Req. No. 1325 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 60th Legislature (2025)
SENATE BILL 737 By: Deevers
AS INTRODUCED
An Act relating to the Oklahoma Interventional Pain
Management and Treatment Act; amending 59 O.S. 2021,
Section 650, which relates to i nterventional pain
management license; defining term; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 59 O.S. 2021, Section 650, is
amended to read as follo ws:
Section 650. A. This act shall be known and may be cited as
the “Oklahoma Interventional Pain Management and Treatment Act ”.
B. As used in this section:
1. “Chronic pain” means a pain state which is subacute,
persistent and intractable;
2. “Fluoroscope” means a radiologic instrument equipped with a
fluorescent screen on which opaque internal structures can be viewed
as moving shadow images formed by the differential transmission of
X-rays throughout the body; and
Req. No. 1325 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
3. “Interventional pain management ” means the practice of
medicine devoted to the diagnosis and treatment of chr onic pain,
through the use of such techniques as:
a. ablation of targeted nerves,
b. percutaneous precision needle placement within the
spinal column with placement of drugs such as local
anesthetics, steroids, analgesics in targeted areas of
the spinal column, or
c. surgical techniques, such as laser or endoscopic
diskectomy, intrathecal infusion pumps and spinal cord
stimulators; and
4. “Supervision” means that the supervising physician is
present in the office before, during, and after the procedure and
includes the authorization and evaluation of the procedure , ensuring
that the patient-physician relationship remain s intact.
C. It shall be unlawful to practice or offer to pra ctice
interventional pain management in this state unless such person has
been duly licensed under the provisions of the Oklahoma Allopathic
Medical and Surgical Licensure and Supervision Act or the Oklahoma
Osteopathic Medicine Act.
D. Nothing in this section shall be construed to forbid the
administration of lumbar intra -laminar epidural steroid injections
or peripheral nerve blocks by a certified registered nurse
anesthetist when requested to do so by a physician and under the
Req. No. 1325 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
supervision of an allopath ic or osteopathic physician licensed in
this state and under conditions in which timely on -site consultation
by such allopathic or osteopathic physician is available.
E. A certified registered nurse anesthetist shall not operate a
freestanding pain manage ment facility without direct supervision of
a physician who is board -certified in interventional pain management
or its equivalent.
SECTION 2. This act shall become effective November 1, 2025.
60-1-1325 CAD 1/15/2025 12:19:44 PM