SB 206 amends Oklahoma law to classify emergency medical services (EMS) provided by public entities - such as municipal, county, or district ambulance services - as "essential services" **solely for eligibility for federal funding**. This change directly affects public EMS providers seeking federal grants, ensuring they meet the federal definition of "essential services" under current funding criteria. The bill does not alter EMS operations or create new requirements but adjusts the legal classification to align with federal funding rules. It was introduced as an emergency measure to take immediate effect upon approval.
HB 4431 requires Advanced Practice Registered Nurses (APRNs) in Oklahoma, or their employers, to carry malpractice insurance covering $1 million per incident and $3 million annually. This applies to APRNs practicing outside federal or state employment where coverage is already provided under federal insurance or Oklahoma's Governmental Tort Claims Act. The law exempts APRNs working for federal agencies (covered by federal insurance) or state agencies (covered under Tort Claims Act) during their official duties. It takes effect November 1, 2026, directly affecting APRNs who provide care outside these exempted employment settings.
HB 3265 amends Oklahoma's police pension law to clarify disability benefit eligibility for law enforcement officers. It specifically expands the definition of "mental health specialist" to include licensed psychologists for disability certification (Section G). The bill establishes a clear benefit scale based on disability percentage (e.g., 50-74% impairment equals 75% of accrued retirement benefit) and presumes line-of-duty disability for officers exposed to hazardous substances like chemicals or blood-borne pathogens, unless proven otherwise (Section I). These changes directly affect Oklahoma police officers seeking disability benefits through the Oklahoma Police Pension and Retirement System.
HB 3644 (the Blake Burgess Act) requires hospitals with emergency departments and ambulatory surgical centers to implement standardized VTE (venous thromboembolism, or blood clot in veins) risk assessments for patients using nationally recognized tools and provide annual training to non-physician clinical staff. It mandates a statewide VTE registry managed by a private, nonprofit entity meeting specific criteria, which hospitals must report to starting July 2027 with data including patient age, zip code, sex, diagnosis details, and treatment. The registry collects information to improve VTE care quality, monitor outcomes, and inform state health reports, with hospitals required to submit data on VTE incidence, patient demographics, and treatment. The law directly affects hospitals, ambulatory surgical centers, and their clinical staff through new screening, training, and reporting obligations.
HB 3650 sets minimum reimbursement rates for healthcare providers treating Oklahoma Medicaid enrollees, requiring contracted entities to pay in-network providers 100% and out-of-network providers 90% of the 2021 fee schedule rates until 2035. It mandates value-based payment arrangements for providers (with quality-based incentives), requires 11% of contracted entities' healthcare spending to go toward primary care, and includes specific payment rules for rural health clinics, behavioral health centers, pharmacies, and ambulance services. The bill also establishes annual capitation rate updates and medical loss ratio penalties for non-compliant entities. It becomes effective November 1, 2026.
HB 4294 requires health insurers in Oklahoma to provide equal coverage for epilepsy as for other conditions, prohibiting termination or non-renewal of policies solely due to an epilepsy diagnosis. It mandates coverage for seizure prevention devices, surgeries, or medical procedures prescribed by an epilepsy specialist when medically necessary to reduce SUDEP (sudden unexpected death in epilepsy) risk. The law applies to all individual and group health insurance plans covering medical/surgical benefits and takes effect November 1, 2026. This directly affects epilepsy patients and insurers offering such coverage in Oklahoma.
HB 4275 standardizes certification rules for two mental health roles in Oklahoma: behavioral health case managers and peer recovery support specialists. It requires the Board of Mental Health and Substance Abuse Services to establish uniform education, exam, supervision, and continuing education standards for these professionals. The bill applies to individuals employed by state/local governments, contracted service providers, tribal facilities, or VA facilities, and restricts certified titles to these specific employment settings. Certification fees are capped at $100, and failure to comply with rules may result in suspension or revocation. The law takes effect November 1, 2026.
HB 1687 establishes Oklahoma's "Uniform Health Care Decisions Act of 2025," creating a clear framework for advance health care directives. It defines key terms like "advance health care directive" (including mental health directives), "agent" (someone appointed to make decisions), and "default surrogate" (a family member or cohabitant who can act if no directive exists). The bill specifies how directives are created, updated, or revoked, outlines duties for health care professionals, and details procedures for resolving conflicts between directives. This directly affects Oklahomans planning for future medical decisions, their families, and health care providers across the state.
HB 3016 requires Oklahoma schools to provide binocular vision screenings for students in kindergarten, first, and third grades to identify convergence insufficiency (a vision disorder affecting near focus). Screenings, conducted within 30 days of the school year start by trained school nurses or vision professionals, must be performed in addition to existing vision screenings. The bill establishes a Binocular Screening Revolving Fund in the state treasury to cover program costs using state appropriations, which must supplement - rather than replace - current school vision funding. The program begins in the 2026-2027 school year.
HB 3066 creates the Health Care Workforce Training Commission and establishes the "Rural Health Transformation Revolving Fund" in Oklahoma's state treasury. The fund will collect federal funds (including those from the One Big Beautiful Bill Act of 2025), interest, and designated state monies to specifically recruit and retain healthcare workers in rural and underserved Oklahoma communities, requiring a minimum 5-year service commitment. The Commission can use these funds for workforce programs and create necessary rules to implement the program. The bill takes effect July 1, 2026, and directly affects rural healthcare providers and communities facing workforce shortages.
