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

Floor (House) → Floor (Senate) · 4 edits

MODERATE

The bill was amended to clarify that certain professionals can perform laser hair removal under specific oversight conditions, added requirements for patient relationship establishment and chart creation, and modified the emergency declaration language. The Senate version also added a requirement for two-way real-time interactive communication during procedures.

Scope change

The bill's scope was expanded to explicitly authorize certain professionals to perform laser hair removal, whereas the House version focused on modifying practitioner requirements without explicit authorization language.

REQUIREMENT

Added explicit requirement for patient relationship establishment and patient chart creation with informed consent, treatment plan, risks, benefits, alternatives, and follow-up care.

Added requirement that physicians must be available for two-way real-time interactive communication during procedures, either in person or remotely.

ELIGIBILITY

Modified language to clarify that patients can receive laser hair removal without prior evaluation or referral by a physician.

TECHNICAL

Changed the emergency declaration language from 'preservation of the public peace, health or safety' to a more general emergency provision.

House Committee Substitute → Floor (House) · 3 edits

MINOR

The bill text was reformatted from a committee substitute version to a floor version, with the header updated to reflect it is now the House Floor version. The substantive policy content regarding laser hair removal practitioner requirements, supervision protocols, and training hours remains unchanged.

TECHNICAL

Header changed from 'Committee Substitute' to 'House of Representatives - Floor Version' to reflect the bill's progression through the legislative process.

Page footers were updated from 'Req. No. 13093' to 'HB1658 HFLR' to identify the floor version of the bill.

Committee report section was updated to reflect the floor version date of 03/04/2025.

Enrolled (final version) → Proposed Policy Committee Substitute 1 · 8 edits

MODERATE

The bill was substantially rewritten by the Policy Committee, replacing the original text with a new version that maintains the core purpose but modifies specific requirements for laser hair removal practitioners. The changes affect who can perform procedures, supervision requirements, training standards, and oversight protocols.

Scope change

The bill's scope remains focused on laser hair removal practitioners and oversight, but eligibility criteria for performing procedures and supervision requirements were modified.

ELIGIBILITY

Changed supervision requirements from 'under the supervision of a physician' to 'under the direction of a health professional' who must be onsite during treatment, expanding who can provide oversight beyond just physicians.

REQUIREMENT

Removed the exemption for Advanced Practice Registered Nurses from physician oversight requirements, now requiring all facilities to be overseen by a physician unless the APRN is performing the procedure.

Modified the patient relationship requirement to specify that the health professional must be onsite during treatment rather than just available for communication.

Changed the oversight requirement for physicians from being available for 'communication during the procedure' to being 'onsite at the time treatment is being performed'.

Deleted the requirement that physicians must review not less than 10% of patient records.

TECHNICAL

Removed the requirement for physicians to establish patient relationships through initial evaluation, which was previously a separate requirement.

Removed the provision stating that physicians do not need to be physically present but must be available for real-time communication.

Changed the title from 'amending Section 3, Chapter 291' to 'amending Section 3, Chapter 291' with corrected grammar ('with relates to' instead of 'which relates to').

Introduced → Engrossed · 5 edits · May 7, 2025

MODERATE

This bill transforms from a procedural framework establishing a new 'Oklahoma Professions and Occupations Act' into a specific amendment regulating laser hair removal practitioners. The engrossed version replaces the broad new law structure with targeted amendments to existing medical practice laws, focusing on oversight, training requirements, and patient safety protocols for laser hair removal services.

Scope change

The bill's scope narrowed from establishing an entirely new professions act to amending specific sections of existing medical practice law (Section 3, Chapter 291, O.S.L. 2024) to regulate laser hair removal specifically.

REQUIREMENT

Added specific training requirements mandating 40 hours of training for laser practitioners, combining didactic, hands-on, and performance training.

Established new patient relationship requirements including initial face-to-face or telemedicine evaluations and creation of patient charts with informed consent and treatment plans.

ENFORCEMENT

Created oversight requirements where facilities must be overseen by physicians, physician assistants, or advanced practice nurses, with physicians required to review at least 10% of patient records.

TIMELINE

Removed the specific effective date of November 1, 2025, replacing it with an emergency clause allowing immediate effect upon passage and approval.

ELIGIBILITY

Clarified that laser practitioners can perform procedures without prior physician evaluation or referral, though they must still hold appropriate licenses or certificates.

Engrossed → Enrolled (final version) · 3 edits · May 8, 2025

MINOR

The bill transitioned from an Engrossed version to an Enrolled final version, which is the official version signed into law. The substantive policy content remains largely the same, with the primary changes being formatting adjustments, page numbering updates, and the addition of official signatures and dates from the House, Senate, and Governor. No substantive policy changes were made to the laser hair removal regulations themselves.

TECHNICAL

Formatting and layout adjustments were made throughout the document, including changes to header text from 'ENGROSSED HOUSE' to 'ENROLLED HOUSE' and reorganization of line breaks and spacing.

Official signature lines and dates were added for the House of Representatives (March 25, 2025), Senate (May 7, 2025), Governor, and Secretary of State, indicating the bill has completed the legislative process.

Page numbering was updated from 'ENGR. H. B. NO. 1658' to 'ENR. H. B. NO. 1658' to reflect the enrolled status of the final legislative document.

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

MINOR

The bill was amended to replace the original proposed policy committee substitute with a house committee substitute that standardizes the document title and updates the tracking number. The substantive policy content regarding laser hair removal regulations remains unchanged, with no modifications to practitioner requirements, facility oversight, or training standards.

TECHNICAL

Document title changed from 'PROPOSED POLICY COMMITTEE SUBSTITUTE' to 'COMMITTEE SUBSTITUTE' to conform to standard legislative formatting.

Tracking number updated from 12704 to 13093 with revised date (03/04/25) to reflect house committee processing.

Proposed Policy Committee Substitute 1 → Proposed Policy Committee Substitute 2 · 5 edits

MODERATE

This amendment substantially rewrites HB 1658 to change how laser hair removal is regulated in Oklahoma. The bill now requires laser practitioners to be overseen by physicians rather than just available for communication, mandates 40 hours of training, and clarifies which healthcare professionals can supervise the procedure. The amendment also updates the bill version number and revision dates.

Scope change

The bill's scope was significantly expanded to include stricter oversight requirements for laser hair removal facilities and more specific training requirements for practitioners.

REQUIREMENT

Changed supervision requirement from physician availability for communication to requiring a physician to be onsite and overseeing the facility, with Advanced Practice Registered Nurses exempt from this requirement.

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

Modified patient relationship requirements to include initial face-to-face or telemedicine evaluation, informed consent, treatment plans, and patient chart creation.

TECHNICAL

Updated bill version from POLPCS1 to POLPCS2 and changed revision date from 2/3/2025 to 2/21/2025.

Changed bill tracking number from Req. No. 12334 to Req. No. 12704.

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

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