Okla. Stat. tit. 59, § 59-519.6

practice — Exemption from supervision — Practice agreements.

A. No health care services may be performed by a physician

assistant unless a current license is on file with and approved by

the State Board of Medical Licensure and Supervision.

B. A physician assistant with six thousand two hundred forty

(6,240) or more hours of postgraduate clinical practice experience

who has reported those hours to the Board shall not be required to

practice under the supervision of a delegating physician.

1. A physician assistant may report the completion of

postgraduate clinical practice experience to the Board at any time

after completion of at least six thousand two hundred forty (6,240)

such hours.

2. Hours earned prior to the effective date of this act shall

be counted towards the six thousand two hundred forty (6,240) hours.

3. The Board shall maintain, make available, and keep updated,

on the Internet website of the Board, a list of physician assistants

who have reported completion of six thousand two hundred forty

(6,240) or more postgraduate clinical practice experience hours.

4. The Board shall prescribe a form for reporting postgraduate

clinical practice experience by a physician assistant. The Board

shall make available and keep updated on the Internet website of the

Board the prescribed form. This reporting form may be filed

electronically. The Board shall not charge a fee for reporting

hours or filing of the prescribed form.

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5. Nothing in this subsection shall prohibit a physician

assistant from maintaining a practice agreement; however, such an

agreement is not required for a physician assistant with the

reported six thousand two hundred forty (6,240) hours of

postgraduate clinical practice experience, provided any practice

agreements are subject to the requirements of paragraphs 1, 2, 3,

and 4 of subsection C of this section.

6. Nothing in this subsection shall restrict the ability of the

Board to require supervision as a part of disciplinary action

against the license of a physician assistant.

C. A physician assistant with less than six thousand two

hundred forty (6,240) hours of postgraduate clinical practice

experience or who has completed six thousand two hundred forty

(6,240) hours but has not reported those hours to the Board shall

practice under the supervision of a delegating physician with the

following requirements:

1. All practice agreements and any amendments shall be filed

with the State Board of Medical Licensure and Supervision within ten

(10) business days of being executed. Practice agreements may be

filed electronically. The State Board of Medical Licensure and

Supervision shall not charge a fee for filing practice agreements or

amendments to practice agreements;

2. A physician assistant may have practice agreements with

multiple allopathic or osteopathic physicians. Each physician shall

be in good standing with the State Board of Medical Licensure and

Supervision or the State Board of Osteopathic Examiners;

3. The delegating physician need not be physically present nor

be specifically consulted before each delegated patient care service

is performed by a physician assistant, so long as the delegating

physician and physician assistant are or can be easily in contact

with one another by means of telecommunication. The delegating

physician shall provide appropriate methods of participating in

health care services provided by the physician assistant including:

a. being responsible for the formulation or approval of

all orders and protocols, whether standing orders,

direct orders or any other orders or protocols, which

direct the delivery of health care services provided

by a physician assistant, and periodically reviewing

such orders and protocols,

b. regularly reviewing the health care services provided

by the physician assistant and any problems or

complications encountered,
mulation or approval of

all orders and protocols, whether standing orders,

direct orders or any other orders or protocols, which

direct the delivery of health care services provided

by a physician assistant, and periodically reviewing

such orders and protocols,

b. regularly reviewing the health care services provided

by the physician assistant and any problems or

complications encountered,

c. being available physically or through telemedicine or

direct telecommunications for consultation, assistance

with medical emergencies or patient referral,

d. reviewing a sample of outpatient medical records.

Such reviews shall take place at a site agreed upon

Oklahoma Statutes - Title 59. Professions and Occupations Page 499

between the delegating physician and physician

assistant in the practice agreement which may also

occur using electronic or virtual conferencing, and

e. that it remains clear that the physician assistant is

an agent of the delegating physician; but, in no event

shall the delegating physician be an employee of the

physician assistant;

4. In patients with newly diagnosed complex illnesses, the

physician assistant shall contact the delegating physician within

forty-eight (48) hours of the physician assistant's initial

examination or treatment and schedule the patient for appropriate

evaluation by the delegating physician as directed by the physician.

The delegating physician shall determine which conditions qualify as

complex illnesses based on the clinical setting and the skill and

experience of the physician assistant.

D. A physician assistant not practicing under a practice

agreement may prescribe written and oral prescriptions and orders.

The physician assistant not practicing under a practice agreement

may prescribe medical supplies, services, and drugs, including

controlled medications in Schedules III through V pursuant to

Section 2-312 of Title 63 of the Oklahoma Statutes. Physician

assistants not practicing under a practice agreement may not

dispense drugs, but may request, receive, and sign for professional

samples and may distribute professional samples to patients.

E. A physician assistant practicing under a practice agreement

may prescribe written and oral prescriptions and orders. The

physician assistant practicing under a practice agreement may

prescribe medical supplies, services, and drugs, including

controlled medications in Schedules II through V pursuant to Section

2-312 of Title 63 of the Oklahoma Statutes, written and oral

prescriptions and orders only as delegated by the delegating

physician, and prescriptions and orders for Schedule II drugs

written by such physician assistant shall be included on a written

protocol determined by the delegating physician. Physician

assistants practicing under a practice agreement may not dispense

drugs, but may request, receive, and sign for professional samples

and may distribute professional samples to patients. Provided that

a physician assistant practicing under a practice agreement may not

prescribe any controlled medications in a Schedule that the

delegating physician is not registered to prescribe.

F. Each physician assistant licensed under the Physician

Assistant Act shall keep his or her license available for inspection

at the primary place of business and shall, when engaged in

professional activities, identify himself or herself as a physician

assistant.

G. A physician assistant shall be bound by the provisions

contained in Sections 725.1 through 725.5 of this title.

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H. 1. A physician assistant not practicing under a practice

agreement, or the employer of such physician assistant on his or her

behalf, shall carry malpractice insurance or demonstrate proof of

financial responsibility in a minimum amount of One Million Dollars

($1,000,000.00) per occurrence and Three Million Dollars
title.

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H. 1. A physician assistant not practicing under a practice

agreement, or the employer of such physician assistant on his or her

behalf, shall carry malpractice insurance or demonstrate proof of

financial responsibility in a minimum amount of One Million Dollars

($1,000,000.00) per occurrence and Three Million Dollars

($3,000,000.00) in the aggregate per year. This requirement shall

not apply to a physician assistant practicing under a practice

agreement.

2. A physician assistant who is employed by or under contract

with a federal agency that carries malpractice insurance in any

amount on behalf of the physician assistant shall be deemed in

compliance with paragraph 1 of this subsection when practicing under

such federal employment or contract. However, to the extent the

physician assistant practices outside of such federal employment or

contract, the physician assistant, or his or her employer, shall

comply with paragraph 1 of this subsection.