SB 522 creates an Oklahoma Medical Marijuana Authority Executive Advisory Council with six appointed members representing diverse stakeholders, including patients, business owners, and rural/urban communities. The bill requires this Council to establish a task force to research and recommend purchase and possession limits for medical marijuana patients, consulting with physicians, patient groups, veterans, and industry stakeholders. The task force must submit a final report by November 1, 2026, while the Council must issue annual reports to state leadership by November 1 each year. The bill focuses on gathering stakeholder input through structured research rather than changing existing medical marijuana laws. (Note: The bill was vetoed by the Governor on May 9, 2025.)
SB 515 allows Oklahoma health insurance enrollees to pay health care providers directly for covered, medically necessary services at negotiated lower prices. If the patient pays out of pocket for such a service (at a price below the insurer's standard rate), the provider must accept it as full payment and cannot bill for any balance. The insurer must then count this payment toward the patient's deductible and out-of-pocket maximum, depending on whether the provider was in-network or out-of-network. The bill applies to most health benefit plans (excluding Medicaid, Medicare supplements, and short-term plans) and takes effect November 1, 2025. It directly affects patients, providers, and insurers by changing how out-of-pocket payments count toward coverage costs.
SB 56 requires the Oklahoma Health Care Authority to create a program that reimburses family caregivers for providing home care services. This directly affects family members who care for relatives with medical needs at home, such as elderly or disabled individuals. The bill establishes a specific reimbursement mechanism through the Authority, directing them to implement the program immediately as an emergency measure. It became law on May 12, 2025, without the Governor's signature.
SB 1019 requires Oklahoma health insurers to cover continuous anesthesia services without arbitrary time limits during medical procedures. It defines "anesthesia time" as the period from patient preparation through service discontinuation and mandates that insurers cannot restrict coverage or payment based on time duration. The law directly affects insurers and anesthesia providers by eliminating policies that previously limited coverage for procedures requiring extended anesthesia care. Effective November 1, 2025, this bill codifies these requirements into Oklahoma Statutes (Title 36, Section 7500).
HB 2049 requires Oklahoma's Medicaid managed care plans to comply with federal parity laws for mental health and substance use disorder coverage. It mandates regular compliance checks on nonquantitative treatment limitations (like prior authorization), creates a standardized process for handling parity complaints, and requires the Oklahoma Health Care Authority to publicly report on compliance. The law directly affects Medicaid managed care plans, the Oklahoma Health Care Authority, and Medicaid beneficiaries seeking mental health or substance use services. Key provisions include contract requirements for parity analysis, public disclosure of compliance reports, and a 30-day deadline for publishing federal reports. The bill became effective November 1, 2025.
HB 2746 amends Oklahoma's Remote Quality Jobs Incentive Act to require proxy establishments (entities that attract remote workers to the state) to verify that included remote workers have basic health insurance meeting specific coverage standards. The insurance must cover hospital care, physician services, mental health, substance abuse treatment, prescription drugs, and prenatal care, with employees paying no more than 50% of the premium. The bill also clarifies key terms like "remote worker" (an employee working outside Oklahoma who hasn't lived there in the past year) and "new direct job" (a job created by an establishment other than the proxy that didn't exist before application approval). The law takes effect November 1, 2025, and became effective without the Governor's signature on May 8, 2025.
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.
HB 1585 establishes mandatory training requirements for pharmacy technicians in Oklahoma. It requires pharmacy technicians to complete two phases of training: Phase I before receiving a permit, and Phase II within 90 days of permit issuance. Pharmacy managers must develop, document, and verify all training, with failure to complete Phase II voiding the permit. The law directly affects pharmacy technicians seeking permits, their employers (pharmacy managers), and the Oklahoma Pharmacy Board, which oversees compliance. The bill takes effect November 1, 2025.
HB 1201 creates a 70% tax credit for Oklahoma taxpayers who donate to certified pregnancy resource centers, capping the credit at $50,000 per donor annually. To qualify, centers must provide free, non-abortion services (like prenatal care and counseling) without performing or referring for abortions, and must be certified by the state health director. The total annual tax credits for all donors are capped at $5 million, with annual adjustments to prevent exceeding this limit. The credit applies to donations of $100 or more and takes effect January 1, 2026.
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.
