SB1708 HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) ENGROSSED SENATE BILL NO. 1708 By: Seifried of the Senate and Roe of the House An Act relating to public health; amending 63 O.S. 2021, Section 1-103a.1, which relates to Public Health Advisory Councils; creating exception; increasing membership of the Advancement of Wellness Advisory Council; directing appointment of certain members; broadening jurisdictional areas of the Advancement of Welln ess Advisory Council; updating statutory reference; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -103a.1, is amended to read as follows: Section 1-103a.1. A. To assist and advise the State Commissioner of Health and the State Department of He alth, there are hereby created: 1. The Consumer Protection Licensing Advisory Council; 2. The Trauma and Emergency Response Advisory Council; 3. The Infant and Children’s Health Advisory Council; 4. The Advancement of Wellness Advi sory Council; and SB1708 HFLR Page 2 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 5. The Home Care, Hospice and Palliative Care Advisory Council. B. 1. Except for the Home Care, Hospice and Palliative Care Advisory Council and the Advancement of Wellness Advisory Council , each Public Health Advisory Council (Advisory Council) created pursuant to subsection A of this section shall consist of seven (7) members. Two members shall be appointed by the Governor, two members shall be appoin ted by the Speaker of the House of Representatives, two members shall be appointed b y the President Pro Tempore of the Senate, and one member shall be appointed by the Commissioner. Appointments shall be for three -year terms. Members of the Advisory Coun cils shall serve at the pleasure of and may be removed from office by the appointing authority. Members shall continue to serve until their successors are appointed. Any vacancy shall be filled in the same manner as the original appointments. Four members shall constitute a quorum. 2. The Home Care, Hospice and Palliative Care Advisor y Council shall consist of nine (9) members. Two members shall be appointed by the Governor, three members shall be appointed by the Speaker of the House of Representative s, three members shall be appointed by the President Pro Tempore of the Senate and one member shall be appointed by the Commissioner. Five members shall constitute a quorum. 3. The Advancement of Wellness Advisory Council shall consist of ten (10) members. Three members shall be appointed by the SB1708 HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Governor, three members shall be appoint ed by the President P ro Tempore of the Senate, three members shall be appointed by the Speaker of the House of Representatives, and one member shall be appointed by the Com missioner. Six members shall constitute a quorum. 4. Each Advisory Council shall meet at least twice a year, but no more than four times a year and shall elect a chair, a vice-chair vice chair, and a secretary from among its members. Each Advisory Council shall only meet as required for election of officers, establishment of meeting da tes and times; rule d evelopment, review, and recommendation; and adoption of nonbinding resolutions to the Department or the Commissioner concerning matters brought before the Advisory Council. Special meetings may be called by the chair or by the concurrence of any three mem bers. C. 1. All members of the Consumer Protection Licensing Advisory Council shall be knowledgeable of certain consumer issues as specified below. The Consumer Protection Licensing Advisory Council shall be composed as follows: a. the Governor shall ap point: (1) one member who is a licensed radiologist assistant, and (2) one member who is a licensed audiologist, b. the President Pro Tempore of the Se nate shall appoint: (1) one member who is a licensed radiologist, and SB1708 HFLR Page 4 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (2) one member representing the hea ring-aid-fitting industry, c. the Speaker of the House of Representatives shall appoint: (1) one member representing the medical micropigmentation indu stry, and (2) one member representing the hearing -impaired public, and d. the Commissioner shall appoint one member representing a diagnostic x-ray facility. 2. The jurisdiction areas of the Consumer Protection Licensing Advisory Council shall include the hearing-aid-fitting industry, the medical micropigmentation industry, the radiation industry , and such other areas as designated by the Commissioner. D. 1. All members of the Trauma and Emergency Response Advisory Council shall be knowledgeable of issue s that arise in a hospital setting and issues that arise concerning emergency response. The Trauma and E mergency Response Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who is an administrative director of a licensed ambulance service, and (2) one member who is a Board Certified Emergency Physician board-certified emergency physician , SB1708 HFLR Page 5 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 b. the President Pro Tempore of the Senate shall appoint: (1) one member who is a representative from a hospital with trauma and emergency services, and (2) one member who is a trauma surgeon with privileges at a hospital with trauma and emergency operative services, c. the Speaker of the House of Representatives shall appoint: (1) one member representing the trauma registrar of a licensed hospital that is classified as providing trauma and emergency operative services, and (2) one member who is an Emergency Medical Technician emergency medical technician , and d. the Commissioner shall appoint one member who is a critical care nurse. 2. The jurisdictional areas of the Trauma and Emergency Response Advisory Council shall include emerge ncy response systems development, injury prevention, catastrophic health emergency, trauma systems improvement and development and such other areas designated by the Commissioner. E. 1. All members of the Infant and Children ’s Health Advisory Council shall be knowledgeable of issues that arise in the area of infant and children’s health care. The Infant and Children ’s Health Advisory Council shall be composed as follows: SB1708 HFLR Page 6 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 a. the Governor shall appoint: (1) one member who works for the state or for a political subdivision on child abuse issues, and (2) one member who is knowledgeable about childhood immunizations, b. the President Pro Tempore of the Sena te shall appoint: (1) one member who is knowledgeable about newborn screening issues, (2) one member licensed by the state as an optometrist who has knowledge of vision screening for children, and (3) one member who is a licensed ophthalmologist in this state with the knowledge of treating visual deficiencies in children, c. the Speaker of the House of Repres entatives shall appoint: (1) one member who is licensed by the state as a physician and works as a pediatrician, and (2) one member who is licensed by the state as a genetic counselor, and d. the Commissioner shall appoint one member who is a physician licensed