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4 | - | An Act | |
5 | - | ENROLLED SENATE | |
29 | + | HOUSE OF REPRESENTATIVES - FLOOR VERSION | |
30 | + | ||
31 | + | STATE OF OKLAHOMA | |
32 | + | ||
33 | + | 1st Session of the 59th Legislature (2023) | |
34 | + | ||
35 | + | ENGROSSED SENATE | |
6 | 36 | BILL NO. 707 By: Rosino of the Senate | |
7 | 37 | ||
8 | 38 | and | |
9 | 39 | ||
10 | 40 | Roe of the House | |
11 | 41 | ||
12 | 42 | ||
13 | 43 | ||
14 | 44 | ||
15 | 45 | An Act relating to public health and safety; amending | |
16 | - | 63 O.S. 2021, Section 1 | |
17 | - | Chapter 184, O.S.L. 2022 (63 O.S. Supp. | |
18 | - | 1-317), which relates to death | |
19 | - | extending time periods of certain | |
20 | - | removing obsolete and duplicative | |
21 | - | clarifying | |
22 | - | specifying certain procedures for filing | |
23 | - | certificate; | |
24 | - | under certain conditions; amending 63 O.S. | |
25 | - | Section 941, | |
26 | - | Office of the Chief | |
46 | + | 63 O.S. 2021, Section 1-317, as last amended by | |
47 | + | Section 1, Chapter 184, O.S.L. 2022 (63 O.S. Supp. | |
48 | + | 2022, Section 1-317), which relates to death | |
49 | + | certificates; extending time periods of certain | |
50 | + | requirements; removing obsolete and duplicative | |
51 | + | language; clarifying appli cability of certain | |
52 | + | provision; specifying certain procedures for filing | |
53 | + | of death certificate; gr anting immunity from civil | |
54 | + | damages under certain conditions; amending 63 O.S. | |
55 | + | 2021, Section 941, whic h relates to investigation by | |
56 | + | the Office of the Chief Medic al Examiner; imposing | |
27 | 57 | timeline for conclusion of investigation except under | |
28 | 58 | certain circumstance s; requiring the Office to make a | |
29 | 59 | good faith effort to provide certain disclosure; | |
30 | 60 | requiring certain notice to contain specified | |
31 | 61 | information; requiring licensed funeral director to | |
32 | 62 | make good faith effort to provide certain assistance; | |
33 | 63 | directing creation of certain process; amending 63 | |
34 | 64 | O.S. 2021, Section 947, which relates to certificate | |
35 | 65 | of death; requiring final certification of death to | |
36 | 66 | be signed immediately upo n conclusion of | |
37 | 67 | investigation; updating statutory language; providing | |
38 | 68 | for codification; and prov iding an effective date. | |
39 | 69 | ||
40 | 70 | ||
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42 | 72 | ||
43 | - | SUBJECT: Death certificates | |
44 | - | ||
45 | 73 | BE IT ENACTED BY THE PEOPLE OF THE STAT E OF OKLAHOMA: | |
46 | 74 | ||
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48 | - | ENR. S. B. NO. 707 Page 2 | |
49 | 101 | SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -317, as | |
50 | - | amended by Section 1, Chapter 184, O.S.L. 2022 (63 O.S. Supp. 202 3, | |
51 | - | Section 1-317), is amended to read as follows: | |
52 | - | ||
102 | + | last amended by Section 1, Chapter 184, O.S.L. 2022 (63 O.S. Supp. | |
103 | + | 2022, Section 1-317), is amended to read as follows: | |
53 | 104 | Section 1-317. A. A death certificate for each death which | |
54 | 105 | occurs in this state sha ll be filed with the State Department of | |
55 | 106 | Health, within three (3) ten (10) calendar days after such death. | |
56 | - | ||
57 | 107 | B. The It shall be the duty of the funeral director shall | |
58 | 108 | personally sign the death certificate and shall be responsible for | |
59 | 109 | filing to file the death certificate. If the funeral director is | |
60 | 110 | not available, the person acting as such who first assumes custody | |
61 | 111 | of a dead body in accordance with Section 1158 of Title 21 of the | |
62 | 112 | Oklahoma Statutes shall personally sign and file the de ath | |
63 | 113 | certificate. The funeral director shall obtain the personal data | |
64 | 114 | shall be obtained from the next of kin or the best qualified person | |
