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Oklahoma Legislature· HB 4431Becomes law without Governor's signature 05/13/2026

An act relating to Advanced Practice Registered Nurse, the official text

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 4431                 By: Hilbert

4

5

6                   AS INTRODUCED

7   An Act relating to Advanced Practice Registered

    Nurse; amending Section 2, Chapter 340, O.S.L. 2025

8   (59 O.S. Supp. 2025, Section 567.5b), which relates

    to Advanced Practice Registered Nurse malpractice

9   insurance requirements; providing for compliance; and

    providing an effective date.

10

11

12

13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:

14  SECTION 1.      AMENDATORY  Section 2, Chapter 340, O.S.L.

15 2025 (59 O.S. Supp. 2025, Section 567.5b), is amended to read as

16 follows:

17  Section 567.5b. A. An Advanced Practice Registered Nurse, or

18 the employer of the Advanced Practice Registered Nurse 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 apply only to the Advanced Practice Registered Nurse and shall not

24

    Req. No. 15483                                           Page 1
1 be construed as to require the Advanced Practice Registered Nurse to

2 provide malpractice insurance coverage to any supervising physician.

3   B. An Advanced Practice Registered Nurse who is employed by or

4 under contract with a federal agency that carries malpractice

5 insurance in any amount on behalf of the Advanced Practice

6 Registered Nurse shall be deemed in compliance with subsection A of

7 this section when practicing under such federal employment or

8 contract. However, to the extent the Advanced Practice Registered

9 Nurse practices outside of such federal employment or contract, the

10 Advanced Practice Registered Nurse, or his or her employer, shall

11 comply with subsection A of this section.

12  C. An Advanced Practice Registered Nurse who is employed by a

13 state agency or facility that is covered by or subject to The

14 Governmental Tort Claims Act, Section 151 et seq. of Title 51 of the

15 Oklahoma Statutes shall be deemed in compliance with subsection A of

16 this section when practicing under such state employment. However,

17 to the extent the Advanced Practice Registered Nurse practices

18 outside of such state employment, the Advance Practice Registered

19 Nurse shall comply with subsection A of this section.

20  SECTION 2. This act shall become effective November 1, 2026.

21

22  60-2-15483      TJ  12/10/25

23

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    Req. No. 15483                                                 Page 2
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