Req. No. 1540 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) SENATE BILL 475 By: Paxton AS INTRODUCED An Act relating to the Uniform Controlled Dangerous Substances Act; amending 63 O.S. 2021, Section 2-101, as amended by Section 4, Chapte r 265, O.S.L. 2022 (63 O.S. Supp. 2022, Section 2 -101), which relates to definitions; defining certain term; amending 63 O.S. 2021, Section 2-304, which relates to den ial, revocation, or suspension of regi stration; authorizing certain action ; modifying certain registration suspension and revocation guidelines; authorizing certain penalty assessment; authori zing certain drug cleanup and registration guidelines; amending 63 O.S. 2021, Section 2 -305, which relates to the order to show cause; modifying certain registration guidelines ; requiring certain registration guideline; amending 63 O.S. 2021, Section 2-322, which relates to precursor substances requiring permit or license; removing certain statutory reference; amending 63 O.S. 2021, Section 2-325, which relates to denial, revocation, or suspension of registra tion; modifying certain requirement; requiring certain registration guideline; amending 63 O.S. 2021, Section 2 -406, which relates to penalties; adding certain unlawful act; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STATE OF O KLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 2 -101, as amended by Section 4, Ch apter 265, O.S.L. 2022 (63 O.S. Sup p. 2022, Section 2-101), is amended to read as foll ows: Req. No. 1540 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Section 2-101. As used in the Uniform Controlled Dangerous Substances Act: 1. “Administer” means the direct application of a controlled dangerous substance, whether by injection, inhalation, ingestion or any other means, to the body of a patient, animal or research subject by: a. a practitioner (or, in the presence of the practitioner, by the authorized agent of the practitioner), or b. the patient or research subject at the direction and in the presence of the practitioner; 2. “Agent” means a peace officer appointed by and who acts on behalf of the Director of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control or an author ized person who acts on behalf of or at the direction of a person who manufactures, distrib utes, dispenses, prescribes, administers or uses for scientific purposes controlled dangerous substances but does not include a common or contract carrier, public wa rehouser or employee thereof, or a person required to register under the Uniform Controlled Dangerous Substances Act; 3. “Board” means the Advisory Board to the Director of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 4. “Bureau” means the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; Req. No. 1540 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. “Coca leaves” includes cocaine and any compound, manufacture, salt, derivative, mixture or preparation of coca leaves, except derivatives of coca leaves which do not contain cocaine or ecgonine; 6. “Commissioner” or “Director” means the Director of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 7. “Control” means to add, remove or change the placement of a drug, substance or immediate precursor under the Unif orm Controlled Dangerous Substances Act; 8. “Controlled dangerous substance” means a drug, substance or immediate precursor in Schedules I through V of the Uniform Controlled Dangerous Substances Act or any drug, substance or immediate precursor listed ei ther temporarily or permanently as a federally controlled substance. Any conflict between state and federal law with regard to the particular schedule in which a substance is listed shall be resolved in favor of state law; 9. “Counterfeit substance” means a controlled substance which, or the container or labeling of which without authorization , bears the trademark, trade name or other identifying marks, imprint, number or device or any likeness thereof of a manufacturer, distributor or dispenser other tha n the person who in fact manufactured, distributed or dispensed the substance; 10. “Deliver” or “delivery” means the actual, constructive or attempted transfer from one person to another of a controlled Req. No. 1540 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 dangerous substance or drug paraphernalia, whether o r not there is an agency relationship; 11. “Dispense” means to deliver a controlled dangerous substance to an ultimate user or human research subject by or pursuant to the lawful order of a practitioner, including the prescribing, administering, packaging , labeling or compounding necessary to prepare the substance for such distribution. “Dispenser” is a practitioner who delivers a controlled dangerous substance to an ultimate user or human research subject; 12. “Distribute” means to deliver other than by administering or dispensing a controlled dangerous substance; 13. “Distributor” means a commercial entity engaged in the distribution or reverse distribution of narcotics and dangerous drugs and who complies with all regulations promulgated by the federal Drug Enforcement Administration and the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; 14. “Drug” means articles: a. recognized in the official United States Pharmacopeia, official Homeopathic Pharmacopoeia of the United States, or official National Formulary, or any supplement to any of them, b. intended for use in the diagn osis, cure, mitigation, treatment or prevention of disease in man or other animals, Req. No. 1540 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. other than food, intended to affect the structure or any function of the body of man or other animals, and d. intended for use as a component of any article specified in this paragraph; provided, however, the term “drug” does not include