OK
Oklahoma Senate Bill SB1491

Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB1491 Compare Versions

OldNewDifferences
11
22
3+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 1 1
4+2
5+3
6+4
7+5
8+6
9+7
10+8
11+9
12+10
13+11
14+12
15+13
16+14
17+15
18+16
19+17
20+18
21+19
22+20
23+21
24+22
25+23
26+24
327
4-An Act
5-ENROLLED SENATE
6-BILL NO. 1491 By: Stanley of the Senate
28+ENGROSSED HOUSE AMENDME NT
29+ TO
30+ENGROSSED SENATE BILL NO . 1491 By: Stanley of the Senate
731
832 and
933
10- Roe, Deck, and Swope of the
11-House
34+ Roe of the House
35+
36+
1237
1338
1439
1540 An Act relating to sexually transmitted infections;
41+amending 63 O.S. 2021, Section 1 -522, which relates
42+to treatment without prescripti on; providing certain
43+exception; updating statutory language; defining
44+terms; authorizing provision of expedited partner
45+therapy under certain conditions; requiring provision
46+of certain counseling; providing certain protections
47+from civil liability and disciplinary action;
48+specifying information to be included in certain
49+materials; authorizing promulgation of ru les;
50+providing for codification; and providing an
51+effective date.
52+
53+
54+
55+
56+
57+
58+
59+
60+AUTHOR: Add the following House Coauthors: Deck and Swope
61+
62+AMENDMENT NO. 1. Strike the title, enacting clause, and entire bill
63+and insert:
64+
65+
66+
67+
68+"An Act relating to sexually transmitted infections;
1669 defining term; authorizing provision of expedited
1770 partner therapy under certain conditions ; requiring
1871 provision of certain counselin g; providing certain
1972 protections from civil liability and disciplinary
2073 action; specifying informatio n to be included in
2174 certain materials; authorizing promulgation of rules;
75+
76+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 2 1
77+2
78+3
79+4
80+5
81+6
82+7
83+8
84+9
85+10
86+11
87+12
88+13
89+14
90+15
91+16
92+17
93+18
94+19
95+20
96+21
97+22
98+23
99+24
100+
22101 amending 63 O.S. 2021, Section 1 -517, which relates
23102 to definitions; modifying defi nition; amending 63
24103 O.S. 2021, Section 1 -518, which relates to report and
25104 treatment of disease; upda ting term; amending 63 O.S.
26105 2021, Section 1-522, which relates to treatment
27106 without prescription; providing certai n exception;
28107 amending 63 O.S. 2021, Sectio n 1-532.1, which relates
29108 to minor's consent for examinatio n and treatment for
30109 venereal disease; upda ting term; repealing 63 O.S.
31110 2021, Section 1-521, which relates to treatment by
32111 person not a physician; providing for codification;
33112 and providing an effecti ve date.
34113
35114
36115
37-SUBJECT: Sexually transmitted infections
116+
117+
118+
119+
38120
39121 BE IT ENACTED BY THE PEOPLE OF THE STATE OF O KLAHOMA:
40-
41122 SECTION 1. NEW LAW A new section of law to be codified
42123 in the Oklahoma Statutes as Section 1 -522.1 of Title 63, unless
43124 there is created a duplication in numberin g, reads as follows:
44-
45125 A. “Expedited partner therapy” means to prescribe, administer,
46126 dispense, or otherwise provide antimicrobial drugs to a sexual
47-
48-ENR. S. B. NO. 1491 Page 2
49127 partner of a patient clinically diagnosed by a health care provider
50128 as infected with a sexually transmitted infection without a physical
51129 examination of such sexual partne r, shall not apply to any sexually
52130 transmitted infection that could be chronic or require multiple
53131 treatment courses.
54-
55132 B. 1. Subject to limitations provid ed by law or rule including
56133 but not limited to laws or rules governing scope of practice,
57134 supervision of health care providers, and delegation of health care
135+
136+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 3 1
137+2
138+3
139+4
140+5
141+6
142+7
143+8
144+9
145+10
146+11
147+12
148+13
149+14
150+15
151+16
152+17
153+18
154+19
155+20
156+21
157+22
158+23
159+24
160+
58161 services, a health care provider who clinically diagnos ed a patient
59162 with a sexually transmitted in fection may provide expedited partner
60163 therapy if, in the professional judgment of the health care
61164 provider, the patient’s sexual partner is unl ikely or unable to
62165 present for examination, testing, and treatment.
