OklahomaHB 4336Oklahoma 2026 Regular SessionHouse

Professions and occupations; interventional pain management license; definitions; penalties for violations; effective date.

Sponsored By: Anthony Moore (Republican)

Signed by Governor

Senate Committee

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 1 costs, 1 mixed.

New licensing and penalties for pain doctors

Interventional pain management counts as practicing medicine. You must be licensed under Oklahoma’s medical or osteopathic laws to offer it. Physician violations are unprofessional conduct and can mean fines or losing your license. The law defines what counts as interventional pain care and key terms. Beginning November 1, 2026, these rules apply statewide.

New rules for nurse anesthetists

Nurse anesthetists can give lumbar epidural steroid injections and peripheral nerve blocks. A physician must request it, supervise it, and be available on site. A nurse anesthetist cannot run a freestanding pain clinic without direct supervision by a physician board‑certified in interventional pain management (or equivalent). Registered nurse violations are unprofessional conduct and can mean fines or loss of license. These rules start November 1, 2026.

Sponsors & Cosponsors

Sponsor

Anthony Moore
Republican • House

Cosponsors

Todd Gollihare
Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 161 • No: 10

Senate vote • 5/5/2026

THIRD READING

Yes: 46 • No: 1

Senate vote • 4/13/2026

Top_of_Page

Yes: 0 • No: 0

Senate vote • 4/13/2026

Committee vote: Health & Human Services

Yes: 11 • No: 0

House vote • 3/11/2026

THIRD READING

Yes: 85 • No: 9

House vote • 2/25/2026

DO PASS

Yes: 12 • No: 0

House vote • 2/18/2026

DO PASS

Yes: 7 • No: 0

Actions Timeline

Approved by Governor 05/11/2026
5/11/2026House
Sent to Governor
5/5/2026House
Enrolled measure signed, returned to House
5/5/2026Senate
Enrolled, signed, to Senate
5/5/2026House
Referred for enrollment
5/5/2026House
Engrossed measure signed, returned to House
5/5/2026Senate
Measure passed: Ayes: 46 Nays: 1
5/5/2026Senate
General Order, Considered
5/5/2026Senate
Placed on General Order
4/15/2026Senate
Reported Do Pass Health and Human Services committee; CR filed
4/13/2026Senate
Second Reading referred to Health and Human Services
4/1/2026Senate
First Reading
3/12/2026Senate
Engrossed, signed, to Senate
3/12/2026House
Referred for engrossment
3/11/2026House
Third Reading, Measure passed: Ayes: 85 Nays: 9
3/11/2026House
General Order
3/11/2026House
CR; Do Pass, amended by committee substitute Health and Human Services Oversight Committee
2/26/2026House
Authored by Senator Gollihare (principal Senate author)
2/19/2026House
Policy recommendation to the Health and Human Services Oversight committee; Do Pass, amended by committee substitute Public Health
2/19/2026House
Referred to Public Health
2/12/2026House
Referred to Health and Human Services Oversight
2/12/2026House
Withdrawn from Rules Committee
2/12/2026House
Second Reading referred to Rules
2/3/2026House
Authored by Representative Moore
2/2/2026House
First Reading
2/2/2026House

Bill Text

Enrolled (final version)
5/5/2026
PDF
Floor (Senate)
4/14/2026
PDF
Senate Committee Report
4/13/2026
PDF
Engrossed
3/12/2026
PDF
Floor (House)
3/2/2026
PDF
House Committee Report
2/26/2026
PDF
House Committee Substitute
2/26/2026
PDF
House Policy Committee Report
2/19/2026
PDF
Introduced
1/15/2026
PDF

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