65 | 115 | or source available. The certificate shall be completed as to | |
66 | 116 | personal data and delivered to the attending physician or the | |
67 | 117 | medical examiner responsibl e for completing the medical | |
68 | 118 | certification portion of the certificate o f death within twenty-four | |
69 | 119 | (24) hours after the death. No later than July 1, 2012, the | |
70 | 120 | personal data, and no later than July 1, 2017, the medical | |
71 | 121 | certificate portion, shall be entered, enter the personal data into | |
72 | 122 | the prescribed electronic system provided prescribed by the State | |
73 | 123 | Registrar of Vital Statistics, and the information submitted to the | |
74 | 124 | State Registrar of Vital Statistics. The resultant electronically | |
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126 | + | SB707 HFLR Page 3 | |
127 | + | BOLD FACE denotes Committee Amendments. 1 | |
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75 | 152 | transmit the partial certificate produced by the electronic system | |
76 | 153 | shall be provided to the physician, physician assistant, Advanced | |
77 | 154 | Practice Registered Nurse, or medical examiner responsible for | |
78 | 155 | completing the medical certification portion of the certificate of | |
79 | 156 | death within twenty-four (24) hours after the death. | |
80 | - | ||
81 | 157 | C. 1. The medical certification sh all be completed and signed | |
82 | 158 | within forty-eight (48) hours certified within five (5) calendar | |
83 | 159 | days after death receipt of the partial certificate by the | |
84 | 160 | physician, physician assistant, or advanced practice re gistered | |
85 | 161 | nurse Advanced Practice Registered Nurse in charge of the patient’s | |
86 | 162 | care for the illness or condition which resulted in death, except | |
87 | 163 | when inquiry as to the ca use of death is required by S ection 938 of | |
88 | 164 | this title. No later than July 1, 2017, the The physician, | |
89 | 165 | physician assistant, or Advanced Practice Registered Nu rse shall | |
90 | 166 | enter and certify the medical certification portion of certificate | |
91 | - | ||
92 | - | ENR. S. B. NO. 707 Page 3 | |
93 | 167 | data shall be entered into in the prescribed electronic system | |
94 | 168 | provided prescribed by the State Registrar of Vital Statistics and | |
95 | 169 | the information submitted to the State Registrar of Vital | |
96 | 170 | Statistics. | |
97 | - | ||
98 | 171 | D. 2. In the event that the physician, physician assistant, or | |
99 | 172 | advanced practice re gistered nurse Advanced Practice Re gistered | |
100 | 173 | Nurse in charge of the patient’s care for the illness or condition | |
101 | 174 | which resulted in death is not in attendance at the time of death , | |
102 | 175 | the medical certification shall be completed and signed within | |
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177 | + | SB707 HFLR Page 4 | |
178 | + | BOLD FACE denotes Committee Amendments. 1 | |
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103 | 203 | forty-eight (48) hours five (5) calendar days after death receipt of | |
104 | 204 | the partial certificate by the physician, physician assistant, or | |
105 | 205 | advanced practice registered nurse Advanced Practice Registered | |
106 | 206 | Nurse in attendance at the time of death, except: | |
107 | - | ||
108 | 207 | 1. When | |
109 | - | ||
110 | 208 | a. when the patient is under hospi ce care at the time of | |
111 | 209 | death, the medical certification may be signed by the | |
112 | 210 | hospice’s medical director;, and | |
113 | - | ||
114 | 211 | 2. When | |
115 | - | ||
116 | 212 | b. when inquiry as to the cause of death is required by | |
117 | 213 | Section 938 of this title. | |
118 | - | ||
119 | 214 | Provided, that such certification, if sig ned by other than the | |
120 | 215 | attending physician, physician assistant, or advanced practice | |
121 | 216 | registered nurse Advanced Practice Registered Nurse, shall note on | |
