1 STATE OF OKLAHOMA
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2 1st Session of the 59th Legislature (2023)
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3 SENATE BILL 958 By: Kidd
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6 AS INTRODUCED
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7 An Act relating to health care; amending 59 O.S.
7 2021, Section 650, which relates to interventional
8 pain management; modifying, adding, and deleting
8 definitions; authorizing Certified Registered Nurse
9 Anesthetist to provide certain services and operate
9 certain facilities under specified conditions;
10 providing certain construction; and providing an
10 effective date.
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13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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14 SECTION 1. AMENDATORY 59 O.S. 2021, Section 650, is
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15 amended to read as follows:
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16 Section 650. A. This act section shall be known and may be
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17 cited as the “Oklahoma Interventional Pain Management and Treatment
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18 Act”.
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19 B. As used in this section:
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20 1. “Chronic pain” means a pain state which is subacute,
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21 persistent and intractable;
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22 2. “Fluoroscope” means a radiologic instrument equipped with a
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23 fluorescent screen on which opaque internal structures can be viewed
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 1 as moving shadow images formed by the differential transmission of
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2 X-rays throughout the body
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3 “Fluoroscopy” means a medical imaging procedure that uses an X-
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4 ray beam to take real-time footage of moving internal body parts
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5 such as bones, muscles, joints, organs, and tissue to display a
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6 consistent radiographic picture progressively onto a screen; and
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7 3. “Interventional pain management” means the practice of
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8 medicine delivery of health care services devoted to the diagnosis
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9 and treatment of chronic pain, through the use of such techniques
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10 as:
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11 a. ablation of targeted nerves,
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12 b. percutaneous precision needle placement within the
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13 spinal column with placement of drugs such as local
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14 anesthetics, steroids, and analgesics in targeted
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15 areas of the spinal column, or
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16 c. surgical techniques, such as laser or endoscopic
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17 diskectomy, intrathecal infusion pumps and spinal cord
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18 stimulators, or
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19 d. fluoroscopy.
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20 C. It shall be unlawful to practice or offer to practice
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21 interventional pain management in this state unless such person has:
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22 1. Has been duly licensed under the provisions of the Oklahoma
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23 Allopathic Medical and Surgical Licensure and Supervision Act or the
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24 Oklahoma Osteopathic Medicine Act; or
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 1 2. Is a Certified Registered Nurse Anesthetist licensed in
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2 accordance with the Oklahoma Nursing Practice Act who holds a valid
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3 certification in Nonsurgical Pain Management from the National Board
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4 of Certification and Recertification for Nurse Anesthetists and
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5 practices in accordance with the certification.
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6 D. Nothing in this section shall be construed to forbid the
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7 administration of lumbar intra-laminar epidural steroid injections
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8 or peripheral nerve blocks by a certified registered nurse
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9 anesthetist when requested to do so by a physician and under the
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10 supervision of A Certified Registered Nurse Anesthetist who meets
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11 the criteria of subsection C of this section may:
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12 1. Practice interventional pain management, except for surgical
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13 techniques, in collaboration with an allopathic or osteopathic
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14 physician licensed in this state and under conditions in which
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15 timely on-site consultation by such allopathic or osteopathic
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16 physician is available.
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17 E. A certified registered nurse anesthetist shall not operate;
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18 2. Operate a freestanding pain management facility without
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19 direct supervision of a in collaboration with an allopathic or
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20 osteopathic physician who is board-certified in interventional pain
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21 management or its equivalent; and
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22 3. Perform procedural sedation.
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23 E. Nothing in this section shall authorize a Certified
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24 Registered Nurse Anesthetist to prescribe or dispense any opioid or
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 1 any other controlled dangerous substance to be taken by the patient
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2 offsite for the management of chronic pain.
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3 SECTION 2. This act shall become effective November 1, 2023.
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5 59-1-1502 DC 1/19/2023 11:29:09 AM
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