SB 424 Oklahoma Senate · 2026 Regular Session

Community health workers; creating the Oklahoma Community Health Worker Act; providing for voluntary certification. Effective date.

SB 424 creates Oklahoma's first state-level certification program for community health workers, establishing voluntary standards and oversight. It defines community health workers as trusted frontline staff who connect communities to health services and outlines their key roles: helping individuals access resources, supporting employment/education, identifying service gaps, and building community health capacity. To qualify, applicants must be Oklahoma residents aged 18+, U.S. citizens or permanent residents, and meet minimum standards set by the State Department of Health (which may waive education/exam requirements for those with 1,000+ hours of work experience). The law requires the Department of Health to create certification rules, including examination procedures, renewal criteria, and fee structures, effective November 1, 2025.
Bill status vetoed 4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
Mar 2025
House Passage
May 2025
Vetoed
May 2025
Introduced Feb 3, 2025 Vetoed May 29, 2025
Maddy AI version diff · 6 comparisons

What changed between versions

Floor (House) Floor (Senate) · 4 edits
MODERATE
The bill moved from the House to the Senate floor, resulting in significant changes to the statute's title, codification location, and committee reporting. The primary substantive change is the renumbering of sections and the relocation of the bill from Title 63 to Title 59 of the Oklahoma Statutes. Additionally, the Senate version includes a specific exemption for applicants with 1,000 hours of practical experience and a supervising provider recommendation, which was present in the House version but formatted differently.
Scope change
The bill's codification location changed from Title 63 to Title 59 of the Oklahoma Statutes, and the section numbers were renumbered accordingly.
TECHNICAL

The bill was renumbered and moved from Title 63 to Title 59 of the Oklahoma Statutes.

The short title and legislative summary were updated to reflect the Senate floor version.

REQUIREMENT

The eligibility exemption for applicants with 1,000 hours of practical experience was retained but restructured within the Senate version.

TIMELINE

The committee report date changed from April 16, 2025 to March 3, 2025, reflecting the Senate floor version.

Floor votes · Senate Mar 26, 2025 · House May 1, 2025

How they voted

3412
Passed · 3 other
Total votes 49
Mar 26, 2025
D Democratic9
8 Yea 1 Nay
88% Yea
R Republican40
26 Yea 11 Nay 3
65% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
31
Key actions
8
Committee
6
Amendments
1
May 29, 2025
Introduced
Filed with Secretary of State
upper
May 29, 2025
Vetoed
Veto overridden: Ayes: 68 Nays: 15
lower
May 29, 2025
Vetoed
Veto override message received
lower
May 29, 2025
Vetoed
Veto overridden: Ayes: 42 Nays: 4
upper
May 12, 2025
Vetoed
Vetoed 05/10/2025
upper
May 1, 2025
Committee
Referred for enrollment
upper
May 1, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 53 Nays: 28
lower
Apr 16, 2025
Lower · Passed
CR; Do Pass Health and Human Services Oversight Committee
lower
Apr 9, 2025
Lower · Passed
Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
lower
Apr 1, 2025
Committee
Referred to Public Health
lower
Mar 27, 2025
Introduced
First Reading
lower
Mar 27, 2025
Upper · Passed
Engrossed to House
upper
Mar 26, 2025
Committee
Referred for engrossment
upper
Mar 26, 2025
Upper · Passed
Measure passed: Ayes: 33 Nays: 11
upper
Mar 26, 2025
Introduced
General Order, Amended by Floor Substitute
upper
Mar 3, 2025
Upper · Passed
Reported Do Pass, amended by committee substitute Health and Human Services committee; CR filed
upper
Feb 3, 2025
Introduced
First Reading
upper
2 primary · 0 co-sponsors

Sponsors