HB 2013: Sudden unexpected death in epilepsy (SUDEP); Dylan's Law; Service Oklahoma; driver license; unique symbol; voluntary; State Commissioner of Health; power and duty; Division of Health Care Information; autopsy; findings; records; determination; effective date. - Oklahoma

Floor (House) → Floor (Senate) · 5 edits

MODERATE

The bill was amended during its journey from the House to the Senate, primarily involving formatting and structural changes rather than substantive policy modifications. The Senate version reorganized the document layout, added a new section number, and adjusted the page headers and footers to reflect Senate floor processing. The core content regarding epilepsy coverage, driver license symbols, and health commissioner duties remains substantively the same.

Scope change

No substantive change to the bill's scope or applicability; changes are primarily formatting and structural adjustments for Senate floor processing.

TECHNICAL

Document header changed from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' with updated date and session information.

Bill title and sponsor information reorganized to include Stanley of the Senate as a sponsor, reflecting Senate committee involvement.

Bill description text in the header was reformatted and reorganized for clarity and consistency with Senate formatting standards.

Page numbering and footer information updated to reflect Senate floor version with committee amendment notation.

Section numbering and structure were adjusted to align with Senate floor processing requirements, though substantive content remains unchanged.

Proposed Committee Substitute (full committee) 2 → House Committee Substitute · 2 edits

MINOR

The bill was amended to change its title from 'Proposed Committee Substitute' to 'Committee Substitute' and updated the request number from 12893 to 12959. Additionally, new text was inserted into the Oklahoma Statutes regarding the State Commissioner of Health's duties, specifically adding responsibilities related to investigating causes of mortality and public health conditions. These changes appear to be procedural updates and substantive additions to the health commissioner's statutory duties.

Scope change

The bill's scope was expanded to include new duties for the State Commissioner of Health regarding mortality investigations and public health conditions.

TECHNICAL

Changed document title from 'Proposed Committee Substitute' to 'Committee Substitute' and updated request number from 12893 to 12959.

REQUIREMENT

Added new statutory duties for the State Commissioner of Health to investigate causes of mortality, effects of localities and employment on public health, and conditions affecting public health in schools, prisons, and public institutions.

Proposed Committee Substitute (full committee) 1 → Proposed Committee Substitute (full committee) 2 · 4 edits

MODERATE

The bill was amended to reorganize its structure and clarify the epilepsy seizure protection provisions. The new version separates the epilepsy device coverage requirements into a new section and amends the Health Commissioner qualifications section. Technical changes include updating bill request numbers and formatting.

Scope change

The bill's scope remains focused on epilepsy seizure protection devices and Health Commissioner qualifications, but the organization was improved for clarity.

STRUCTURE

Reorganized the bill to separate epilepsy device coverage requirements into a distinct new section for better readability.

DEFINITION

Clarified the definition of seizure protection devices to include implantable, wearable, and alert systems with more specific language.

REQUIREMENT

Updated the Health Commissioner qualifications section to maintain existing requirements while improving formatting and organization.

TECHNICAL

Changed bill request numbers from 12693 to 12893 and updated version identifiers from FULLPCS1 to FULLPCS2.

Enrolled (final version) → Proposed Committee Substitute (full committee) 1 · 5 edits

MODERATE

The bill was substantially rewritten from its enrolled version to a committee substitute version. The most significant change is the addition of new insurance coverage requirements for epilepsy-related seizure protection devices and a prohibition on insurers terminating coverage based on epilepsy diagnoses. The bill also modified the section regarding the Chief Medical Examiner to require investigations into sudden unexpected death in epilepsy cases.

Scope change

The bill's scope expanded to include mandatory health insurance coverage for seizure protection devices and protections against insurance discrimination based on epilepsy diagnoses, in addition to the original provisions about driver licenses and medical examiner requirements.

REQUIREMENT

Added new Section 2 requiring all health insurance policies under the Affordable Care Act to provide the same coverage to individuals diagnosed with epilepsy as they would to those without the diagnosis.

Added new Section 2 prohibiting insurers from terminating or refusing to renew health insurance coverage solely based on an individual's epilepsy diagnosis.

Added new Section 2 requiring health insurance policies to cover seizure protection devices (such as implantable neurostimulators and wearable seizure detection devices) when prescribed by a specialist and deemed medically necessary.

Modified Section 4 to change the reference from 'Section 945' to 'Section 934' regarding the appointment and qualifications of examiners, and added language directing the Chief Medical Examiner to provide information about sudden unexpected death in epilepsy.

TECHNICAL

Changed the codification section number from 'Section 6-130 of Title 47' to 'Section 6060.31 of Title 36' for the new insurance coverage provisions.

Engrossed → Enrolled (final version) · 3 edits · May 19, 2025

MINOR

The bill was finalized and enrolled after passing both chambers, with minor formatting corrections to the Senate sponsors' names and a more detailed title description. The substantive policy content regarding Dylan's Law and the State Commissioner of Health's duties remains unchanged.

TECHNICAL

Senate sponsor names were corrected from 'Stanley of the Senate' to 'Stanley and Hicks of the Senate' in the enrolled version.

The bill title was expanded in the enrolled version to include a more comprehensive description of all provisions, including autopsy requirements and death certificate notations.

Page numbering and formatting were adjusted to match the enrolled version standard, with some text reorganized for final publication.

Amended And Engrossed → Engrossed · 3 edits · May 8, 2025

MINOR

This amendment restores the original title of HB 2013, which focuses on epilepsy awareness and driver licensing, and adds new provisions to the Oklahoma Health Code regarding the Commissioner's authority to hire staff and conduct investigations. The changes clarify the bill's purpose and expand the Commissioner's operational powers.

Scope change

The bill's scope was clarified by restoring the original title that explicitly mentions epilepsy awareness, driver licenses, and death certificate reporting, while new sections expand the Commissioner's authority to hire personnel and conduct investigations under the Health Code.

TECHNICAL

Restored the original bill title that included references to sudden unexpected death in epilepsy (SUDEP), driver license designations for epilepsy, and death certificate reporting requirements.

ENFORCEMENT

Added new provisions granting the State Commissioner of Health authority to hire various personnel (doctors, engineers, attorneys, nurses, etc.) and conduct investigations, inquiries, and inspections to enforce health code provisions.

REQUIREMENT

Added language allowing the Commissioner to authorize state health department personnel to conduct investigations and hearings on their behalf, and clarified that civil and criminal proceedings under the Health Code are prosecuted by the district attorney where violations occur.

Introduced → Amended And Engrossed · 3 edits · May 8, 2025

MINOR

The bill was amended to add a Senate coauthor and restore the original title and text that was accidentally deleted during formatting. The substantive policy content regarding epilepsy coverage, driver license symbols, and health department duties remains unchanged from the original introduced version.

Scope change

No substantive change to the bill's scope or applicability; only formatting and authorship metadata were modified.

TECHNICAL

Added Senate coauthor Hicks to the bill's authorship list.

Removed placeholder text and bracketed notes that were accidentally inserted during document preparation.

Restored the original bill title and text that was deleted in the previous version.

Sudden unexpected death in epilepsy (SUDEP); Dylan's Law; Service Oklahoma; driver license; unique symbol; voluntary; State Commissioner of Health; power and duty; Division of Health Care Information; autopsy; findings; records; determination; effective date.

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