devices or their components, parts or accessories; 15. “Drug-dependent person” means a person who is using a controlled dangerous substance and who is in a state of psychic or physical dependence, or both, arising from administration of that controlled dangerous substance on a continuous basis. Drug dependence is characterized by behavioral and oth er responses which include a strong compulsion to take the substance on a continuous basis in order to experience its psychic effects, or to avoid the discomfort of its absence; 16. “Home care agency” means any sole proprietorship, partnership, associatio n, corporation, or other organization which administers, offers, or provides home care serv ices, for a fee or pursuant to a contract for such services, to clients in their place of residence; 17. “Home care services” means skilled or personal care services provided to clients in their place of residence for a fee; 18. “Hospice” means a centrally administered, nonprofit or for- profit, medically directed, nurse-coordinated program which provides a continuum of home and inpatient care for the terminally ill Req. No. 1540 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 patient and the patient’s family. Such term shall also include a centrally administered, n onprofit or for-profit, medically directed, nurse-coordinated program if such program is licensed pursuant to the provisions of the Uniform Controlled Dangerous Subs tances Act. A hospice program offers palliative and supportive care to meet the special needs arising out of the physical, emotional and spiritual stresses which are experienced during the final stages of illness and during dying and bereavement. This care is available twenty- four (24) hours a day, seven (7) days a week, and is provided on the basis of need, regardless of ability to pay. “Class A” Hospice refers to Medicare-certified hospices. “Class B” refers to all other providers of hospice services; 19. “Imitation controlled substance” means a substance that is not a controlled dangerous substance, which by dosage unit appearance, color, shape, size, markings or by representations made, would lead a reasonable person to believe that the substance is a controlled dangerous substance. In the event the appearance of the dosage unit is not r easonably sufficient to establish that the substance is an “imitation controlled substance”, the court or authority concerned should consider, in addition to all oth er factors, the following factors as related to “representations made” in determining wheth er the substance is an “imitation controlled substance”: Req. No. 1540 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. statements made by an owner or by any other person in control of the substance concerning the nature of the substance, or its use or effect, b. statements made to the recipient that the substance may be resold for inordinate profit, c. whether the substance is packaged in a manner normally used for illicit controlled substances, d. evasive tactics or actions utilized by the owner or person in control of the substance to avoid detection by law enforcement authorities, e. prior convictions, if any, of an owner, or any other person in control of the object, under state or federal law related to controlled substances or fraud, and f. the proximity of the substances to controlled dangerous substances; 20. “Immediate precursor” means a substance which the Director has found to be and by regulation designates as being the principal compound commonly used or produced primarily for use, and which is an immediate chemical intermediary used, or likely to be us ed, in the manufacture of a controlled dangerous substance, the control of which is necessary to prevent, curtail or limit such manufacture; 21. “Laboratory” means a laboratory approved by the Director as proper to be entrusted with the custody of control led dangerous Req. No. 1540 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 substances and the use of controlled dangerous substances for scientific and medical purposes and for purposes of instruction; 22. “Manufacture” means the production, preparation, propagation, compounding or processing of a controlled dangerous substance, either directly or indirectly by extraction from substances of natural or synthetic origin, or independently by means of chemical synthesis or by a combination of extraction and chemical synthesis. “Manufacturer” includes any person who pac kages, repackages or labels any container of any controlled dangerous substance, except practitioners who dispense or compound prescription orders for delivery to the ultimate consumer; 23. “Marijuana” means all parts of the plant Cannabis sativa L., whether growing or not; the seeds thereof; the resin extracted from any part of such plant; and every compound, manufacture, salt, derivative, mixture or preparation of such plant, its seeds or resin, but shall not include: a. the mature stalks of such plant o r fiber produced from such stalks, b. oil or cake made from the seeds of such plant, including cannabidiol derived from the seeds of the marijuana plant, c. any other compound, manufacture, salt, derivative, mixture or preparation of such mature stalks (ex cept Req. No. 1540 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the resin extracted therefrom), including cannabidiol derived from mature stalks, fiber, oil or cake, d. the sterilized seed of such plant which is incapable of germination, e. for any person participating in a clinical trial to administer cannabidiol for the treatment of severe forms of epilepsy pursuant to Section 2-802 of this title, a drug or substance approved by the federal Food and Drug Administration for use by those participants, f. for any person or the parents, legal guardians or caretakers of the person