63-
64166 2. A health care provider who provides exped ited partner
65167 therapy shall provide coun seling to the patient, including
66168 distributing written material s developed and provided by the State
67169 Department of Health to be given by the patient to the patient’s
68170 sexual partner.
69-
70171 3. A health care provider shall use expedited partner therapy
71172 only for a patient’s sexual partner who may have been exposed to a
72173 sexually transmitted infection and who is able to be contacted and
73174 identified by the patient.
74-
75175 C. 1. No health care provider or pharmacist shall be liable
76176 for civil damages resulting from any act or o mission in good-faith
77177 compliance with the provisions of this s ection, including civil
78178 damages for refusing to provide expedited partner therapy, other
79179 than an act or omission constituting gross negligence or willful o r
80180 wanton misconduct.
81-
82181 2. No health care provider or pharmacist shall be subject to
83182 disciplinary action by the provider’s or pharmacist’s licens ing
84183 board on the basis of an act or omission in good -faith compliance
184+
185+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 4 1
186+2
187+3
188+4
189+5
190+6
191+7
192+8
193+9
194+10
195+11
196+12
197+13
198+14
199+15
200+16
201+17
202+18
203+19
204+20
205+21
206+22
207+23
208+24
209+
85210 with the provisions of this section, other than an act or omission
86211 constituting gross negligence or willful or wanton misconduct.
87-
88212 D. The Department shall include the following informati on in
89213 written materials developed and provided for distribution as
90214 required by paragraph 2 of subsection B of thi s section:
91-
92-ENR. S. B. NO. 1491 Page 3
93-
94215 1. A warning that a woman w ho is pregnant or might be pregnant
95216 should not take certain an tibiotics and should immediately contact a
96217 health care provider for an examination;
97-
98218 2. Information about the antimicrobial drug and dosage provided
99219 or prescribed, including a warning that a sex ual partner who has a
100220 history of allergy to the drug or the ph armaceutical class of drug
101221 should not take the drug and should immediately contact a health
102222 care provider for examination;
103-
104223 3. Information about the treatm ent and prevention of sexually
105224 transmitted infections;
106-
107225 4. The requirement of sexual abstinence until a period of time
108226 after treatment to preve nt infecting other sexual partners;
109-
110227 5. Notification of the importance of the sexual partners
111228 receiving examination and testing for human immunodeficien cy virus
112229 and other sexually transmitted infections and informa tion about
113230 available resources;
114-
115231 6. Notification of the risk to the patient, the patient’s
116232 sexual partner, and the general public if the sexually transmitt ed
117233 infection is not completely and succ essfully treated;
234+
235+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 5 1
236+2
237+3
238+4
239+5
240+6
241+7
242+8
243+9
244+10
245+11
246+12
247+13
248+14
249+15
250+16
251+17
252+18
253+19
254+20
255+21
256+22
257+23
258+24
118259
119260 7. The responsibility of the sexual partner to inform the
120261 sexual partner’s own sexual partners of the risk of sexually
121262 transmitted infections and the importance of prompt examination and
122263 treatment by a health care provider; and
123-
124264 8. Such other information deemed necessary by the State
125265 Commissioner of Health.
126-
127266 E. The State Commissioner of He alth, the State Board of Medical
128267 Licensure and Supervision, the State Board of Osteopathic Examiners,
129268 the Oklahoma Board of Nursing, and the State Board of Pharmacy may
130269 promulgate rules as necessary to implement th is section.
131-
132270 SECTION 2. AMENDATORY 63 O.S. 2021, Section 1-517, is
133271 amended to read as follows :
134-
135-
136-ENR. S. B. NO. 1491 Page 4
137272 Section 1-517. For the purposes of t he following sections of
138273 this article:
139-
140274 (a) The term "sexually transmitted infection (STI)" means
141275 syphilis, gonorrhea, chlamydia, human immunode ficiency virus
142276 (HIV)/acquired immune deficiency syndrome (AIDS), and any other
143277 disease which may be transmitted f rom any person to any other person
144278 through or by means of any form of sexual contact.
