Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB1613 Compare Versions

Version 1 (Old)

Version 2 (New)

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29		-	SENATE FLOOR VERSION
30		-	February 29, 2024
	28	+	STATE OF OKLAHOMA
31	29
	30	+	2nd Session of the 59th Legislature (2024)
32	31
33	32		COMMITTEE SUBSTITUTE
34	33		FOR
35		-	SENATE BILL ~~NO.~~ 1613 By: Garvin of the Senate
	34	+	SENATE BILL 1613 By: Garvin of the Senate
36	35
37	36		and
38	37
39	38		Stinson of the House
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45		-	[ medicine - graduate physician practice -
46		-	supervision requirements - rules - licensure -
47		-	standards - titles - collaborative practice
48		-	arrangement - disciplinary actions - information -
49		-	identification badges - course - codification -
50		-	effective date ]
	44	+	COMMITTEE SUBSTITUTE
	45	+
	46	+	An Act relating to the practice of medicine ; creating
	47	+	the Graduate Physicians Act ; providing short title;
	48	+	defining terms; limiting scope and location of
	49	+	graduate physician practice; specifying applicability
	50	+	of supervision requirements; directing the State
	51	+	Board of Medical Licensure and Supervision to
	52	+	promulgate certain rules; specifying duration of
	53	+	licensure; authorizing certain penalties for
	54	+	noncompliance with spec ified standards; specifying
	55	+	allowed professional titles; making collaborating
	56	+	physician responsible for graduate physicians;
	57	+	requiring collaborative pr actice arrangement within
	58	+	specified time period; stipulating requirements for
	59	+	collaborating physician and collaborative practice
	60	+	arrangement; requiring arrangement to include certain
	61	+	provisions; directing promulgation of additional
	62	+	rules; imposing certain limits on collaborative
	63	+	practice arrangements; prohibiting certain
	64	+	disciplinary actions under certain circumstances;
	65	+	providing for identification and reporting of
	66	+	collaborating physici ans; providing for publication
	67	+	and tracking of certain information; gran ting certain
	68	+	protections to collaborating physicians and graduate
	69	+	physicians; requiring certain identification badges;
	70	+	requiring completion of certification course;
	71	+	specifying applicability of collaborative practice
	72	+	agreements; providing for codificati on; and providing
	73	+	an effective date.
51	74
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53		-
54		-
55		-	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
56		-	SECTION 1. NEW LAW A new sectio n of law to be codified
57		-	in the Oklahoma Statutes as Section 479.1 of Title 59, unless there
58		-	is created a duplication in numbering, reads as follows:
59		-	This act shall be known and may be cited as the “Graduate
60		-	Physicians Act”.
61		-	SECTION 2. NEW LAW A new section of law to be codified
62		-	in the Oklahoma Statutes as Section 479.2 of Title 59, unless there
63		-	is created a duplication in numbering, reads as follows:
64		-	As used in this act:
65		-	1. “Graduate physician” means a medical school graduate who:
66		-
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	104	+
	105	+	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
	106	+	SECTION 1. NEW LAW A new section of law to be codified
	107	+	in the Oklahoma Statutes as Section 479.1 of Title 59, unless there
	108	+	is created a duplication in numbering, reads as follows:
	109	+	This act shall be known and may be cited as the “Graduate
	110	+	Physicians Act”.
	111	+	SECTION 2. NEW LAW A new section of law to be codified
	112	+	in the Oklahoma Statutes as Section 479. 2 of Title 59, unless there
	113	+	is created a duplication in numbering, reads as follows:
	114	+	As used in this act:
	115	+	1. “Graduate physician” means a medical school graduate who:
93	116		a. is a resident and citizen of the United States or a
94	117		legal resident alien in the United States , and
95	118		b. has successfully completed Step 1 and Step 2 of the
96	119		United States Medical Licensing Examination (USMLE),
97	120		or the equivalent of Step 1 and Step 2 of any other
98	121		medical licensing examination or combination of
99	122		examinations that is approved by the State Board of
100	123		Medical Licensure and Supervision or the State Board
101	124		of Osteopathic Examiners, within the two-year period
102	125		immediately preceding the date of the person’s
103	126		application for licensure as a graduate physician, but
104		-	not more than three (3) years after graduation from a
105		-	medical school or school of osteopathic medicine;
106		-	2. “Graduate physician collaborative practice arrangement ”
107		-	means an agreement between a licens ed physician and a graduate
108		-	physician that meets the requirements of this act;
109		-	3. “Medical school graduate ” means any person who has graduate d
110		-	from a medical school as described in Section 493.1 of Title 59 of
111		-	the Oklahoma Statutes or a school of osteopathic medicine as
112		-	described in Section 630 of Title 59 of the Oklahoma Statutes ; and
113		-	4. “Primary care services ” means medical services in
114		-	pediatrics, internal medicine, and family medicine.
