SB 595 creates the Oklahoma Jail Standards Act, requiring all city and county jails to meet new safety, health, and operational standards. It mandates annual inspections by the State Department of Health, sets specific requirements for inmate food, sanitation, medical care, staff training (4-8 hours yearly for direct-contact staff), and inmate classification, and requires facilities to develop written policies for emergencies and medical services. The bill directly affects all county jails, sheriff's departments, and facility administrators, while allowing temporary tent jails to operate under different rules. The Act also clarifies that medical care must cover illnesses or injuries from arrest through incarceration, and includes exceptions for short-term holding facilities under 12 hours.
SB 808 clarifies Oklahoma's physical therapy referral rules, allowing licensed physical therapists (and assistants under supervision) to evaluate and treat patients without a doctor's referral for up to 30 days, except for workers' compensation cases. It specifically exempts children receiving physical therapy under federal special education laws (IDEA/504), screening/education services, and non-injury-related fitness/wellness programs. The bill explicitly states physical therapists cannot practice "healing arts" beyond their scope and maintains existing restrictions on non-therapeutic services. Signed into law on April 23, 2025, it takes effect November 1, 2025.
HB 1853 requires health insurance plans covering children to provide full, cost-sharing-free coverage for all recommended childhood immunizations (including those mandated by the State Board of Health) from birth through age 18. It also allows policyholders to pay for health care services directly at a negotiated lower rate and submit documentation to have that payment count toward their deductible. The law applies to most health insurance plans (excluding dental, vision, short-term coverage, and others listed in the bill) and takes effect November 1, 2025. This ensures children's routine vaccines are fully covered without out-of-pocket costs for families.
This bill requires Oklahoma's Medicaid program to approve prior authorization for atypical antipsychotic drugs not on the preferred drug list when treating mood disorders like schizophrenia, bipolar disorder, or related conditions. It mandates approval if a patient has failed a trial of a preferred drug in the past year or is stable on a non-preferred medication. The policy ensures these drugs are covered at parity with other branded medications in the same class, without additional restrictions beyond standard Medicaid criteria.
HB 1832 clarifies rules for electronic monitoring in Oklahoma's long-term care facilities, directly affecting residents of nursing homes, assisted living centers, intermediate care facilities, and continuum of care facilities. The bill requires facilities to obtain written consent from residents or their representatives before monitoring resident rooms and prohibits refusing admission or removal based on monitoring. It also mandates facilities to post notices about monitoring and allows residents to install their own monitoring devices with roommate consent. The law prohibits unauthorized monitoring, tampering with devices, and sharing recordings without consent, ensuring privacy protections for residents.
HB 1769 modifies Oklahoma school district health insurance benefits for employees. It sets minimum monthly flexible benefit allowances: $69.71 for certified staff (like teachers) and $189.69 for support staff (like aides) if they opt out of the district’s health plan. Employees who don’t use their full allowance to cover health benefits receive the excess as taxable cash payments. The bill requires annual enrollment between November 1 and December 15, with specific rules for mid-year terminations and unused allowances.
This bill (HB 1837) protects Oklahoma residents using Achieving a Better Life Experience (ABLE) accounts by exempting these funds from being seized for debts or used to calculate eligibility for public assistance. Specifically, it ensures ABLE account balances cannot be claimed by creditors, garnished, or used to determine benefits under programs like Temporary Assistance for Needy Families. It also prevents Medicaid from seeking repayment from these accounts after a beneficiary's death. The law applies to both Oklahoma-established ABLE accounts and those from other states, effective November 1, 2025.
HB 2606 creates a five-year pilot program in Oklahoma counties with over 100,000 residents to provide free domestic violence forensic exams for victims. The program, funded through a state victim compensation fund, covers up to $200 per exam for medical evaluations conducted by trained health professionals (like nurses or physicians who completed a 40-hour course). It directly affects domestic violence victims in qualifying counties who would otherwise pay for these exams, while defining domestic violence broadly to include dating relationships and household members. The bill requires counties to participate and sets clear standards for exam qualifications and fund disbursement.
HB 2033 creates a revolving fund called the "Community Health Center Access to Care Revolving Fund" within Oklahoma's State Department of Health. The fund, not limited by fiscal years, will use appropriated monies to increase access to care at federally authorized community health centers (as defined under 42 U.S.C. §330). The Department of Health can spend these funds to support such centers, with expenditures requiring State Treasurer warrants based on approved claims. The bill takes effect July 1, 2025, and was declared an emergency to allow immediate implementation.
HCR 1004 is a procedural resolution approving a consent decree resolving a class-action lawsuit against Oklahoma's mental health system. It formally authorizes the Oklahoma Legislature to adopt the court-approved settlement between the Department of Mental Health and Substance Abuse Services, the Oklahoma Forensic Center, and a group of individuals alleging inadequate competency restoration treatment for people found incompetent to stand trial. The decree resolves claims about delays in providing required treatment to ensure court competency, avoiding further litigation costs. This resolution does not create new policy but legally ratifies an existing court agreement.
