Oklahoma Board of Nursing establishes prescriptive authority guidelines for Advanced Practice Nurses

On February 13, 2025, the Oklahoma State Legislature introduced Senate Bill 569, a significant piece of legislation aimed at enhancing the role of Advanced Practice Registered Nurses (APRNs) in the state's healthcare system. The bill seeks to address the growing demand for healthcare services by allowing APRNs to prescribe medications under specific guidelines established by the Oklahoma Board of Nursing.

The primary provisions of Senate Bill 569 include the establishment of a Formulary Advisory Council, which will oversee the development of an exclusionary formulary for APRNs. This council will consist of twelve members, including various medical specialists such as pediatricians and family practice physicians. The council's recommendations regarding the formulary must be accepted or rejected by the Board of Nursing, ensuring a collaborative approach to prescribing practices.

One of the notable aspects of the bill is its emphasis on supervision guidelines for APRNs who have not yet obtained independent prescriptive authority. The Formulary Advisory Council is tasked with creating best practice guidelines for supervising physicians, which will be made publicly available on the Board's website and updated periodically.

The introduction of Senate Bill 569 has sparked discussions among healthcare professionals and lawmakers. Proponents argue that expanding the prescribing authority of APRNs will alleviate pressure on the state's healthcare system, particularly in underserved areas. They contend that APRNs are well-equipped to handle many primary care needs, thus improving access to care for patients.

However, the bill has faced opposition from some physician groups who express concerns about patient safety and the adequacy of training for APRNs in prescribing medications. These groups argue that the current system ensures a higher standard of care and that any changes should be approached cautiously.

The implications of Senate Bill 569 extend beyond healthcare access; they also touch on economic factors. By potentially increasing the number of healthcare providers able to prescribe medications, the bill could lead to reduced healthcare costs and improved health outcomes for Oklahomans.

As the legislative process unfolds, the future of Senate Bill 569 remains uncertain. Stakeholders are closely monitoring the discussions, and further amendments may be proposed as the bill moves through the legislative chambers. The outcome could significantly reshape the landscape of healthcare delivery in Oklahoma, particularly for APRNs and the patients they serve.