SB 438 Oklahoma Senate · 2026 Regular Session

Health insurance; methods of payments to providers; requiring notice of certain fee. Effective date.

SB 438 prevents health insurance companies and health plans in Oklahoma from requiring providers (like doctors, hospitals, or clinics) to accept only credit card payments for services. It mandates that insurers must notify providers about any fees tied to payment methods and provide clear instructions for choosing alternatives like electronic transfers. The bill also prohibits charging fees for standard electronic payments (ACH) without provider consent and voids any contract clauses that try to bypass these rules. These changes directly affect health insurers, health plans, and healthcare providers across Oklahoma, taking effect November 1, 2025.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
Senate Passage
Mar 2025
House Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 3, 2025 Signed May 5, 2025
Maddy AI version diff · 5 comparisons

What changed between versions

Floor (House) Floor (Senate) · 3 edits
MINOR
The bill text was reformatted from the House version to the Senate floor version, with minor structural changes to the header and page numbering. The substantive legislative content regarding health insurance payment methods and fee restrictions remains unchanged.
TECHNICAL

Header changed from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' with updated date and committee substitution notation.

Page numbering and footer text were updated to reflect Senate floor version formatting.

Line breaks and spacing were adjusted throughout the document during the transition between chambers.

Floor votes · Senate Mar 12, 2025 · House Apr 28, 2025

How they voted

430
Passed · 6 other
Total votes 49
Mar 12, 2025
D Democratic9
8 Yea 1
88% Yea
R Republican40
35 Yea 5
87% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
23
Key actions
7
Committee
6
May 5, 2025
Signed into law
Approved by Governor 05/03/2025
upper
Apr 28, 2025
Committee
Referred for enrollment
upper
Apr 28, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 88 Nays: 0
lower
Apr 17, 2025
Lower · Passed
CR; Do Pass Commerce and Economic Development Oversight Committee
lower
Apr 8, 2025
Lower · Passed
Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance
lower
Apr 1, 2025
Committee
Referred to Insurance
lower
Mar 13, 2025
Introduced
First Reading
lower
Mar 13, 2025
Upper · Passed
Engrossed to House
upper
Mar 12, 2025
Committee
Referred for engrossment
upper
Mar 12, 2025
Upper · Passed
Measure passed: Ayes: 41 Nays: 0
upper
Feb 27, 2025
Upper · Passed
Reported Do Pass, amended by committee substitute Business and Insurance committee; CR filed
upper
Feb 3, 2025
Introduced
First Reading
upper
2 primary · 0 co-sponsors

Sponsors