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.

Added provisions allowing pharmacists to dispense non-controlled prescriptions for advanced practice nurses and physician assistants who are licensed outside Oklahoma but are actively prescribing in Oklahoma.

Modified the definition of 'supervision' to clarify that a delegating physician does not need to be physically present if they can be easily contacted via telecommunication.

Added specific criteria requiring physician assistants to be licensed in Oklahoma and supervised by an Oklahoma-licensed practitioner to qualify for pharmacists to dispense controlled substance prescriptions.

Modified the definition of 'practice of medicine' to clarify that services provided by physician assistants under supervision are considered a component of the supervising physician's scope of practice.

Added an exception stating that specific restrictions in the bill do not apply to physician assistants who are practicing under a formal practice agreement.

Corrected a reference to change the timing trigger from the 'enactment of this subsection' to the 'effective date of this act'.

Adjusted the definition of 'delegating physician' to refer to 'such' physician instead of 'the' physician for grammatical consistency.

Added a clarifying phrase 'not practicing under a practice agreement' to a specific line to ensure the new exception is clearly applied.

Pharmacists are now authorized to dispense prescriptions for non-controlled drugs and controlled substances from out-of-state advanced practice nurses and physician assistants if those providers are licensed in their respective states.

Definitions for 'Board', 'Committee', 'Practice of medicine', 'Patient care setting', 'Physician assistant', 'Delegating physician', 'Supervision', 'Telecommunication', and 'Practice agreement' were renumbered and slightly reworded to improve clarity and alignment with other sections.

The requirement for the physical presence of a delegating physician during supervision was maintained but clarified to allow telecommunication contact, emphasizing that the provider must be easily reachable rather than physically present.

The document title and header were changed from 'Proposed Oversight Committee Substitute' to 'Proposed Policy Committee Substitute,' reflecting a change in the committee's function from oversight to policy-making.

The bill's reference number was updated from 13161 to 12845, likely due to a renumbering of documents within the legislative process.

The summary of affected laws was updated to explicitly include amendments to Section 521.2 of the Physician Assistant Act, expanding the list of statutes the bill modifies.

Pharmacists are now explicitly prohibited from dispensing controlled dangerous substances to out-of-state advanced practice nurses or physician assistants unless those providers are supervised by an Oklahoma-licensed practitioner.

The definition of 'practice of medicine' was updated to clarify that services performed by physician assistants under supervision are considered part of the supervising physician's scope of practice.

The definition of 'supervision' was revised to emphasize that the physical presence of the delegating physician is not required, provided a practice agreement exists.

New requirements were added to ensure that both the supervising physician and the advanced practice nurse are identified at the time a prescription is originated.

Deleted a provision allowing pharmacists to dispense prescriptions for non-controlled drugs written by physician assistants or advanced practice nurses licensed in other states, provided they are licensed in that other state.

Updated statutory definitions for terms like 'Act', 'Administer', 'Board', 'Certify', 'Chemical', 'Compounding', 'Continuing professional education', 'Dangerous drug', 'Director', 'Dispense', 'Dispenser', 'Distribute', and 'Practice agreement' to clarify their meaning within the Oklahoma Pharmacy Act.

Added specific language clarifying that 'Dispense' includes selling, distributing, delivering, or supplying drugs, and explicitly excludes dispensing products intended only for animal use.

Modified the definition of 'Supervision' to remove the requirement for the physical presence of a delegating physician, stating that telecommunication contact is sufficient.

Definitions for 'practice agreement' and 'delegating physician' were updated to clarify that delegation is defined by the agreement itself and that supervision does not require the physician's physical presence if telecommunication is available.

Pharmacists are now explicitly authorized to dispense prescriptions for controlled dangerous substances written by advanced practice nurses or physician assistants who are licensed outside of Oklahoma, as long as they are licensed in the state where they are actively prescribing.

The bill was amended to include provisions increasing the number of Physician Assistant Committee members, clarifying quorum requirements, and adding rules regarding postgraduate clinical practice.

Filing requirements for practice agreements were clarified, and language regarding the authority to prescribe drugs and use medical supplies under these agreements was modified.

The definition of 'Assistant pharmacist' was modified to state that they are considered the same as a pharmacist for the purposes of the Pharmacy Act, unless a specific law says otherwise.

The definition of 'Certify' was updated to clarify that a 'licensed practitioner' with dispensing authority does not include optometrists.

The definition of 'Distribute' was clarified to explicitly state that taking actual physical possession of a product is not required for an action to be considered distribution.

The definition of 'Drugs' was slightly corrected to fix a repetition error in the reference to the United States Pharmacopoeia and National Formulary.