{"data":{"id":"us-ok/okla.-stat.-tit.-59-59-519.6","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 59, § 59-519.6","heading":"License required to be on file — Postgraduate clinical","body":"practice — Exemption from supervision — Practice agreements.\n\nA. No health care services may be performed by a physician\n\nassistant unless a current license is on file with and approved by\n\nthe State Board of Medical Licensure and Supervision.\n\nB. A physician assistant with six thousand two hundred forty\n\n(6,240) or more hours of postgraduate clinical practice experience\n\nwho has reported those hours to the Board shall not be required to\n\npractice under the supervision of a delegating physician.\n\n1. A physician assistant may report the completion of\n\npostgraduate clinical practice experience to the Board at any time\n\nafter completion of at least six thousand two hundred forty (6,240)\n\nsuch hours.\n\n2. Hours earned prior to the effective date of this act shall\n\nbe counted towards the six thousand two hundred forty (6,240) hours.\n\n3. The Board shall maintain, make available, and keep updated,\n\non the Internet website of the Board, a list of physician assistants\n\nwho have reported completion of six thousand two hundred forty\n\n(6,240) or more postgraduate clinical practice experience hours.\n\n4. The Board shall prescribe a form for reporting postgraduate\n\nclinical practice experience by a physician assistant. The Board\n\nshall make available and keep updated on the Internet website of the\n\nBoard the prescribed form. This reporting form may be filed\n\nelectronically. The Board shall not charge a fee for reporting\n\nhours or filing of the prescribed form.\n\n5. Nothing in this subsection shall prohibit a physician\n\nassistant from maintaining a practice agreement; however, such an\n\nagreement is not required for a physician assistant with the\n\nreported six thousand two hundred forty (6,240) hours of\n\npostgraduate clinical practice experience, provided any practice\n\nagreements are subject to the requirements of paragraphs 1, 2, 3,\n\nand 4 of subsection C of this section.\n\n6. Nothing in this subsection shall restrict the ability of the\n\nBoard to require supervision as a part of disciplinary action\n\nagainst the license of a physician assistant.\n\nC. A physician assistant with less than six thousand two\n\nhundred forty (6,240) hours of postgraduate clinical practice\n\nexperience or who has completed six thousand two hundred forty\n\n(6,240) hours but has not reported those hours to the Board shall\n\npractice under the supervision of a delegating physician with the\n\nfollowing requirements:\n\n1. All practice agreements and any amendments shall be filed\n\nwith the State Board of Medical Licensure and Supervision within ten\n\n(10) business days of being executed. Practice agreements may be\n\nfiled electronically. The State Board of Medical Licensure and\n\nSupervision shall not charge a fee for filing practice agreements or\n\namendments to practice agreements;\n\n2. A physician assistant may have practice agreements with\n\nmultiple allopathic or osteopathic physicians. Each physician shall\n\nbe in good standing with the State Board of Medical Licensure and\n\nSupervision or the State Board of Osteopathic Examiners;\n\n3. The delegating physician need not be physically present nor\n\nbe specifically consulted before each delegated patient care service\n\nis performed by a physician assistant, so long as the delegating\n\nphysician and physician assistant are or can be easily in contact\n\nwith one another by means of telecommunication. The delegating\n\nphysician shall provide appropriate methods of participating in\n\nhealth care services provided by the physician assistant including:\n\na. being responsible for the formulation or approval of\n\nall orders and protocols, whether standing orders,\n\ndirect orders or any other orders or protocols, which\n\ndirect the delivery of health care services provided\n\nby a physician assistant, and periodically reviewing\n\nsuch orders and protocols,\n\nb. regularly reviewing the health care services provided\n\nby the physician assistant and any problems or\n\ncomplications encountered,\nmulation or approval of\n\nall orders and protocols, whether standing orders,\n\ndirect orders or any other orders or protocols, which\n\ndirect the delivery of health care services provided\n\nby a physician assistant, and periodically reviewing\n\nsuch orders and protocols,\n\nb. regularly reviewing the health care services provided\n\nby the physician assistant and any problems or\n\ncomplications encountered,\n\nc. being available physically or through telemedicine or\n\ndirect telecommunications for consultation, assistance\n\nwith medical emergencies or patient referral,\n\nd. reviewing a sample of outpatient medical records.