145-
146279 (b) The term "infected person" means any individual, eith er
147280 sex, who may be carrying the organism or is afflicted with any STI.
148-
149281 (c) The term "dealer" means any person who may handle, for
150282 sale, any medicinal remedies or supposed remedies for an STI, and
151283 the agents, clerks and employees of any such person; and any person
284+
285+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 6 1
286+2
287+3
288+4
289+5
290+6
291+7
292+8
293+9
294+10
295+11
296+12
297+13
298+14
299+15
300+16
301+17
302+18
303+19
304+20
305+21
306+22
307+23
308+24
309+
152310 who may profess or claim to treat or cure, by the use of medicine or
153311 otherwise, any sexually transmitted infection (STI), and the agents,
154312 clerks and employees.
155-
156313 (d) The term "physician" shall include reputab le physicians who
157314 have complied with all t he requirements of law regulating the
158315 practice of their respective schools of medicine, and duly licensed
159316 by such law to practice medicine in their respective schools, or
160317 surgery, or both, and no other person "health care provider" means
161318 an allopathic physician, osteopathic physician, physician assistant,
162319 or Advanced Practice Registered Nurse licensed in this state a nd
163320 authorized to prescribe drugs .
164-
165321 SECTION 3. AMENDATORY 63 O.S. 2021, Section 1-518, is
166322 amended to read as follows :
167-
168323 Section 1-518. It shall be unlawful for any person, being an
169324 infected person, to refuse, fail , or neglect to report such fact to,
170325 and submit to examin ation and treatment by, a physician health care
171326 provider.
172-
173327 SECTION 4. AMENDATORY 63 O.S. 2021, Section 1-522, is
174328 amended to read as follows:
175-
176329 Section 1-522. It Except as provided in Section 1 of this act,
177330 it shall be unlawful for a ny dealer to treat or offer to treat any
178331 infected person, or to se ll, furnish or give to any infected person ,
179-
180-ENR. S. B. NO. 1491 Page 5
181332 or to any other person whomsoever, any medicines of any kind that
182333 may be advertised or used for treatment of a sexually transmitted
334+
335+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 7 1
336+2
337+3
338+4
339+5
340+6
341+7
342+8
343+9
344+10
345+11
346+12
347+13
348+14
349+15
350+16
351+17
352+18
353+19
354+20
355+21
356+22
357+23
358+24
359+
183360 infection (STI), before requiring such person to produce and file
184361 with such dealer a proper prescription for such medicine , issued and
185362 signed by a physician, which prescription shall be by the dealer
186363 kept on file for a period of one (1 ) year from the date of the
187364 person receiving the same, and subject, at all reasonable hours, to
188365 the inspection of the State Commissioner of Hea lth or local health
189366 officer.
190-
191367 SECTION 5. AMENDATORY 63 O.S. 2021, Section 1-532.1, is
192368 amended to read as follows:
193-
194369 Section 1-532.1. Any person, regardless of age, has the
195370 capacity to consent to examination and treatment by a licensed
196371 physician health care provider for any sexually transmitted
197372 infection (STI).
198-
199373 SECTION 6. REPEALER 63 O.S. 2021, Section 1 -521, is
200374 hereby repealed.
375+SECTION 7. This act shall become effective November 1, 2024. "
201376
202-SECTION 7. This act shall become effective November 1, 2024.
377+
378+
379+ENGR. H. A. to ENGR. S. B. NO. 1491 Page 8 1
380+2
381+3
382+4
383+5
384+6
385+7
386+8
387+9
388+10
389+11
390+12
391+13
392+14
393+15
394+16
395+17
396+18
397+19
398+20
399+21
400+22
401+23
402+24
403+
404+Passed the House of Representatives the 25th day of April, 2024.
203405
204406
205407
206408
207-ENR. S. B. NO. 1491 Page 6
208-Passed the Senate the 21st day of May, 2024.
