Req. No. 9119 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 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 2nd Session of the 59th Legislature (2024) HOUSE BILL 3333 By: Roe AS INTRODUCED An Act relating to public health; amending 63 O.S. 2021, Section 1-103a.1, which relates to creation of Public Health Advisory Councils; cre ating exception; increasing membership of the Advancement of Wellness Advisory Council; directing appointment of certain members; broadening jurisdictional areas of the Advancement of Wellness Advi sory Council; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF T HE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -103a.1, is amended to read as follows: Section 1-103a.1 A. To assist and advise the State Commissioner of Health and the State De partment of Health, there are hereby created: 1. The Consumer Protection Licensing Advisory Council; 2. The Trauma and Emergency Re sponse Advisory Council; 3. The Infant and Children 's Health Advisory Council; 4. The Advancement of Wellness Advisory Co uncil; and 5. The Home Care, Hospice and Palliative Care Advisory Council. Req. No. 9119 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. 1. Except for the Home Care, Hospice and Palliative Care Advisory Council and the Advancement of Wellness Advisory Council , each Public Health Advisory Council (Advisory Counc il) created pursuant to subsection A of this section shall consist of seven (7) members. Two members shall be appointed by the Governor, two members shall be appointed by the Speake r of the House of Representatives, two members shall be appointed by the P resident Pro Tempore of the Senate, and one member shall be appointed by the Commissioner. Appointments shall be for three -year terms. Members of the Advisory Councils shall serve at the pleasure of and may be removed from office by the appointing author ity. Members shall continue to serve until their successors are appointed. Any vacancy shall be filled in the same manner as the original appointments. Four members shall constitu te a quorum. 2. The Home Care, Hospice and Palliative Care Advisory Counc il shall consist of nine (9) members. Two members shall be appointed by the Governor, three members shall be appointed by the Speaker of the House of Representatives, three members shall be appointed by the President Pro Tempore of the Senate and one memb er shall be appointed by the Commissioner. Five members shall constitute a quorum. 3. The Advancement of Wellness Advisory Council shall consist of ten (10) members. Three members shall be appointed by the Governor, three memb ers shall be appointed by t he President Pro Req. No. 9119 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Tempore of the Oklahoma State Senate, three members shall be appointed by the Speak er of the Oklahoma House of Representati ves, and one member shall be appointed by the Commissioner. Five members shall constitute a quorum. 4. Each Advisory Council shall meet at least twice a year, but no more than four times a year and shall elect a chair, a vice -chair and a secretary from among its members. Each Advisory Council shall only meet as required for election of officers, establishment of meeting dates and times; rule deve lopment, review and recommendation; and adoption of n onbinding resolutions to the Department or the Commissioner concerning matters brought before the Advisory Council. Special meetings may be called by the chair or by the concurrence of any three members . C. 1. All members of the Consumer Protection Lice nsing Advisory Council shall be knowledgeable of certain consumer issues as specified below. The Consumer Protection Licensing Advisory Council shall be composed as follows : a. the Governor shall appoin t: (1) one member who is a licensed radiologist assistant, and (2) one member who is a licensed audiologist, b. the President Pro Tempore of the Oklahoma State Senate shall appoint: (1) one member who is a licensed radiologist , and Req. No. 9119 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (2) one member representing the hearing -aid-fitting industry, c. the Speaker of the Oklahoma House of Representatives shall appoint: (1) one member representing the medical micropigmentation industry, and (2) one member representing the hearing -impaired public, and d. the Commissioner shall appoint one member representing a diagnostic x-ray facility. 2. The jurisdiction areas of the Consumer Protection Licensing Advisory Council shall include the hearing -aid-fitting industry, the medical micropigment ation industry, the radiation industry and such other areas as designated by the Commissioner. D. 1. All members of the Trauma and Emergency Response Advisory Council shall be knowledgeable of issues that arise in a hospital setting and issues that arise concerning emergency response. The Trauma and Emerge ncy Response Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who is an administrative director of a licensed ambulance service, and (2) one member who is a B oard Certified Emergency Physician, Req. No. 9119 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 b. the President Pro Tempore of the Oklahoma State Senate shall appoint: (1) one member who is a representative from a hospital with trauma and emergency services, and (2) one member who is a trauma surgeon with privileges at a hospital with trauma and emergency operative services, c. the Speaker of the Oklahoma House of Representatives shall appoint: (1) one member representing the trauma registrar of a licensed hospital that is classified as providing trauma and emergency operative services, and (2) one member who is an Emergency Medical Technician, and d. the Commissioner shall appoint one member who is a critical care nurse. 2. The jurisdictional areas of the Trauma and Emergency Response Advisory Council shall includ e emergency response systems development, injury prevention, catastrophic heal th emergency, trauma systems improvement and developm ent and such other areas designated by the Commissioner. E. 1. All members of the Infant and Children 's Health Advisory Council shall be knowledgeable of issues that arise in the area of Req. No. 9119 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 infant and children's health care. The Infant and Children 's Health Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who works for the state or for a political subdivision on child abuse issues, and (2) one member who is know ledgeable about childhood immunizations, b. the President Pro Tempore of the Oklahoma State Senate shall appoint: (1) one member who is knowledgeable about newborn screening issues, (2) one member licensed by the state as an optometrist who has knowledge of vision screen ing for children, and (3) one member who is a license d ophthalmologist in this state with the knowledge of treating visual deficiencies in children, c. the Speaker of the Oklahoma House of Representatives shall appoint: (1) one member who is licensed by the state a s a physician and works as a pediatrician, and (2) one member who is licensed by the state as a genetic counselor, and Req. No. 9119 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 d. the Commissioner shall appoint o ne member who is a physician licensed by the state who specializes in the diagnosis and treatment of c hildhood injuries in a trauma setting. 