HB 2133 Oklahoma House · 2026 Regular Session

Public health and safety; creating the Public Health and Safety Modernization Act of 2025; effective date.

HB 2133 modernizes Oklahoma's prescribing rules for healthcare providers and controlled substances. It allows pharmacists to fill non-controlled prescriptions from out-of-state advanced practice nurses or physician assistants (if licensed in their home state), but restricts out-of-state prescribers from writing prescriptions for controlled dangerous substances - only Oklahoma-licensed practitioners supervised by Oklahoma physicians can do this. The bill also requires medical facilities prescribing opioids, benzodiazepines, or similar drugs long-term to register with the state, and mandates detailed monthly reporting for manufacturers/distributors of controlled substances. These changes directly affect pharmacists, out-of-state healthcare providers, medical facilities, and drug manufacturers.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2025

Committee Review

Floor Vote

Governor

Introduced Feb 3, 2025 Last action Feb 6, 2025

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What changed between versions

Introduced → Proposed Policy Committee Substitute 1 · 5 edits

MODERATE

The bill was amended by the Policy Committee to significantly expand prescribing and dispensing authority for out-of-state healthcare providers in Oklahoma. The original bill focused on public health modernization, while the amended version specifically allows out-of-state advanced practice nurses and physicians to prescribe medications that Oklahoma pharmacists can dispense, and exempts out-of-state prescribers from Oklahoma registration requirements.

Scope change

The bill's scope changed from a general public health modernization act to a specific out-of-state prescriber authorization act, expanding the applicability to include non-Oklahoma licensed practitioners.

ELIGIBILITY

Advanced practice nurses and physician assistants licensed out-of-state are now eligible to have their prescriptions filled by Oklahoma pharmacists, provided they are licensed in good standing in their home state.

Out-of-state licensed practitioners are exempt from registering with the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control.

REQUIREMENT

Pharmacists are authorized to dispense both noncontrolled and controlled prescription drugs from out-of-state prescribers under specific conditions, including verification of the prescriber's license status in their home state.

SCOPE

The original title and scope of the Public Health and Safety Modernization Act of 2025 were removed and replaced with specific out-of-state prescriber provisions.

DEFINITION

New statutory language defines the prescribing authority for advanced practice nurses under medical direction and establishes the conditions for out-of-state prescriber recognition.

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Full legislative history

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Committee

Feb 3, 2025

Introduced

First Reading

lower

1 primary · 0 co-sponsors