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	153	+	not more than three (3) years after graduati on from a
	154	+	medical school or school of osteopathic medicine;
	155	+	2. “Graduate physician collaborative practice arrangement ”
	156	+	means an agreement between a licensed physician and a graduate
	157	+	physician that meets the requirements of this act;
	158	+	3. “Medical school graduate” means any person who has graduated
	159	+	from a medical school as described in Section 493.1 of Title 5 9 of
	160	+	the Oklahoma Statutes or a school of osteopathic medicine as
	161	+	described in Section 630 of Title 59 of the Oklahoma Statutes ; and
	162	+	4. “Primary care services” means medical services in
	163	+	pediatrics, internal medicine, and family medicine.
142	164		SECTION 3. NEW LAW A new section of law to be codified
143	165		in the Oklahoma Statutes as Section 479. 3 of Title 59, unless there
144	166		is created a duplication in numbering, reads as follows:
145	167		A graduate physician collaborative practice arrangement shall
146	168		limit the graduate physician to providing primary care services in:
147	169		1. A medically underserved area of this state as designated by
148	170		the Health Resources and S ervices Administration ;
149	171		2. A rural community of this state as determined by the Health
150	172		Care Workforce Training Commission ; or
151	173		3. A rural health clinic as defined under Sections 1861 and
152	174		1905 of the federal Social Security Act (42 U.S.C. , Sections 1395x
153	175		and 1396d).
154		-	SECTION 4. NEW LAW A new section of law to be codified
155		-	in the Oklahoma Statutes as Section 479.4 of Title 59, unless the re
156		-	is created a duplication in numbering, reads as follows:
157		-	Graduate physicians shall be subject to the supervision
158		-	requirements established in any controlling federal law, any
159		-	supervision requirements provided in this act, and any supervision
160		-	requirements established by the State Board of Medical Licensure and
161		-	Supervision. Graduate physicians are not subject to any additional
162		-	supervision requirements, other than the supervision requirements
163		-	provided in this section.
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	202	+	SECTION 4. NEW LAW A new section of law to be codified
	203	+	in the Oklahoma Statutes as Section 479. 4 of Title 59, unless there
	204	+	is created a duplication in numbering, reads as follows:
	205	+	Graduate physicians shall be subject to the supervision
	206	+	requirements established in any controlling federal law, any
	207	+	supervision requirements provided in this act, and any supervision
	208	+	requirements established by the State Board of Medical Lice nsure and
	209	+	Supervision. Graduate physicians are not subject to any additional
	210	+	supervision requirements, other than the supervision requirements
	211	+	provided in this section.
191	212		SECTION 5. NEW LAW A new section of law to be codified
192	213		in the Oklahoma Statutes as Section 479. 5 of Title 59, unless there
193	214		is created a duplication in numbering, reads as follows:
194	215		A. The State Board of Medical Licensure and Supervision , in
195	216		consultation with the State Board of Osteopathi c Examiners, may
196	217		promulgate rules:
197	218		1. To establish the process for licensure of graduate
198	219		physicians, supervision requirements, and additional requirements
199	220		for graduate physician collaborat ive practice arrangements;
200	221		2. To set fees in an amount greater than or equal to the total
201	222		costs necessary to facilitate the graduate physician collabo rative
202	223		practice arrangement each year; and
203	224		3. To address any other matters necessary to protect the public
204	225		and discipline the profession.
