Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1 STATE OF OKLAHOMA
2 2nd Session of the 60th Legislature (2026)
3 HOUSE BILL 4430 By: Hilbert
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5
6 AS INTRODUCED
7 An Act relating to physician assistants; amending 59
O.S. 2021, Section 519.6, as amended by Section 5,
8 Chapter 343, O.S.L. 2025 (59 O.S. Supp. 2025, Section
519.6), which relates to license required,
9 supervision, and practice agreements within the
Physician Assistant Act; providing for compliance;
10 and providing an effective date.
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13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
14 SECTION 1. AMENDATORY 59 O.S. 2021, Section 519.6, as
15 amended by Section 5, Chapter 343, O.S.L. 2025 (59 O.S. Supp. 2025,
16 Section 519.6), is amended to read as follows:
17 Section 519.6. A. No health care services may be performed by
18 a physician assistant unless a current license is on file with and
19 approved by the State Board of Medical Licensure and Supervision.
20 B. A physician assistant with six thousand two hundred forty
21 (6,240) or more hours of postgraduate clinical practice experience
22 who has reported those hours to the Board shall not be required to
23 practice under the supervision of a delegating physician.
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1 1. A physician assistant may report the completion of
2 postgraduate clinical practice experience to the Board at any time
3 after completion of at least six thousand two hundred forty (6,240)
4 such hours.
5 2. Hours earned prior to the effective date of this act shall
6 be counted towards the six thousand two hundred forty (6,240) hours.
7 3. The Board shall maintain, make available, and keep updated,
8 on the Internet website of the Board, a list of physician assistants
9 who have reported completion of six thousand two hundred forty
10 (6,240) or more postgraduate clinical practice experience hours.
11 4. The Board shall prescribe a form for reporting postgraduate
12 clinical practice experience by a physician assistant. The Board
13 shall make available and keep updated on the Internet website of the
14 Board the prescribed form. This reporting form may be filed
15 electronically. The Board shall not charge a fee for reporting
16 hours or filing of the prescribed form.
17 5. Nothing in this subsection shall prohibit a physician
18 assistant from maintaining a practice agreement; however, such an
19 agreement is not required for a physician assistant with the
20 reported six thousand two hundred forty (6,240) hours of
21 postgraduate clinical practice experience, provided any practice
22 agreements are subject to the requirements of paragraphs 1, 2, 3,
23 and 4 of subsection C of this section.
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Req. No. 15482 Page 2
1 6. Nothing in this subsection shall restrict the ability of the
2 Board to require supervision as a part of disciplinary action
3 against the license of a physician assistant.
4 C. A physician assistant with less than six thousand two
5 hundred forty (6,240) hours of postgraduate clinical practice
6 experience or who has completed six thousand two hundred forty
7 (6,240) hours but has not reported those hours to the Board shall
8 practice under the supervision of a delegating physician with the
9 following requirements:
10 1. All practice agreements and any amendments shall be filed
11 with the State Board of Medical Licensure and Supervision within ten
12 (10) business days of being executed. Practice agreements may be
13 filed electronically. The State Board of Medical Licensure and
14 Supervision shall not charge a fee for filing practice agreements or
15 amendments to practice agreements;
16 2. A physician assistant may have practice agreements with
17 multiple allopathic or osteopathic physicians. Each physician shall
18 be in good standing with the State Board of Medical Licensure and
19 Supervision or the State Board of Osteopathic Examiners;
20 3. The delegating physician need not be physically present nor
21 be specifically consulted before each delegated patient care service
22 is performed by a physician assistant, so long as the delegating
23 physician and physician assistant are or can be easily in contact
24 with one another by means of telecommunication. The delegating
Req. No. 15482 Page 3
1 physician shall provide appropriate methods of participating in
2 health care services provided by the physician assistant including:
3 a. being responsible for the formulation or approval of
4 all orders and protocols, whether standing orders,
5 direct orders or any other orders or protocols, which
6 direct the delivery of health care services provided
7 by a physician assistant, and periodically reviewing
8 such orders and protocols,
9 b. regularly reviewing the health care services provided
10 by the physician assistant and any problems or
11 complications encountered,
12 c. being available physically or through telemedicine or
13 direct telecommunications for consultation, assistance
14 with medical emergencies or patient referral,
15 d. reviewing a sample of outpatient medical records.