122 | 217 | the face the name of the attending physician, physician assistant, | |
123 | 218 | or advanced practice re gistered nurse Advanced Practice Registered | |
124 | 219 | Nurse and that the information shown is only as reported. | |
125 | - | ||
126 | 220 | D. Within four (4) calendar days after receipt of the medical | |
127 | 221 | certification from the physician, physician assistant, or Advanc ed | |
128 | 222 | Practice Registered Nurse as described in subsection C of this | |
129 | 223 | section, the funeral director shall conduct a final review of the | |
130 | 224 | personal data and the medical c ertification, electronically sign the | |
131 | 225 | death certificate, and submit the death certificate to the State | |
132 | 226 | Registrar of Vital Statistics through the electronic system | |
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228 | + | SB707 HFLR Page 5 | |
229 | + | BOLD FACE denotes Committee Amendments. 1 | |
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133 | 254 | prescribed by the State Registrar of Vital Statistics for official | |
134 | 255 | registration. | |
135 | - | ||
136 | - | ENR. S. B. NO. 707 Page 4 | |
137 | - | ||
138 | 256 | E. A certifier completing cause of death on a certificate of | |
139 | 257 | death who knows that a lethal drug, overdose or other means of | |
140 | 258 | assisting suicide within the meaning of Section s 3141.2 through | |
141 | 259 | 3141.4 of this title caus ed or contributed to the death shall list | |
142 | 260 | that means among the chain of events under cause of death or list it | |
143 | 261 | in the box that describes how the injury occurred. If such means is | |
144 | 262 | in the chain of events under cause of death or in the box that | |
145 | 263 | describes how the injury occurred, the certifier shall indicate | |
146 | 264 | “suicide” as the manner of death. | |
147 | - | ||
148 | 265 | F. The authority of a physician assistant to carry out the | |
149 | 266 | functions described in this section shall be governed by the | |
150 | 267 | practice agreement as provided by Section 519.6 of Title 59 of the | |
151 | 268 | Oklahoma Statutes. | |
152 | - | ||
153 | 269 | G. A physician, physician assistant, or Advanced Practice | |
154 | 270 | Registered Nurse completing and signing a medical certification in | |
155 | 271 | accordance with this section shall not be liable in a civil action | |
156 | 272 | to recover damages for any acts or omissions relating to the medical | |
157 | 273 | certification if the cause of death is determined in good faith | |
158 | 274 | using the individual’s best clinical judgment consistent with | |
159 | 275 | current guidance provided by the applicable licensing board, u nless | |
160 | 276 | the acts or omissions amount to willful or wanton misconduct. The | |
161 | 277 | immunity provided by this subsection shall be in addition to any | |
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162 | 305 | other immunity from liability to wh ich these individuals may be | |
163 | 306 | entitled. | |
164 | - | ||
165 | 307 | SECTION 2. AMENDATORY 63 O.S. 2021, Section 941, is | |
166 | 308 | amended to read as follows: | |
167 | - | ||
168 | 309 | Section 941. A. Upon receipt of noti ce of death of any person | |
169 | 310 | which under Section 931 et seq. of this title is subject to | |
170 | 311 | investigation, a representative Death Investigator death | |
171 | 312 | investigator from the Office of the Chief Medical Examiner shall | |
172 | 313 | immediately initiate an investigation and shall document in detail, | |
173 | 314 | by the end of his or her assigned shift, all the known and available | |
174 | 315 | facts of the death scene in the electronic database of the Chief | |
175 | 316 | Medical Examiner. Decedent specimens, evidence, a nd photographs | |
176 | 317 | shall be sent to the Office of the Chief Medical Examine r. The | |
177 | 318 | investigating official of the Office of the Chief Medical Examiner | |
178 | 319 | may take charge of any object or writing found on or near the body | |
179 | - | ||