by the state who specializes in the diagnosis and treatment of childhood injuries in a trauma setting. SB1708 HFLR Page 7 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. The jurisdictional areas of the Infant and Children’s Health Advisory Council shall include all issues that arise in the a rea of health care for infants and children and such other areas as designated by the Commissioner. F. 1. All members of the Advancement of Wellness Advisory Council shall be knowledgeable of issues that arise in the area of advancing the health of all Oklahomans. The Advan cement of Wellness Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who is knowledgeable about breast and cervical cancer issues, and (2) one member who is knowledgeable about organ donor issues, and (3) one member who is knowledgeable about cardiometabolic disease including obesity, dyslipidemia, hypertension, and diabetes , b. the President Pro Tempore of the Senate shall appoint: (1) one member who is mayor of a city or town that has been designated a certified healthy community in an urban setting, and (2) one member who is the president or chief operating officer of a business that has been designated a certified healthy business , and SB1708 HFLR Page 8 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (3) one member who represents an Urban Indian Health Center in this state or a nonprofit organization with a major focus on improving public health for citizens of federally recognized tribes in this state, c. the Speaker of the House of Representatives shall appoint: (1) one member who is the mayor of a city or town that has been designated a certified healthy community in a rural setting, and (2) one member who is the president or chief operating officer of a business that has been designated a certified healthy business in an urban setting, and (3) one member who represents a fed erally recognized tribe based in this state which maintains a tribally operated health system, and d. the Commissioner shall appoint one member who is the Executive Director of the Tobacco Settlement Endowment Trust. 2. The jurisdictional areas of the Adv ancement of Wellness Advisory Council shall include all issues that arise in the areas of tobacco usage and cessation, organ and tissue donation , cardiometabolic disease, American Indian health , the requirements SB1708 HFLR Page 9 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 for a city or town in t he state to be design ated as a certified healthy community, the requirements for a business to be designated as a certified healthy business and such other areas as designa ted by the Commissioner. G. 1. All members of the Home Care, Hospice and Palliative Care Advisory Council shall be knowledgeable of issues that arise in the administration and practice of home care, hospice and palliative care services. The Home Care, H ospice and Palliative Care Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who is the owner or administrator of an entity licensed in accordance with the Oklahoma Hospice Licensing Act, and (2) one member who is an owner or administrator of an entity licensed in accordance with the Oklahoma Home Care Act, b. the President Pro Tempore of the Senate shall appoint: (1) one member who is an owner or administrator of an entity licensed in accordance with the Oklahoma Hospice Licensing Act, (2) one member who is an owner or administrator of an entity licensed in accordanc e with the Oklahoma Home Care Act, and SB1708 HFLR Page 10 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (3) one member who is a member of the palliative care patient advocacy community, c. the Speaker of the House of Representatives shall appoint: (1) one member representing the public who is or was a legal guardian of a recipient of hospice services, (2) one member representing the public who is a recipient or legal guardian of a recipient of services from a home hea lth agency, and (3) one member who is an allopathic or osteopathic physician or nurse certified in pallia tive care delivery in this state, and d. the Commissioner shall appoint one member representing an association which advocates on behalf of home care or hospice issues. 2. The jurisdictional areas of the Home Care, Hospice and Palliative Care Advisory Cou ncil shall include all issues that arise in the areas of home care, hospice services and palliative care, including, but not limited to: a. identifying methods that improve the quality and delivery of home care, hospice and palliative care, b. reviewing best practices from home care, hospice and palliative care programs in the state, SB1708 HFLR Page 11 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 c. developing information on home care, hospice and palliative care issues for the general public, and d. such other areas as designated by the Commissioner. H. In addition to other powers and duties assigned to each Advisory Council pursuant to this section, each Advisory Council, within its jurisdictional area, shall: 1. Have authority to recommend to the Commissioner rules on behalf of the Department. The Department shall not have standing to recommend to the Commissioner permanent rules or changes to such rules within the jurisdiction of an Advisory Council which have n ot been submitted previously to the appropriate Advisory Council for action; 2. Before recommending any permanent rules to the Commissioner, give public notice, offer an opportunity for public comment and conduct a public rulemaking hearing when required by the Administrative Procedures Act; 3. Have the authority to make nonbinding writ ten recommendations to the Commissioner or to the Department which have been concurred upon by at least a majority of the membership of the Advisory Council; 4. Have the authority to provide a public forum for the discussion of issues it considers relevant to its area of jurisdiction, and to: SB1708 HFLR Page 12 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 a. pass nonbinding resolutions expressing the sense of the Advisory Council, and b. make recommendations to the Commissioner or the Department concerning the need and the desirability of conducting meetings, workshops, and seminars; and 5. Cooperate with each other Advisory Council, the public, the Commissioner, and the Commissioner of Health in order to coordinate the rules within the ir respective jurisdictional areas and to achieve maximum efficiency and effectiveness in furthering the objectives of the Department. I. The Advisory Councils shall not recommend rules for promulgation by the Commissioner unless all applicable requiremen ts of the Administrative Procedures Act have been followed, including but not limited to notice, rule-impact statement, and rulemaking hearings. J. Members of the Advisory Councils shall serve without compensation. The Advisory Councils are authorized to utilize the conference rooms of the Department and obtain administrative assistance from the Department, as required. SECTION 2. This act shall become effective November 1, 2024. COMMITTEE REPORT BY: COMMITTEE ON GENERAL GOVERNMENT, date d 04/09/2024 - DO PASS.