205		-	B. A graduate physician’s license issued pursuant to this act
206		-	and the rules promulgated by the State Board of Medical Licensure
207		-	and Supervision shall only be valid for two (2) years from the date
208		-	of issuance and is not subject to renewal. The State Board of
209		-	Medical Licensure and Supervision or the State Board of Osteopathic
210		-	Examiners may deny an application for licensure or suspend or revoke
211		-	the license of a graduate physician for violation of the standards
212		-	provided in the Oklahoma Allopathic Medical and Surgical Licensu re
213		-	and Supervision Act or the Oklahoma Osteopathic Medicine Act, or
214		-	such other standards of conduct established by the State Board of
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	252	+	B. A graduate physician ’s license issued pursuant to this act
	253	+	and the rules promulgated by the State Board of Medical Licensure
	254	+	and Supervision shall only be valid for two (2) years from the date
	255	+	of issuance and is not su bject to renewal. The State Board of
	256	+	Medical Licensure and Supervision or the State Board of Osteopathi c
	257	+	Examiners may deny an application for licensu re or suspend or revoke
	258	+	the license of a graduate physician for violation of the standards
	259	+	provided in the Oklahoma Allopathic Medical and Surgical Licensure
	260	+	and Supervision Act or the Oklahoma Osteopathic Medicine Act, or
	261	+	such other standards of condu ct established by the State Board of
242	262		Medical Licensure and Supervision or the State Board of Osteopathi c
243	263		Examiners by rule.
244	264		SECTION 6. NEW LAW A new section of law to be codified
245	265		in the Oklahoma Statutes as Section 479. 6 of Title 59, unless there
246	266		is created a duplication in numbering, reads as follows:
247	267		A graduate physician shall clearly identify himself or herself
248	268		as a graduate physician and shall be permitted to use the
249	269		identifiers “doctor” or “Dr.” A graduate physician shall not
250	270		practice, or attempt to practice, without a graduate physician
251	271		collaborative practice arrangement, except as otherwise provided in
252	272		this act.
253	273		SECTION 7. NEW LAW A new section of law to be codified
254	274		in the Oklahoma Statutes as Section 479. 7 of Title 59, unless there
255	275		is created a duplication in numbering, reads as follows:
256		-	The licensed physician collaborating with a graduate physician
257		-	shall be responsible for supervising the activities of the graduate
258		-	physician and shall accept full responsibility for the primary care
259		-	services provided by the graduate physician.
260		-	SECTION 8. NEW LAW A new section of law to be codified
261		-	in the Oklahoma Statutes as Section 479.8 of Title 59, unless there
262		-	is created a duplication in numbering, reads as follows:
263		-	A. This act applies to all graduate physician collaborative
264		-	practice arrangements. To be eligible to practice as a graduate
265		-	physician, a licensed graduate physician must enter into a graduate
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	302	+	The licensed physician collaborating with a graduate physician
	303	+	shall be responsible for supervising the activities of the graduate
	304	+	physician and shall accept full responsibility for the primary care
	305	+	services provided by the graduate physician.
	306	+	SECTION 8. NEW LAW A new section of law to be codified
	307	+	in the Oklahoma Statutes as Section 479. 8 of Title 59, unless there
	308	+	is created a duplication in numbering , reads as follows:
	309	+	A. This act applies to all graduate physician collaborative
	310	+	practice arrangements. To be eligible to practice as a graduate
	311	+	physician, a licensed graduate physician must enter into a graduate
293	312		physician collaborative practice arran gement with a licensed
294	313		physician no later than six (6) months after the date on which the
295	314		graduate physician obtains initial licensure.
296	315		B. Only a physician licensed by the State Board of Medical
297	316		Licensure and Supervision or the State Board of Osteopathi c
298	317		Examiners may enter into a graduate physician collaborative practice
299	318		arrangement with a graduate physician. Graduate physician
300	319		collaborative practice arrangements shall take the form of a written
301	320		agreement that includes mutually agreed -upon protocols and any
302	321		standing orders for the delivery of primary care services. Graduate
303	322		physician collaborative practice arr angements may delegate to a
304	323		graduate physician the authority to prescribe, administer, or
305	324		dispense drugs and provide treatment, as long as the delivery of the
306	325		primary care services is within the scope of the graduate
307		-	physician’s practice and is consistent with the graduate physician ’s
308		-	skill, training, and competence and the skill, training, and
309		-	competence of the collaborating physician; except that a graduate
310		-	physician shall not prescribe contr olled dangerous substances. The
311		-	collaborating physician shall be board -certified in the specialty
312		-	that the graduate physician is practicing, which may only include
313		-	pediatrics, internal medicine, or family medicine.
314		-	C. The graduate physician collaborative practice arrangement
315		-	shall contain the following provisions:
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	352	+	physician’s practice and is consistent with the graduate physician ’s
	353	+	skill, training, and competence and the skill, training, and
	354	+	competence of the collaborating physician; except that a gra duate
	355	+	physician shall not prescribe controlled dangerous substances. The
	356	+	collaborating physician shall be board-certified in the specialty
	357	+	that the graduate physician is practicing, which may only include
	358	+	pediatrics, internal medicine, or family medicine.
