SB 458

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. 2023, 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 amended by Section 2, Chapter 184, O.S.L. 2022 (63 O.S. Supp. 2023, 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 declaring an emergency.

Status:
Vetoed

Location: 
Veto

Session:
Introduced: 2023 Regular Session
2024 Regular Session

NOTES

NOTE: SB 458 is a carryover bill from the 2023 session. The following summary was prepared by the House and reflects the latest version. 

The Floor Substitute for Senate Bill 458 allows Advanced Practice Registered Nurses (APRN) recognized as Certified Nurse Practitioners, Certified Nurse-Midwives, or Clinical Nurse Specialists to prescribe drugs independent of physician supervision after completing a minimum of 6,240 hours of practice with supervised prescriptive authority.

The measure authorizes the Oklahoma Board of Nursing, the State Board of Medical Licensure and Supervision, and the State Board of Osteopathic Examiners to establish a uniform set of rules governing the supervision of Advanced Practice Registered Nurses (APRNs). These rules will delineate supervision requirements for APRNs who have not obtained independent prescriptive authority, including setting reasonable limits on the monetary fees that supervising physicians can charge APRNs for their supervision services.

The measure establishes caps on the number of APRNs that a single physician may supervise, with provisions allowing physicians to request waivers under certain conditions.

The measure also requires licensed practitioners to carry malpractice insurance or demonstrate financial responsibility, with exceptions for those employed by federal agencies. The State Board of Medical Licensure and Supervision and the State Board of Osteopathic Examiners are also required to maintain and update a list of physicians available to supervise APRNs on their respective websites.

February 14, 2024