16 Such reviews shall take place at a site agreed upon
17 between the delegating physician and physician
18 assistant in the practice agreement which may also
19 occur using electronic or virtual conferencing, and
20 e. that it remains clear that the physician assistant is
21 an agent of the delegating physician; but, in no event
22 shall the delegating physician be an employee of the
23 physician assistant;
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1 4. In patients with newly diagnosed complex illnesses, the
2 physician assistant shall contact the delegating physician within
3 forty-eight (48) hours of the physician assistant's initial
4 examination or treatment and schedule the patient for appropriate
5 evaluation by the delegating physician as directed by the physician.
6 The delegating physician shall determine which conditions qualify as
7 complex illnesses based on the clinical setting and the skill and
8 experience of the physician assistant.
9 D. A physician assistant not practicing under a practice
10 agreement may prescribe written and oral prescriptions and orders.
11 The physician assistant not practicing under a practice agreement
12 may prescribe medical supplies, services, and drugs, including
13 controlled medications in Schedules III through V pursuant to
14 Section 2-312 of Title 63 of the Oklahoma Statutes. Physician
15 assistants not practicing under a practice agreement may not
16 dispense drugs, but may request, receive, and sign for professional
17 samples and may distribute professional samples to patients.
18 E. A physician assistant practicing under a practice agreement
19 may prescribe written and oral prescriptions and orders. The
20 physician assistant practicing under a practice agreement may
21 prescribe medical supplies, services, and drugs, including
22 controlled medications in Schedules II through V pursuant to Section
23 2-312 of Title 63 of the Oklahoma Statutes, written and oral
24 prescriptions and orders only as delegated by the delegating
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1 physician, and prescriptions and orders for Schedule II drugs
2 written by such physician assistant shall be included on a written
3 protocol determined by the delegating physician. Physician
4 assistants practicing under a practice agreement may not dispense
5 drugs, but may request, receive, and sign for professional samples
6 and may distribute professional samples to patients. Provided that
7 a physician assistant practicing under a practice agreement may not
8 prescribe any controlled medications in a Schedule that the
9 delegating physician is not registered to prescribe.
10 F. Each physician assistant licensed under the Physician
11 Assistant Act shall keep his or her license available for inspection
12 at the primary place of business and shall, when engaged in
13 professional activities, identify himself or herself as a physician
14 assistant.
15 G. A physician assistant shall be bound by the provisions
16 contained in Sections 725.1 through 725.5 of this title.
17 H. 1. A physician assistant not practicing under a practice
18 agreement, or the employer of such physician assistant on his or her
19 behalf, shall carry malpractice insurance or demonstrate proof of
20 financial responsibility in a minimum amount of One Million Dollars
21 ($1,000,000.00) per occurrence and Three Million Dollars
22 ($3,000,000.00) in the aggregate per year. This requirement shall
23 not apply to a physician assistant practicing under a practice
24 agreement.
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1 2. A physician assistant who is employed by or under contract
2 with a federal agency that carries malpractice insurance in any
3 amount on behalf of the physician assistant shall be deemed in
4 compliance with paragraph 1 of this subsection when practicing under
5 such federal employment or contract. However, to the extent the
6 physician assistant practices outside of such federal employment or
7 contract, the physician assistant, or his or her employer, shall
8 comply with paragraph 1 of this subsection.
9 3. A physician assistant who is employed by a state agency or
10 facility that is covered by or subject to The Governmental Tort
11 Claims Act, Section 151 et seq. of Title 51 of the Oklahoma
12 Statutes, shall be deemed in compliance with paragraph 1 of this
13 subsection when practicing under such state employment. However, to
14 the extent the physician assistant practices outside of such state
15 employment, the physician assistant shall comply with paragraph 1 of
16 this subsection.
17 SECTION 2. This act shall become effective November 1, 2026.
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19 60-2-15482 TJ 12/09/25
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Req. No. 15482 Page 7Every fact on this page links to its source, starting with the official bill record.