who have received a written certification from a physician licensed in this state that the person has been diagnosed by a physician as having Lennox-Gastaut syndrome, Dravet syndrome, also known as severe myoclonic epilepsy of infancy, or any other severe form of epilepsy that is not adequately treated by traditional medical therapies, spasticity due to multiple sclerosis or due to paraplegia, intractable nausea and vomiting, appetite stimulation with chronic wasting diseases, the substance cannabidiol, a nonpsychoactive cannabinoid, found in the plant Cannabis sativa L. or any other preparation thereof, that has a tetrahydrocannabinol concentration Req. No. 1540 Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 of not more than three-tenths of one percent (0.3%) and that is delivered to the patient in the form of a liquid, g. any federal Food-and-Drug-Administration-approved drug or substance, or h. industrial hemp, from the plant Cannabis sativa L. and any part of such plant, whether growing or not, with a delta-9 tetrahydrocannabinol concentration of not more than three-tenths of one percent (0.3%) on a dry- weight basis which shall only be grown pursuant to the Oklahoma Industrial Hemp Program and may be shipped intrastate and interstate; 24. “Medical purpose” means an intention to utilize a controlled dangerous substance for physical or mental treatment, for diagnosis, or for the prevention of a disease condition not in violation of any state or federal law and not for the purpose of satisfying physiological or psychological dependence or other abuse; 25. “Mid-level practitioner” means an Advanced Practice Registered Nurse as defined and within parameters specified in Section 567.3a of Title 59 of the Oklahoma Statutes, or a certified animal euthanasia technician as defined in Section 698.2 of Title 59 of the Oklahoma Statutes, or an animal control officer registered by the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control under subsection B of Section 2-301 of this title within the Req. No. 1540 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 parameters of such officer’s duties under Sections 501 through 508 of Title 4 of the Oklahoma Statutes; 26. “Narcotic drug” means any of the following, whether produced directly or indirectly by extraction from substances of vegetable origin, or independently b y means of chemical synthesis, or by a combination of e xtraction and chemical synthesis: a. opium, coca leaves and opiates, b. a compound, manufacture, salt, derivative or preparation of opium, coca leaves or opiates, c. cocaine, its salts, optical and geo metric isomers, and salts of isomers, d. ecgonine, its derivatives, their salts, isomers and salts of isomers, and e. a substance, and any compound, manufacture, salt, derivative or preparation thereof, which is chemically identical with any of the substan ces referred to in subparagraphs a through d of this pa ragraph, except that the words “narcotic drug” as used in Section 2- 101 et seq. of this title shall not include decocainized coca leaves or extracts of coca leaves, which extracts do not contain cocain e or ecgonine; 27. “Opiate” or “opioid” means any Schedule II, III, IV or V substance having an addiction-forming or addiction-sustaining liability similar to morphine or being capable of conversion into a Req. No. 1540 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 drug having such addiction-forming or addiction -sustaining liability. The terms do not include, unless specifically designated as controlled under the Uniform Controlled Dangerous Substances Act, the dextrorotatory isomer of 3-methoxy-n-methyl-morphinan and its salts (dextromethorphan). The terms do include the racemic and levorotatory forms; 28. “Opium poppy” means the plant of the species Papaver somniferum L., except the seeds thereof; 29. “Peace officer” means a police officer, sheriff, deputy sheriff, district attorney’s investigator, investigato r from the Office of the Attorney General, or any other person elected or appointed by law to enforce any of the criminal laws of this state or of the United States; 30. “Person” means an individual, corporation, government or governmental subdivision or agency, business trust, estate, trust, partnership or association, or any other legal entity; 31. “Poppy straw” means all parts, except the seeds, of the opium poppy, after mowing; 32. “Practitioner” means: a. (1) a medical doctor or osteopathic physicia n, (2) a dentist, (3) a podiatrist, (4) an optometrist, (5) a veterinarian, Req. No. 1540 Page 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (6) a physician assistant or Advanced Practice Registered Nurse under the supervision of a licensed medical doctor or osteopathic physician, (7) a scientific investigator, or (8) any other person, licensed, registered or otherwise permitted to prescribe, distribute, dispense, conduct research with respect to, use for scientific purposes or administer a controlled dangerous substance in the course of professional practice or research in this state, or b. a pharmacy, hospital, laboratory or other institution licensed, registered or otherwise permitted to distribute, dispense, conduct research with respect to, use for scientific purposes or administer a controlled dangerous substance in the course of professional practice or research in this state; 33. “Production” includes the manufacture, planting, cultivation, growing or harvesting of a controlled dangerous substance; 34. “State” means the State of Oklahoma or any other state of the United States; 35. “Ultimate user” means a person who lawfully possesses a controlled dangerous substance for the person’s own use or for the use of a member of the person’s household or for administration to Req. No. 1540 Page 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 