HB 4202: Workers compensation; reimbursement; magnetic resonance imaging; emergency. - Oklahoma

Floor (House) → Floor (Senate) · 3 edits

MINOR

The bill text was updated to reflect the Senate's floor version, incorporating specific amendments and formatting changes approved during the legislative process. These changes include minor text adjustments to fee schedule provisions and the addition of a date stamp, while the core policy regarding workers' compensation benefits remains substantively consistent with the House version.

TECHNICAL

The document header was changed from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' and updated with the date April 23, 2026, indicating the bill has passed the House and is now being considered in the Senate.

Minor formatting and punctuation adjustments were made throughout the text, such as changing 'five (5) days' to 'five (5) days' and adjusting line breaks in the fee schedule section to match Senate markup standards.

A footer note was added to the Senate version stating '(Bold face denotes Committee Amendments)' to clarify that bold text represents changes made by the committee during review.

House Committee Substitute → Floor (House) · 2 edits

MINOR

The bill text was updated from the House Committee Substitute version to the Floor version, incorporating amendments from the Senate. The substantive policy content regarding workers' compensation fees and MRI reimbursement remains consistent between the two versions, with the primary changes being the addition of Senate sponsors and the reformatting of the document header and page numbers to reflect the floor version.

Scope change

No change in the scope or applicability of the bill; the changes are procedural updates to the legislative text.

TECHNICAL

Added Senate sponsor names (Gollihare) and updated the document title to indicate it is the Floor version.

Reformatted page headers and footers to reflect the transition from Committee Substitute to Floor version.

Proposed Committee Substitute (full committee) 1 → House Committee Substitute · 3 edits

MINOR

The bill was revised to change its title from 'Proposed Committee Substitute' to 'Committee Substitute' and updated the legal text to reflect a more comprehensive fee schedule for workers' compensation. The most significant policy change is the addition of strict requirements for Magnetic Resonance Imaging (MRI) services, mandating that they be provided only by entities meeting Medicare standards or accredited by major medical organizations. The fee schedule review process was also expanded to include data from neighboring states and updated industry valuation guides.

Scope change

The bill's scope was broadened to include specific accreditation requirements for MRI providers and expanded the criteria for updating medical fee schedules to include regional and neighboring state data.

REQUIREMENT

Added a new requirement that MRI services must be provided by entities meeting Medicare payment requirements or accredited by the American College of Radiology, Intersocietal Accreditation Commission, or Joint Commission.

FISCAL

Expanded the criteria for updating medical fee schedules to include data from neighboring states and the latest edition of 'Relative Values for Physicians' to ensure rates remain competitive and reasonable.

TECHNICAL

Changed the document title from 'Proposed Committee Substitute' to 'Committee Substitute' to reflect its current legislative status.

Engrossed → Proposed Committee Substitute (full committee) 1 · 3 edits

MINOR

The bill was completely rewritten from scratch by the committee, replacing the original text with a new version that retains the core purpose of regulating workers' compensation fees and MRI reimbursement. The substantive policy language regarding medical treatment rights, diagnostic testing limits, and fee schedules appears identical to the original, suggesting the changes are primarily procedural formatting updates rather than new policy.

Scope change

The scope of the bill remains unchanged as it still applies to workers' compensation in Oklahoma, but the text was entirely replaced with a new version.

TECHNICAL

The original bill text was completely deleted.

A new version of the bill was inserted, containing the same substantive policy language regarding medical services and MRI reimbursement as the original.

The document structure was updated to reflect a 'Proposed Committee Substitute' status with new header information and formatting.

Introduced → Engrossed · 3 edits · Mar 11, 2026

MINOR

The bill was amended from its original introduction to its engrossed version, primarily updating the bill number, co-sponsorship, and the effective date declaration. The most significant substantive change is the addition of a strict requirement that Magnetic Resonance Imaging (MRI) services must be provided by entities meeting Medicare requirements or accredited by the American College of Radiology to be reimbursed.

Scope change

The bill's scope regarding MRI reimbursement is now more restrictive, limiting coverage to specific accredited providers.

TECHNICAL

Updated the bill header to reflect co-sponsorship by a Senate member and changed the status from 'Introduced' to 'Engrossed'.

TIMELINE

Changed the closing declaration from providing an 'effective date' to 'declaring an emergency', which allows the law to take effect immediately without waiting for the standard legislative session end date.

REQUIREMENT

Added a new restriction stating that no reimbursement is allowed for MRI services unless the provider meets Medicare requirements or holds accreditation from the American College of Radiology.

Workers compensation; reimbursement; magnetic resonance imaging; emergency.

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