Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB1504 Compare Versions

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Version 2 (New)

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3		-	SB1504 HFLR Page 1
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	3	+	ENGR. S. B. NO. 1504 Page 1 1
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28		-
29		-	HOUSE OF REPRESENTATIVES - FLOOR VERSION
30		-
31		-	STATE OF OKLAHOMA
32		-
33		-	2nd Session of the 59th Legislature (2024)
34	27
35	28		ENGROSSED SENATE
36	29		BILL NO. 1504 By: Thompson (Kristen) and
37	30		Garvin of the Senate
38	31
39	32		and
40	33
41	34		McEntire of the House
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45	38		An Act relating to medical preceptorship training;
46	39		defining terms; providing income tax credit for
47	40		certain individuals who conduct a precepto rship
48	41		rotation; providing amount of and basis for credit;
49	42		providing limitations on credits allowed; prohibiting
50	43		refundability of credit; authorizing the carry
51	44		forward of credit; directing the Health Care
52	45		Workforce Training Commission to award credit;
53	46		limiting the amount of credit awarded to balance of
54	47		certain revolving funds; authorizing allocation of
55	48		partial credit; authorizing credits not allowed to be
56	49		claimed in subsequent year; specifying eligibility
57	50		for credit; directing the State Board of Medical
58	51		Licensure and Supervision, the State Board of
59	52		Osteopathic Examiners, and the Oklahoma Board of
60	53		Nursing to deposit certain fees in revolving fund for
61	54		certain purpose; requiring submission of information;
62	55		authorizing promulgation of rules; creating the
63	56		Physician Preceptor Tax Credit Revolving Fund, the
64	57		Physician Assistant Preceptor Tax Credit Revolving
65	58		Fund, the Osteopathic Physician Preceptor Tax Credit
66	59		Revolving Fund, and the Advanced Practice Registered
67	60		Nurses Preceptor Tax Credit Revolving Fund;
68	61		specifying sources of funds; providing for transfer
69	62		of monies to Oklahoma Tax Commission; requiring
70	63		apportionment of monies; authorizing payment of
71	64		administrative expenditures; stating purpose;
72	65		amending 70 O.S. 2021, Section 697.5, as amended by
73	66		Section 19, Chapter 407 , O.S.L. 2022 (70 O.S. Supp.
74	67		2023, Section 697.5), which relates to the Health
75	68		Care Workforce Training Commission; providing
	69	+	additional duties; updating statutory language;
	70	+	providing for codification; providing an effective
	71	+	date; and declaring an emergency .
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77		-	SB1504 HFLR Page 2
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	76	+	ENGR. S. B. NO. 1504 Page 2 1
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103		-	additional duties; updatin g statutory language;
104		-	providing for codification; providing an effective
105		-	date; and declaring an emergency .
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111	103		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
112	104		SECTION 1. NEW LAW A new section of law to be codified
113	105		in the Oklahoma Statutes as Section 2357.409 of Title 68, unless
114	106		there is created a duplication in numbering, reads as follows:
115	107		A. As used in this section:
116	108		1. “Advanced practice registered nursing student ” means an
117	109		individual participating in a state -supported training program in
118	110		this state that is approved by the Oklahoma Board of Nursing for the
119	111		training of individu als to become Advanced Practice Registered
120	112		Nurses as defined in Section 567.3a of Title 59 of the Oklahoma
121	113		Statutes;
122	114		2. “Faculty preceptor” means an allopathic physician,
123	115		osteopathic physician, physician assistant, or Advanced Practice
124	116		Registered Nurse licensed in this state and who provides primary
125	117		care services;
126	118		3. “Medical school” means a legally chartered medical school
127	119		recognized by the Oklahoma State Regents for Higher Education;
128	120		4. “Medical student” means a student currently enrolled in a
129	121		medical school in this state or a school or college of osteopathic
130	122		medicine in this state;
	123	+	5. “Physician assistant student ” means an individual
	124	+	participating in a state -supported training program in this state
	125	+	that is approved by the State Board of Medical Licens ure and
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132		-	SB1504 HFLR Page 3
133		-	BOLD FACE denotes Committee Amendments. 1
	127	+	ENGR. S. B. NO. 1504 Page 3 1
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158		-	5. “Physician assistant student ” means an individual
159		-	participating in a state-supported training program in this state
160		-	that is approved by the State Board of Medical Licens ure and
161	152		Supervision for the training of individuals to become physician
162	153		assistants as defined in Section 519.2 of Title 59 of the Oklahoma
163	154		Statutes;
164	155		6. “Preceptorship rotation ” means a period of preceptorship
165	156		training of one or more medical students, resi dents, physician
166	157		assistant students, or advanced practice registered nursing students
167	158		that in aggregate totals one hundred sixty (160) hours;
168	159		7. “Preceptorship training ” means uncompensated training in
169	160		primary care services of a medical student, resident, physician
170	161		assistant student, or advanced practice registered nursing student
171	162		enrolled in a training program in this state;
172	163		8. “Primary care services ” means family medicine, geriatrics,
173	164		general internal medicine, general pediatrics, or the substantial
174	165		equivalent of such services when performed by a physician assistant
175	166		or Advanced Practice Registered Nurse;
176	167		9. “Resident” means an allopathic physician or osteopathic
177	168		physician pursuing postgraduate medical education at a program
178	169		supported by a medical school or a school or college of osteopathic
179	170		medicine in this state; and
	171	+	10. “School or college of osteopathic medicine ” shall have the
	172	+	same meaning as provided by Section 631 of Title 59 of the Oklahoma
	173	+	Statutes.