an animal owned by the person or by a member of the person’s household; 36. “Drug paraphernalia” means all equipment, products and materials of any kind which are used, intended for use, or fashioned specifically for use in planting, propagating, cultivating, growing, harvesting, manufacturing, comp ounding, converting, producing, processing, preparing, testing, analyzing, packaging, repackaging, storing, containing, concealing, injecting, ingesting, inhaling or otherwise introducing into the human body, a controlled dangerous substance in violation o f the Uniform Controlled Dangerous Substances Act including, but not limited to: a. kits used, intended for use, or fashioned specifically for use in planting, propagating, cultivating, growing or harvesting of any species of plant which is a controlled dangerous substance or from which a controlled dangerous substance can be derived, b. kits used, intended for use, or fashioned specifically for use in manufacturing, compounding, converting, producing, processing or preparing controlled dangerous substances , c. isomerization devices used, intended for use, or fashioned specifically for use in increasing the potency of any species of plant which is a controlled dangerous substance, Req. No. 1540 Page 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 d. testing equipment used, intended for use, or fashioned specifically for use in identifying, or in analyzing the strength, effectiveness or purity of controlled dangerous substances, e. scales and balances used, intended for use, or fashioned specifically for use in weighing or measuring controlled dangerous substances, f. diluents and adulterants, such as quinine hydrochloride, mannitol, mannite, dextrose and lactose, used, intended for use, or fashioned specifically for use in cutting controlled dangerous substances, g. separation gins and sifters used, intended for use, or fashioned specifically for use in removing twigs and seeds from, or in otherwise cleaning or refining, marijuana, h. blenders, bowls, containers, spoons and mixing devices used, intended for use, or fashioned specifically for use in compounding controlled dange rous substances, i. capsules, balloons, envelopes and o ther containers used, intended for use, or fashioned specifically for use in packaging small quantities of controlled dangerous substances, Req. No. 1540 Page 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 j. containers and other objects used, intended for use, or fashioned specifically for use in parenterally injecting controlled dangerous substances into the human body, k. hypodermic syringes, needles and other objects used, intended for use, or fashioned specifically for use in parenterally injecting controlled dan gerous substances into the human body, l. objects used, intended for use, or fashioned specifically for use in ingesting, inhaling or otherwise introducing marijuana, cocaine, hashish or hashish oil into the human body, such as: (1) metal, wooden, acrylic, glass, stone, plastic or ceramic pipes with or without screens, permanent screens, hashish heads or punctured metal bowls, (2) water pipes, (3) carburetion tubes and devices, (4) smoking and carburetion masks, (5) roach clips, meaning objects used to hold burning material, such as a marijuana cigarette, that has become too small or too short to be held in the hand, (6) miniature cocaine spoons and cocaine vials, (7) chamber pipes, Req. No. 1540 Page 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (8) carburetor pipes, (9) electric pipes, (10) air-driven pipes, (11) chillums, (12) bongs, or (13) ice pipes or chillers, m. all hidden or novelty pipes, and n. any pipe that has a tobacco bowl or chamber of less than one-half (1/2) inch in diameter in which there is any detectable residue of any controlled dangerous substance as defined in this section or any other substances not legal for possession or use; provided, however, the term “drug paraphernalia” shall not include separation gins intended for use in preparing tea or spice, clamps used for constructing electrical equipme nt, water pipes designed for ornamentation in which no detectable amount of an illegal substance is found or pipes designed and used solely for smoking tobacco, traditional pipes of an American Indian tribal religious ceremony, or antique pipes that are th irty (30) years of age or older; 37. a. “Synthetic controlled substance” means a substance: (1) the chemical structure of which is substantially similar to the chemical structure of a controlled dangerous substance in Schedule I or II, Req. No. 1540 Page 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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) which has a stimulant, depressant, or hallucinogenic effect on the cent ral nervous system that is substantially similar to or greater than the stimulant, depressant or hallucinogenic effect on the central nervous system of a controlled dangerous substance in Schedule I or II, or (3) with respect to a particular person, which such person represents or intends to have a stimulant, depressant, or hallucinogenic effect on the central nervous system that is substantially similar to or greater than the stimulant, depressant, or hallucinogenic effect on the central nervous system of a controlled dangerous substance in Schedule I or II. b. The designation of gamma butyrolactone or any other chemical as a precursor, pursuant to Section 2-322 of this title, does not preclude a findin g pursuant to subparagraph a of this paragraph that the chemical is a synthetic controlled substance. c. “Synthetic controlled substance” does not include: (1) a controlled dangerous substance, (2) any substance for which there is an approved new drug application, Req. No. 1540 Page 