Professions and occupations; Pharmacy Act; references; prescribing authority for certain persons; repealers; effective date.

The document header was changed from 'SENATE CHAMBER' to 'HOUSE OF REPRESENTATIVES - FLOOR VERSION', indicating the bill has moved to the House for consideration.

The original motion text requesting specific amendments to Sections 3 and 4 was removed, as this is now the floor version of the bill rather than the committee amendment document.

New page headers and footers were added to identify the document as a 'Committee Substitute' for the House.

Created a new nine-member Physician Assistant Committee to advise the State Board on practice matters and review licensure applications.

Established specific requirements for the committee, including quarterly meetings, a quorum of five members, and the election of a chair from physician assistant members.

Mandated that the committee include representatives from Physician Assistant educational programs as members when reviewing training standards.

Granted the State Board authority to investigate complaints, hold hearings, subpoena witnesses, and initiate prosecutions regarding physician assistant violations.

The definition of 'Drug outlet' was expanded to explicitly list third-party logistics providers and outsourcing facilities as entities engaged in the dispensing, delivery, distribution, or storage of dangerous drugs.

The document tracking number was updated from 16842 to 17050 across multiple pages to reflect the new committee substitute version.

The title was updated to remove the 'Proposed Oversight' designation, changing it to simply 'Committee Substitute'.

The definition of 'Drug outlet' was completely removed from the bill, eliminating the inclusion of manufacturers, repackagers, outsourcing facilities, and third-party logistics providers from that specific term.

The bill header was changed from 'Engrossed' to 'Proposed Oversight Committee Substitute,' and the page header text was updated from 'ENGR. H. B. NO. 4431' to 'Req. No. 16842'.

Minor formatting adjustments were made to the spacing and indentation of the legislative text throughout the document.

The header was updated to show the bill is now the 'Engrossed House' version with 'Rosino of the Senate' listed as a co-sponsor, indicating the Senate has approved the House's version.

Page numbers and line references were renumbered to align with the final version of the document.

The footer text indicating the bill passed the Senate on April 29, 2026, was removed, as this is the final version awaiting the House's final passage date.

The specific page and line instructions for 'Amendment No. 1' were removed because the changes to Sections 3 and 4 were already integrated into the main text of the bill.

Added a requirement for physician assistant applicants to obtain a national criminal history background check and successfully complete a jurisprudence examination.

Created a new Physician Assistant Committee composed of nine members appointed by various medical boards and associations to advise the State Board on physician assistant matters.

Granted the State Board the power to investigate complaints, hold hearings, subpoena witnesses, and initiate prosecution regarding violations of physician assistant regulations.

Authorized the State Board to promulgate rules governing licensure, training standards, and the practice of physician assistants, including the power to revoke licenses.

Replaced the original definitions for the Oklahoma Pharmacy Act with new definitions specific to the Physician Assistant Committee and practice.

The bill's subject matter shifted entirely from Advanced Practice Registered Nurse insurance to a general update of the Oklahoma Pharmacy Act and related professions.

New statutory definitions were added for terms such as 'assistant pharmacist', 'compounding', 'dispense', 'drug outlet', and 'durable medical equipment'.

References to physician assistant licensure and jurisprudence examination procedures were modified to align with updated state regulations.

Specific requirements regarding Advanced Practice Registered Nurse malpractice insurance amounts and federal/state employment exemptions were removed.

Formatting and citation details were updated to reflect the final enrolled status of the bill.