	174	+	B. 1. For tax years 2025 through 2034, there shall be allowed
	175	+	a credit against the tax imposed pursuant to Section 2355 of Title
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181		-	SB1504 HFLR Page 4
182		-	BOLD FACE denotes Committee Amendments. 1
	177	+	ENGR. S. B. NO. 1504 Page 4 1
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207		-	10. “School or college of osteopathic medicine ” shall have the
208		-	same meaning as prov ided by Section 631 of Title 59 of the Oklahoma
209		-	Statutes.
210		-	B. 1. For tax years 2025 through 2034, there shall be allowed
211		-	a credit against the tax imposed pursuant to Section 2355 of Title
212	202		68 of the Oklahoma Statutes for a faculty preceptor who conducts a
213	203		preceptorship rotation.
214	204		2. Except as provided for by subsection F of this section,
215	205		credit shall be allow ed for no greater than ten preceptorship
216	206		rotations completed in a calendar year, and shall be equal to the
217	207		following amounts:
218	208		a. for a medical student or resident, Five Hundred
219	209		Dollars ($500.00) each for the first, second, or third
220	210		preceptorship rotations and One Thousand Dollars
221	211		($1,000.00) each for up to seven subsequent rotations,
222	212		and
223	213		b. for a physician assistant student or advanced practice
224	214		registered nursing student, Three Hundred Seventy -five
225	215		Dollars ($375.00) each for the first, second, or third
226	216		preceptorship rotations and Seven Hundred Fifty
227	217		Dollars ($750.00) each for up to seven subsequent
228	218		rotations.
229	219		C. The credit authorized by this section shall not be used to
230	220		reduce the tax liability of the taxpayer to less than zero (0).
	221	+	D. To the extent not us ed, the credits authorized by this
	222	+	section may be carried over, in order, to each of the five (5)
	223	+	subsequent tax years.
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232		-	SB1504 HFLR Page 5
233		-	BOLD FACE denotes Committee Amendments. 1
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258		-	D. To the extent not us ed, the credits authorized by this
259		-	section may be carried over, in order, to each of the five (5)
260		-	subsequent tax years.
261	250		E. The Health Care Workforce Training Commission shall award
262	251		the credit authorized by subsection B of this section to faculty
263	252		preceptors for preceptorship rotations of:
264	253		1. Medical students enrolled in a medical school in this state;
265	254		2. Residents who are allopathic physicians pursuing
266	255		postgraduate medical education at a program supported by a medical
267	256		school in this state;
268	257		3. Physician assistant students;
269	258		4. Medical students enrolled in a school or college of
270	259		osteopathic medicine in this state ;
271	260		5. Residents who are osteopathic physicians pursuing
272	261		postgraduate medical education at a program supported by a school or
273	262		college of osteopathic medicine in this state; and
274	263		6. Advanced practice registered nursing students.
275	264		F. 1. The credits awarded by the Health Care Workforce
276	265		Training Commission under paragraphs 1 and 2 subsection E of this
277	266		section for the tax year shall not exceed the amount deposited to
278	267		the Physician Preceptor Tax Credit Revolving Fund created in Section
279	268		2 of this act during the fiscal year ending on the June 30 date
280	269		immediately preceding the date upon which the applicable income tax
281	270		year begins.
	271	+	2. The credits awarded by th e Health Care Workforce Training
	272	+	Commission under paragraph 3 of subsection E of this section for the
	273	+	tax year shall not exceed the amount deposited to the Physician
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309		-	2. The credits awarded by th e Health Care Workforce Training
310		-	Commission under paragraph 3 of subsection E of this section for the
311		-	tax year shall not exceed the amount deposited to the Physician
312	300		Assistant Preceptor Tax Credit Revolving Fund created in Section 3
313	301		of this act during the fiscal year ending on the June 30 date
314	302		immediately preceding the date upon which the applicable income tax
315	303		year begins.
316	304		3. The credits awarded by the Health Care Workforce Training
317	305		Commission under paragraphs 4 and 5 of subsection E of this section
318	306		for the tax year shall not exceed the amount deposited to the
319	307		Osteopathic Physician Preceptor Tax Credit Revolving Fund created in
320	308		Section 4 of this act during the preceding fiscal year ending on the
321	309		June 30 date immediately preceding the date upon which the
322	310		applicable income tax year begins.
323	311		4. The credits awarded by the Health Care Workforce Training
324	312		Commission under paragraph 6 of subsection E of this section for the
325	313		tax year shall not exceed the amount deposited to the Advanced
326	314		Practice Registered Nurses Pre ceptor Tax Credit Revolving Fund
327	315		created in Section 5 of this act during the preceding fiscal year
328	316		ending on the June 30 date immediately preceding the date upon which
329	317		the applicable income tax year begins.
330	318		G. Partial claims for credit may be awarded. Cr edits earned
331	319		but not allowed due to the application of the limitation provided in
332	320		this section shall be considered suspended and authorized to be used
	321	+	in the subsequent tax year and applied to the next tax year ’s
	322	+	limitation.
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334		-	SB1504 HFLR Page 7
335		-	BOLD FACE denotes Committee Amendments. 1
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360		-	in the subsequent tax year and applied to the next tax year ’s
361		-	limitation.
