Req. No. 3459 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 STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) COMMITTEE SUBSTITUTE FOR SENATE BILL 1491 By: Stanley COMMITTEE SUBSTITUTE An Act relating to sexually transmitted infections; amending 63 O.S. 2021, Section 1 -522, which relates to treatment without prescription ; providing certain exception; updating statutory language; defining terms; authorizing provision of expedited partner therapy under certain conditions; requiring provision of certain counseling; providing certain protecti ons from civil liability and disciplinary action; specifying information to be included in certain materials; authorizing promulgation of ru les; providing for codificat ion; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STA TE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -522, is amended to read as follows: Section 1-522. It Except as provided in S ection 2 of this act, it shall be unlawful for any dealer to treat or offer to treat any infected person, or to sell, furnish or give to any infected person, or to any other person whomsoever, an y medicines of any kind that may be advertised or used for treatment of a sexually transmitted infection (STI), before requiring such person to produce and file Req. No. 3459 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 with such dealer a proper prescription for such medicine, issued and signed by a physician, which prescription shall be by the dealer kept on file for a period of one (1) year from the date of the person receiving the same, and subject, at all re asonable hours, to the inspection of the St ate Commissioner of Health or local health officer. SECTION 2. NEW LAW A new section of law to be codifie d in the Oklahoma Statutes as Section 1-522.1 of Title 63, unless there is created a duplication in numbering, reads as follows: A. As used in this section: 1. “Expedited partner therapy ” means to prescribe, administer, dispense, or otherwise provide antimicrobial drugs to a sexual partner of a patient clinically diagnosed by a health care provider as infected with a sexually transmitted infection without a physical examination of such sex ual partner; and 2. “Health care provider” means an allopathic physician, osteopathic physician, physician assistant, or Advanced Practice Registered Nurse licensed in this state and authorized to prescribe drugs. B. 1. Subject to limitations provided by law or rule including but not limited to laws or rules governing scope of practice , supervision of health care providers, and delegation of health care services, a health care provider who clinically diagnoses a patient with a sexually transmitted infection may provide expedited partner Req. No. 3459 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 therapy if, in the professional jud gment of the health care provider, the patient’s sexual partner is unlikely or una ble to present for examination, testing , and treatment. 2. A health care provider who provides expedited partner therapy shall provide counseling to the patient, including distributing written materials developed and provided by the State Department of Health to be given by the patient to the patient ’s sexual partner. 3. A health care provider shall use exp edited partner therapy only for a patient’s sexual partner who may have been exposed to a sexually transmitted infection and who is able to be contacte d and identified by the patient. C. 1. No health care provider or pharmacist shall be liable for civil damages resulting from any act or omission in good -faith compliance with the provisions of this section, including civil damages for refusing to provide expedited partner therapy, other than an act or omission constituting gross negligence or willful or wanton misconduct. 2. No health care provider or pharmacist shall be subject to disciplinary action by the provider’s or pharmacist’s licensing board on the basis of an act or omission in good-faith compliance with the provisions of this section, other than an act or omission constituting gross negligence or willful or wanton misconduct. Req. No. 3459 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 D. The Department shall include the following information in written materials developed and provided for distribution as required by paragraph 2 of subsection B of this se ction: 1. A warning that a woman who is pregnant or might be pregnant should not take certain antibiotics and shou ld immediately contact a health care provider for an examination; 2. Information about the antimicrobial drug and dosage provided or prescribed, including a warning that a sexual partner who has a history of allergy to the drug or the pharmaceutical class of drug should not take the drug and should immediately contact a health care provider for examination; 3. Information about the treatment and prevention of sexually transmitted infections; 4. The requirement of sexual abstinence until a period of time after treatment to prevent infecting other sexual partners; 5. Notification of the importance of the sexual partners receiving examination and testing for human immunodeficiency virus and other sexually transmitted infections and information about available resources; 6. Notification of the risk to the patient, the patient ’s sexual partner, and the general public if the sexually transmitted infection is not completely and successfully treat ed; 7. The responsibility of the sexual partner to inform the sexual partner’s own sexual partners of the risk of sexually Req. No. 3459 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 transmitted infections and the importance of prompt examination and treatment by a health care provider; and 8. Such other information deemed necessary by the State Commissioner of Health . E. The State Commissioner of Health , the State Board of Medical Licensure and Supervision, the S tate Board of Osteopathic Examiners, the Oklahoma Board of Nursing, and the State Board of Pharmacy may promulgate rules as necessary to implement this section. SECTION 3. This act shall become effective November 1, 2024. 59-2-3459 DC 2/8/2024 12:04:03 PM