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.
HB 1676, the "Kay Floyd SANE Act," creates a new Sexual Assault Nurse Examiner (SANE) Statewide Coordinator position within Oklahoma's District Attorneys Council. The coordinator will oversee forensic medical exam training, recruit SANE professionals, develop local SANE and Sexual Assault Response Team programs, and manage payments from the Sexual Assault Examination Fund. The role requires a minimum annual salary of $125,000, funded through the District Attorneys Council's appropriations. The position is established until October 1, 2025, with the bill taking effect November 1, 2025. This directly affects county-level sexual assault response systems and SANE program expansion statewide.
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 2805 establishes minimum medical loss ratio (MLR) requirements for dental benefit plans in Oklahoma, requiring insurers to spend at least 85% of premium revenue on actual dental care (not overhead) for large group plans and 80% for individual/small group plans. If insurers fail to meet these ratios, they must issue annual rebates to enrollees calculated as the shortfall multiplied by total premium revenue (excluding certain fees). The bill also mandates annual MLR reporting to the Oklahoma Insurance Department by calendar year, with public data disclosure, and requires insurers to file dental rate changes by July 1 for January 1 effective dates. It does not apply to Medicaid plans and takes effect January 1, 2028, for rebate implementation.
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.
HB 1416 requires insurers offering group health plans for state employees to ensure non-opioid pain medications (approved by the FDA) are not disadvantaged in coverage compared to opioids on their preferred drug lists. It directly affects state employee health insurance plans by mandating equal treatment for FDA-approved non-opioid pain drugs, such as those that don’t act on opioid receptors. The bill does not ban opioids or require non-opioid use but prohibits insurers from making non-opioid options harder to access through coverage rules. This applies to all drugs covered under state employee plans and takes effect November 1, 2025.
HB 2233 updates Oklahoma's Massage Therapy Practice Act by clarifying licensing rules and scope of practice for massage therapists. It directly affects licensed massage therapists, massage therapy schools, and other health professionals who may provide massage services. Key changes include renaming the regulating board to the Oklahoma Board of Medical Licensure and Supervision, explicitly allowing "direct access" (public can seek massage without medical referral), and defining massage therapy as soft tissue techniques (e.g., touch, pressure, heat) while prohibiting diagnosis, prescribing, or medical techniques like ultrasound. The bill also clarifies exemptions for physicians, students, and specific practices like the Feldenkrais Method when performed within their established professional scope.
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.