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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) with respect to a particular person any substance, if an exemption is in effect for investigational use, for that person under the provisions of Section 505 of the Federal Food, Drug and Cosmetic Act, Title 21 of the United States Code, Section 355, to the extent conduct with respect to such subst ance is pursuant to such exemption, or (4) any substance to the extent not intended for human consumption before such an exemption takes effect with respect to that substance. d. Prima facie evidence that a substance containing salvia divinorum has been en hanced, concentrated or chemically or physically altered shall give rise to a rebuttable presumption that the substance is a synthetic controlled substance; 38. “Tetrahydrocannabinols” means all substances that have been chemically synthesized to emulate the tetrahydrocannabinols of marijuana, specifically including any tetrahydrocannabinols derived from industrial hemp; 39. “Isomer” means the optical isomer, except as used in subsections C and F o f Section 2-204 of this title and paragraph 4 of subsection A of Section 2-206 of this title. As used in subsections C and F of Section 2-204 of this title, “isomer” means Req. No. 1540 Page 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the optical, positional or geometric isomer. As used in paragraph 4 of subsection A of Section 2-206 of this title, the term “isomer” means the optical or geometric isomer; 40. “Hazardous materials” means materials, whether solid, liquid or gas, which are toxic to human, animal, aquatic or plant life, and the disposal of which materia ls is controlled by state or federal guidelines; 41. “Anhydrous ammonia” means any substance that exhibits cryogenic evaporative behavior and tests positive for ammonia; 42. “Acute pain” means pain, whether resulting from disease, accidental or intentional trauma or other cause, that the practitioner reasonably expects to last only a short period of time. “Acute pain” does not include chronic pain, pain being treated as part of cancer care, hospice or other end-of-life care, or pain being treated as part of palliative care; 43. “Chronic pain” means pain that persists beyond the usual course of an acute disease or healing of an injury. “Chronic pain” may or may not be associated with an acute or chronic pathologic process that causes continuous or intermittent pain over months or years; 44. “Initial prescription” means a prescription issued to a patient who: Req. No. 1540 Page 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. has never previously been issued a prescription for the drug or its pharmaceutical equivalent in the past year, or b. requires a prescription for the drug or its pharmaceutical equivalent due to a surgica l procedure or new acute event and has previously had a prescription for the drug or its pharmaceutical equivalent within the past year. When determining whether a patient was previously issued a prescription for a drug or its pharmaceutical equivalent, th e practitioner shall consult with the patient and review the medical record and prescription monitoring information of the patient; 45. “Patient-provider agreement” means a written contract or agreement that is executed between a practitioner and a patien t, prior to the commencement of treatment for chronic pain using an opioid drug as a means to: a. explain the possible risk of development of physical or psychological dependence in the patient and prevent the possible development of addiction, b. document the understanding of both the practitioner and the patient regarding the patient-provider agreement of the patient, c. establish the rights of the patient in association with treatment and the obligations of the patient in Req. No. 1540 Page 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 relation to the responsible use, discontinuation of use, and storage of opioid drugs, including any restrictions on the refill of prescriptions or the acceptance of opioid prescriptions from practitioners, d. identify the specific medications and other modes of treatment, including physical therapy or exercise, relaxation or psychological counseling, that are included as a part of the patient-provider agreement, e. specify the measures the practitioner may employ to monitor the compliance of the patient including, but not limited to, rand om specimen screens and pill counts, and f. delineate the process for terminating the agreement, including the consequences if the practitioner has reason to believe that the patient is not complying with the terms of the agreement. Compliance with the “consent items” shall constitute a valid, informed consent for opioid therapy. The practitioner shall be held harmless from civil litigation for failure to treat pain if the event occurs because of nonadherence by the patient with any of the provisions of the patient-provider agreement; 46. “Serious illness” means a medical illness or physical injury or condition that substantially affects quality of life for Req. No. 1540 Page 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 more than a short period of time. “Serious illness” includes, but is not limited to, Alzheimer’s disease or related dementias, lung disease, cancer, heart failure, renal failure, liver failure or chronic, unremitting or intractable pain such as neuropathic pain; and 47. “Straw person or party ” means a third party who is p ut up in name only to take part in a transaction. This term includes but is not limited to a n ominal party to a transaction , one who acts as an agent for another for the purpose of taking tit le to property and executing whatever documents and instruments the principal may direct respecting the property, or a person who purchases property for another to conceal the identity of the real purchaser or to accomplish some purpose otherwise not allowed; and 47. 