362	349		H. In order to receive the cre dit provided pursuant to this
363	350		section, a faculty preceptor shall:
364	351		1. Claim the credit for the tax year in which the preceptorship
365	352		rotation was completed;
366	353		2. Certify that he or she did not receive payment during the
367	354		tax year from any source for providing the training; and
368	355		3. Supply supporting documentation as may be required by the
369	356		Health Care Workforce Training Commission.
370	357		I. 1. The State Board of Medical Licensure and Supervision
371	358		shall reserve Five Dollars ($5.00) of every annual licensure fee
372	359		received from allopathic physicians and shall deposit the sum to the
373	360		Physician Preceptor Tax Credit Revolving Fund created in Section 2
374	361		of this act for the purpose of providing funding for the credit
375	362		authorized by this section.
376	363		2. The State Board of Medical Lice nsure and Supervision shall
377	364		reserve Two Dollars ($2.00) of every annual licensure fee received
378	365		from physician assistants and shall deposit the sum to the Physician
379	366		Assistant Preceptor Tax Credit Revolving Fund created in Section 3
380	367		of this act for the purpo se of providing funding for the credit
381	368		authorized by this section.
382	369		3. The State Board of Osteopathic Examiners shall reserve Five
383	370		Dollars ($5.00) of every annual licensure fee received from
	371	+	osteopathic physicians and shall deposit the sum to the Osteopath ic
	372	+	Physician Preceptor Tax Credit Revolving Fund created in Section 4
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385		-	SB1504 HFLR Page 8
386		-	BOLD FACE denotes Committee Amendments. 1
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411		-	osteopathic physicians and shall deposit the sum to the Osteopath ic
412		-	Physician Preceptor Tax Credit Revolving Fund created in Section 4
413	399		of this act for the purpose of providing funding for the credit
414	400		authorized by this section.
415	401		4. The Oklahoma Board of Nursing shall reserve Two Dollars
416	402		($2.00) of every annual licensure fee received from Advanced
417	403		Practice Registered Nurses and shall deposit the sum to the Advanced
418	404		Practice Registered Nurses Preceptor Tax Credit Revolving Fund
419	405		created in Section 5 of this act for the purpose of providing
420	406		funding for the credit authorized b y this section.
421	407		J. 1. With respect to each tax year for which any tax credit
422	408		authorized by this section is awarded, the Health Care Workforce
423	409		Training Commission shall electronically submit information to the
424	410		Oklahoma Tax Commission, which shall include the number and amount
425	411		of tax credits awarded and the name of the taxpayers that were
426	412		awarded credits.
427	413		2. With respect to each fiscal year the State Board of Medical
428	414		Licensure and Supervision, the State Board of Osteopathic Examiners,
429	415		and the Oklahoma Boar d of Nursing shall electronically submit to the
430	416		Health Care Workforce Training Commission and the Oklahoma Tax
431	417		Commission the amount deposited in the Physician Preceptor Tax
432	418		Credit Revolving Fund created in Section 2 of this act, the
433	419		Physician Assistant Pr eceptor Tax Credit Revolving Fund created in
434	420		Section 3 of this act, the Osteopathic Physician Preceptor Tax
	421	+	Credit Revolving Fund created in Section 4 of this act, and the
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436		-	SB1504 HFLR Page 9
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462		-	Credit Revolving Fund created in Section 4 of this act, and the
463	448		Advanced Practice Registered Nurses Preceptor Tax Credit Revolving
464	449		Fund created in Section 5 of this act.
465	450		K. The Oklahoma Tax Commission, the Health Care Workforce
466	451		Training Commission, the State Board of Medical Licensure and
467	452		Supervision, the State Board of Osteopathic Examiners, and the
468	453		Oklahoma Board of Nursing may promulgate rules to effectuate the
469	454		provisions of this act.
470	455		SECTION 2. NEW LAW A new section of law to be codified
471	456		in the Oklahoma Statutes as Section 495i of Title 59, unless there
472	457		is created a duplication in numbering, reads as follows:
473	458		There is hereby created in the State Treasury a revolving fund
474	459		for the State Board of Medical Licensure and Supervision to be
475	460		designated the “Physician Preceptor Tax Credit Revolving Fund ”. The
476	461		fund shall be a continuing fund, not subject to fiscal year
477	462		limitations, and shall consist of the monies received by the Board
478	463		from a portion of licensure fees received from allopathic physicians
479	464		under subsection I of Section 1 of this act. All monies accruing to
480	465		the credit of the fund are hereby appropriated and the fund shall be
481	466		used to make a transfer payment to the Oklahoma Tax Commission in an
482	467		amount equal to the amount of tax credits awarded pursuant to this
483	468		act. The Oklahoma Tax Commission shall apportion monies transferred
484	469		from the fund in the same manner as provided by Section 2352 of
485	470		Title 68 of the Oklahoma Statutes. Monies in the fund which are not
	471	+	required for payment of administrative expenses to the Health Care
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513		-	required for payment of administrative expenses to the Health Care
514	498		Workforce Training Commission, which shall not exceed five percent
515	499		(5%) of monies apportioned to the fun d, or which are not required to
516	500		be transferred to the Oklahoma Tax Commission as otherwise required
517	501		by this act to offset the revenue impacted by the use of the income
518	502		tax credits awarded pursuant to Section 1 of this act may be used to
519	503		implement programs required or authorized by law.
