HB 1224: Health care; minor self-consent to health services; granting certain protections to parent or legal guardian related to medical records; effective date. - Oklahoma

Floor (House) → Floor (Senate) · 15 edits

MAJOR

The bill was amended to change from the House version to the Senate version, which includes significant substantive changes to the self-consent provisions for minors. The Senate version adds new categories of minors who can consent to health services, including those who are pregnant, have a reportable communicable disease, are victims of sexual assault, or are in emergency situations. It also clarifies notification requirements and adds protections for health professionals.

Scope change

The bill's scope expanded to include additional categories of minors who can consent to health services without parental consent, including pregnant minors, those with certain diseases, sexual assault victims, and those in emergency situations.

ELIGIBILITY

Added eligibility for minors who are pregnant, have reportable communicable diseases, are drug or alcohol abuse victims, or are victims of sexual assault to consent to health services.

Added eligibility for minors who are separated from parents/guardians and not supported by them.

Added eligibility for minor parents regarding their own children.

Added eligibility for spouses of minors who are unable to give consent due to physical or mental incapacity.

Added eligibility for minors who cannot give consent due to physical or mental capacity and have no known relatives or legal guardian, requiring agreement from two physicians.

Added eligibility for minors needing emergency services where delay would endanger health or life.

REQUIREMENT

Modified notification requirements to require health professionals to make reasonable attempts to inform parents/guardians in emergency cases, but not in other instances.

Added requirement that health professionals make reasonable attempts to inform parents/guardians of treatment needed or provided under certain circumstances.

Added requirement that parents/guardians have the right to access and review all medical records of the minor, with exceptions for cases described in subsection A paragraphs 1, 2, 5, and 6, or where prohibited by law, or when the parent/guardian is the subject of a crime investigation.

ENFORCEMENT

Added protection that health professionals incur no liability except for negligence or intentional harm when minors falsely represent facts to authorize consent.

Added provision that information about minors obtained through care shall not be disseminated to third parties without consent, except through court order or when necessary for minor's health and public safety.

Added provision that health professionals shall not incur criminal liability for actions under the act except for negligence or intentional harm.

DEFINITION

Added new definition for 'health care service' to include medical research and care provided during treatment.

Added new definition for 'participate in a health care service' to include providing, performing, assisting, facilitating, referring, counseling, or advising.

TIMELINE

Added effective date of November 1, 2025.

Engrossed → Senate Committee Substitute for House Bill · 4 edits

MODERATE

The bill was amended from an Engrossed version to a Senate Committee Substitute version, primarily changing the bill's title and codification section number while maintaining the core provisions regarding minor self-consent for health services.

Scope change

The bill's substantive scope regarding minor consent remains unchanged, but the codification section was updated from 63 O.S. 2021 Section 1-728g to Section 2602, and the effective date was set to November 1, 2025.

TECHNICAL

The bill title was changed from 'ENGROSSED HOUSE BILL' to 'COMMITTEE SUBSTITUTE FOR ENGROSSED HOUSE BILL', indicating it has been reviewed and modified by the Senate committee.

The codification section was changed from creating a new section 1-728g to amending Section 2602 of Title 63, which affects how the law is organized in the Oklahoma Statutes.

The original 'NEW LAW' designation was removed and replaced with 'AMENDATORY', indicating this version amends existing law rather than creating entirely new law.

TIMELINE

A specific effective date of November 1, 2025 was added to Section 2, establishing when the new provisions will take effect.

Amended And Engrossed → Engrossed · 6 edits · May 6, 2025

MODERATE

The bill was renumbered from an amended Senate version to an engrossed House version, and the substantive text was completely rewritten. The new version replaces the old list of minors who can consent to health services with a comprehensive definition of 'conscience' and 'discrimination' in healthcare contexts, expands definitions of healthcare institutions and payors, and adds requirements for health plans to list conscience-based refusal policies.

Scope change

The bill's scope expanded from specific scenarios where minors can consent to healthcare services to broader protections for healthcare providers and payors regarding conscience-based refusals, with new definitions and requirements for how these refusals must be documented.

DEFINITION

Added new definitions for 'conscience', 'discrimination', 'health care institution', 'health care payor', 'health care service', 'medical practitioner', and 'participate in a health care service'.

REQUIREMENT

Added requirement for health care payors (other than employers or those under Insurance Commissioner jurisdiction) to list conscience-based refusal policies in their applicable policy.

ELIGIBILITY

Removed the detailed list of specific circumstances under which minors can consent to healthcare services without parental consent.

ENFORCEMENT

Added detailed list of adverse actions that constitute discrimination based on conscience, including employment actions, denial of privileges, and financial aid impediments.

TIMELINE

Removed the specific effective date of November 1, 2025 from the original text.

TECHNICAL

Changed bill title from 'ENGROSSED SENATE AMENDMENT' to 'ENGROSSED HOUSE' and renumbered sections.

Introduced → Amended And Engrossed · 6 edits · May 6, 2025

MODERATE

The bill was amended to significantly narrow its scope from a broad health care protections act to a focused amendment of an existing minor consent statute. The original bill covered broad protections for health care institutions and payors, while the amendment specifically targets 63 O.S. 2021, Section 2602 regarding minor self-consent to health services. The amendment clarifies the circumstances under which minors can consent to their own health care without parental permission and establishes protections for health professionals who provide these services.

Scope change

The bill's scope changed from a comprehensive health care protections act to a specific amendment of an existing minor consent statute (63 O.S. 2021, Section 2602).

SCOPE

Bill title and purpose changed from broad health care protections to specific amendment of minor consent statute

DEFINITION

Definitions section was substantially reorganized and condensed, focusing specifically on minor consent scenarios rather than general health care terms

ELIGIBILITY

Added specific circumstances where minors can consent to health services, including pregnancy, substance abuse, sexual assault victims, and emergency situations

REQUIREMENT

Added requirements for health professionals to attempt to inform parents/guardians of treatment, except in specific circumstances

ENFORCEMENT

Added provisions protecting health professionals from liability when providing services to minors who consent under the statute

TIMELINE

Added effective date of November 1, 2025

Health care; minor self-consent to health services; granting certain protections to parent or legal guardian related to medical records; effective date.

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