180 | - | ENR. S. B. NO. 707 Page 5 | |
181 | 320 | which is deemed necessary for the purpose o f establishing the cause | |
182 | 321 | and/or manner of death. | |
183 | - | ||
184 | 322 | B. Upon conclusion of the investigation and determination that | |
185 | 323 | such objects or writings are no longer needed as evidence, the | |
186 | 324 | medical examiner or the medical examiner ’s designee may deliver them | |
187 | 325 | to the district attorney, law enforcement a gency, or family for | |
188 | 326 | disposition. | |
189 | - | ||
190 | 327 | C. The investigating medical examiner or the medical examiner’s | |
191 | 328 | designee shall have access at all times to any and all medical and | |
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192 | 356 | dental records and his tory of the deceased , including, but not | |
193 | 357 | limited to, radiographs and medical records, in the course of his or | |
194 | 358 | her official investigation to determine the cause and manner of | |
195 | 359 | death. Such records may not be released to any other person by the | |
196 | 360 | medical examiner, and the custodians of such recor ds shall incur no | |
197 | 361 | liability by reason of the release of such records to the medical | |
198 | 362 | examiner. | |
199 | - | ||
200 | 363 | D. 1. The body of the deceased shall be turned over to the | |
201 | 364 | funeral director designated by the person responsible for burial | |
202 | 365 | within twenty-four (24) hours of rec eipt of the decedent unless a | |
203 | 366 | longer period is necessary to complete th e required investigation. | |
204 | - | ||
205 | 367 | 2. The investigation shall be concluded and the case completed | |
206 | 368 | within sixty (60) calendar days after the Office of the Chief | |
207 | 369 | Medical Examiner assumes custody of the body, unless circumstances | |
208 | 370 | exist that prevent adherence to this timeline. | |
209 | - | ||
210 | 371 | SECTION 3. NEW LAW A new section of law to be codified | |
211 | 372 | in the Oklahoma Statutes as Section 944.3 of Title 63, unless there | |
212 | 373 | is created a duplication in numbering, reads as follows: | |
213 | - | ||
214 | 374 | A. If, in the course of an investigation, the Office of the | |
215 | 375 | Chief Medical Examiner declines to conduct an autopsy under Section | |
216 | 376 | 944 of Title 63 of the Oklahoma Statutes, the Office shall make a | |
217 | 377 | good faith effort to so inform the person legally entitled to th e | |
218 | 378 | custody of the body of the deceased through a written or electronic | |
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380 | + | SB707 HFLR Page 8 | |
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219 | 406 | notice upon or before release of the body. The notice shall | |
220 | 407 | contain: | |
221 | - | ||
222 | 408 | 1. A statement disclosing that an autopsy was not conducted; | |
223 | - | ||
224 | - | ENR. S. B. NO. 707 Page 6 | |
225 | - | ||
226 | 409 | 2. The contact information of a family assistance coordinator | |
227 | 410 | as described in subsection C of this section; | |
228 | - | ||
229 | 411 | 3. A statement that the person may have the right to request a | |
230 | 412 | private autopsy at personal expense from an authorized physician or | |
231 | 413 | hospital under Section 1154 of Title 21 of the Oklahoma Statutes | |
232 | 414 | prior to the final disposition of the body; and | |
233 | - | ||
234 | 415 | 4. A statement that the person may request reports produced by | |
235 | 416 | the Office as provided by law upon conclusion of the investigation | |
236 | 417 | and completion of th e case. | |
237 | - | ||
238 | 418 | B. A licensed funeral director shall make a good fa ith effort | |
239 | 419 | to assist the Office of the Chief Medical Examiner in implementing | |
240 | 420 | the requirements of subsection A of this section including, but not | |
241 | 421 | limited to, by providing the Office with the contact information of | |
242 | 422 | the person legally entitled to the custody of the body upon request | |
