salts (dextromethorphan).  The terms do include the racemic and 
levorotatory forms; 
 
28.  "Opium poppy" means the plant of the species Papaver 
somniferum L., except the seeds thereof; 
 
29.  "Peace officer" means a police officer, sheriff, deputy 
sheriff, district attorney's investigator, investigator from the 
Office of the Attorney General, or any other person elected or 
appointed by law to enforce any of the criminal laws of this state 
or of the United States; 
 
30.  "Person" means an individual, corporation, government or 
governmental subdivision or agency, business trust, estate, trust, 
partnership or association, or any other legal entity; 
 
31.  "Poppy straw" means all parts, except the seeds, of the 
opium poppy, after mowing; 
 
32.  "Practitioner" means: 
 
a. (1) a medical doctor or osteopathic physician, 
 
(2) a dentist, 
 
(3) a podiatrist, 
 
(4) an optometrist, 
 
(5) a veterinarian, 
 
(6) a physician assistant or Advanced Practice 
Registered Nurse under the supervision of a 
licensed medical doctor or osteopathic physician, 
  ENR. H. B. NO. 1987 	Page 9 
(7) a scientific investigator, or 
 
(8) any other person, 
 
licensed, registered or otherwise permitted to 
prescribe, distribute, dispense, conduct research with 
respect to, use for scientific purposes or administer 
a controlled dangerous substance in the course of 
professional practice or research in this state, or 
 
b. a pharmacy, hospital, laboratory or other institution 
licensed, registered or otherwise permitted to 
distribute, dispense, conduct research with respect 
to, use for scientific purposes or administer a 
controlled dangerous substance in the course of 
professional practice or research in this state; 
 
33.  "Production" includes the manufacture, planting, 
cultivation, growing or harvesting of a controlled dangerous 
substance; 
 
34.  "State" means the State of Oklahoma or any other state of 
the United States; 
 
35.  "Ultimate user" means a person who lawfully possesses a 
controlled dangerous substance for the person's own use or for the 
use of a member of the person's household or for administration to 
an animal owned by the person or by a member of the person's 
household; 
 
36.  "Drug paraphernalia" means all equipment, products and 
materials of any kind which are used, intended for use, or fashioned 
specifically for use in planting, propagating, cultivating, growing, 
harvesting, manufacturing, compounding, converting, producing, 
processing, preparing, testing, analyzing, packaging, repackaging, 
storing, containing, concealing, injecting, ingesting, inhaling or 
otherwise introducing into the human body, a controlled dangerous 
substance in violation of the Uniform Controlled Dangerous 
Substances Act including, but not limited to: 
a. kits used, intended for use, or fashioned specifically 
for use in planting, propagating, cultivating, growing 
or harvesting of any species of plant which is a 
controlled dangerous substance or from which a 
controlled dangerous substance can be derived, 
  ENR. H. B. NO. 1987 	Page 10 
b. kits used, intended for use, or fashioned specifically 
for use in manufacturing, compounding, converting, 
producing, processing or preparing controlled 
dangerous substances, 
 
c. isomerization devices used, intended for use, or 
fashioned specifically for use in increasing the 
potency of any species of plant which is a controlled 
dangerous substance, 
 
d. testing equipment used, intended for use, or fashioned 
specifically for use in identifying, or in analyzing 
the strength, effectiveness or purity of controlled 
dangerous substances, 
 
e. scales and balances used, intended for use, or 
fashioned specifically for use in weighing or 
measuring controlled dangerous substances, 
 
f. diluents and adulterants, such as quinine 
hydrochloride, mannitol, mannite, dextrose and 
lactose, used, intended for use, or fashioned 
specifically for use in cutting controlled dangerous 
substances, 
 
g. separation gins and sifters used, intended for use, or 
fashioned specifically for use in removing twigs and 
seeds from, or in otherwise cleaning or refining, 
marijuana, 
 
h. blenders, bowls, containers, spoons and mixing devices 
used, intended for use, or fashioned specifically for 
use in compounding controlled dangerous substances, 
 
i. capsules, balloons, envelopes and o ther containers 
used, intended for use, or fashioned specifically for 
use in packaging small quantities of controlled 
dangerous substances, 
 
j. containers and other objects used, intended for use, 
or fashioned specifically for use in parenterally 
injecting controlled dangerous substances into the 
human body, 
  ENR. H. B. NO. 1987 	Page 11 
k. hypodermic syringes, needles and other objects used, 
intended for use, or fashioned specifically for use in 
parenterally injecting controlled dangerous substances 
into the human body, 
 
l. objects used, intended for use, or fashioned 
specifically for use in ingesting, inhaling or 
otherwise introducing marijuana, cocaine, hashish or 
hashish oil into the human body, such as: 
 
