Physicians assistants; Pharmacy Act; prescriptions for controlled dangerous substances; Physician Assistant Act; Committee; members; requirements; Public Health Code; authority for physician assistants to carry out certain functions; prescribing and administering controlled substances; supervision.

Clarified which prescriptions pharmacists may dispense for controlled dangerous substances, specifying requirements for physician assistant supervision and Oklahoma licensure.

Added provision allowing pharmacists to dispense prescriptions for non-controlled drugs authorized by advanced practice nurses or physician assistants not located in Oklahoma, provided they are licensed in their active prescribing state.

Modified definitions of 'practice of medicine', 'physician assistant', 'delegating physician', and 'supervision' to clarify supervision requirements and remove physical presence mandates for delegating physicians.

Repealed Section 521.4 of the Oklahoma Pharmacy Act, which related to physician supervision and practice agreements.

Modified requirements for physician assistants practicing under supervision, clarifying that services provided by physician assistants under supervision are considered part of the physician's scope of practice.

Changed the trigger for a provision from the 'enactment of this subsection' to the 'effective date of this act' to clarify when the provision takes effect.

Added an exemption stating that certain requirements do not apply to physician assistants who are not practicing under a practice agreement.

Removed language that imposed a requirement that does not apply to physician assistants practicing under a practice agreement.

Expanded prescribing authority to include advanced practice nurses, clinical nurse specialists, and certified nurse-midwives in addition to physician assistants for non-controlled prescription drugs authorized by licensed practitioners in other states.

Reordered and clarified definitions of 'Board', 'Committee', 'Practice of medicine', 'Patient care setting', 'Physician assistant', 'Delegating physician', 'Supervision', 'Telecommunication', and 'Practice agreement' to ensure consistent terminology throughout the law.

Added clarification that physician assistants required to practice under supervision are considered agents of their delegating physician, establishing a legal relationship between them.

Modified supervision requirements to clarify that physical presence of a delegating physician is not required if they can be easily contacted via telecommunication, and updated practice agreement requirements to emphasize joint formulation of supervision methods.

Changed the number of Physician Assistant Committee members and clarified chair requirements and quorum rules to ensure proper committee governance.

The bill header was changed from 'Proposed Oversight Committee Substitute' to 'Proposed Policy Committee Substitute', indicating a procedural change in how the bill was processed by the legislature.

The request number associated with the bill was updated from 13161 to 12845, which is an administrative tracking change.

The date and time stamp on the document header was updated from March 5, 2025 to February 21, 2025, reflecting a revision to the document version.

The bill was completely rewritten to replace the original comprehensive text with a more focused version that specifically addresses pharmacy dispensing rules and physician assistant practice requirements.

New provisions allow pharmacists to dispense prescriptions for non-controlled drugs from advanced practice nurses and physician assistants who are licensed in other states but actively prescribing in Oklahoma.

Pharmacists are now restricted to dispensing controlled dangerous substances only from physician assistants or advanced practice nurses who are licensed in Oklahoma and supervised by an Oklahoma-licensed practitioner.

Removed provisions related to postgraduate clinical practice experience reporting, website list maintenance, reporting form requirements, and fee prohibitions that were in the original version.

Added requirement that supervising physicians and advanced practice nurses must be identified at prescription origination, with the advanced practice nurse's name printed on the prescription label.

Updated definitions for 'practice of medicine' and 'supervision' to clarify when physician assistant services count as part of a delegating physician's scope of practice and how supervision is defined.

Pharmacists may now dispense prescriptions for non-controlled drugs authorized by physician assistants or advanced practice nurses who are licensed in another state but actively prescribing from that state.

Updated definitions in the Pharmacy Act to clarify terms like 'certify', 'chemical', 'compounding', 'dispense', 'dispenser', 'distribute', and 'legend drug' with specific legal language.

Modified physician assistant supervision requirements, including exemptions from supervision under certain circumstances and clarifying the manner of supervision under delegating physicians.

Added requirements for physician assistants to maintain malpractice insurance or demonstrate proof of financial responsibility with specific exceptions.

Established procedures for reporting completion of postgraduate clinical practice experience hours to the State Board of Medical Licensure and Supervision.

Directed the Board to maintain and update a list of certain physician assistants on its website and requiring the Board to prescribe certain reporting forms.

Provided specific limitations on physician assistants' ability to prescribe drugs and deleted certain prescription writing requirements.

Modified billing and payment authority for physician assistants and clarified language regarding practicing medicine, prescribing drugs, and using medical supplies under practice agreements.

Repealed 59 O.S. 2021, Section 521.4, which related to physician supervision and practice agreements of physician assistants.

Prohibited the assessment of fees related to the filing of reporting forms for physician assistants.

Clarified which physician assistants may prescribe and administer controlled dangerous substances, specifically those licensed in Oklahoma and supervised by an Oklahoma-licensed practitioner.

Added provisions regarding postgraduate clinical practice requirements for physician assistants.

Increased the number of Physician Assistant Committee members and clarified requirements for the chair and quorum.

Modified definitions related to physician assistants, including clarifying the meaning of supervision, delegation, and practice agreements.

Modified billing and payment authority for physician assistants under practice agreements.

Repealed 59 O.S. 2021, Section 521.4, which related to physician supervision and practice agreements, to be replaced with updated provisions.

Updated references to other Oklahoma statutes and clarified language regarding practicing medicine, prescribing drugs, and using medical supplies under practice agreements.

Changed the bill title from 'Oklahoma Professions and Occupations Act of 2025' to focus specifically on physician assistants and pharmacists, removing general professions language.

Added numerous new definitions for pharmacy terms including 'Assistant pharmacist', 'Certify', 'Chemical', 'Compounding', 'Continuing professional education', 'Dangerous drug', 'Dispense', 'Dispenser', 'Distribute', 'Drug outlet', and 'Drugs'.

Clarified that 'licensed practitioner' does not include optometrists with dispensing authority when reviewing prescriptions.

Removed the specific effective date of November 1, 2025 from the original bill language.

Added detailed definitions for pharmacy practice terms that will govern how prescriptions are filled, dispensed, and distributed under the Oklahoma Pharmacy Act.