HB 1658: Professions and occupations; laser hair removal practitioners; requirements; emergency. - Oklahoma

Floor (House) → Floor (Senate) · 5 edits

MODERATE

The bill was amended to expand eligibility for performing laser hair removal beyond just licensed laser practitioners, now allowing certain healthcare professionals like physician assistants and advanced practice nurses to perform the procedure under physician supervision. The Senate version adds requirements for patient relationships, detailed patient charts, and oversight protocols, while removing an exception that previously allowed practitioners to work without prior physician evaluation or referral.

Scope change

Expanded scope to include physician assistants and advanced practice nurses as eligible practitioners, with added requirements for patient relationship establishment and documentation.

ELIGIBILITY

Added physician assistants and advanced practice nurses to the list of professionals who can perform laser hair removal under physician supervision.

REQUIREMENT

Added requirement for establishing patient relationships and creating detailed patient charts containing informed consent, treatment plans, and risk disclosures.

Removed exception allowing laser practitioners to perform procedures without prior physician evaluation or referral.

Added requirement for physicians to be available for real-time communication during procedures rather than physical presence.

Modified oversight requirements to include specific protocols for complication management and physician review of patient records.

House Committee Substitute → Floor (House) · 4 edits

MODERATE

The bill was reformatted from a Committee Substitute version to a House Floor version, with the title page updated to reflect the floor version. The substantive policy content regarding laser hair removal practitioner requirements, supervision rules, and training standards remains unchanged. The formatting changes include updated header information and page numbering adjustments.

TECHNICAL

Header changed from 'House Committee Substitute' to 'House of Representatives - Floor Version' with updated page numbering and formatting.

Page footers were updated from 'Req. No. 13093' to 'HB1658 HFLR' with revised page numbers.

Committee report section was updated with new date format and committee designation.

REQUIREMENT

All substantive policy provisions regarding laser hair removal practitioner licensing, supervision requirements, training hours, and facility oversight remain identical between versions.

Proposed Policy Committee Substitute 2 → House Committee Substitute · 5 edits

MODERATE

The bill was completely rewritten by the House Committee to establish new regulations for laser hair removal practitioners in Oklahoma. The changes add specific training requirements, oversight mandates, and clarify which medical professionals can perform these procedures.

Scope change

The bill now applies to all laser hair removal facilities and practitioners, with new oversight requirements for facilities and specific exemptions for certain advanced practice nurses.

REQUIREMENT

Added a mandatory 40-hour training requirement for laser practitioners, which can be completed through internal facility programs or third-party programs overseen by a physician.

Added oversight requirement that laser hair removal facilities must be overseen by a physician, with exemptions for Advanced Practice Registered Nurses.

Added requirement for physicians to establish complication management protocols and utilize medical professionals for managing complications.

ELIGIBILITY

Modified eligibility criteria to specify that only licensed health professionals or laser practitioners under physician supervision can perform laser hair removal.

TECHNICAL

Modified bill metadata including committee designation, page numbers, and tracking numbers to reflect House Committee Substitute version.

Proposed Policy Committee Substitute 1 → Proposed Policy Committee Substitute 2 · 6 edits

MODERATE

This bill amendment significantly modifies Oklahoma's laser hair removal regulations by changing oversight requirements, training mandates, and practitioner supervision rules. The changes expand who can supervise laser procedures, modify emergency declaration requirements, and update technical identifiers throughout the document.

Scope change

The bill's scope expanded to include more specific supervision requirements for laser practitioners and modified the oversight structure from requiring physician availability to requiring physician supervision with defined training programs.

REQUIREMENT

Changed oversight requirement from physician availability to physician supervision with defined training and education program requirements

Added specific 40-hour training requirement for laser practitioners with defined training components

ELIGIBILITY

Modified exemptions for Advanced Practice Registered Nurses and added certified physician assistant oversight requirements

DEFINITION

Changed 'direction of a health professional' to 'supervision of a physician' for non-physician practitioners

TECHNICAL

Updated bill tracking numbers from 12334 to 12704 and revised committee substitute version from POLPCS1 to POLPCS2

TIMELINE

Changed emergency declaration date from January 31, 2025 to February 21, 2025

Enrolled (final version) → Proposed Policy Committee Substitute 1 · 4 edits

MODERATE

The bill was amended to significantly modify the requirements for laser hair removal practitioners and oversight. The substitute version changes the language to require a licensed health professional to be physically onsite during treatment, modifies the oversight exemption for Advanced Practice Registered Nurses, and adjusts the structure of the regulatory requirements while maintaining the core provisions of the original bill.

Scope change

The bill's scope remains focused on laser hair removal practitioners and oversight, but the specific requirements for supervision and facility oversight have been modified.

REQUIREMENT

Changed supervision requirement from 'under the supervision of' to 'under the direction of' a health professional who must be onsite during treatment

Removed the exemption for Advanced Practice Registered Nurses from the physician oversight requirement for laser hair removal facilities

Adjusted the oversight physician duties section to remove the requirement for physician assistants and Advanced Practice Registered Nurses to establish patient relationships

TECHNICAL

Changed the title language from 'authorizing' to 'modifying' practitioner requirements and added emergency provision language

Engrossed → Enrolled (final version) · 2 edits · May 8, 2025

MINOR

The bill moved from an 'Engrossed' draft to its final 'Enrolled' version, adding official signatures and dates for House, Senate, and Governor approval. No substantive policy changes were made to the actual legislative text between these versions; the differences are purely formatting and procedural documentation required for final passage.

TECHNICAL

Added official signatures and dates for House passage (March 25, 2025), Senate passage (May 7, 2025), and Governor approval to complete the legislative process.

Changed header from 'ENGROSSED HOUSE' to 'ENROLLED HOUSE' and 'ENGR. H. B. NO. 1658' to 'ENR. H. B. NO. 1658' to reflect final enrolled status.

Introduced → Engrossed · 6 edits · May 7, 2025

MODERATE

This bill was amended to clarify and expand the regulations for laser hair removal practitioners in Oklahoma. The changes shift the bill from a general professions act to a specific amendment of existing laser hair removal laws, adding detailed requirements for training, supervision, patient care, and oversight.

Scope change

The bill's scope changed from a broad new professions act to a targeted amendment of Section 538.3 of the Oklahoma Statutes, focusing specifically on laser hair removal practitioners and facilities.

REQUIREMENT

Added specific training requirements mandating 40 hours of training for laser practitioners, which can be internal or third-party overseen by a physician.

Established new oversight requirements where facilities must be overseen by physicians, physician assistants, or advanced practice registered nurses, with specific duties including protocol establishment and patient record reviews.

Created new patient relationship requirements mandating initial evaluations and informed consent documentation for all patients.

ELIGIBILITY

Clarified that laser practitioners can perform procedures without prior physician referrals, removing previous evaluation or referral exceptions.

ENFORCEMENT

Added specific regulatory oversight designating which state boards regulate different types of medical professionals under this act.

TIMELINE

Removed the specific effective date of November 1, 2025, replacing it with an emergency clause that makes the act effective immediately upon passage.

Professions and occupations; laser hair removal practitioners; requirements; emergency.

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