\n\nSuch reviews shall take place at a site agreed upon\n\nbetween the delegating physician and physician\n\nassistant in the practice agreement which may also\n\noccur using electronic or virtual conferencing, and\n\ne. that it remains clear that the physician assistant is\n\nan agent of the delegating physician; but, in no event\n\nshall the delegating physician be an employee of the\n\nphysician assistant;\n\n4. In patients with newly diagnosed complex illnesses, the\n\nphysician assistant shall contact the delegating physician within\n\nforty-eight (48) hours of the physician assistant's initial\n\nexamination or treatment and schedule the patient for appropriate\n\nevaluation by the delegating physician as directed by the physician.\n\nThe delegating physician shall determine which conditions qualify as\n\ncomplex illnesses based on the clinical setting and the skill and\n\nexperience of the physician assistant.\n\nD. A physician assistant not practicing under a practice\n\nagreement may prescribe written and oral prescriptions and orders.\n\nThe physician assistant not practicing under a practice agreement\n\nmay prescribe medical supplies, services, and drugs, including\n\ncontrolled medications in Schedules III through V pursuant to\n\nSection 2-312 of Title 63 of the Oklahoma Statutes. Physician\n\nassistants not practicing under a practice agreement may not\n\ndispense drugs, but may request, receive, and sign for professional\n\nsamples and may distribute professional samples to patients.\n\nE. A physician assistant practicing under a practice agreement\n\nmay prescribe written and oral prescriptions and orders. The\n\nphysician assistant practicing under a practice agreement may\n\nprescribe medical supplies, services, and drugs, including\n\ncontrolled medications in Schedules II through V pursuant to Section\n\n2-312 of Title 63 of the Oklahoma Statutes, written and oral\n\nprescriptions and orders only as delegated by the delegating\n\nphysician, and prescriptions and orders for Schedule II drugs\n\nwritten by such physician assistant shall be included on a written\n\nprotocol determined by the delegating physician. Physician\n\nassistants practicing under a practice agreement may not dispense\n\ndrugs, but may request, receive, and sign for professional samples\n\nand may distribute professional samples to patients. Provided that\n\na physician assistant practicing under a practice agreement may not\n\nprescribe any controlled medications in a Schedule that the\n\ndelegating physician is not registered to prescribe.\n\nF. Each physician assistant licensed under the Physician\n\nAssistant Act shall keep his or her license available for inspection\n\nat the primary place of business and shall, when engaged in\n\nprofessional activities, identify himself or herself as a physician\n\nassistant.\n\nG. A physician assistant shall be bound by the provisions\n\ncontained in Sections 725.1 through 725.5 of this title.\n\nH. 1. A physician assistant not practicing under a practice\n\nagreement, or the employer of such physician assistant on his or her\n\nbehalf, shall carry malpractice insurance or demonstrate proof of\n\nfinancial responsibility in a minimum amount of One Million Dollars\n\n($1,000,000.00) per occurrence and Three Million Dollars\ntitle.\n\nH. 1. A physician assistant not practicing under a practice\n\nagreement, or the employer of such physician assistant on his or her\n\nbehalf, shall carry malpractice insurance or demonstrate proof of\n\nfinancial responsibility in a minimum amount of One Million Dollars\n\n($1,000,000.00) per occurrence and Three Million Dollars\n\n($3,000,000.00) in the aggregate per year. This requirement shall\n\nnot apply to a physician assistant practicing under a practice\n\nagreement.\n\n2. A physician assistant who is employed by or under contract\n\nwith a federal agency that carries malpractice insurance in any\n\namount on behalf of the physician assistant shall be deemed in\n\ncompliance with paragraph 1 of this subsection when practicing under\n\nsuch federal employment or contract. However, to the extent the\n\nphysician assistant practices outside of such federal employment or\n\ncontract, the physician assistant, or his or her employer, shall\n\ncomply with paragraph 1 of this subsection.","path":["OK Code","Title 59"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os59.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"a5561428b3c01d05226dd0e26a341e0c4fc4d30ecb66342a509b1b321e5cfd85","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-59-59-519.4a","next":"us-ok/okla.-stat.-tit.-59-59-519.7"},"notice":"GroundRules: Original legal text. Not legal advice."}