SB267 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 1st Session of the 59th Legislature (2023) ENGROSSED SENATE BILL NO. 267 By: Seifried and Garvin of the Senate and Boatman, Fugate, and Pittman 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 Wellness Advisory Council ; 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 S tate Commissioner of Health and the State Depa rtment of Health, 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 Advisory Coun cil; and 5. The Home Care, Hospice and Palliative Care Advisory Council. SB267 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 B. 1. Except for the Home Care, Hospi ce 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 th e Governor, two members shall be appoi nted by the Speaker of the House of Representatives, two members shall be appointed by the Pre sident 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 Councils shall serve at the pleasure of and may be removed from office by the appointing authorit y. 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 Advisory 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 Representativ es, 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 C ouncil shall consist of ten (10) members. Three members shall be appointed by the Governor, three members shall be appointed by the President Pro SB267 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 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 Commissioner. Five members shall constitute a quorum. 4. Each Advisory Council shall meet at l east twice a year, but no more than four times a year and shall elect a chair, a vice -chair and a secretary from among its m embers. Each Advisory Council shall only meet as required for election of officers, e stablishment of meeting dates and times; rule development, review and recommendation; and adoption of nonbinding resolutions to the Department or the Commissioner concern ing matters brought before the Advisory Council. Special meetings may be called by th e chair or by the concurrence of any three mem bers. C. 1. All members of the Consum er Protection Licensing Advisory Council shall be knowledgeable of certain consumer i ssues as specified below. The Consume r 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 Senate shall appoint: (1) one member who is a licensed radiol ogist, and SB267 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 med ical micropigmentation industry, 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 micropigmentatio n industry, the radiation industry and such other areas as designated by the Commissi oner. D. 1. All members of the Trauma and Emergency Response Advisory Council shall be knowledgeable of issues that arise in a hospital setting and issues that arise con cerning emergency response. The Trauma and Em ergency Response Advisory Council shall be composed as follows: a. the Governor shall appoint: (1) one member who is an admi nistrative director of a licensed ambulance service, and (2) one member who is a Board Certified Emergency Physician, SB267 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 appo int: (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 wi th trauma and emergency operative services, c. the Speaker of the House of Representa tives shall appoint: (1) one member representing the trauma registrar of a licensed hospital that is classified as providin g trauma and emergency operative services, and (2) one member who is an Emergency Medical Technician, and d. the Commissioner shall a ppoint one member who is a critical care nurse. 2. The jurisdictional areas of the T rauma and Emergency Response Advisory Council shall include emergency response systems development, injury prevention, catastrophic health emergency, trauma systems improv ement 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 an d Children’s Health Advisory Council shall be composed as follows: SB267 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 Senate 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 sc reening for children, and (3) one member who is a licensed ophthalmologist in this state with the knowledge of treating visu al deficiencies in children, c. the Speaker of the House of Representatives shall appoint: (1) one member who is licensed by the sta te as a physician and works as a pediat rician, and (2) one member who is licensed by the state as a genetic counselor, and d. the Commissioner shall appoint one m ember who is a physician licensed by the state w ho specializes in the diagnosis and treatment of childhood injuries in a trauma setting. SB267 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 i n the area of health care for infants and childr en 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 o f all Oklahomans. The Advancement 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 do nor issues, and (3) one member who is knowledgea ble about cardiometabolic disease including ob esity, 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 SB267 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 Hea lth Center in this state or a nonprofit organization with a major focus on improving public he alth 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 certifi ed 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 bus iness in an urban setting, and (3) one member who represents a federally 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 S ettlement Endowment Trust. 2. The jurisdictional areas of the Advancement of Wellness Advisory Council shall include all issues tha t arise in the areas of tobacco usage and cessation, organ and tissue donation , cardiometabolic disease, American Indian hea lth, the requirements SB267 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 the state to be designated as a certified healthy community, the requirements for a busi ness to be designated as a certified healthy busines s and such other areas as designated by the Commissioner. G. 1. All members of the Home Care, Hospice and Pa lliative Care Advisory Council shall be knowledg eable of issues that arise in the administration and practice of home care, hospice and palliative care services. The Home Care, Hospice 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 Licensi ng Act, and (2) one member who is an owner or administrator of an entity licensed in accordance with the Oklah oma 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 accordance with the Oklahoma Home Care Act, and SB267 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 mem ber of the palliative care patient advocacy communit y, 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 hospi ce services, (2) one member representing the p ublic who is a recipient or legal guardian of a reci pient of services from a home health agency, and (3) one member who is an allopathic or osteopathic physician or nurse certified in palliative care delivery in this state, and d. the Commissioner shall ap point one member representing an association which a dvocates on behalf of home care or hospice issues. 2. The jurisdictiona l areas of the Home Care, Hospice and Palliative Care Advisory Council shall include a ll 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 pall iative care, b. reviewing best practices from ho me care, hospice and palliative care programs in the state, SB267 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 Comm issioner. H. In addition to other powers and du ties assigned to each Advisory Council pursuan t to this section, each Advisory Council, within its jurisdictional area, shall: 1. Have authority to recommend to the Comm issioner rules on behalf of the Depart ment. 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 not been submitted previously to the app ropriate Advisory Council for action; 2. Before recommending any permanent rules to t he 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 nonbindi ng written recommendations to the Commissioner o r 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: SB267 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 se nse of the Advisory Council, and b. make recommendations to the Commissioner or the Department concerning the need and the d esirability of conducting meetings, wo rkshops and seminars; and 5. Cooperate with eac h other Advisory Council, the public, the Commissioner and the Commissioner of Health in order to coordinate the rules within their respective jurisdictional areas and to achieve maximum efficiency and effect iveness in furthering the objectives of the Depa rtment. I. The Advisory Councils shall not re commend rules for promulgation by the Commissioner u nless all applicable requirements of the Administrative Procedures Act h ave been followed, including but not limited to notice, rule -impact statement and rule making hearings. J. Members of the Advisory C ouncils shall serve without compensation. The Advis ory Councils are authorized to utilize the conference rooms of the Depar tment and obtain administrative assistance from the Department, as required. SECTION 2. This act shall become effec tive November 1, 2023. COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 04/06/2023 - DO PASS, As Coauthored.