(1) metal, wooden, acrylic, glass, stone, plastic or 
ceramic pipes with or without screens, permanent 
screens, hashish heads or punctured metal bowls, 
 
(2) water pipes, 
 
(3) carburetion tubes and devices, 
 
(4) smoking and carburetion masks, 
 
(5) roach clips, meaning objects used to hold burning 
material, such as a marijuana cigarette, that has 
become too small or too short to be held in the 
hand, 
 
(6) miniature cocaine spoons and cocaine vials, 
 
(7) chamber pipes, 
 
(8) carburetor pipes, 
 
(9) electric pipes, 
 
(10) air-driven pipes, 
 
(11) chillums, 
 
(12) bongs, or 
 
(13) ice pipes or chillers, 
m. all hidden or novelty pipes, and 
 
n. any pipe that has a tobacco bowl or chamber of less 
than one-half (1/2) inch in diameter in which there is 
any detectable residue of any controlled dangerous  ENR. H. B. NO. 1987 	Page 12 
substance as defined in this section or any other 
substances not legal for possession or use; 
 
provided, however, the term "drug paraphernalia" shall not include 
separation gins intended for use in preparing tea or spice, clamps 
used for constructing electrical equipme nt, water pipes designed for 
ornamentation in which no detectable amount of an illegal substance 
is found or pipes designed and used solely for smoking tobacco, 
traditional pipes of an American Indian tribal religious ceremony, 
or antique pipes that are th irty (30) years of age or older, or drug 
testing strips possessed by a person for purposes of determining the 
presence of fentanyl or a fentanyl-related compound; 
 
37. a. "Synthetic controlled substance" means a substance: 
 
(1) the chemical structure of which is substantially 
similar to the chemical structure of a controlled 
dangerous substance in Schedule I or II, 
 
(2) which has a stimulant, depressant, or 
hallucinogenic effect on the central nervous 
system that is substantially similar to or 
greater than the stimulant, depressant or 
hallucinogenic effect on the central nervous 
system of a controlled dangerous substance in 
Schedule I or II, or 
 
(3) with respect to a particular pe rson, which such 
person represents or intends to have a stimulant, 
depressant, or hallucinogenic effect on the 
central nervous system that is substantially 
similar to or greater than the stimulant, 
depressant, or hallucinogenic effect on the 
central nervous system of a controlled dangerous 
substance in Schedule I or II. 
 
b. The designation of gamma butyrolactone or any other 
chemical as a precursor, pursuant to Section 2-322 of 
this title, does not preclude a findin g pursuant to 
subparagraph a of this paragr aph that the chemical is 
a synthetic controlled substance. 
 
c. "Synthetic controlled substance" does not include: 
 
(1) a controlled dangerous substance,  ENR. H. B. NO. 1987 	Page 13 
 
(2) any substance for which there is an approved new 
drug application, 
 
(3) with respect to a particular p erson any 
substance, if an exemption is in effect for 
investigational use, for that person under the 
provisions of Section 505 of the Federal Food, 
Drug and Cosmetic Act, Title 21 of the United 
States Code, Section 355, to the extent conduct 
with respect to such substance is pursuant to 
such exemption, or 
 
(4) any substance to the extent not intended for 
human consumption before such an exemption takes 
effect with respect to that substance. 
 
d. Prima facie evidence that a substance containing 
salvia divinorum has been enhanced, concentrated or 
chemically or physically altered shall give rise to a 
rebuttable presumption that the substance is a 
synthetic controlled substance; 
 
38. "Tetrahydrocannabinols" means all substances that have been 
chemically synthesized to emulate the tetrahydrocannabinols of 
marijuana, specifically including any tetrahydrocannabinols derived 
from industrial hemp; 
 
39. "Isomer" means the optical isomer, except as used in 
subsections C and F o f Section 2-204 of this title and paragraph 4 
of subsection A of Section 2-206 of this title.  As used in 
subsections C and F of Section 2-204 of this title, "isomer" means 
the optical, positional or geometric isomer.  As used in paragraph 4 
of subsection A of Section 2-206 of this title, the term "isomer" 
means the optical or geometric isomer; 
 