	359	+	C. The graduate physician collaborative practice arrangement
	360	+	shall contain the following provisions:
343	361		1. Complete names, home and b usiness addresses, and telephone
344	362		numbers of the collaborating physician and the graduate physician;
345	363		2. A requirement that the graduate physician practice at the
346	364		same location as the collaborating physician;
347	365		3. A requirement that a prominently displayed disclosure
348	366		statement informing patients that they may be seen by a graduate
349	367		physician, and advising patients that the patient has the right to
350	368		see the collaborating physician, be posted in every office where the
351	369		graduate physician is authorized to prescribe ;
352	370		4. All specialty or board certifications of the collaborating
353	371		physician and all certifications of the graduate physician ;
354	372		5. The manner of collaboration between the collaborating
355	373		physician and the graduate physician, includi ng how the
356	374		collaborating physician and the graduate physician will:
357		-	a. engage in collaborative practice consistent with each
358		-	professional’s skill, training, education, and
359		-	competence, and
360		-	b. maintain geographic proximity. However, the graduate
361		-	physician collaborative practice arrangement may only
362		-	allow for geographic proximity to be waived for no
363		-	more than twenty-eight (28) days per calendar year for
364		-	rural health clinics, as long as the gradua te
365		-	physician collaborative practice arrangement includes
366		-	alternative plans as required by the State Board of
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	401	+	a. engage in collaborative practice consiste nt with each
	402	+	professional’s skill, training, education, and
	403	+	competence, and
	404	+	b. maintain geographic proximity. However, the graduate
	405	+	physician collaborative practice arrangement may only
	406	+	allow for geographic proximity to be waived for no
	407	+	more than twenty-eight (28) days per calendar year for
	408	+	rural health clinics, as long as the graduate
	409	+	physician collaborative practice arrangement includes
	410	+	alternative plans as required by the State Board of
394	411		Medical Licensure and Supervision . The exception to
395	412		the geographic proximity requirement app lies only to
396	413		independent rural health clinics, provider -based rural
397	414		health clinics if the provider is a critical access
398	415		hospital as provided in 42 U.S.C. , Section 1395i-4,
399	416		and provider-based rural health clinics if the primary
400	417		location of the hospital sponsor is more than twenty-
401	418		five (25) miles from the clinic. The collaborating
402	419		physician shall maintain documentation rel ated to the
403	420		geographic proximity requirement and present the
404	421		documentation to the State Board of Medical Lice nsure
405	422		and Supervision upon request;
406		-	6. A requirement that the graduate physician shall not provide
407		-	patient care during an absence of the collaborating physician for
408		-	any reason;
409		-	7. A list of all other graduate physician collaborative
410		-	practice arrangements of the collaborating physician and the
411		-	graduate physician;
412		-	8. The duration of the graduate physician collaborative
413		-	practice arrangement between the collaborating physician and the
414		-	graduate physician;
415		-	9. A provision describing the time and manner of the
416		-	collaborating physician ’s review of the graduate physician ’s
417		-	delivery of primary care services. The provision shall require the
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	449	+	6. A requirement that the graduate physician shall not provide
	450	+	patient care during an absence of the collaborating physician for
	451	+	any reason;
	452	+	7. A list of all other graduate physician collaborative
	453	+	practice arrangements of the collaborating physician and the
	454	+	graduate physician;
	455	+	8. The duration of the graduate physician collaborative
	456	+	practice arrangement between the collaborating physician and the
	457	+	graduate physician;
	458	+	9. A provision describing the time and manner of the
	459	+	collaborating physician ’s review of the graduate physician’s
	460	+	delivery of primary care services. The provision shall require the
445	461		graduate physician to submit to the collaborating physician a
446	462		minimum of twenty-five percent (25%) of the charts documenting the
447	463		graduate physician’s delivery of primary care services for review by
448	464		the collaborating physician or by any other physician designated in
449	465		the graduate physician collaborative practice arrangement every
450	466		fourteen (14) days after the initial observation year. For the
451	467		first three (3) months of the i nitial observation year, the
452	468		collaborating physician shall review one hundred percent (100%) of
453	469		the charts documenting the graduate physician’s delivery of primary
454	470		care services. For months four (4) through twelve (12), the
455	471		collaborating physician shall r eview seventy-five percent (75%) of
456		-	the charts documenting the graduate physician ’s delivery of primary
457		-	care services; and
458		-	10. A requirement that a collab orating physician be on premises
459		-	if the graduate physician performs services in a hospital or
460		-	emergency department.