409+
410+Presiding Officer of the House of
411+ Representatives
412+
413+
414+Passed the Senate the ____ day of __________, 2024.
415+
416+
209417
210418
211419
212420 Presiding Officer of the Senate
213421
214422
215-Passed the House of Representatives the 25th day of April, 2024.
423+ENGR. S. B. NO. 1491 Page 1 1
424+2
425+3
426+4
427+5
428+6
429+7
430+8
431+9
432+10
433+11
434+12
435+13
436+14
437+15
438+16
439+17
440+18
441+19
442+20
443+21
444+22
445+23
446+24
447+
448+ENGROSSED SENATE
449+BILL NO. 1491 By: Stanley of the Senate
450+
451+ and
452+
453+ Roe of the House
454+
455+
456+
457+
458+An Act relating to sexually transmitted infections;
459+amending 63 O.S. 2021, Section 1 -522, which relates
460+to treatment without prescription ; providing certain
461+exception; updating statutory language; defining
462+terms; authorizing provision of expedited partner
463+therapy under certain conditions; requiring provision
464+of certain counseling; providing certain protecti ons
465+from civil liability and disciplinary action;
466+specifying information to be included in certain
467+materials; authorizing promulgation of ru les;
468+providing for codification; and providing an
469+effective date.
470+
471+
472+
473+
474+BE IT ENACTED BY THE PEOPLE OF THE STATE OF OK LAHOMA:
475+SECTION 8. AMENDATORY 63 O.S. 2021, Section 1-522, is
476+amended to read as follows:
477+Section 1-522. It Except as provided in S ection 2 of this act,
478+it shall be unlawful for any dealer to treat or offer to treat any
479+infected person, or to sell, furnish or give to any infected person,
480+or to any other person whomsoever, any medicines of any kind that
481+may be advertised or used for treatment of a sexually transmitted
482+infection (STI), before requiring such person to produce and fil e
483+with such dealer a proper prescription for such medicine, issu ed and
484+signed by a physician, which prescription shall be by the dealer
485+
486+ENGR. S. B. NO. 1491 Page 2 1
487+2
488+3
489+4
490+5
491+6
492+7
493+8
494+9
495+10
496+11
497+12
498+13
499+14
500+15
501+16
502+17
503+18
504+19
505+20
506+21
507+22
508+23
509+24
510+
511+kept on file for a period of one (1) year from the date of the
512+person receiving the same, and subject, at all reasonable hours, to
513+the inspection of the St ate Commissioner of Health or local health
514+officer.
515+SECTION 9. NEW LAW A new section of law to be codifie d
516+in the Oklahoma Statutes as Section 1-522.1 of Title 63, unless
517+there is created a duplica tion in numbering, reads as follows:
518+A. As used in this section :
519+1. “Expedited partner therapy ” means to prescribe, administer,
520+dispense, or otherwise provide antimicrobial drugs to a sexual
521+partner of a patient clinically diagnosed by a health care provider
522+as infected with a sexually transmitted infection without a physical
523+examination of such sexual partner; and
524+2. “Health care provider” means an allopathic physician,
525+osteopathic physician, physician assistant, or Advanced Practice
526+Registered Nurse licensed in this state and authorized to prescribe
527+drugs.
528+B. 1. Subject to limitations provided by law or rule including
529+but not limited to laws or rules governing scope of practice ,
530+supervision of health care providers, and delegation of health care
531+services, a health care provider who clinically diagnoses a patient
532+with a sexually transmitted infection may provide expedited partner
533+therapy if, in the professional jud gment of the health care
534+
535+ENGR. S. B. NO. 1491 Page 3 1
536+2
537+3
538+4
539+5
540+6
541+7
542+8
543+9
544+10
545+11
546+12
547+13
548+14
549+15
550+16
551+17
552+18
553+19
554+20
555+21
556+22
557+23
558+24
559+
560+provider, the patient’s sexual partner is unlikely or unable to
561+present for examination, testing , and treatment.
