This bill establishes new regulations for the supervision of Advanced Practice Registered Nurses (APRNs) in Oklahoma. It defines key terms such as "Advanced Practice Registered Nurse," "supervising physician," and "proper physician supervision," and outlines the eligibility requirements for physicians who wish to supervise APRNs. The bill mandates that supervising physicians must possess a valid medical license and a permit to prescribe controlled substances, and they must be trained in the APRN's specialty. Additionally, it requires that a written agreement be established between the supervising physician and the APRN, detailing supervision fees, the scope of practice, and any limitations on prescribing controlled drugs.

The bill also sets forth the responsibilities of supervising physicians, including the requirement to notify APRNs of any anticipated unavailability and to report changes in the supervisory relationship to the appropriate board. It emphasizes the need for continuous communication between the APRN and the supervising physician and outlines the potential disciplinary actions for non-compliance with the established rules. Furthermore, the bill prohibits the board from charging fees for maintaining the supervision relationship and mandates the creation of a list of physicians willing to supervise APRNs, which will be made available on the agency's official website. The act is set to take effect on November 1, 2025.