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Oklahoma Legislature· SB 958Coauthored by Senator Grellner

An act relating to health care, the official text

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1                  STATE OF OKLAHOMA

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2                 1st Session of the 60th Legislature (2025)

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3 SENATE BILL 958               By: McIntosh
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6                               AS INTRODUCED

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7   An Act relating to health care; amending 12 O.S.

7   2021, Section 2503, which relates to physician- and

8   psychotherapist-patient privilege; excluding minor

8   from certain privilege; conferring certain rights on

9   parents and legal guardians subject to certain

9   condition; amending 59 O.S. 2021, Sections 1910 and

10  1939, which relate to counselors; modifying

10  conditions for disclosure of certain information;

11  amending 63 O.S. 2021, Section 2602, which relates to

11  minor self-consent to health services; granting

12  certain right and protection to parent or legal

12  guardian; modifying and removing certain conditions

13  for minor self-consent; providing certain

13  construction; modifying certain notice and disclosure

14  requirements; making language gender neutral;

14  updating statutory language and references;

15  authorizing certain actions by the Attorney General;

15  specifying applicability of actions; authorizing

16  recovery of certain relief; abolishing certain

16  immunities for specified purpose; providing for

17  codification; and providing an effective date.

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18

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19 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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20  SECTION 1.     AMENDATORY   12 O.S. 2021, Section 2503, is

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21 amended to read as follows:
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22  Section 2503. A. As used in this section:

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23  1. A "patient" is a person who consults or is examined or

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24 interviewed by a physician or psychotherapist;
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    Req. No. 871                                              Page 1
1   2. A "physician" is a person authorized to practice medicine in

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2 any state or nation, or reasonably believed by the patient to be so
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3 authorized;
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4   3. A "psychotherapist" is:

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5   a. a person authorized to practice medicine in any state

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6                 or nation, or reasonably believed by the patient to be

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7                 so authorized, while engaged in the diagnosis or

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8                 treatment of a mental or emotional condition,

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9                 including alcohol or drug addiction, or

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10  b. a person licensed or certified as a psychologist under

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11                the laws of any state or nation, or reasonably

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12                believed by the patient to be so licensed or

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13                certified, while similarly engaged; and

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14  4. A communication is "confidential" if not intended to be

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15 disclosed to third persons, except persons present to further the
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16 interest of the patient in the consultation, examination, or
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17 interview, persons reasonably necessary for the transmission of the
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18 communication, or persons who are participating in the diagnosis and
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19 treatment under the direction of the physician or psychotherapist,
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20 including members of the patient's family.
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21  B. A patient has a privilege to refuse to disclose and to

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22 prevent any other person from disclosing confidential communications
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23 made for the purpose of diagnosis or treatment of the patient's
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24 physical, mental, or emotional condition, including alcohol or drug
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    Req. No. 871                                                 Page 2
1 addiction, among the patient, the patient's physician or
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2 psychotherapist, and persons who are participating in the diagnosis
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3 or treatment under the direction of the physician or
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4 psychotherapist, including members of the patient's family, except
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5 that a minor child under eighteen (18) years of age has no privilege
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6 to refuse to disclose or to prevent any other person from disclosing
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7 such confidential communications to the minor child's parent or
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8 legal guardian.
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9   C. The privilege may be claimed by the patient, the patient's

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10 guardian or conservator, or the personal representative of a
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11 deceased patient. The person who was the physician or
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12 psychotherapist at the time of the communication is presumed to have
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13 authority to claim the privilege but only on behalf of the patient.
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14  D. The following shall be exceptions to a claim of privilege:

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15  1. There is no privilege under this section for communications

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16 relevant to an issue in proceedings to hospitalize the patient for
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17 mental illness, if the psychotherapist in the course of diagnosis or
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18 treatment has determined that the patient is in need of
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19 hospitalization;
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20  2. Communications made in the course of a court-ordered

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21 examination of the physical, mental, or emotional condition of a
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22 patient, whether a party or a witness, are not privileged under this
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23 section when they relate to the particular purpose for which the
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24 examination is ordered unless the court orders otherwise;
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    Req. No. 871                                              Page 3
1   3. The privilege under this Code as to a communication relevant

