OklahomaSB 1984Oklahoma 2026 Regular SessionSenate

Practice of osteopathic medicine; modifying various provisions of the Oklahoma Osteopathic Medicine Act. Effective date.

Sponsored By: John Haste (Republican)

Became Law

Senate Committee

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 0 benefits, 1 costs, 6 mixed.

Renewal fees and education for osteopathic doctors

Beginning November 1, 2026, osteopathic doctors renewing their licenses pay a fee set by the Oklahoma osteopathic licensing Board. The law does not state the amount or whether it changes. Doctors must show at least 16 hours of education from the prior fiscal year, replacing two days of attendance. The education must come from the Oklahoma Osteopathic Association or a Board-approved equivalent. The Board can excuse attendance when illness or another unavoidable event made it impossible.

Broader discipline and fines for osteopathic doctors

Beginning November 1, 2026, the Board can discipline doctors for patient-care-related firing, resignation during an investigation, or resignation instead of firing. It can consider final professional or hospital discipline tied to conduct, competence, malpractice, or violations of the osteopathic medicine law. Relevant outside-agency actions include license denial or surrender, lapse or expiration, and stopping or limiting practice during a complaint or investigation. With proof of a listed disciplinary ground, the Board can fine applicants or license holders; no fine amount is stated. The Board must consider its prior findings of multiple negligence or malpractice acts when setting sanctions and can punish nonwillful violations of its disciplinary orders.

Doctor investigations and administrative challenge options

Beginning November 1, 2026, the Board can require witnesses to attend and produce records relevant to its investigations. It can inspect relevant records and premises, and its presiding officer or designee can compel testimony. The Board can create procedures for license holders to challenge administrative actions and resolve disputes. It can also protect private information consistent with state and federal law.

Emergency doctor suspensions with hearing protections

Beginning November 1, 2026, an emergency requires immediate public protection from patient harm or an appreciable public threat supported by evidence. After consulting a medical advisor, the Board’s executive director can suspend a Board-issued license for no more than 30 days. The license holder is entitled to a hearing during that period. Without a hearing within 30 days, the license returns to its prior status. The law also defines separate care standards covering below-standard care without proof of harm, increased harm risk, and harm caused by a breach of care standards.

Stricter care standards for osteopathic doctors

Beginning November 1, 2026, incompetence, malpractice, and medical negligence are separate grounds for disciplining osteopathic doctors. These replace the former gross-misconduct standard and remove the separate repeated-acts ground. Doctors can face discipline for assigning administrative professional tasks to people unqualified by training, skill, ability, age, or experience. Delegated medical work requires a licensed or trained person, a proper doctor-patient relationship, and proper patient records.

Stricter drug rules for osteopathic doctors

Beginning November 1, 2026, osteopathic doctors face discipline for prescribing, dispensing, or administering opioids beyond Oklahoma’s legal limits. Violating the state’s controlled-substance law is also a disciplinary ground. Improper medication, drug, substance, or alcohol use is covered when it could impair quality patient care. Doctors also face discipline for violating or helping others violate Oklahoma medical-marijuana laws and related rules or guidance.

Individual license reviews and doctor safety checks

Beginning November 1, 2026, the Board must judge full and advanced resident license applications on their own merits. Reviews include the applicant’s training, education, and personal background. For someone previously deemed unqualified, issuing or restoring a license requires additional safety review. The Board must consider prior findings of multiple negligence or malpractice acts, compliance with its final order, and safe practice. These reviews do not guarantee a license.

Sponsors & Cosponsors

Sponsor

  • John Haste

    Republican • Senate

Cosponsors

  • Carl Newton

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 156 • No: 8

House vote • 4/30/2026

THIRD READING

Yes: 74 • No: 5

House vote • 4/13/2026

DO PASS

Yes: 11 • No: 0

House vote • 4/13/2026

DO PASS

Yes: 11 • No: 0

House vote • 4/1/2026

DO PASS

Yes: 5 • No: 0

House vote • 4/1/2026

DO PASS

Yes: 5 • No: 0

Senate vote • 3/26/2026

THIRD READING

Yes: 38 • No: 3

Senate vote • 2/23/2026

Committee vote: Health & Human Services

Yes: 12 • No: 0

Actions Timeline

  1. Becomes law without Governor's signature 05/07/2026

    5/7/2026Senate
  2. Sent to Governor

    4/30/2026Senate
  3. Signed, returned to Senate

    4/30/2026House
  4. Enrolled, to House

    4/30/2026Senate
  5. Referred for enrollment

    4/30/2026Senate
  6. Signed, returned to Senate

    4/30/2026House
  7. Third Reading, Measure passed: Ayes: 74 Nays: 5

    4/30/2026House
  8. General Order

    4/30/2026House
  9. CR; Do Pass Health and Human Services Oversight Committee

    4/15/2026House
  10. Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health

    4/1/2026House
  11. Referred to Public Health

    3/31/2026House
  12. Second Reading referred to Health and Human Services Oversight

    3/31/2026House
  13. First Reading

    3/30/2026House
  14. Engrossed to House

    3/30/2026Senate
  15. Referred for engrossment

    3/26/2026Senate
  16. Measure passed: Ayes: 38 Nays: 3

    3/26/2026Senate
  17. General Order, Considered

    3/26/2026Senate
  18. Placed on General Order

    2/25/2026Senate
  19. Reported Do Pass Health and Human Services committee; CR filed

    2/23/2026Senate
  20. Coauthored by Representative Newton (principal House author)

    2/4/2026Senate
  21. Second Reading referred to Health and Human Services

    2/3/2026Senate
  22. Authored by Senator Haste

    2/2/2026Senate
  23. First Reading

    2/2/2026Senate

Bill Text

  • Enrolled (final version)

    4/30/2026

  • Floor (House)

    4/16/2026

  • House Committee Report

    4/15/2026

  • House Policy Committee Report

    4/1/2026

  • Engrossed

    3/30/2026

  • Floor (Senate)

    2/24/2026

  • Senate Committee Report

    2/23/2026

  • Introduced

    1/15/2026

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