520	504		SECTION 3. NEW LAW A new section of law to be codified
521	505		in the Oklahoma Statutes as Section 519.8a of Title 59, unless there
522	506		is created a duplication in numbering, reads as follows:
523	507		There is hereby crea ted in the State Treasury a revolving fund
524	508		for the State Board of Medical Licensure and Supervision to be
525	509		designated the “Physician Assistant Preceptor Tax Credit Revolving
526	510		Fund”. The fund shall be a continuing fund, not subject to fiscal
527	511		year limitations, and shall consist of the monies received by the
528	512		Board from a portion of licensure fees received from physician
529	513		assistants under subsection I of Section 1 of this act. All monies
530	514		accruing to the credit of the fund are hereby appropriated and the
531	515		fund shall be used to make a transfer payment to the Oklahoma Tax
532	516		Commission in an amount equal to the amount of tax credits awarded
533	517		pursuant to this act. The Oklahoma Tax Commission shall apportion
534	518		monies transferred from the fund in the same manner as provided by
535	519		Section 2352 of Title 68 of the Oklahoma Statutes. Monies in the
536	520		fund which are not required for payment of administrative expenses
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564		-	to the Health Care Workforce Training Commission, which shall not
565		-	exceed five percent (5%) of monies apportioned to the fund, or which
566		-	are not required to be transferred to the Oklahoma Tax Commission as
567		-	otherwise required by this act to offset the revenue impacted by th e
568		-	use of the income tax credits awarded pursuant to Section 1 of this
569		-	act may be used to implement progra ms required or authorized by law.
570		-	SECTION 4. NEW LAW A new section of law to be codified
571		-	in the Oklahoma Statutes as Section 64 5.1 of Title 59, unless there
572		-	is created a duplication in numbering, reads as follows:
573		-	There is hereby created in the State Treasury a revolving fund
574		-	for the State Board of Osteopathic Examiners to be designated the
575		-	“Osteopathic Physician Preceptor Tax Cre dit Revolving Fund”. The
576		-	fund shall be a continuing fund, not subject to fiscal year
577		-	limitations, and shall consist of the monies received by the Board
578		-	from a portion of licensure fees received from osteopathic
579		-	physicians under subsection I of Section 1 o f this act. All monies
580		-	accruing to the credit of the fund are hereby appropriated and the
581		-	fund shall be used to make a transfer payment to the Oklahoma Tax
582		-	Commission in an amount equal to the amount of tax credits awarded
583		-	pursuant to this act. The Oklah oma Tax Commission shall apportion
584		-	monies transferred from the fund in the same manner as provided by
585		-	Section 2352 of Title 68 of the Oklahoma Statutes. Monies in the
586		-	fund which are not required for payment of administrative expenses
587	521		to the Health Care Workforce Training Commission, which shall not
588	522
589		-	SB1504 HFLR Page 12
590		-	BOLD FACE denotes Committee Amendments. 1
	523	+	ENGR. S. B. NO. 1504 Page 11 1
591	524		2
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614	547
615	548		exceed five percent (5%) of monies apportioned to the fund, or which
616	549		are not required to be transferred to the Oklahoma Tax Commission as
617	550		otherwise required by this act to offset the revenue impacted by the
618	551		use of the income tax credits awarded pursuant to Section 1 of this
619	552		act may be used to implement progra ms required or authorized by law.
620		-	SECTION 5. NEW LAW A new section of law to be codified
621		-	in the Oklahoma Statutes as Section ~~567~~.~~31 o f~~ Title 59, unless there
	553	+	SECTION 4. NEW LAW A new section of law to be codified
	554	+	in the Oklahoma Statutes as Section 645.1 of Title 59, unless there
622	555		is created a duplication in numbering, reads as follows:
623	556		There is hereby created in the State Treasury a revolving fund
624		-	for the ~~Oklahoma~~ Board of ~~Nursing~~ to be designated the ~~“Advanced~~
625		-	~~Practice Registered Nurses~~ Preceptor Tax ~~Credi t~~ Revolving Fund”.
626		-	~~The~~ fund shall be a continuing fund, not subject to fiscal year
	557	+	for the State Board of Osteopathic Examiners to be designated the
	558	+	“Osteopathic Physician Preceptor Tax Credit Revolving Fund ”. The
	559	+	fund shall be a continuing fund, not subject to fiscal year
627	560		limitations, and shall consist of the monies received by the Board
628		-	from a portion of licensure fees received from ~~Advanced Practice~~
629		-	~~Registered Nurses~~ under subsection I of Section 1 of this act. All
630		-	~~monies~~ accruing to the credit of the fund are hereby appropriated
631		-	~~and the~~ fund shall be used to make a transfer payment to the
632		-	~~Oklahoma Tax~~ Commission in an amount equal to the amount of tax
633		-	~~credits awarded~~ pursuant to this act. The Oklahoma Tax Commission
634		-	~~shall apportion~~ monies transferred from the fund in the same manner
635		-	~~as provided by~~ Section 2352 of Title 68 of the Oklahoma Statutes.