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2 to the physical, mental, or emotional condition of the patient in
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3 any proceeding in which the patient relies upon that condition as an
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4 element of the patient's claim or defense or, after the patient's
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5 death, in any proceeding in which any party relies upon the
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6 condition as an element of the party's claim or defense is qualified
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7 to the extent that an adverse party in the proceeding may obtain
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8 relevant information regarding the condition by statutory discovery;
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9   4. When the patient is an inmate in the custody of the

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10 Department of Corrections or a private prison or facility under
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11 contract with the Department of Corrections, and the release of the
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12 information is necessary:
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13  a. to prevent or lessen a serious and imminent threat to

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14                the health or safety of any person, or

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15  b. for law enforcement authorities to identify or

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16                apprehend an individual where it appears from all the

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17                circumstances that the individual has escaped from a

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18                correctional institution or from lawful custody; or

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19  5. A minor child under eighteen (18) years of age has no

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20 privilege to refuse to disclose or to prevent any other person from
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21 disclosing communications otherwise confidential under this section
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22 to the minor child's parent or legal guardian; or
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    Req. No. 871                                               Page 4
1   6. The testimonial privilege created pursuant to this section

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2 does not make communications confidential where state and federal
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3 privacy law would otherwise permit disclosure.
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4   SECTION 2.    NEW LAW       A new section of law to be codified

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5 in the Oklahoma Statutes as Section 2006 of Title 25, unless there
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6 is created a duplication in numbering, reads as follows:
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7   Notwithstanding any other provision of law, a parent or legal

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8 guardian of a minor child under eighteen (18) years of age has a
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9 right to be present during any meeting or consultation between a
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10 health professional and the parent or legal guardian's minor child
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11 under eighteen (18) years of age and to be provided, within a
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12 reasonable time and at a reasonable cost, copies of any records of
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13 services provided by a health professional to the parent or legal
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14 guardian's minor child. Provided, however, that a parent or legal
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15 guardian shall not be entitled to be present during such a meeting
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16 or consultation, or to access such records, when the health
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17 professional has been made aware of an allegation of parental child
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18 abuse, child neglect, or battery.
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19  SECTION 3.    AMENDATORY          59 O.S. 2021, Section 1910, is

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20 amended to read as follows:
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21  Section 1910. A. No person licensed pursuant to the provisions

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22 of the Licensed Professional Counselors Act shall knowingly and
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23 willfully disclose any information the licensee may have acquired
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24 from persons consulting the licensee in his professional capacity as
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    Req. No. 871                                                Page 5
1 a professional counselor or be compelled to disclose such
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2 information except:
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3   1. With the written consent of the client, or, except under the

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4 circumstances described in paragraph 2 of this subsection, if the
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5 client is less than eighteen (18) years of age, with the written
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6 consent of the client's parent or legal guardian, or in the case of
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7 death or disability of the client, the consent of his personal
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8 representative or other person authorized to sue or the beneficiary
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9 of any insurance policy on his life, health, or physical condition;
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10  2. If the person is a child under the age of eighteen (18)

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11 years and the information acquired by the licensed person indicated
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12 that the child was the victim or subject of a crime, the licensed
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13 person may be required to testify fully in relation thereto upon an
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14 examination, trial or other proceeding in which the commission of
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15 such a crime is a subject of inquiry;
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16  3. If the client waives the privilege by bringing charges

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17 against the licensed person;
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18  4. When failure to disclose such information presents a danger

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19 to the health of any person; or
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20  5. If the licensed professional counselor is a party to a

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21 civil, criminal or disciplinary action arising from such therapy, in
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22 which case any waiver of the privilege accorded by this section
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23 shall be limited to that action.
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    Req. No. 871                                             Page 6
1   B. No information shall be treated as privileged and there

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2 shall be no privileges created by the Licensed Professional
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3 Counselors Act as to any information acquired by the person licensed
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4 pursuant to the Licensed Professional Counselors Act when such
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5 information pertains to criminal acts or violation of any law.
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6   C. The Licensed Professional Counselors Act shall not be

