House Bill No. 1812 aims to establish a regulatory 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 wishing to supervise APRNs, including the possession of a valid medical license and a DEA permit. The bill also outlines the responsibilities of supervising physicians, including the requirement to maintain a written agreement with each APRN that details supervision fees, the scope of practice, and communication protocols. Additionally, it mandates that supervising physicians notify APRNs of any anticipated unavailability and report changes in the supervisory relationship to the relevant board.

The bill includes provisions for disciplinary actions against supervising physicians who fail to provide proper supervision and establishes that the Board will not charge fees for maintaining supervision relationships. It also requires the Board to create rules regarding supervision expectations, including communication standards and emergency plans. Notably, APRNs employed by or contracted with hospitals are exempt from these regulations. The act is set to take effect on November 1, 2025.