Supervision of Advanced Practice Registered Nurses; definitions; eligibility requirements for physicians; limits; exceptions; responsibilities; disciplinary action; penalties; effective date.
Impact
If enacted, HB1812 will codify supervision requirements for APRNs and define the roles and responsibilities of supervising physicians in Oklahoma. The bill emphasizes the requirement for a written supervision agreement between the APRN and the supervising physician, which must outline the scope of practice and any fees associated with supervision. Moreover, the bill establishes that failure to comply with these supervision standards could result in disciplinary actions against the supervising physicians, thereby reinforcing accountability within the healthcare system.
Summary
House Bill 1812 aims to establish clear guidelines for the supervision of Advanced Practice Registered Nurses (APRNs) in Oklahoma. The bill outlines the definitions of various terms related to the practice, such as 'supervising physician' and 'proper physician supervision.' It mandates that supervising physicians must maintain a direct oversight role over APRNs, which includes regularly reviewing their prescribing practices and being available for consultations within a specified timeframe. This approach is designed to ensure that patient safety and quality of care are upheld while allowing APRNs to operate within their scope of practice.
Contention
There are potential points of contention surrounding HB1812, particularly regarding the limits it places on the autonomy of APRNs. Proponents argue that clear supervision standards are necessary for ensuring the quality of healthcare services, while opponents may view it as an unnecessary regulatory burden that could limit the effectiveness and practice of APRNs. Additionally, debates are likely to emerge around the fees that supervising physicians are allowed to charge for their services, which could be perceived as a financial barrier for some APRNs, especially those working in underserved areas.
Practice of nursing; providing for independent prescriptive authority of Advanced Practice Registered Nurses who meet certain requirements. Effective date.
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.
Practice of medicine; creating the Supervised Physicians Act; limiting scope of supervised practice; directing specified Boards to promulgate certain rules; requiring collaborative practice arrangements; creating certain exemptions; effective date.
Practice of medicine; modifying membership of the State Board of Medical Licensure and Supervision; removing certain limitation on appointees. Effective date.
Practice of medicine; modifying certain powers and duties of the Board of Medical Licensure and Supervision; modifying certain licensure requirements. Effective date. Emergency.
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.
Practice of medicine; creating the Supervised Physicians Act; limiting scope of supervised practice; directing specified Boards to promulgate certain rules; requiring collaborative practice arrangements; creating certain exemptions; effective date.
Practice of medicine; creating the Supervised Physicians Act; limiting scope of supervised practice; directing specified Boards to promulgate certain rules; requiring collaborative practice arrangements; creating certain exemptions; effective date.