2. The jurisdictional areas of the Infant and Children 's Health Advisory Council shall include all issues that ari se in the area of health care for infants and children and such other areas as designated by the Commi ssioner. F. 1. All members of the Advancement of We llness Advisory Council shall be knowledgeable of issues that arise in the area of advancing the health of all Oklahomans. The Advancement of Wellness Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who is know ledgeable about breast and cervical cancer issues, and (2) one member who is knowledgeable about orga n donor issues, and (3) one member who is knowledgeable about cardiometabolic disease including obesit y, dyslipidemia, hypertension, and diabetes , b. the President Pro Tempore of the Oklahoma State Senate shall appoint: Req. No. 9119 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (1) one member who is mayor of a cit y or town that has been designated a certifie d healthy community in an urban setting, and (2) one member who is the p resident or chief operating officer of a business that has been designated a certified healthy business, and (3) one member who represents an Urban Indian Health Center in this state or a nonprofit organization with a major focus on improving public health for citizens of federally recognized Indian tribes in this state, c. the Speaker of the House of Representatives shall appoint: (1) one member who is the mayor of a city or town that has been designated a certified healthy community in a rural setting, and (2) one member who is the president or chief operating officer of a business that has been designated a certified healthy business in an urban setting, and (3) one member who represents a fe derally recognized Indian tribe based in this state which maintains a tribally operated health care system, and Req. No. 9119 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 d. the Commissioner shall appoint one member who is the Executive Director of the Tobacco S ettlement Endowment Trust. 2. The jurisdictional areas of the Advancement of Wellness Advisory Council shall include all issues that ar ise in the areas of tobacco usage and cessation, organ and tissue donation, cardiometabolic disease, American Indian hea lth, the requirements for a city or town in the state to be designated as a certified healthy community, the requirements for a business to be designated as a certified healthy business and such other a reas as designated by the Commissioner. G. 1. All members of the Home Care, Hospice and Palliative Care Advisory Council shall be knowledgeable of issues that arise in the administration a nd practice of home care, hospice and palliative care services. The Home Care, Hospice and Palliative Care Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who is the owner or administrator of an entity licensed in accordance with the Oklahoma Hospice Licensing Act, and (2) one member who is an owner or administrator of an entity licensed in accordance with the Oklahoma Home Care Act, Req. No. 9119 Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 b. the President Pro Tempore of the Oklahoma State Senate shall appoint: (1) one member who is an owner or administrator of an entity licensed in accordance wit h the Oklahoma Hospice Licensing Act, (2) one member who is an owner or administrator of an entity licensed in accordance with the Oklahoma Home Care Act, and (3) one member who is a member of the palliative care patient advocacy community, c. the Speaker of the Oklahoma House of Representative s shall appoint: (1) one member representing the public who is or was a legal guardian of a recipient of hospice services, (2) one member representing the publi c who is a recipient or legal guardian of a recipient of services from a home health agency, and (3) one member who is an allopathic or osteopathic physician or nurse certified in palliative care delivery in this state, and d. the Commissioner shall appoin t one member representing an association which advocates on behalf of home care or hospice issues. Req. No. 9119 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. The jurisdictional areas of the Home Care, Hospice and Palliative Care Advisory Council shall include all issues that arise in the areas of home care, ho spice services and palliative care, including, but not limited to: a. identifying methods that i mprove the quality and delivery of home care, hospice and palliative care, b. reviewing best practices from home care, hospice and palliative care programs in t he state, c. developing information on home care, hospice and palliative care issues for the gen eral public, and d. such other areas as designated by the Commissioner. H. In addition to other powers and duties assigned to each Advisory Council pursuant to this section, each Advisory Council, within its jurisdictional ar ea, shall: 1. Have authority to recommend to the Commissioner rules on behalf of the Department. The Department shall not have standing to recommend to the Commissioner permanent rules or changes to such rules within the jurisdiction of an Advisory Counc il which have not been submitted previously to the appropriate Advisory Council for action; 2. Before recommending any permanent rules to the Commissioner, give public notice, offer an oppo rtunity for public comment and conduct a public rulemaking hearing when required by the Administrative Procedures Act; Req. No. 9119 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. Have the authority to make nonbinding written recommendations to the Commissioner or to the Department which have been concurred upon by at least a majority of the membership of the Advisory Council; 4. Have the authority to pro vide a public forum for the discussion of issues it considers relevant to its area of jurisdiction, and to: a. pass nonbinding resolutions expressing the sense of the Advisory Council, and b. make recommendations to the Commis sioner or the Department concerning the need and the desirability of conducting meetings, workshops and seminars; and 5. Cooperate with each other Advisory Council, the public, the Commissioner and the Commissioner of Health in order to coordinate the rules within their respective jur isdictional areas and to achieve maximum efficiency and effectiveness in furthering the objectives of the Department. I. The Advisory Councils shall not recomm end rules for promulgation by the Commissioner unless all applicab le requirements of the Administrative Procedures Act have been followed, including but not limited to notice, rule -impact statement and rulemaking hearings. J. Members of the Advisory Counc ils shall serve without compensation. The Advisory Councils are a uthorized to utilize the Req. No. 9119 Page 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 conference rooms of the Department and obtain administrative assistance from the Department, as required. SECTION 2. This act shall become effective November 1, 2024. 59-2-9119 TJ 01/04/24