636		-	~~Monies in the~~ fund which are not required for payment of
637		-	~~administrative expenses~~ to the ~~Hea lth~~ Care Workforce Training
638		-	~~Commission, which shall not~~ exceed five percent (5%) of monies
	561	+	from a portion of licensure fees received from osteopathic
	562	+	physicians under subsection I of Section 1 of this act. All monies
	563	+	accruing to the credit of the fund are hereby appropriated and the
	564	+	fund shall be used to make a transfer payment to the Oklahoma Tax
	565	+	Commission in an amount equal to the amount of tax credits awarded
	566	+	pursuant to this act. The Oklahoma Tax Commission shall apportion
	567	+	monies transferred from the fund in the same manner as provided by
	568	+	Section 2352 of Title 68 of the Oklahoma Statutes. Monies in the
	569	+	fund which are not required for payment of administrative expenses
	570	+	to the Health Care Workforce Training Commission, which shall not
	571	+	exceed five percent (5%) of monies apportioned to the fund, or which
639	572
640		-	SB1504 HFLR Page 13
641		-	BOLD FACE denotes Committee Amendments. 1
	573	+	ENGR. S. B. NO. 1504 Page 12 1
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648	580		8
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660	592		20
661	593		21
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665	597
	598	+	are not required to be transferred to the Oklahoma Tax Commission as
	599	+	otherwise required by this act to offset the revenue impacted by the
	600	+	use of the income tax credits awarded pursuant to Section 1 of this
	601	+	act may be used to implement programs req uired or authorized by law.
	602	+	SECTION 5. NEW LAW A new section of law to be codified
	603	+	in the Oklahoma Statutes as Section 567.31 of Title 59, unless there
	604	+	is created a duplication in numbering, reads as follows:
	605	+	There is hereby created in the State Treasury a revolving fund
	606	+	for the Oklahoma Board of Nursing to be designated the “Advanced
	607	+	Practice Registered Nurses Preceptor Tax Credit Revolving Fund ”.
	608	+	The fund shall be a continuing fund, not subject to fiscal year
	609	+	limitations, and shal l consist of the monies received by the Board
	610	+	from a portion of licensure fees received from Advanced Practice
	611	+	Registered Nurses under subsection I of Section 1 of this act. All
	612	+	monies accruing to the credit of the fund are hereby appropriated
	613	+	and the fund shall be used to make a transfer payment to the
	614	+	Oklahoma Tax Commission in an amount equal to the amount of tax
	615	+	credits awarded pursuant to this act. The Oklahoma Tax Commission
	616	+	shall apportion monies transferred from the fund in the same manner
	617	+	as provided by Section 2352 of Title 68 of the Oklahoma Statutes.
	618	+	Monies in the fund which are not required for payment of
	619	+	administrative expenses to the Health Care Workforce Training
	620	+	Commission, which shall not exceed five percent (5%) of monies
666	621		apportioned to the fund, or which are not required to be transferred
667		-	to the Oklahoma Tax Commission as otherwise required by this act to
668		-	offset the revenue impacted by the use of the income tax credits
669		-	awarded pursuant to Section 1 of this act may be used to implement
670		-	programs required or authorized by law.
671		-	SECTION 6. AMENDATORY 70 O.S. 2021, Section 697.5, as
672		-	amended by Section 19, Chapter 4 07, O.S.L. 2022 (70 O.S. Supp. 2023,
673		-	Section 697.5), is amended to read as follows:
674		-	Section 697.5. The H ealth Care Workforce Training Commission,
675		-	in order to perform its official function in establishing and
676		-	administering physician training programs, shal l have the following
677		-	specific powers, duties , and responsibilities:
678		-	1. To review all available data on h ealth care workforce in
679		-	Oklahoma in order to determine the current and projected
680		-	distribution of physicians by geographic location and by type of
681		-	practice, and, to accomplish this review, the Commission shall
682		-	obtain information from and work in conjunction with the State
683		-	Department of Health and all other agencies which gather data and
684		-	evaluate health care workforce needs;
685		-	2. To review data and informat ion on accredited physician
686		-	internship and residency programs currently operated by Oklahoma
687		-	hospitals and other approved clinical situations, in order to
688		-	ascertain the number and distribution by physician specialty
689		-	training and by geographic location of a vailable internship and
690	622
691		-	SB1504 HFLR Page 14
692		-	BOLD FACE denotes Committee Amendments. 1
	623	+	ENGR. S. B. NO. 1504 Page 13 1
693	624		2
694	625		3
695	626		4
696	627		5
697	628		6
698	629		7
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702	633		11
703	634		12
704	635		13
705	636		14
706	637		15
707	638		16
708	639		17
709	640		18
710	641		19
711	642		20
712	643		21
713	644		22
714	645		23
715	646		24
716	647
	648	+	to the Oklahoma Tax Commission as otherwise required by this act to
	649	+	offset the revenue impacted by the use of the income tax credits
	650	+	awarded pursuant to Section 1 of this act may be used to implement
	651	+	programs required or authorized by law.
