05/30/2025
Statement from Brian Whitfield, CEO of McCurtain Memorial Hospital
Re: Veto of Oklahoma House Bill 2298 (HB 2298)
Date: May 30, 2025
As the Chief Executive Officer of McCurtain Memorial Hospital, I want to address the recent veto of House Bill 2298 by Governor Kevin Stitt—a decision that has sparked important discussions across our healthcare communities, especially in rural Oklahoma.
📜 What HB 2298 Proposed
HB 2298 was a legislative effort designed to expand prescriptive authority for Advanced Practice Registered Nurses (APRNs)—including nurse practitioners, clinical nurse specialists, and certified nurse-midwives—granting them independent prescribing rights after meeting a stringent set of requirements. The bill would have required APRNs to complete a minimum of 6,240 hours of supervised clinical experience, as well as carry malpractice insurance and adhere to a formulary overseen by an advisory council.
The bill aimed to address a critical issue in our state: limited access to care in rural and underserved areas. In places like McCurtain County, where recruiting physicians is increasingly difficult, APRNs have filled vital gaps in our system, often serving as the frontline providers in primary care settings.
🏛️ Legislative Background
HB 2298, authored by Representative Kyle Hilbert and Senator Lonnie Paxton, passed both chambers of the Oklahoma Legislature with majority support. Despite this momentum, the bill was vetoed by the Governor on May 28, 2025.
It is worth noting that this was not the first attempt to modernize APRN scope of practice laws in Oklahoma. Similar legislation has been introduced in previous years—each time encountering concerns surrounding patient safety, oversight, and regulatory balance.
🩺 The Role of Nurse Practitioners in Rural Healthcare
In rural hospitals like ours, nurse practitioners are not only essential—they are indispensable. They provide competent, compassionate, and timely care in areas where physician shortages are the norm, not the exception. HB 2298 recognized this by requiring nurse practitioners to complete significant supervised practice in a hospital or clinical setting before achieving full prescriptive autonomy.
This stipulation would have ensured that independence was earned through experience and accountability, not granted prematurely.
💊 Addressing the Opioid Crisis: A Necessary Safeguard
While I support the general framework and direction of HB 2298, I must express a deep concern—one that must be addressed in any future version of this legislation: the absence of sufficient safeguards to combat opioid abuse.
Oklahoma continues to be ravaged by the opioid epidemic, a public health crisis that shows no signs of slowing. McCurtain County alone has witnessed the devastating human and economic toll of addiction, overdose, and lost lives. Expanding prescriptive authority without mechanisms for monitoring, accountability, and enforcement around opioid prescribing would be, in my view, a critical oversight.
I firmly believe that the vast majority of nurse practitioners are responsible and ethical providers, committed to evidence-based practice and patient safety. However, to grant limited or no oversight over controlled substance prescribing—particularly opioids—is not only risky, it could unintentionally fuel the very crisis we are all fighting to resolve.
I am personally aware of physicians who provide oversight of nurse practitioners in our county, who practice independently, who have dangerously ignored their obligation to not only monitor but regulate the prescribing of opioids. In some cases, physicians charge nurse practitioners thousands of dollars per month to be their supervising physician, yet provide no supervision. These dangerous and irresponsible practices must be met with swift and serious consequences for physicians who ignore their ethical duty.
🤝 Path Forward
It is my hope that a future legislative effort will revisit the promising elements of HB 2298—particularly its structured approach to supervised practice—while embedding stronger safeguards for opioid prescribing and abuse prevention. Rural Oklahoma needs this balance. Our patients deserve greater access to care, and our communities need assurance that this care will be safe, ethical, and well-regulated.
As healthcare leaders, legislators, and stakeholders, we must work together to craft legislation that respects both provider autonomy and patient protection. I remain committed to that goal and stand ready to support legislation that meets these vital standards.
Sincerely,
Brian Whitfield
Chief Executive Officer
McCurtain Memorial Hospital