HB 2634 Oklahoma House · 2025 Regular Session

Professions and occupations; Oklahoma Professions and Occupations Act of 2025; effective date.

HB 2634 allows Oklahoma-licensed chiropractors with injectable certification to administer three specific emergency medications - epinephrine for severe allergic reactions, diphenhydramine for severe allergies, and naloxone for opioid overdoses - in life-threatening situations before emergency medical services arrive. To qualify, chiropractors must complete 8 hours of initial board-approved training (including CPR/BLS) and renew it every two years with 6 hours of additional training. The bill requires all chiropractors to maintain current BLS/CPR certification (obtained within six months of licensure) and document all emergency medication use in patient records, reporting incidents to the Board within 72 hours. This change directly affects chiropractors seeking to respond to acute medical emergencies within their practice, expanding their scope under strict safety protocols and liability protection.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2025

Committee Review

Floor Vote

Governor

Introduced Feb 3, 2025 Last action Feb 4, 2025

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What changed between versions

Introduced → Proposed Policy Committee Substitute 1 · 7 edits

MODERATE

This bill transforms from a general professions and occupations act into a specific chiropractic practice bill that authorizes licensed chiropractors with injectable certification to administer emergency medications (epinephrine, diphenhydramine, naloxone) in life-threatening situations. The bill also adds requirements for CPR/BLS certification and establishes liability protection for compliant emergency interventions.

Scope change

Changed from a broad professions and occupations act to a specific chiropractic practice bill focused on emergency medication administration and scope of practice definitions.

SCOPE

Removed the broad 'Oklahoma Professions and Occupations Act of 2025' title and general provisions.

Added specific authorization for chiropractors to administer emergency medications (epinephrine, diphenhydramine, naloxone) during documented life-threatening emergencies.

REQUIREMENT

Added mandatory 8-hour initial training plus 6-hour biennial renewal for injectable certification, plus BLS/CPR certification requirements for all chiropractors.

ENFORCEMENT

Added requirements for written protocols, medical record documentation, and 72-hour incident reporting to the State Board of Chiropractic Examiners.

DEFINITION

Added liability protection for chiropractors acting within scope during emergency medical interventions.

Modified Section 161.2 to clarify chiropractic scope includes services taught by accredited colleges or approved by the Board, and added provisions for animal chiropractic treatment.

Modified Section 161.3 to update definitions in the Oklahoma Chiropractic Practice Act.

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Committee

Feb 3, 2025

Introduced

First Reading

lower

1 primary · 0 co-sponsors