House Bill No. 1812 aims to establish a framework for the supervision of Advanced Practice Registered Nurses (APRNs) in Oklahoma. The bill defines key terms such as "Advanced Practice Registered Nurse," "supervising physician," and "proper physician supervision." It sets eligibility requirements for physicians who wish to supervise APRNs, including the possession of a valid medical license and a DEA permit to prescribe controlled substances. The bill also outlines the responsibilities of supervising physicians, including the requirement to have a written agreement with each APRN they supervise, which details fees for supervision services and the scope of practice.

Additionally, the bill mandates that supervising physicians notify APRNs of any anticipated unavailability and report any changes in the supervisory relationship to the relevant board within fourteen days. The Oklahoma Board of Osteopathic Examiners or the State Board of Medical Licensure and Supervision is tasked with promulgating rules for proper supervision, which may include regular chart reviews and emergency plans. Notably, the bill exempts APRNs employed by or contracted with hospitals from these supervision requirements. The act is set to take effect on November 1, 2025.