HB 3266 amends Oklahoma law to expand the definition of Class D2 felony offenses, adding 22 specific violations including reckless driving that causes a collision (Section 11-901, item 10). It also includes multiple abortion-related offenses such as performing abortions after the first trimester, violating pain-awareness laws, and conducting abortions on minors without consent (items 11-19). The bill specifies penalties: Class D2 felons face up to 2 years in prison (with 20% mandatory service), increasing to 5-10 years for repeat offenders. It exempts certain offenses (like abortion violations) from these penalties, instead applying existing statutes. This bill directly affects individuals convicted of these specific offenses under Oklahoma Statutes.
HB 3976 establishes a grant program under Oklahoma's State Department of Health to help rural and small hospitals open new facilities or keep existing ones open by funding infrastructure, equipment, or technology needs. Hospitals applying must contribute at least 20% of project costs through cash or in-kind donations. The program will be funded through a new revolving fund in the state treasury, which replenishes itself and can be used continuously without annual budget limits.
HB 3791 protects healthcare providers and parents regarding alternative treatments. It states that doctors, nurses, and physician assistants may recommend holistic or natural treatments they believe are beneficial without risking license loss (Section 1A). Parents or legal guardians may choose such treatments for their children instead of medical advice, with no legal repercussions for child neglect (Section 1B). The law takes effect November 1, 2026.
HB 3975 establishes the Oklahoma Rural Health Transformation Program (ORHT) to manage federal funds for rural health initiatives, designating the Oklahoma State Department of Health (ODH) as the lead agency responsible for overseeing these funds and reporting to state officials. The bill creates an Oklahoma Rural Health Transformation Revolving Fund to hold federal funds, requiring ODH to submit annual reports to state leaders and quarterly public updates on fund expenditures and project progress. It mandates ODH to align program outcomes with federal reporting requirements to ensure proper oversight of funds received through the Centers for Medicare and Medicaid Services (CMS).
HB 4124 allows Oklahoma pharmacists to dispense ivermectin to patients without a prescription, following state pharmacy board protocols. Pharmacists would be protected from legal liability when dispensing ivermectin per these protocols. The Oklahoma State Board of Pharmacy would create specific rules for implementation, including patient instructions. The law would take effect November 1, 2026.
HB 4092 establishes Oklahoma's statewide 988 Mental Health Lifeline system to provide 24/7 crisis support. It designates the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) as the lead agency to oversee suicide prevention and crisis services, including coordinating with designated 988 Lifeline Crisis Centers. The bill creates a 988 Trust Fund to finance the system, mandates performance and clinical standards for crisis services (such as mobile crisis teams and urgent recovery centers), and requires real-time coordination between emergency response systems. This directly affects Oklahomans in mental health crises by ensuring accessible, standardized care through phone, text, or in-person support. The law takes effect upon passage.
HB 4329 modifies Oklahoma law to clarify dental insurance claim processes. It defines "covered services" as those reimbursable under a subscriber agreement, regardless of deductibles or waiting periods. The bill requires dental plans to establish appeal procedures for denied claims based on medical necessity and mandates that written denial notices include the reviewing dentist's license details and contact information. This directly affects dentists and dental insurance plans in Oklahoma by standardizing claim denial processes and improving transparency. The law takes effect November 1, 2026.
This bill authorizes an emergency appropriation of approximately $19.66 million to the Oklahoma Department of Mental Health and Substance Abuse Services. The funds must come from the Rate Preservation Fund in the State Treasury and are designated specifically for Title XIX services, which are Medicaid-funded mental health and substance abuse programs. The legislation includes an emergency provision, allowing the funding to take effect immediately upon the governor's approval without waiting for the regular budget cycle. This action provides direct financial resources to the state agency responsible for administering mental health and substance abuse services.
HB 1484, known as "Rain's Law," requires Oklahoma public schools to provide annual, research-based instruction on fentanyl abuse prevention and drug poisoning awareness to students in grades 6 through 12. The bill mandates that this instruction cover suicide prevention, fentanyl abuse and addiction prevention, local resource access, and health education about fentanyl use. Schools must incorporate this content into health classes, and the State Department of Education will develop curriculum standards and resources to support implementation. The law also designates a week for "Fentanyl Poisoning Awareness Week" to align with National Red Ribbon Week, with age-appropriate instruction determined by each school district.
HB 2513, titled the "Oklahoma Mental Health Reform Act of 2025," proposed creating a position requiring an individual with specific qualifications to address the Department of Mental Health and Substance Abuse Services' court-ordered consent decree. The bill specified requirements for this appointee and included an emergency provision. It was scheduled to take effect November 1, 2025, but was pocket-vetoed by the Governor on May 30, 2025, with the veto taking effect June 15, 2025, meaning it never became law. The bill directly affected the Department's compliance with its existing legal agreement but was not enacted.
