Oklahoma SB 458: Practice of nursing; providing for independent prescriptive authority of Advanced Practice Registered Nurses who meet certain requirements; modifying various provisions of the Oklahoma Pharmacy Act and the Oklahoma Nursing Practice Act. Emergency.

Bill Text

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STATE OF OKLAHOMA

1st Session of the 59th Legislature (2023)

COMMITTEE SUBSTITUTE
FOR
SENATE BILL NO. 458 By: Stanley and Green

COMMITTEE SUBSTITUTE

An Act relating to the practice of nursing; providing
for independent prescriptive authority of Advanced
Practice Registered Nurses who meet certain
requirements; providing certain construction; stating
application criteria; specifying duration of
authority; authorizing supervision by Advanced
Practice Registered Nurse with independent
prescriptive authority who meets certain
requirements; authorizing Oklahoma Board of Nursing
to prescribe additional qualifications; providing for
application approval, denial, reapplication, fees,
and independent prescriptive authority revocation;
amending 59 O.S. 2021, Section 353.1, as amended by
Section 6, Chapter 288, O.S.L. 2022 (59 O.S. Supp.
2022, Section 353.1), which relates to definitions
used in the Oklahoma Pharmacy Act; modifying and
adding definitions; amending 59 O.S. 2021, Section
353.1a, which relates to prescriptive authority of
Advanced Practice Registered Nurses; modifying
prescriptive authority of certain Advanced Practice
Registered Nurses; amending 59 O.S. 2021, Section
567.3a, which relates to definitions used in the
Oklahoma Nursing Practice Act; modifying and adding
definitions; amending 59 O.S. 2021, Section 567.4a,
which relates to prescriptive authority; specifying
authority of the Board to grant prescriptive
authority; directing the Board to promulgate certain
rules; modifying references; conforming language;
clarifying certain educational requirement; amending
59 O.S. 2021, Section 567.5a, which relates to
Advanced Practice Registered Nurse license; providing
for independent prescriptive authority by
endorsement; amending 63 O.S. 2021, Section 2-312, as

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amended by Section 2, Chapter 184, O.S.L. 2022 (63
O.S. Supp. 2022, Section 2-312), which relates to
controlled dangerous substances; conforming language
relating to supervision requirement; updating
statutory language; updating statutory references;
providing for codification; and providing an
effective date.

BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 567.4c of Title 59, unless there
is created a duplication in numbering, reads as follows:
A. 1. An Advanced Practice Registered Nurse recognized by the
Oklahoma Board of Nursing as a Certified Nurse Practitioner,
Clinical Nurse Specialist, or Certified Nurse-Midwife who has
completed a minimum of two thousand (2,000) hours of practice with
prescriptive authority supervised by a physician or a supervising
Advanced Practice Registered Nurse may apply to the Oklahoma Board
of Nursing for authority to prescribe and order independent of
supervision. This paragraph shall not be construed to exclude
practice hours with supervised prescriptive authority obtained prior
to the effective date of this act from being counted toward the two-
thousand-hour requirement of this paragraph.
2. The application for independent prescriptive authority shall
include proof that the Certified Nurse Practitioner, Clinical Nurse
Specialist, or Certified Nurse-Midwife:

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a. holds a valid, current license in the appropriate
Advanced Practice Registered Nurse role issued by the
Board and is in good standing with the Board, and
b. has completed a minimum of two thousand (2,000) hours
of practice with prescriptive authority supervised by
a physician or supervising Advanced Practice
Registered Nurse.
3. Independent prescriptive authority granted under this
subsection shall be valid until the expiration of the current
license to practice and may be renewed upon application to the Board
at the same time and for the same period as the renewal of the
license to practice.
B. 1. A Certified Nurse Practitioner, Clinical Nurse
Specialist, or Certified Nurse-Midwife who has obtained independent
prescriptive authority under subsection A of this section and who
has completed a minimum of eight thousand (8,000) hours of practice
with independent prescriptive authority may serve as a supervising
Advanced Practice Registered Nurse.
2. Notwithstanding paragraph 1 of this subsection, an Advanced
Practice Registered Nurse who has been licensed and in practice for
a minimum of five (5) years as of the effective date of this act
without a lapse of work, upon obtainment of independent prescriptive
authority under subsection A of this section, may serve as a
supervising Advanced Practice Registered Nurse.

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3. The Board may at its discretion prescribe by rule additional
qualifications for supervising Advanced Practice Reg