48. “Surgical procedure” means a procedure that is performed for the purpose of struct urally altering the human body by incision or destruction of tissues as part of the practice of medicine. This term includes the diagnostic or therapeutic treatment of conditions or disease processes by use of instruments such as lasers, ultrasound, ioniz ing, radiation, scalpels, probes or needles that cause localized alteration or transportation of live human tissue by cutting, burning, vaporizing, freezing, suturing, probing or manipulating by closed reduction for major dislocations or fractures, or othe rwise altering by any mechanical, thermal, light-based, electromagnetic or chemical means. Req. No. 1540 Page 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 2. AMENDATORY 63 O.S. 20 21, Section 2-304, is amended to read as follows: Section 2-304. A. A registration, pursuant to Section 2-303 of this title, to manufacture, distribute, dispense, prescribe, administer or use for scientific purposes a controlled dan gerous substance shall be limited, conditioned, den ied, suspended, annulled, or revoked by the Director upon a finding that the registrant: 1. Has materially falsified any application filed pursuant to the Uniform Controlled Dangerous Substances Act or required by t he Uniform Controlled Dangerous Substanc es Act. It shall be unlawful to knowingly and willfully: a. make false statements, include fa lse data or omit material information on an application for a registration with the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, or b. provide false data or omit material information in any records or reports required by rule or law to be created, maintained or submitted to the Bureau . Any registrant or applicant for a registration or any official, agent or employee of any registrant or applicant for a registration who violates the provisions of this paragraph shall be guilty of a misdemeanor and additionally subject to administrative action ; Req. No. 1540 Page 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. Has been found guilty of, entered a plea of guilty or entered a plea of nolo contendere to a misdemean or relating to any substance defined herein as a controlled dangerous substance or any felony under the laws of any state or the United States; 3. Has had his or her federal registration retired, suspended or revoked by a competent federal authority and i s no longer authorized by federal la w to manufacture, distribute, dispense, prescribe, administer or use for scientific purposes controlled dangerous substances; 4. Has failed to maintain effective controls against the diversion of controlled dangerous su bstances to unauthorized persons or entities; 5. Has prescribed, dispensed or administered a controlled dangerous substance from schedules other than those specified in his or her state or federal registration; 6. Has had a restriction, suspension, revoc ation, limitation, condition or probation placed on his or her professional license or certificate or practice as a result of a proceeding pursuant to the general statutes; 7. Is abusing or, within the past five (5) years, has abused or excessively used drugs or controlled dangerous sub stances; 8. Has prescribed, sold, administered or ordered any controlled substance for an immediate family member, himself or herself; Req. No. 1540 Page 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 provided that this shall not apply to a medical emergency when no other doctor is availa ble to respond to the emergency ; 9. Has possessed, used, prescribed, dispensed or administere d drugs or controlled dangerous substances for other than legitimate medical or scientific purposes or for purposes outsid e the normal course of his or her profes sional practice; 10. Has been under the influence of alcohol or another intoxicating substanc e which adversely affected the central nervous system, vision, hearing or other sensory or motor functioning to such degree the person was impaired during the per formance of his or her job; or 11. Has violated any federal law relating to any controlled substances, any provision of the Uniform Controlled Dangerous Substances Act or any rules of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control. B. In the event the Director suspends or revokes a registration granted under Section 2-303 of this title, all controlled dangerous substances owned or possessed by the registrant pursuant to such registration at the t ime of denial revocation or suspension or the effective date of the revocation order, as the case may be, may in the discretion of the Director be impounded and preserved . All controlled dangerous substances not impounded or preserved by the Director shall be maintained by the registrant . No disposition, purchase, distribution , sale, or transfer may be made of substances Req. No. 1540 Page 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 impounded and preserved until the time for taking an appeal has elapsed or until all appeals have been concluded unless a court, upon application therefor, orders the sale of p erishable substances and the deposit of the proceeds of the sale with the court. Upon a revocation order becoming final, all such co ntrolled dangerous substances shall be forfeited to the state or otherwise considered waste and submitted to a licensed was te disposal service for destruction pursuant to Section 430 of this title. C. The Drug Enforcement Administration shall promptly be notified of all orders suspending or revoking registration and all forfeitures of controlled dangerous substances. D. In lieu of or in addition to any other remedies available to the Director, if a finding is