HB3356 HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) HOUSE BILL 3356 By: Marti AS INTRODUCED An Act relating to professions and occupations; amending 59 O.S. 2021, Section 161.12, which relates to grounds for imposing penal ties in the Oklahoma Chiropractic Practice Act; clarifying the scope of injectables; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF T HE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 59 O.S. 2021, Section 1 61.12, is amended to read as follows: A. The Board of Chiropractic Examiners is authorized, after notice and an opportunity for a hearing pursuant to Article II of the Administrative Procedures Act, to issue an order impos ing one or more of the following penalties whenever the Board finds, by clear and convincing evidence, that a chiropractic physician has committed any of the acts or occurrences set forth in subsection B of this section: 1. Disapproval of an application f or a renewal license; HB3356 HFLR Page 2 BOLD FACE denotes Committee Amendments. 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. Revocation or suspension of an original license or renewal license, or both; 3. Restriction of the practice of a chiropractic physician under such terms and conditions as deemed appropriate by the Board; 4. An administrative fin e not to exceed One T housand Dollars ($1,000.00) for each count or separate violation; 5. A censure or reprimand; 6. Placement of a chiropractic physician on probation for a period of time and under such terms and conditions as the Board may specify, including requiring the chiropractic physician to submit to treatment, to attend continuing education courses, to submit to reexamination, or to work under the supervision of another chiropractic physician; and 7. The assessment of costs expended by the Boar d in investigating and prosecuting a violation. The costs may include, but are not limited to, staff time, salary and travel expenses, witness fees and attorney fees, and shall be considered part of the order of the Board. B. The following acts or occurr ences by a chiropract ic physician shall constitute grounds for which the penalties specified in subsection A of this section may be imposed by order of the Board: 1. Pleading guilty or nolo contendere to, or being convicted of, a felony, a misdemeanor inv olving moral turpitud e, or a HB3356 HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 violation of federal or state controlled dangerous substances laws. A copy of the judgment and sentence of the conviction, duly certified by the clerk of the court in which the conviction was obtained, and a certificate of the clerk that the convi ction has become final, shall be sufficient evidence for the imposition of a penalty; 2. Being habitually drunk or habitually using habit -forming drugs; 3. Using advertising in which statements are made that are fraudulent, deceitful or misleading to the public; 4. Aiding or abetting any person not licensed to practice chiropractic in this state to practice chiropractic, except students who are regularly enrolled in an accredited chiropractic college; 5. Performing or attempting to perform major or mino r surgery in this state, or using electricity in any form for surgical purposes, including cauterization; 6. Using or having in a chiropractic physician 's possession any instrument for treatment purposes, the use or possession of whic h has been prohibited or declared unlawful by any agency of the United States or the State of Oklahoma; 7. Unlawfully possessing, prescribing or administering any drug, medicine, serum or vaccine. This section shall not prevent a chiropractic physician f rom possessing, presc ribing or administering, by a needle or otherwise, vitamins, minerals or HB3356 HFLR Page 4 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 nutritional supplements, or from practicing within the scope of the science and art of chiropractic as defined in Section 161.2 of this title, provided, however, that a chiropractic physician w ho is authorized by the Board to admi nister and use injectables shall not possess, prescribe, or administer injections of any product categorized as a biologic pursuant to U.S. Food and Drug Administration regulations, includ ing but not limited to : a. stem cells, b. platelet injection therapy, c. platelet rich plasma therapy, d. activated platelet therapy, and e. intravenous ozone therapy ; 8. Advertising or displaying, directly or indirectly, any certificate, diploma or other document which conveys or implies information that the person is skilled in any healing art other than chiropractic unless the chiropractic physician also possesses a valid current license in said healing ar t; 9. Obtaining an original license or renewal license in a fraudulent manner; 10. Violating any provision of the Unfair Claims Settlement Practices Act or any rule promulgated pursuant thereto; 11. Willfully aiding or assisting an insurer, as defined i n Section 1250.2 of Title 36 of the Oklahoma Sta tutes, or an administrator, as defined in Section 1442 of Title 36 of the HB3356 HFLR Page 5 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Oklahoma Statutes, to deny claims which under the terms of the insurance contract are covered services and are medically necessary; 12. Violating any provision of the Oklahoma Chiro practic Practice Act; or 13. Violating any of the rules of the Board. C. Any chiropractic physician against whom a penalty is imposed by an order of the Board under the provisions of this section shall have the right to seek a judicial review of the orde r pursuant to Article II of the Administrative Procedures Act. D. The Board is authorized to issue a confidential letter of concern to a chiropractic physician when, though evidence does not warrant initiation of an individual proceeding, the Board has no ted indications of possible errant conduct by the chiropractic physician that could lead to serious consequences and formal action by the Board. E. If no order imposing a penalty against a chiropractic physician is issued by the Board within three (3) yea rs after a complaint against the chiropractic physician is received by the Board, the complaint and all related documents shall be expunged from the records of the Board. SECTION 2. This act shall become effective November 1, 2024. COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 02/22/2024 - DO PASS.