	652	+	SECTION 6. AMENDATORY 70 O.S. 2021, Section 697.5, as
	653	+	amended by Section 19, Chapter 407, O.S.L. 2022 (70 O.S. Supp. 2023,
	654	+	Section 697.5), is amended to read as follows:
	655	+	Section 697.5. The H ealth Care Workforce Training Commission,
	656	+	in order to perform its official function in establishing and
	657	+	administering physician training programs, shall have the following
	658	+	specific powers, duties , and responsibilities:
	659	+	1. To review all available data on h ealth care workforce in
	660	+	Oklahoma in order to determine the current and projected
	661	+	distribution of physicians by geographic location and by type of
	662	+	practice, and, to accomplish this review, the Commission shall
	663	+	obtain information from and work in conjunction with the State
	664	+	Department of Health and all other agencies which gather data and
	665	+	evaluate health care workforce needs;
	666	+	2. To review data and information on accredited physician
	667	+	internship and residency programs currently operated by Oklahoma
	668	+	hospitals and other approved clinical situations, in order to
	669	+	ascertain the number and distribution by physician specialty
	670	+	training and by geographic location of available internship and
717	671		residency positions and to evaluate the impact of internship and
718		-	residency placement on the establishment of practices by physicians
719		-	in that geographic area or similar areas within the state where
720		-	their services are urgently needed;
721		-	3. To serve as an agent to advise hospitals, clinics, and
722		-	communities on setting up and planning intern ship and residency
723		-	programs which emphasize the provision of additional primary care
724		-	physicians to service the rural areas of Oklahoma with primary car e
725		-	specialties to be defined to include training in the area of
726		-	internal medicine, obstetrics and gynecolo gy, pediatrics, emergency
727		-	trauma, and family practice;
728		-	4. To provide general counsel and advice in the development,
729		-	operation and evaluation of physic ian internship and residency
730		-	programs throughout the State of Oklahoma this state in cooperation
731		-	with the efforts of the Oklahoma State Regents for Higher Education
732		-	and the state’s physician training institutions such as the Oklahoma
733		-	University University of Oklahoma College of Medicine, Oklahoma City
734		-	and Tulsa campuses, and the Oklahoma State University College of
735		-	Osteopathic Medicine and Surgery, and subject to accreditation by
736		-	official and appropriate accrediting agencies;
737		-	5. To develop the criteria for determining the physician
738		-	training cost component or associated clinical and hospital training
739		-	costs which are or may be nonreimbursable by third party payers in
740		-	programs proposed by accredited hospitals, clinical situations, or
741	672
742		-	SB1504 HFLR Page 15
743		-	BOLD FACE denotes Committee Amendments. 1
	673	+	ENGR. S. B. NO. 1504 Page 14 1
744	674		2
745	675		3
746	676		4
747	677		5
748	678		6
749	679		7
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751	681		9
752	682		10
753	683		11
754	684		12
755	685		13
756	686		14
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758	688		16
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767	697
	698	+	residency placement on the establishment of practices by physicians
	699	+	in that geographic area or similar areas within the state where
	700	+	their services are urgently needed;
	701	+	3. To serve as an agent to advise hospitals, clinics, and
	702	+	communities on setting up and planning intern ship and residency
	703	+	programs which emphasize the provision of additional primary care
	704	+	physicians to service the rural areas of Oklahoma with primary care
	705	+	specialties to be defined to include training in the area of
	706	+	internal medicine, obstetrics and gynecolo gy, pediatrics, emergency
	707	+	trauma, and family practice;
	708	+	4. To provide general counsel and advice in the development,
	709	+	operation and evaluation of physician internship and residency
	710	+	programs throughout the State of Oklahoma this state in cooperation
	711	+	with the efforts of the Oklahoma State Regents for Higher Education
	712	+	and the state’s physician training institutions such as the Oklahoma
	713	+	University University of Oklahoma College of Medicine, Oklahoma City
	714	+	and Tulsa campuses, and the Oklahoma State University College of
	715	+	Osteopathic Medicine and Surgery, and subject to accreditation by
	716	+	official and appropriate accrediting agencies;
	717	+	5. To develop the criteria for determining the physician
	718	+	training cost component or associated clinical and hospital training
	719	+	costs which are or may be nonreimbursable by third party payers in
	720	+	programs proposed by accredited hospitals, clinical situations, or
768	721		hospital and clinical programs affiliated with and administered by
769		-	the University of Oklahoma College of Medicine, University of
770		-	Oklahoma College of Medicine – Tulsa, or Oklahoma State University
771		-	College of Osteopathic Medicine and Surgery in order to determine
772		-	the share for the st ate in supporting the salary, benefits, training
773		-	and program administration costs incurred by hospitals i n supporting
774		-	of the interns and residents;
775		-	6. To develop the criteria and procedure by which state
776		-	matching funds will be awarded to hospitals, accred ited clinical
777		-	situations, in cooperation with the University of Oklahoma College
778		-	of Medicine, University of Oklahoma College of Medicine - Tulsa, and
779		-	the Oklahoma State University College of Osteopathic Medicine and
780		-	Surgery which shall administer programs in hospital and clinical
781		-	situations in the state to be used to underwrite the salaries,
782		-	benefits and associated training and administration costs provided
783		-	for the physician interns and residents during their period of
784		-	training in such a way as to create an incentive for the development
785		-	and establishment of residency and internship positions by
786		-	hospitals, clinical establishments or by affiliation agreement with
787		-	the University of Oklahoma College of Medicine, University of
788		-	Oklahoma College of Medicine – Tulsa, and the Oklahoma State
789		-	University College of Osteopathic Medicine and Surgery by providing
790		-	funds to cover and to supplement the nonreimbursable or additional