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7 construed to prohibit any licensed person from testifying in court
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8 hearings concerning matters of adoption, child abuse, child neglect,
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9 battery, or matters pertaining to the welfare of children or from
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10 seeking collaboration or consultation with professional colleagues
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11 or administrative superiors on behalf of this client.
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12  SECTION 4.    AMENDATORY    59 O.S. 2021, Section 1939, is

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13 amended to read as follows:
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14  Section 1939. A. No person licensed pursuant to the provisions

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15 of the Licensed Behavioral Practitioner Act shall disclose any
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16 information the licensee may have acquired from persons consulting
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17 the licensee in the licensee's professional capacity as a behavioral
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18 practitioner or be compelled to disclose such information except:
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19  1. With the written consent of the client, or, except under the

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20 circumstances described in paragraph 2 of this subsection, if the
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21 client is less than eighteen (18) years of age, with the written
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22 consent of the client's parent or legal guardian, or in the case of
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23 death or disability of the client, the consent of the client's
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24 personal representative or other person authorized to sue or the
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    Req. No. 871                                               Page 7
1 beneficiary of any insurance policy on the client's life, health, or
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2 physical condition;
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3   2. If the client is a child under the age of eighteen (18)

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4 years and the information acquired by the licensed person indicated
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5 that the child was the victim or subject of a crime, the licensed
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6 person may be required to testify fully in relation thereto upon an
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7 examination, trial, or other proceeding in which the commission of
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8 such a crime is a subject of the inquiry;
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9   3. If the client waives the privilege by bringing charges

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10 against the licensed person;
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11  4. When failure to disclose such information presents a danger

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12 to the health of any person; or
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13  5. If the licensed behavioral practitioner is a party to a

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14 civil, criminal, or disciplinary action arising from such therapy,
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15 in which case any waiver of the privilege accorded by this section
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16 shall be limited to that action.
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17  B. No information shall be treated as privileged and there

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18 shall be no privileges created by the Licensed Behavioral
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19 Practitioner Act as to any information acquired by the person
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20 licensed pursuant to the Licensed Behavioral Practitioner Act when
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21 such information pertains to criminal acts or violation of any law.
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22  C. The Licensed Behavioral Practitioner Act shall not be

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23 construed to prohibit any licensed person from testifying in court
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24 hearings concerning matters of adoption, child abuse, child neglect,
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    Req. No. 871                                              Page 8
1 battery, or matters pertaining to the welfare of children or from
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2 seeking collaboration or consultation with professional colleagues
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3 or administrative superiors on behalf of this client.
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4   SECTION 5.    AMENDATORY   63 O.S. 2021, Section 2602, is

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5 amended to read as follows:
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6   Section 2602. A. Notwithstanding any other provision of law,

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7 the Except as provided in this section:
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8   1. Health professionals shall not provide services to a minor

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9 without the consent of a parent or legal guardian; and
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10  2. A parent or legal guardian shall have the right to be

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11 present during any meeting or consultation with a health
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12 professional.
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13  B. The following minors may consent to have services provided

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14 by health professionals in the following cases:
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15  1. Any minor who is married, has a dependent child, or is

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16 emancipated;
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17  2. Any minor who is separated from his parents or legal

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18 guardian for whatever reason and is not supported by his parents or
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19 guardian;
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20  3. Any minor who is or has been pregnant, afflicted with any

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21 reportable communicable disease, drug and substance abuse, or
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22 abusive use of alcohol; provided, however, that such self-consent
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23 only applies to the prevention, diagnosis, and treatment of those
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24 conditions specified in this section. Any health professional who
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    Req. No. 871                                             Page 9
1 accepts the responsibility of providing such health services also
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2 assumes the obligation to provide counseling for the minor by a
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3 health professional. If the minor is found not to be pregnant nor
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4 suffering from a communicable disease nor drug or substance abuse
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5 nor abusive use of alcohol, the health professional shall not reveal
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6 any information whatsoever to the spouse, parent or legal guardian,
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7 without the consent of the minor Provided, however, that this
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8 section shall not be construed to authorize any health professional
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9 to provide any abortion-related services to a minor, including
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10 counseling or referrals to another health professional for the
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11 purpose of procuring an abortion;
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12  4. 3. Any minor parent as to his or her child;

