This bill amends existing laws related to the practice of nursing in Oklahoma, specifically focusing on the supervision of Advanced Practice Registered Nurses (APRNs) and their independent prescriptive authority. It modifies the criteria for supervising physicians, including the requirement for a written supervision agreement that outlines fees, scope of prescriptive authority, and the responsibilities of both the supervising physician and the APRN. The bill also establishes that supervising physicians may charge reasonable fees for supervision services, which must be disclosed in the supervision agreement. Additionally, it prohibits the Oklahoma Board of Nursing from imposing certain requirements on APRNs and updates statutory language and references.

Furthermore, the bill clarifies the process for APRNs seeking independent prescriptive authority, allowing those with sufficient clinical practice hours to apply without being considered an initial application for prescriptive authority. It ensures that practice hours obtained prior to November 1, 2025, can still count towards the required hours for independent prescriptive authority. The bill also stipulates that this authority remains valid until the expiration of the APRN's license and can be renewed concurrently. The effective date for the provisions of this act is set for November 1, 2026.