791		-	costs incurred in hospitals for training activities or for delivery
792	722
793		-	SB1504 HFLR Page 16
794		-	BOLD FACE denotes Committee Amendments. 1
	723	+	ENGR. S. B. NO. 1504 Page 15 1
795	724		2
796	725		3
797	726		4
798	727		5
799	728		6
800	729		7
801	730		8
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804	733		11
805	734		12
806	735		13
807	736		14
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818	747
	748	+	the University of Oklahoma College of Medicine, University of
	749	+	Oklahoma College of Medicine – Tulsa, or Oklahoma State University
	750	+	College of Osteopathic Medicine and Surgery in order to determine
	751	+	the share for the state in supporting the salary, benefits, training
	752	+	and program administration costs incurred by hospitals i n supporting
	753	+	of the interns and residents;
	754	+	6. To develop the criteria and procedure by which state
	755	+	matching funds will be awarded to hospitals, accredited clinical
	756	+	situations, in cooperation with the University of Oklahoma College
	757	+	of Medicine, University of Oklahoma College of Medicine - Tulsa, and
	758	+	the Oklahoma State University College of Osteopathic Medicine and
	759	+	Surgery which shall administer programs in hospital and clinical
	760	+	situations in the state to be used to underwrite the salaries,
	761	+	benefits and associated training and administration costs provided
	762	+	for the physician interns and residents during their period of
	763	+	training in such a way as to create an incentive for the development
	764	+	and establishment of residency and internship positions by
	765	+	hospitals, clinical establishments or by affiliation agreement with
	766	+	the University of Oklahoma College of Medicine, University of
	767	+	Oklahoma College of Medicine – Tulsa, and the Oklahoma State
	768	+	University College of Osteopathic Medicine and Surgery by providing
	769	+	funds to cover and to supplement the nonreimbursable or additional
	770	+	costs incurred in hospitals for training activities or for delivery
819	771		of service in outreach and ambulatory clinical situations which are
820		-	outside but associated with the hospitals and clinical
821		-	establishments participating in the program;
822		-	7. To review and to approve for inclusion in the programs
823		-	funded the applications for funds submitted by accredited hospitals
824		-	and clinical situations participating in physician training programs
825		-	in cooperation with the U niversity of Oklahoma College of Medicine,
826		-	University of Oklahoma College of Medicine – Tulsa, and the Oklahoma
827		-	State University College of Osteopathic Medicine and Surgery for the
828		-	costs of supplying residents and interns in programs which they
829		-	administer by affiliation agreements with hospitals and clinical
830		-	situations throughout the state in which the interns and residents
831		-	are supervised and funded by t he University of Oklahoma College of
832		-	Medicine, University of Oklahoma College of Medicine – Tulsa, and
833		-	the Oklahoma State University College of Osteopathic Medicine and
834		-	Surgery and the hospitals and clinical establishments pay for the
835		-	patient care services rendered in their institutions by these
836		-	residents and interns during the period of training;
837		-	8. To determine the specific level of funding and the
838		-	priorities used for granting state support to approved hospitals and
839		-	clinical situations, in cooperation wi th the University of Oklahoma
840		-	College of Medicine, University of Oklahoma College of Medicine –
841		-	Tulsa, and the Oklahoma State University College of Osteopathic
842		-	Medicine and Surgery for approved hospital physician training
843	772
844		-	SB1504 HFLR Page 17
845		-	BOLD FACE denotes Committee Amendments. 1
	773	+	ENGR. S. B. NO. 1504 Page 16 1
846	774		2
847	775		3
848	776		4
849	777		5
850	778		6
851	779		7
852	780		8
853	781		9
854	782		10
855	783		11
856	784		12
857	785		13
858	786		14
859	787		15
860	788		16
861	789		17
862	790		18
863	791		19
864	792		20
865	793		21
866	794		22
867	795		23
868	796		24
869	797
	798	+	outside but associated with the hospitals and clinical
	799	+	establishments participating in the program;
	800	+	7. To review and to approve for inclusion in the programs
	801	+	funded the applications for funds submitted by accredited hospitals
	802	+	and clinical situations participating in physician training programs
	803	+	in cooperation with the U niversity of Oklahoma College of Medicine,
	804	+	University of Oklahoma College of Medicine – Tulsa, and the Oklahoma
	805	+	State University College of Osteopathic Medicine and Surgery for the
	806	+	costs of supplying residents and interns in programs which they
	807	+	administer by affiliation agreements with hospitals and clinical
	808	+	situations throughout the state in which the interns and residents
	809	+	are supervised and funded by the University of Oklahoma College of
	810	+	Medicine, University of Oklahoma College of Medicine – Tulsa, and
	811	+	the Oklahoma State University College of Osteopathic Medicine and
	812	+	Surgery and the hospitals and clinical establishments pay for the
	813	+	patient care services rendered in their institutions by these
	814	+	residents and interns during the period of training;
	815	+	8. To determine the specific level of funding and the
	816	+	priorities used for granting state support to approved hospitals and
	817	+	clinical situations, in cooperation with the University of Oklahoma
	818	+	College of Medicine, University of Oklahoma College of Medicine –
	819	+	Tulsa, and the Oklahoma State University College of Osteopathic
	820	+	Medicine and Surgery for approved hospital physician training
870	821		programs for interns and residents and to recommend to the Governor
871		-	and the Oklahoma Legislature the total funds needed to carry out the
872		-	purpose of this program;
873		-	9. To employ a director and any staff personnel required to
874		-	administer the funding of approved physician training programs and
875		-	to contract with other state agencies and institutions to conduct
876		-	and to perform specified services, func tions and aspects in
877		-	administering state funds on the specified cost -sharing basis
878		-	determined by the Commission or for developing programs and
879		-	community and institutional participation in these training
880		-	programs;
881		-	10. To ensure that hospitals or clinical s ituations that can