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13  5. 4. Any spouse of a minor when the minor is unable to give

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14 consent by reason of physical or mental incapacity;
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15  6. 5. Any minor who by reason of physical or mental capacity

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16 cannot give consent and has no known relatives or legal guardian
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17 guardian who is known or discoverable by the health professional
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18 through reasonably diligent inquiry, if two physicians agree on the
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19 health service to be given;
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20  7. 6. Any minor in need of emergency services for conditions

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21 which will endanger his health or life involve a substantial risk of
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22 permanent damage to his or her physical health or death if delay
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23 would result by obtaining consent from his or her spouse, parent, or
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24 legal guardian; provided, however, that the prescribing of any
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    Req. No. 871                                        Page 10
1 medicine or device or referral to another health professional for
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2 the prevention or termination of pregnancy shall not be considered
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3 such an emergency service; or
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4   8. 7. Any minor who is the victim of sexual assault; provided,

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5 however, that such self-consent only applies to a forensic medical
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6 examination by a qualified licensed health care professional.
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7   C. If any minor falsely represents facts that he may would

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8 authorize him or her to give consent under subsection B of this
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9 section and a health professional provides health services in
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10 reasonable good faith based upon that misrepresentation, the minor
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11 shall receive full services without the consent of the minor's
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12 parent or legal guardian and the health professional shall incur no
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13 liability except for negligence or, intentional harm. Consent of
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14 the minor shall not be subject to later disaffirmance or revocation
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15 because of his minority, or acts inconsistent with the requirements
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16 of this section.
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17  B. D. The health professional shall be required to make a

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18 reasonable attempt to inform the spouse, parent, or legal guardian
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19 of the minor of any treatment needed or provided under paragraph 7
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20 of subsection A of this section. In all other instances in which a
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21 minor may consent to services under this section, the health
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22 professional may, but shall not be required to, inform the spouse,
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23 parent, or legal guardian of the minor of any treatment needed or
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24 provided. The judgment of the health professional as to
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    Req. No. 871                                            Page 11
1 notification shall be final, and his or her disclosure shall not
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2 constitute libel, slander, the breach of the right of privacy, the
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3 breach of the rule of privileged communication, or result in any
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4 other breach that would incur liability.
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5   E. Information about the minor obtained through care by a

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6 health professional under the provisions of this act Section 2601 et
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7 seq. of this title shall not be disseminated to any health
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8 professional, school, law enforcement agency or official, court
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9 authority, non-judicial government agency, or official employer,
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10 without the consent of the minor, except through court order or
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11 specific legal requirements or if the giving of the information is
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12 necessary to the health of the minor and public. Statistical
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13 reporting may be done when the minor's identity is kept
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14 confidential.
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15  F. The health professional shall not incur criminal liability

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16 for action under the provisions of this act Section 2601 et seq. of
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17 this title except for negligence or intentional harm.
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18  SECTION 6.    NEW LAW  A new section of law to be codified

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19 in the Oklahoma Statutes as Section 18m-3 of Title 74, unless there
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20 is created a duplication in numbering, reads as follows:
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21  A. Whenever the Attorney General has received a complaint from

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22 a parent claiming a violation of Section 1, 2, 3, 4, or 5 of this
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23 act, the Attorney General may, at the Attorney General's discretion,
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24 bring suit for any violation of this act.
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    Req. No. 871                                              Page 12
1   B. An action under this section may be brought, and relief may

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2 be granted, without regard to whether the person bringing the action
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3 has sought or exhausted available administrative remedies.
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4   C. Any person who successfully asserts a claim or defense under

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5 this section may recover declaratory relief, injunctive relief,
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6 nominal damages, compensatory damages, reasonable attorney fees and
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7 costs, and any other appropriate relief.
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8   D. Sovereign, governmental, and qualified immunities to suit

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9 and from liability are waived and abolished to the extent of
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10 liability created by this section.
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11  SECTION 7. This act shall become effective November 1, 2025.

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    Req. No. 871                                              Page 13
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