243 | 423 | by the Office. | |
244 | - | ||
245 | 424 | C. The Office shall create a process by which the person | |
246 | 425 | legally entitled to the custody of a body or his or her | |
247 | 426 | representative may ask questions of, and receive responses from, a | |
248 | 427 | family assistance coordinator regarding the medicolegal | |
249 | 428 | investigation and other relevant topics within the purview of the | |
250 | 429 | Office. | |
251 | 430 | ||
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252 | 457 | SECTION 4. AMENDATORY 63 O.S. 2021, Section 947, is | |
253 | 458 | amended to read as follows: | |
254 | - | ||
255 | 459 | Section 947. A. The certification of death of any per son whose | |
256 | 460 | death is investigated under S ection 931 et seq. of this title shall | |
257 | 461 | be made by the Chief Medical Examiner or his or her designee upon a | |
258 | 462 | medical examiner death certificate p rovided by the State Registrar | |
259 | 463 | of Vital Statistics. Such death certificat es shall be valid only | |
260 | 464 | when signed by the Chief Medical Examiner or his or her designee. | |
261 | 465 | Copies of all such certificates shall be forwarded immediately up on | |
262 | 466 | receipt by the State Reg istrar of Vital Statistics to the Office o f | |
263 | 467 | the Chief Medical Examiner . The final certification of death issued | |
264 | 468 | under this section shall be signed by the Chief Medical Examiner or | |
265 | 469 | his or her designee immediately upon conclusion of the investigation | |
266 | 470 | and completion of the case . | |
267 | - | ||
268 | - | ENR. S. B. NO. 707 Page 7 | |
269 | - | ||
270 | 471 | B. Any certificatio n of death by an attending physi cian may be | |
271 | 472 | referred by the State Regis trar of Vital Statistics to the Chief | |
272 | 473 | Medical Examiner for investigation and the amending of the original | |
273 | 474 | certificate of death by the filing of a medical examiner death | |
274 | 475 | certificate by the Chief Medical Examiner or his or her designee | |
275 | 476 | when the death is dete rmined by the Chief Medical Examiner to be one | |
276 | 477 | properly requiring investigation under Section 938 of this title. | |
277 | - | ||
278 | 478 | C. Medical examiner death cer tificates will shall not be | |
279 | 479 | required in cases investigated solely for the purpose of issuing a | |
280 | 480 | permit for transport of a body out of state. | |
281 | 481 | ||
282 | - | SECTION 5. This act shall become effective November 1, 202 4. | |
482 | + | SB707 HFLR Page 10 | |
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283 | 507 | ||
508 | + | SECTION 5. This act shall become effective November 1, 2023. | |
284 | 509 | ||
285 | - | ENR. S. B. NO. 707 Page 8 | |
286 | - | Passed the Senate the 22nd day of March, 2023. | |
287 | - | ||
288 | - | ||
289 | - | ||
290 | - | Presiding Officer of the Senate | |
291 | - | ||
292 | - | ||
293 | - | Passed the House of Representatives the 25th day of April, 2024. | |
294 | - | ||
295 | - | ||
296 | - | ||
297 | - | Presiding Officer of the House | |
298 | - | of Representatives | |
299 | - | ||
300 | - | OFFICE OF THE GOVERNOR | |
301 | - | Received by the Office of the Governor this _______ _____________ | |
302 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
303 | - | By: _________________________________ | |
304 | - | Approved by the Governor of the State of Oklahoma this _______ __ | |
305 | - | day of _________________ __, 20_______, at _______ o'clock _______ M. | |
306 | - | ||
307 | - | _________________________________ | |
308 | - | Governor of the State of Oklahoma | |
309 | - | ||
310 | - | ||
311 | - | OFFICE OF THE SECRETARY OF STATE | |
312 | - | Received by the Office of the Secretary of State this _______ ___ | |
313 | - | day of _________________ _, 20 _______, at _______ o'clock _______ M. | |
314 | - | By: _________________________________ | |
510 | + | COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 04/13/2023 - | |
511 | + | DO PASS. |