882		-	qualify in all sections of Oklahoma be utilized, and to take all
883		-	steps necessary to assist such hospitals or clinics in obtaining
884		-	necessary recognition or status, or in meeting standards for
885		-	accreditation or affiliation so that they may participate in these
886		-	physician training programs;
887		-	11. To ensure that in programs administered and operated by the
888		-	University of Oklahoma College of Me dicine, University of Oklahoma
889		-	College of Medicine – Tulsa, and the Oklahoma State University
890		-	College of Osteopathic Medicine and Surgery in hospitals and
891		-	clinical situations throughout the state that funds allocated to the
892		-	colleges are paid by the hospita ls and clinical situations in which
893		-	the patient care services are rendered, the funds are expended for
894	822
895		-	SB1504 HFLR Page 18
896		-	BOLD FACE denotes Committee Amendments. 1
	823	+	ENGR. S. B. NO. 1504 Page 17 1
897	824		2
898	825		3
899	826		4
900	827		5
901	828		6
902	829		7
903	830		8
904	831		9
905	832		10
906	833		11
907	834		12
908	835		13
909	836		14
910	837		15
911	838		16
912	839		17
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914	841		19
915	842		20
916	843		21
917	844		22
918	845		23
919	846		24
920	847
	848	+	and the Oklahoma Legislature the total funds needed to carry out the
	849	+	purpose of this program;
	850	+	9. To employ a director and any staff personnel required to
	851	+	administer the funding of approved physician training programs and
	852	+	to contract with other state agencies and institutions to conduct
	853	+	and to perform specified services, func tions and aspects in
	854	+	administering state funds on the specified cost -sharing basis
	855	+	determined by the Commission or for developing programs and
	856	+	community and institutional participation in these training
	857	+	programs;
	858	+	10. To ensure that hospitals or clinical s ituations that can
	859	+	qualify in all sections of Oklahoma be utilized, and to take all
	860	+	steps necessary to assist such hospitals or clinics in obtaining
	861	+	necessary recognition or status, or in meeting standards for
	862	+	accreditation or affiliation so that they may participate in these
	863	+	physician training programs;
	864	+	11. To ensure that in programs administered and operated by the
	865	+	University of Oklahoma College of Medicine, University of Oklahoma
	866	+	College of Medicine – Tulsa, and the Oklahoma State University
	867	+	College of Osteopathic Medicine and Surgery in hospitals and
	868	+	clinical situations throughout the state that funds allocated to the
	869	+	colleges are paid by the hospitals and clinical situations in which
	870	+	the patient care services are rendered, the funds are expended for
921	871		such purposes in funding residents and interns in the physician
	872	+
	873	+	ENGR. S. B. NO. 1504 Page 18 1
	874	+	2
	875	+	3
	876	+	4
	877	+	5
	878	+	6
	879	+	7
	880	+	8
	881	+	9
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	897	+
922	898		training programs that the colleges have established with the
923	899		approved hospitals and clinical situations which programs are
924	900		designed to provide primary health care services to the rural and
925	901		medically underserved parts of the state;
926	902		12. To conduct and to administer a program of physician and
927	903		health care workforce placement services throughout the State of
928	904		Oklahoma this state. Placement services shall be made available to
929	905		communities, hospitals, health care facilities, physician and health
930	906		professional training institutions, health professional associations
931	907		and organizations, individual physicians, health professionals,
932	908		students in physician and health professional training institutions
933	909		and schools, and other interested parties in such a way so as to
934	910		further the purposes of improving the distribution of physicians and
935	911		health professionals practicing or available for practice in the
936	912		state and improving in the availability of health care services to
937	913		the people of the state. Said The placement service shall include
938	914		but not be limited to assisting communities in matching with,
939	915		contacting and recruiting physicians and health professionals to
940	916		practice in communities in the state. The Commission shall de velop
941	917		criteria and procedures for the conduct and performance of placement
942	918		services and employ any staff, contract for services with any
943	919		private agency, nonprofit corporation , or institution to facilitate
944	920		the performance of placement services ; and
945	921
946		-	SB1504 HFLR Page 19
947		-	BOLD FACE denotes Committee Amendments. 1
	922	+	ENGR. S. B. NO. 1504 Page 19 1
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971	946
972	947		13. For purposes of the income tax credit authorized pursuant
973	948		to Section 1 of this act and in cooperation with the Oklahoma Tax
974	949		Commission:
975	950		a. to certify preceptorship rotations for allopathic
976	951		medicine, osteopathic medicine, advance d practice
977	952		registered nursing, and physician assistant training
978	953		programs in this state and to register faculty
979	954		preceptors who provide certified training,
980	955		b. to charge administrative expenses to the State Board
981	956		of Medical Licensure and Supervision, the State Board
982	957		of Osteopathic Examiner s, and the Oklahoma Board of
983	958		Nursing pursuant to Sections 2 through 5 of this act,
984	959		and
985	960		c. to promulgate any additional rules necessary for the
986	961		implementation of this act .
987	962		SECTION 7. This act shall become effective July 1, 2024.
988	963		SECTION 8. It being immediately necessary for the preservation
989	964		of the public peace, health or safety, an emergency is hereby
990	965		declared to exist, by reason whereof this act shall take effect and
991	966		be in full force from and after its passage and approval.
992	967
993		-	COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS AND BUDGET, dated
994		-	04/18/2024 - DO PASS.
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	992	+
	993	+	Passed the Senate the 11th day of March, 2024.
	994	+
	995	+
	996	+
	997	+	Presiding Officer of the Senate
	998	+
	999	+
	1000	+	Passed the House of Representatives the ____ day of __________,
	1001	+	2024.
	1002	+
	1003	+
	1004	+
	1005	+	Presiding Officer of the House
	1006	+	of Representatives
	1007	+