May 05, 2020

States Introduce Scope of Practice and Surprise Billing Requirements

Oklahoma’s governor has issued an executive order temporarily modifying scope of practice requirements, while Minnesota’s House chamber has introduced disclosure requirements for out-of-network providers.

Scope of Practice

In Oklahoma, Gov. Kevin Stitt issued Executive Order No. 2020-13, which permits a physician to supervise any number of physician assistants, certified registered nurse anesthetists and nurse practitioners, and will allow for remote supervision. The order was effective April 30, 2020, and will sunset in 30 days.


In Minnesota, HB 4581 was introduced and referred to the House Commerce Committee. It would require out-of-network health care providers to disclose their status to the enrollee via a notice specifying the services not covered by the enrollee’s health plan.

The provider would be required to obtain a signed acknowledgment from the enrollee indicating that the enrollee understands the provider is out-of-network. If the provider fails to obtain the signed acknowledgment, the provider would be prohibited from billing the enrollee at an out-of-network rate.