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.

Added specific eligibility criteria requiring APRNs to hold a current license in good standing and complete a minimum of three years of practice with prescriptive authority supervised by a physician.

Established a new requirement for APRNs to carry malpractice insurance with minimum coverage of $1 million per occurrence and $3 million in aggregate per year.

Created a formal application and review process where the Oklahoma Board of Nursing must approve or deny requests for independent prescriptive authority, including the ability to reapply if denied.

Authorized the Board of Nursing to suspend or revoke independent prescriptive authority for good cause and to establish fees for reviewing applications.

Added a provision allowing family practice physicians, obstetricians, and gynecologists to serve as supervising physicians for Certified Nurse-Midwives.

Reformatted the document header and page numbering to reflect the transition from an original House Bill to a Senate Committee Substitute.

Increased the required clinical practice hours for nurses seeking independent prescriptive authority from 3 years to a minimum of 6,240 hours.

Updated the bill title to reflect 'Committee Substitute for Engrossed House Bill' and added additional sponsors (Fetgatter, Cornwell, Turner, Cantrell, Paxton, and Murdock) to the byline.

Adjusted page numbering and formatting throughout the document to align with the Senate Committee Substitute version.

The bill title and summary were modified to include new provisions for physician eligibility, limits, and exceptions, which were not present in the original text.

The requirements for Advanced Practice Registered Nurses to obtain independent prescriptive authority were adjusted, specifically regarding the counting of practice hours obtained prior to the act's effective date.

New language was added to clarify that malpractice insurance requirements apply only to the nurse and not to any supervising or collaborating physician.

The bill was renumbered and reorganized, removing the 'Proposed Policy Committee' label and updating the request number from 12346 to 13228.

The bill title and header were changed from 'Proposed Oversight Committee Substitute' to 'Proposed Policy Committee Substitute,' reflecting a change in the legislative committee handling the bill.

The sponsor's name was updated from Carl Newton to Kyle Hilbert, and the document date was changed from March 4, 2025, to February 14, 2025.

Page 7, which contained the full text of the original bill, was removed and replaced with a new page 7 containing the updated title and header.

Page numbering and reference numbers (Req. No.) were adjusted throughout the document to align with the new version.

The clinical practice experience requirement was reduced from a minimum of 6,240 hours to a minimum of three years of supervised practice.

New provisions were added to outline the specific process for the Board to deny applications, including the requirement to state reasons for denial and allow for reapplication.

Clarification was added to explicitly state that the malpractice insurance requirement applies only to the APRN and does not require coverage for any supervising or collaborating physician.

The bill text was substantially rewritten to improve readability, fix statutory citations, and align the language with current Oklahoma laws.

Updated the list of sponsoring legislators in the header to include additional names (Cantrell, Munson, Kelley for the House; Coleman, Mann, Green for the Senate) that were not present in the previous version.

Minor formatting adjustments were made to the summary of the act's purpose to align with final legislative standards, though the core topics covered (nursing practice, prescriptive authority, malpractice insurance, advertising) remained identical.

Updated malpractice insurance requirements to explicitly mandate coverage for supervising or collaborating physicians, removing the previous limitation that excluded them.

Added provisions regarding physician eligibility, advertising rules, and definitions related to the Oklahoma Pharmacy Act.

Updated the bill title and coauthor lists to reflect the inclusion of physician and pharmacy-related provisions.

Added a requirement for supervising physicians to carry malpractice insurance with minimum limits of $1,000,000 per occurrence and $3,000,000 in aggregate per year.

Added provisions requiring the Oklahoma Board of Nursing, State Board of Medical Licensure and Supervision, and State Board of Osteopathic Examiners to collaborate on rules limiting supervision fees and the number of APRNs a physician can supervise.

Added a requirement for the Boards to maintain and publish a public list of physicians available to supervise APRNs online.

Modified the bill's summary and title to explicitly include provisions for disciplinary action, advertising rules, and penalties related to supervising physicians.

Updated the list of legislative co-authors to include new names for both House and Senate sponsors.