made that a registrant has committed any act in violation of federal law relating to any controlled substance, any provision of the Uniform Controlled Dangerous Substances Act or any rules of the Oklahoma State B ureau of Narcotics and Dangerous Drugs Control, the Director is hereby authorized to assess an administrative penalty not to exceed Two Thousand Dollars ($2,000.00) for each such act . The provisions of this subsection shall not apply to violations of subs ection G of Section 2-309D of this title. Nothing in this section shall be construed so as to permit the Director of the State Bureau of Narcotics and Dangerous Drugs Control to assess administrative fines for violations of the provisions of subsection G of Section 2-309D Req. No. 1540 Page 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 of this title. Administrative penalties may be assessed per individual transaction and incurred daily. E. In addition to any other remedies available to the Director, if a judge of competent ju risdiction finds probable cause that a registrant has committed any act in violation of any law of this state relating to any controlled substance , all controlled dangerous substances possessed by the registrant shall be considered contraband or hazardous material and subject to forfeiture under Section 2-505 or 2-506 of this title as applicable, and the Director is hereby authorized to assess a drug clea nup fine not to exceed Fifty Thousand Dollars ($50,000.00). This drug cleanup fine shall apply only to the registrant; provided, however, that the Director may refuse to authorize any new registration at the same location until such fine is pai d. SECTION 3. AMENDATORY 63 O.S. 2021, Section 2-305, is amended to read as follows: Section 2-305. A. Before denying annulling, suspending or revoking a registration , refusing a renewal of registration or taking administrative action on a n onregistrant engaged in manufacturing, distributing, dispensing, prescribing, administeri ng or using for scientific purposes any controlled dange rous substance within or into this state , the Director shall serve upon the applicant or registrant an order to show cause why registration should not be denied annulled, revoked, or suspended or why the Req. No. 1540 Page 29 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 renewal should not be refused . The order to show ca use shall contain a statement of the basis therefor and shall call upon the applicant or registrant to appear before the appropriate person or agency at a time and place within thirty (30) sixty (60) days after the date of service of the order , but in the case of a denial or renewal of registration the sho w cause order shall be served within thirty (30) days before the expiration of the registration. These proceedings shall be conducted in accordance with the Administrative Procedures Act without regard to any criminal prosecution or other proceeding. Proceedings to refuse renewal of registration shall not abate the existing registr ation which shall remain in effect pending the outcome of the administrati ve hearing. Nothing in this section shall be construed so as to require an individual proceeding for t he denial of a new registration. B. The Director shall suspend, without an ord er to show cause, any registration simultaneously with the institution of proceedings under Section 2-304 of this title, if h e or she finds there is imminent danger to the publi c health or safety which warrants this action. The suspension shall continue i n effect until the conclusion of the proceedings , including judicial revie w thereof, unless sooner withdrawn by the Director or dissolved by a court of competent jurisdiction. C. The Director is authorized to give agents and inspectors of the Oklahoma State Bureau of Narcotics and Dangerous Drug s Control Req. No. 1540 Page 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 authority to issue cita tions for violation of any rules of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control under subsection D of Section 2-304 of this title. Citations shall contain a statement of t he basis therefore and shall call upon the registrant to appear before the appropriate person or agency at a time and place no more than sixty (60) days after the d ate of service of the citation. D. The Director may authorize the Deputy Director, General Counsel, or other designee of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control to initiate an y individual proceeding against a registrant provided that citations issued by agents or inspectors are approved by the Direc tor, Deputy Director, General Counsel, or other designee. Nothing in this section shall be construed so as to delegate the authority of the Director to issue a final agency order. SECTION 4. AMENDATORY 63 O.S. 2021, Section 2 -322, is amended to read as follows: Section 2-322. A. No person or business shall possess, sell, manufacture, transfer, or otherwise furnish any of the following precursor substances wi thout first having a permit or license issued by the Director of t he Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, except as provided in Section 2 -327 of this title: 1. D-Lysergic acid; Req. No. 1540 Page 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. Ergotamine and its salt s; 3. Ergonovine and it s salts; 4. Methylamine; 5. Ethylamine; 6. Phenyl-2-Propanone; 7. Phenylacetic acid and its salts; 8. Ephedrine, its salts, optical isomers and salts of optical isomers; 9. Norpseudoephedrine, its salts, optical isomers, and s alts of optical isomers; 10. Phenylpropanolamine, its salts, optical isomers and salts of optical isomers; 11. Benzyl cyanide; 12. N-methylephedrine, its salts, optical isomers and salts of optical isomers; 13. Pseudoephedrine, its salts, optical isome