Bill

Bill > HB2298


OK HB2298

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, the Oklahoma Nursing Practice Act, and the Uniform Controlled Dangerous Substances Act; effective date.


summary

Introduced
02/03/2025
In Committee
04/21/2025
Crossed Over
03/26/2025
Passed
05/29/2025
Dead
Vetoed
05/28/2025
Veto Overridden
05/29/2025

Introduced Session

2025 Regular Session

Bill Summary

An Act relating to the practice of nursing; providing for independent prescriptive authority of Advanced Practice Registered Nurses who meet certain requirements; stating application criteria; specifying duration of authority; providing for disciplinary action; authorizing certain fee; prescribing certain malpractice insurance requirements; directing promulgation of certain advertising rules; requiring certain disclosure; providing penalties; defining terms; providing eligibility requirements for supervising physicians; requiring specified supervision agreement; authorizing supervision fees subject to certain conditions; requiring certain notices; prohibiting certain fees; directing promulgation of certain rules; providing for disciplinary action; requiring certain reporting; directing online publication of certain list; amending 59 O.S. 2021, Section 353.1, as amended by Section 6, Chapter 288, O.S.L. 2022 (59 O.S. Supp. 2024, 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; updating statutory language; 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 Oklahoma Board of Nursing to grant prescriptive authority; directing the Board to promulgate certain rules; clarifying certain educational requirement; requiring the Formulary Advisory Council to develop, update, and publish certain guidelines; modifying references; conforming language; amending 59 O.S. 2021, Section 567.5a, as amended by Section 1, Chapter 94, O.S.L. 2024 (59 O.S. Supp. 2024, 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. 2024, Section 2-312), which relates to controlled dangerous substances; conforming language; limiting effect of certain authority; updating statutory references and language; providing for codification; and providing an effective date. SUBJECT: Practice of nursing

AI Summary

This bill provides a comprehensive framework for expanding the prescriptive authority of Advanced Practice Registered Nurses (APRNs) in Oklahoma, specifically for Certified Nurse Practitioners, Clinical Nurse Specialists, and Certified Nurse-Midwives. The bill establishes a pathway for these APRNs to obtain independent prescriptive authority after completing 6,240 clinical practice hours with physician supervision. To qualify, APRNs must hold a valid, current license and meet specific educational and certification requirements. The bill mandates that APRNs carry malpractice insurance of at least $1 million per occurrence and requires them to adhere to new advertising guidelines that clearly identify their professional status. It also details the requirements for supervising physicians, including their eligibility, responsibilities, and the need for written supervision agreements. The legislation introduces a Formulary Advisory Council to develop prescriptive standards and an exclusionary formulary, and it specifies continuing education requirements for maintaining prescriptive authority. Additionally, the bill allows APRNs to prescribe controlled dangerous substances within certain schedules, with limitations for those not yet granted independent prescriptive authority. The changes aim to improve healthcare access and flexibility while maintaining patient safety through robust professional standards and oversight.

Committee Categories

Health and Social Services

Sponsors (12)

Last Action

Filed with Secretary of State (on 05/29/2025)

bill text


bill summary

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bill summary

Document Type Source Location
State Bill Page http://www.oklegislature.gov/BillInfo.aspx?Bill=hb2298&Session=2500
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20ENR/hB/HB2298%20ENR.PDF
Fiscal Note/Analysis - House: Senate Amendment to House Bill https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/House/HB2298%20SAHB%20BILLSUM.PDF
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20AMENDMENTS/Amendment%20and%20Engr/HB2298%20SAHB%20AND%20ENGR.PDF
HB2298 (5-07-25) (ROSINO) FA1 https://www.oklegislature.gov/cf_pdf/2025-26%20FLOOR%20AMENDMENTS/Senate/HB2298%20(5-07-25)%20(ROSINO)%20FA1.PDF
Fiscal Note/Analysis - Senate: Committee Substitute https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/Senate/HB2298%20CS%20BILLSUM.PDF
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20FLR/SFLR/HB2298%20SFLR.PDF
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20SUBS/SCSH/HB2298%20SCSH.PDF
Committee Amendment 1 https://www.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20AMENDMENTS/Senate/HB2298%20CA1.PDF
Committee Amendment https://www.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20AMENDMENTS/Senate/HB2298%20PCS.PDF
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20ENGR/hB/HB2298%20ENGR.PDF
Fiscal Note/Analysis - House: Floor Amendment 1 https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/House/HB2298%20FA1%20BILLSUM.PDF
1 Floor Amendment by HILBERT (UNTIMELY FILED) https://www.oklegislature.gov/cf_pdf/2025-26%20FLOOR%20AMENDMENTS/House/HB2298%20FA1%20HILBERTKY-TJ(UNTIMELY%20FILED).PDF
Fiscal Note/Analysis - House: Committee Substitute https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/House/HB2298%20CS%20BILLSUM.PDF
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20FLR/HFLR/HB2298%20HFLR.PDF
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20SUBS/HCS/HB2298%20CS.PDF
Fiscal Note/Analysis - House: Proposed Committee Substitute (full committee) 1 https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/House/HB2298%20FULLPCS1%20BILLSUM.PDF
Proposed Committee Substitute (full committee) 1 https://www.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20AMENDMENTS/House/HB2298%20FULLPCS1%20CARL%20NEWTON-TJ.PDF
Fiscal Note/Analysis - House: Proposed Policy Committee Recommendation https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/House/HB2298%20POLREC%20BILLSUM.PDF
Policy Committee Recommendation https://www.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20SUBS/HCS/HB2298%20POLREC.PDF
Fiscal Note/Analysis - House: HB2298 POLPCS1 BILLSUM https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/House/HB2298%20POLPCS1%20BILLSUM.PDF
Fiscal Note/Analysis - House: Introduced https://www.oklegislature.gov/cf_pdf/2025-26%20SUPPORT%20DOCUMENTS/BILLSUM/House/HB2298%20INT%20BILLSUM.PDF
BillText https://www.oklegislature.gov/cf_pdf/2025-26%20INT/hB/HB2298%20INT.PDF
HB2298 POLPCS1 KYLE HILBERT-TKR https://www.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20AMENDMENTS/House/HB2298%20POLPCS1%20KYLE%20HILBERT-TKR.PDF
HB2298 POLPCS1 KYLE HILBERT-TKR https://www3.oklegislature.gov/cf_pdf/2025-26%20COMMITTEE%20AMENDMENTS/House/HB2298%20POLPCS1%20KYLE%20HILBERT-TKR.PDF
BillText https://www3.oklegislature.gov/cf_pdf/2025-26%20INT/hB/HB2298%20INT.PDF
BillText http://webserver1.lsb.state.ok.us/cf_pdf/2025-26%20INT/hB/HB2298%20INT.PDF
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