461		-	SECTION 9. NEW LAW A new section of law to be codified
462		-	in the Oklahoma Statutes as Section 479.9 of Title 59, unless there
463		-	is created a duplication in numbering, reads as follows:
464		-	A. The State Board of Medical Licensure and Supervision, in
465		-	consultation with the State Board of Osteopathic Examiners, shall
466		-	promulgate rules regulating the use of graduate physician
467		-	collaborative practice arrangements for graduate physicians. The
468		-	rules shall specify:
469	472
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	498	+	the charts documenting the graduate physician ’s delivery of primary
	499	+	care services; and
	500	+	10. A requirement that a collaborating physician be on premises
	501	+	if the graduate physician per forms services in a hospital or
	502	+	emergency department.
	503	+	SECTION 9. NEW LAW A new section of law to be codified
	504	+	in the Oklahoma Statutes as Section 479. 9 of Title 59, unless there
	505	+	is created a duplication in numbering, reads as follow s:
	506	+	A. The State Board of Medical Lice nsure and Supervision, in
	507	+	consultation with the State Board of Osteopathic Examiners , shall
	508	+	promulgate rules regulating the use of graduate physician
	509	+	collaborative practice arrangements for graduate physicians. The
	510	+	rules shall specify:
496	511		1. The geographic areas to be covered;
497	512		2. The methods of treatment that may be covered by the graduate
498	513		physician collaborative practice arrangement;
499	514		3. The educational methods and programs to be performed during
500	515		the collaborative practic e service, developed in consultation with
501	516		deans of medical schools and primary care residency program
502	517		directors in this state, which shall facilitate the advancement of
503	518		the graduate physician ’s medical knowledge and capabilities, the
504	519		successful completio n of which may lead to credit toward a future
505	520		residency program that deems the documented educational achievements
506		-	of the graduate physician through the methods and programs
507		-	acceptable; and
508		-	4. Require review of the services provided under a graduate
509		-	physician collaborative practice arrangement.
510		-	B. A collaborating physician shall not enter into a graduate
511		-	physician collaborative practice arrangement with more than three
512		-	graduate physicians at th e same time.
513		-	SECTION 10. NEW LAW A new section of law to be codified
514		-	in the Oklahoma Statutes as Section 479.10 of Title 59, unless there
515		-	is created a duplication in numbering, reads as follows:
516		-	A. The State Board of Medical Licensu re and Supervision, in
517		-	consultation with the State Board of Osteopathic Examiners, shall
518		-	promulgate rules applicable to graduate physicians th at are
519		-	consistent with the guidelines established for federally funded
520	521
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	547	+	of the graduate physician through the methods and programs
	548	+	acceptable; and
	549	+	4. Require review of the services provided under a graduate
	550	+	physician collaborative practice arrangement .
	551	+	B. A collaborating physician shall not enter into a graduate
	552	+	physician collaborative practice arrangement with more than three
	553	+	graduate physicians a t the same time.
	554	+	SECTION 10. NEW LAW A new section of law to be codified
	555	+	in the Oklahoma Statutes as Section 479. 10 of Title 59, unless there
	556	+	is created a duplication in numbering, reads as follow s:
	557	+	A. The State Board of Medical Lice nsure and Supervision , in
	558	+	consultation with the State Board of Osteopathic Examin ers, shall
	559	+	promulgate rules applicable to graduate physicians that are
	560	+	consistent with the guidelines established for federally funded
547	561		clinics. The rulemaking authority granted to the State Board of
548	562		Medical Licensure and Supervision in this subsection does not extend
549	563		to graduate physician collaborative practice arrangements of
550	564		hospital employees providing inpatient care within hospitals.
551	565		B. The State Board of Medical Lice nsure and Supervision or the
552	566		State Board of Osteopathic Examiners shall not deny, revoke,
553	567		suspend, or otherwise take disciplinary action against a
554	568		collaborating physician for primary care services delegated to a
555	569		graduate physician as long as the provisions of this section and any
556		-	applicable rules promulgated by the State Board of Medical Licensure
557		-	and Supervision are satisfied.
558		-	C. Within thirty (30) days of any licensure change, the State
559		-	Board of Medical Licensure and Supervision or the State Board of
560		-	Osteopathic Examiners shall require every physician to identify
561		-	whether the physician is engaged in a graduate physician
562		-	collaborative practice arrangem ent, and to report to the physician ’s
563		-	licensing board the name of each graduate physician with whom the
564		-	physician has entered into an arrangement. Each board may make the
565		-	information available to the public. The State Board of Medical
566		-	Licensure and Supervision shall track the reported information and
567		-	may routinely conduct reviews or inspections to ensure that the
568		-	arrangements are being carried out in compliance with this act.