rs and salts of optical isomers; 14. Chloroephedrine, its salts, optical isomers and salt s of optical isomers; 15. Piperidine and its salts; 16. Pyrrolidine and its salts; 17. Propionic anhydride; 18. Isosafrole; 19. Safrole; Req. No. 1540 Page 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 20. Piperonal; and 21. Red Phosphorus. B. Upon completion of an application for a license pursuant to Section 2-323 of this title, or a permit pursuant to Section 2 -324 of this title, the Director of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control shall eith er grant or deny such license or permit. A denial of an application for a permit or license shall be handled as provided by Section 2 -325 of this title. SECTION 5. AMENDATORY 63 O.S. 2021, Section 2 -325, is amended to read as fol lows: Section 2-325. A. A license or permit, obtained pursuant to Sections 5 or 6 of this act, shall be denied annulled, suspended, or revoked by the Director u pon finding that the licensee or pe rmit holder has: 1. Materially falsified any application f iled pursuant to this act or required by this act; 2. Been convicted of a misdemeanor relating to any precursor substance defined in Section 4 of this act or any felony under the laws of this state or the United States; or 3. Failed to maintain effective controls against the di version of said precursors to unauthorized persons or entities. B. Before denying annulling, suspending, or revoking a license or permit, the Director shall cause to be ser ved upon the applicant, licensee, or permit holder an order to show cause why a lic ense or a Req. No. 1540 Page 33 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 permit should not be denied annulled, suspended, or revoked. The order to show cause shall contain a s tatement of the basis the refor and shall call upon the applicant, licensee, or permit holder to appear before the appro priate person or agency at the time and place within thirty (30) sixty (60) days after the date of service of the order. The proceedings shall be c onducted in accordance with the Administrative Procedures Act without regard to a ny criminal prosecution or other proceeding. Nothing in this section shall be construed so as to require an individual proceeding for the denial of a new license or permit. C. The Director shall suspend, without an order t o show cause, any license or permit simultaneously with the institution of proceedings described in subsection B of this section if he finds there is imminent danger to the public health or safety which warrants this action. The suspension shall continue in effect until the conclusion of the proceedings, includin g judicial review thereof, unless withdrawn by the Director or dissolved by a court of competent jurisdiction. SECTION 6. AMENDATORY 63 O.S. 2021, Section 2 -406, is amended to read as follows: Section 2-406. A. It shall be unlaw ful for any registrant knowingly or intentionally: 1. To distribute, other than by dispensing or as otherwise authorized by this act, a controlled dangerous substance classified Req. No. 1540 Page 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 in Schedules I or II, in the course of his legitim ate business, except pursuant to an order form as r equired by Section 2 -308 of this title; 2. To use in the course of the manu facture or distribution of a controlled dangerous substance a registration number which is fictitious, revoked, suspended or issu ed to another person; 3. To acquire or obtain poss ession of a controlled dangerous substance by misrepresentation, fraud, forg ery, deception or subterfuge; 4. To furnish false or fraudulent material information in, o r omit any material information from, any application, report, or other document required to be kept or filed under this act, or a ny record required to be kept by th is act; and 5. To make, distribute, or possess any punch, die, plate, stone, or other thin g designed to print, imprint, or repro duce the trademark, trade name, or other identifyin g mark, imprint, or device of another or any likeness of any of the foregoin g upon any drug or container or labeling thereof so as to render such drug a counterfeit controlled dangerous substance .; and 6. To purchase, attempt, endeavor and conspire or endeavor or conspire to obtain and purchase o r obtain or purchase, any license or registration required to distribute , possess, prescribe, or manufacture any controlled dangerous substance, on behalf of, or at Req. No. 1540 Page 35 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the request or demand of any person, through the use of a straw person or party as defined in Section 2-101 of this title. B. Any person who violates this section is guilty of a felony punishable by imprisonment for not more than twenty (20) years or a fine of not more than Two Hu ndred Fifty Thousand Dollars ($250,000.00), or both. C. Any person convicted of a second or subsequent violation of this section is punishable by a term of imprisonment twice that otherwise authorized and by twice the fine othe rwise authorized. Convictions for second or subsequent violations of this section shall not be subject to statutory provisions for suspended sentences, deferred sentences, or probation. D. Any person convicted of any offense described in this section shall, in addition to any fine imposed, pay a special assessment trauma-care fee of One Hundred Dol lars ($100.00) to be deposited into the Trauma Care Assistance Revolving Fund created in Section 1-2522 of this title. SECTION 7. It being immediately necessary for the pr eservation of the public peace, health or safety, an emergency is hereby declared to exist, by re ason whereof this act shall take ef fect and be in full force from and after its passage an d approval. 59-1-1540 JES 1/17/2023 1:13:42 PM