40.  "Hazardous materials" means materials, whether solid, 
liquid or gas, which are toxic to human, animal, aquatic or plant 
life, and the disposal of which materia ls is controlled by state or 
federal guidelines; 
 
41.  "Anhydrous ammonia" means any substance that exhibits 
cryogenic evaporative behavior and tests positive for ammonia; 
  ENR. H. B. NO. 1987 	Page 14 
42.  "Acute pain" means pain, whether resulting from disease, 
accidental or intentional trauma or other cause, that the 
practitioner reasonably expects to last only a short period of time.  
"Acute pain" does not include chronic pain, pain being treated as 
part of cancer care, hospice or other end-of-life care, or pain 
being treated as part of palliative care; 
 
43.  "Chronic pain" means pain that persists beyond the usual 
course of an acute disease or healing of an injury.  "Chronic pain" 
may or may not be associated with an acute or chronic pathologic 
process that causes continuous or intermittent pain over months or 
years; 
 
44.  "Initial prescription" means a prescription issued to a 
patient who: 
 
a. has never previously been issued a prescription for 
the drug or its pharmaceutical equivalent in the past 
year, or 
 
b. requires a prescription for the drug or its 
pharmaceutical equivalent due to a surgical procedure 
or new acute event and has previously had a 
prescription for the drug or its pharmaceutical 
equivalent within the past year. 
 
When determining whether a patient was previously issued a 
prescription for a drug or its pharmaceutical eq uivalent, the 
practitioner shall consult with the patient and review the medical 
record and prescription monitoring information of the patient; 
 
45.  "Patient-provider agreement" means a written contract or 
agreement that is executed between a practitioner and a patient, 
prior to the commencement of treatment for chronic pain using an 
opioid drug as a means to: 
 
a. explain the possible risk of development of physical 
or psychological dependence in the patient and prevent 
the possible development of addiction, 
b. document the understanding of both the practitioner 
and the patient regarding the patient-provider 
agreement of the patient, 
c. establish the rights of the patient in association 
with treatment and the obligations of the patient in 
relation to the resp onsible use, discontinuation of  ENR. H. B. NO. 1987 	Page 15 
use, and storage of opioid drugs, including any 
restrictions on the refill of prescriptions or the 
acceptance of opioid prescriptions from practitioners, 
 
d. identify the specific medications and other modes of 
treatment, including physical therapy or exercise, 
relaxation or psychological counseling, that are 
included as a part of the patient-provider agreement, 
 
e. specify the measures the practitioner may employ to 
monitor the compliance of the patient including, but 
not limited to, random specimen screens and pill 
counts, and 
 
f. delineate the process for terminating the agreement, 
including the consequences if the practitioner has 
reason to believe that the patient is not complying 
with the terms of the agreement .  Compliance with the 
"consent items" shall constitute a valid, informed 
consent for opioid therapy. The practitioner shall be 
held harmless from civil litigation for failure to 
treat pain if the event occurs because of nonadherence 
by the patient with any of the pro visions of the 
patient-provider agreement; 
 
46. "Serious illness" means a medical illness or physical 
injury or condition that substantially affects quality of life for 
more than a short period of time.  "Serious illness" includes, but 
is not limited to, A lzheimer's disease or related dementias, lung 
disease, cancer, heart failure, renal failure, liver failure or 
chronic, unremitting or intractable pain such as neuropathic pain; 
and 
 
47. "Surgical procedure" means a procedure that is performed 
for the purpose of structurally altering the human body by incision 
or destruction of tissues as part of the practice of medicine.  This 
term includes the diagnostic or therapeutic treatment of conditions 
or disease processes by use of instruments such as lasers, 
ultrasound, ionizing, radiation, scalpels, probes or needles that 
cause localized alteration or transportation of live human tissue by 
cutting, burning, vaporizing, freezing, suturing, probing or 
manipulating by closed reduction for major dislocations or 
fractures, or otherwise altering by any mechanical, thermal, light-
based, electromagnetic or chemical means. 
  ENR. H. B. NO. 1987 	Page 16 
SECTION 2.  This act shall become effective November 1, 2023. 
  ENR. H. B. NO. 1987 	Page 17 
Passed the House of Representatives the 23rd day of March, 2023. 
 
 
 
  
 	Presiding Officer of the House 
 	of Representatives 
 
 
 
Passed the Senate the 25th day of April, 2023. 
 
 
 
  
 	Presiding Officer of the Senate 
 
 
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: _________________________________