HB 2634 Oklahoma House · 2026 Regular Session

Professions and occupations; Oklahoma Professions and Occupations Act of 2025; effective date.

HB 2634 allows licensed chiropractors in Oklahoma with injectable certification to administer three specific emergency medications - epinephrine for severe allergic reactions, Benadryl for allergic reactions, and naloxone for opioid overdoses - only during life-threatening emergencies requiring immediate action. It requires chiropractors to complete 8 hours of initial training (including CPR/BLS) and renew every two years with 6 hours of additional training. All chiropractors must maintain current BLS/CPR certification (obtained within six months of licensure and renewed regularly) and document all emergency medication use in patient records, reporting incidents to the state board within 72 hours. This bill amends Oklahoma’s chiropractic practice act to expand emergency response capabilities while maintaining strict safety protocols and accountability.

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 4, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Proposed Policy Committee Substitute 1 · 7 edits

MODERATE

This bill was amended by the Policy Committee to significantly narrow its focus from a broad professions and occupations act to a specific law authorizing chiropractors to administer emergency medications. The amendment replaces the original broad scope with targeted provisions for chiropractic practice, including emergency medication administration, training requirements, and liability protections.

Scope change

The bill's scope changed from a general professions and occupations act to a specific chiropractic practice amendment focused on emergency medication administration.

SCOPE

Bill scope changed from general professions and occupations act to specific chiropractic practice amendments

REQUIREMENT

Added requirement for chiropractors to obtain injectable certification and complete 8 hours of board-approved training to administer emergency medications

Added requirement for all chiropractors to maintain Basic Life Support and CPR certification within 6 months of licensure

ELIGIBILITY

Added eligibility criteria allowing chiropractors with injectable certification to administer epinephrine, diphenhydramine, and naloxone in life-threatening emergencies

ENFORCEMENT

Added requirement to document emergency medication administration and report incidents to the Board within 72 hours

DEFINITION

Added liability protection for chiropractors acting within scope when administering emergency medications in compliance with the law

Modified Section 161.2 to clarify chiropractic practice scope and add provisions for animal chiropractic treatment

Floor votes

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 3, 2025

Introduced

First Reading

lower

1 primary · 0 co-sponsors