569		-	D. A contract or other agreement shall not require a physician
570		-	to act as a collaborating physician for a graduate physician against
571	570
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	596	+	applicable rules promulgated by the State Board of Medical Lice nsure
	597	+	and Supervision are satisfied.
	598	+	C. Within thirty (30) days of any licensure change, the State
	599	+	Board of Medical Lice nsure and Supervision or the State Board of
	600	+	Osteopathic Examiners shall require every physician to identify
	601	+	whether the physician is engaged in a graduate physician
	602	+	collaborative practice arrangement, and to report to the physician’s
	603	+	licensing board the name of each graduate physician with whom the
	604	+	physician has entered into an arrangement. Each board may make the
	605	+	information available to the public. The State Board of Medical
	606	+	Licensure and Supervision shall track the reported information and
	607	+	may routinely conduct reviews or inspections to ensure that the
	608	+	arrangements are being carried out in compliance with this act.
	609	+	D. A contract or other agreement shall not require a physician
	610	+	to act as a collaborating physician for a graduate p hysician against
598	611		the physician’s will. A physician has the right to refuse to act as
599	612		a collaborating physician, without penalty, for a particular
600	613		graduate physician. A contract or other agreement shall not limit
601	614		the collaborating physician ’s authority over any protocols or
602	615		standing orders, or delegate the physician ’s authority to a graduate
603	616		physician. However, this subsection does not authorize a physician
604	617		in implementing protoc ols, standing orders, or delegation to violate
605	618		applicable standards for safe medical practice established by a
606	619		hospital’s medical staff.
607		-	E. A contract or other agreement shall not require a graduate
608		-	physician to serve as a graduate physician for any collaborating
609		-	physician against the graduate physician ’s will. A graduate
610		-	physician has the right to refuse to collaborate, without penalty,
611		-	with a particular physician.
612		-	F. All collaborating physicians and graduate physicians under a
613		-	graduate physician collaborative practice arrangement shall wear
614		-	identification badges while acting within the scope of the
615		-	arrangement. The identification badges shall prominently display
616		-	the licensure status of the collaborating physician and the graduate
617		-	physician.
618		-	SECTION 11. NEW LAW A new section of law to be codified
619		-	in the Oklahoma Statutes as Section 479.11 of Title 59, unless there
620		-	is created a duplication in numbering, reads as follows:
621	620
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	646	+	E. A contract or other agreement shall not require a graduate
	647	+	physician to serve as a graduate physician for any colla borating
	648	+	physician against the graduate physician ’s will. A graduate
	649	+	physician has the right to refuse to collaborate, without penalty,
	650	+	with a particular physician.
	651	+	F. All collaborating physicians and graduate physicians under a
	652	+	graduate physician collaborative practice arrangement shall wear
	653	+	identification badges while acting within the scope of the
	654	+	arrangement. The identification badges shall prominently display
	655	+	the licensure status of the collaborating physician and the graduate
	656	+	physician.
	657	+	SECTION 11. NEW LAW A new section of law to be codified
	658	+	in the Oklahoma Statutes as Section 479. 11 of Title 59, unless there
	659	+	is created a duplication in numbering, reads as follow s:
648	660		A. The collaborating physician shall complete a certification
649	661		course, which may include material on the laws pertaining to the
650	662		professional relationship. The certification course must be
651	663		approved by the State Board of Medical Lice nsure and Supervision or
652	664		the State Board of Osteopathic Examiners .
653	665		B. A graduate physician collaborative practice arrangement
654	666		shall supersede current hospital licensing regulations governing
655	667		hospital medication orders under protocols or standing orders for
656	668		the purpose of deliver ing inpatient or emergency care within a
657	669		hospital as defined in Section 1-701 of Title 63 of the Oklahoma
	670	+
	671	+	Req. No. 3572 Page 14 1
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658	696		Statutes, if the protocols or standing orders have been appro ved by
659	697		the hospital’s medical staff and pharmaceutical therapeutics
660	698		committee.
661	699		SECTION 12. This act shall become effective November 1, 2024.
662		-	~~COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES~~
663		-	~~February~~ 29, 2024 ~~- DO PASS AS AMENDED BY CS~~
	700	+
	701	+	59-2-3572 DC 2/29/2024 11:49:31 AM