562+2. A health care provider who provides expedited partner
563+therapy shall provide counseling to the patient, including
564+distributing written materials developed and provided by the State
565+Department of Health to be given by the patient to the patient ’s
566+sexual partner.
567+3. A health care provider shall use expedited partner therapy
568+only for a patient’s sexual partner who may have been exposed to a
569+sexually transmitted infection and who is able to be contacted and
570+identified by the patient.
571+C. 1. No health care provider or phar macist shall be liable
572+for civil damages resulting from any act or omission in good -faith
573+compliance with the provisions of this section, including civil
574+damages for refusing to provide expedited partner therapy, other
575+than an act or omission constituting gross negligence or willful or
576+wanton misconduct.
577+2. No health care provider or pharmacist shall be subject to
578+disciplinary action by the provider’s or pharmacist’s licensing
579+board on the basis of an act or omission in good-faith compliance
580+with the provisions of this section, other than an act or omission
581+constituting gross negligence or willful or wanton misconduct.
582+
583+ENGR. S. B. NO. 1491 Page 4 1
584+2
585+3
586+4
587+5
588+6
589+7
590+8
591+9
592+10
593+11
594+12
595+13
596+14
597+15
598+16
599+17
600+18
601+19
602+20
603+21
604+22
605+23
606+24
607+
608+D. The Department shall include the following information in
609+written materials developed and provided for distribution as
610+required by paragraph 2 of subsection B of this section :
611+1. A warning that a woman who is pregnant or might be pregnant
612+should not take certain antibiotics a nd should immediately contact a
613+health care provider for an examination;
614+2. Information about the antimicrobial dr ug and dosage provided
615+or prescribed, including a warning that a sexual partner who has a
616+history of allergy to the drug or the pharmaceutical class of drug
617+should not take the drug and should immediately contact a health
618+care provider for examination;
619+3. Information about the treatment and prevention of sexually
620+transmitted infections;
621+4. The requirement of sexual abstinence until a period o f time
622+after treatment to prevent infecting other s exual partners;
623+5. Notification of the importance of the sexual partners
624+receiving examination and testing for human immunodeficiency virus
625+and other sexually transmitted infections and information about
626+available resources;
627+6. Notification of the risk t o the patient, the patient ’s
628+sexual partner, and the general public if the sexually transmitted
629+infection is not completely and successfully treat ed;
630+7. The responsibility of the sexual partner to inform the
631+sexual partner’s own sexual partners of the ris k of sexually
632+
633+ENGR. S. B. NO. 1491 Page 5 1
634+2
635+3
636+4
637+5
638+6
639+7
640+8
641+9
642+10
643+11
644+12
645+13
646+14
647+15
648+16
649+17
650+18
651+19
652+20
653+21
654+22
655+23
656+24
657+
658+transmitted infections and the importance of promp t examination and
659+treatment by a health care provider; and
660+8. Such other information deemed necessary by the State
661+Commissioner of Health .
662+E. The State Commissioner of Health , the State Board of Medical
663+Licensure and Supervision, the S tate Board of Osteopathic Examiners,
664+the Oklahoma Board of Nursing, and the State Board of Pharmacy may
665+promulgate rules as necessary to implement this section.
666+SECTION 10. This act shall become effective November 1, 2024.
667+Passed the Senate the 27th day of February, 2024.
668+
669+
670+
671+ Presiding Officer of the Senate
672+
673+
674+Passed the House of Representatives the ____ day of __________,
675+2024.
216676
217677
218678
219679 Presiding Officer of the House
220680 of Representatives
221681
222-OFFICE OF THE GOVERNOR
223-Received by the Office of the Governor this _______ _____________
224-day of ___________________, 20_______, at _______ o'clock _______ M.
225-By: _________________________________
226-Approved by the Governor of the State of Oklahoma this _______ __
227-day of _________________ __, 20_______, at _______ o'clock _______ M.
228682
229- _________________________ ________
230- Governor of the State of Oklahoma
231-
232-
233-OFFICE OF THE SECRETARY OF STATE
234-Received by the Office of the Secretary of State this _______ ___
235-day of _________________ _, 20 _______, at _______ o'clock _______ M.
236-By: _________________________________