HB 1811 changes Oklahoma insurance rules for chronic condition care. It requires insurers to keep prior authorizations valid for six months for non-inpatient treatments (like outpatient care) and 14 days for inpatient acute care. For ongoing inpatient stays, insurers must approve extensions within 72 hours or continue paying providers; they cannot use stricter criteria than the initial approval. The law does not require coverage for conditions already excluded from policies.
HB 2047, the Emerson Kate Cole Act, updates Oklahoma school medication policies to improve safety for students with allergies and asthma. It requires school districts to adopt policies allowing students to self-administer prescribed asthma inhalers, epinephrine for allergic reactions, and cystic fibrosis medications, with written parental permission and physician documentation. Key provisions include mandating annual staff training on recognizing allergic reactions and administering epinephrine, requiring schools to notify parents after medication use, and specifying protocols for stocking and using epinephrine injectors (including 911 contact procedures). The bill also creates model policies for districts to follow and clarifies that schools and staff incur no liability for medication administration under these guidelines. This law, effective May 14, 2025, directly affects public school districts, students with chronic conditions, and their families.
This bill amends Oklahoma law to add a new member representing federally recognized American Indian tribes to the state Medicaid Advisory Committee, expanding the committee's composition to include sixteen members instead of fifteen. The change ensures tribal representation on the advisory body that reviews Medicaid policy, program administration, and health care service delivery for public assistance recipients. The bill also updates appointment terms to a maximum of four consecutive years and clarifies that committee members receive travel reimbursement but no compensation for their service. Effective November 1, 2025, the committee will continue its existing duties of providing recommendations to the Oklahoma Health Care Authority while incorporating the new tribal member's perspective.
SB 1066 creates a state registry for physicians who recommend medical marijuana in Oklahoma, requiring them to complete specific medical education courses annually to be listed. It mandates that all medical marijuana businesses use a detailed inventory tracking system to record every transaction, from planting to sale, including product types, batches, and sales data. The law also prohibits physicians from being located at the same address as dispensaries and requires them to notify the authority if a patient no longer qualifies for a medical marijuana license. These changes apply directly to licensed physicians, medical marijuana businesses, and the Oklahoma Medical Marijuana Authority, effective January 1, 2026. The bill was signed into law by the governor on May 9, 2025.
SB 806, the Food is Medicine Act, requires Medicaid contractors to expand nutrition services for enrollees, particularly those with diet-related health conditions like diabetes. It creates financial incentives for healthcare providers to offer medically tailored meals and nutrition counseling as part of Medicaid coverage. This directly affects Medicaid beneficiaries and their healthcare providers by integrating food-based health interventions into standard care. The law took immediate effect after Governor approval on May 8, 2025, without a waiting period.
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 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 2295 prohibits public trust hospitals in Oklahoma communities with fewer than 30,000 residents (per federal census) from transferring their licenses to locations more than 15 miles away. If a hospital plans to close, the bill mandates a mediation process: the hospital and municipality each appoint a mediator, who then select a third mediator to set a sale price for the facility if agreement isn’t reached. Hospital trustees must complete an approved education program within 90 days of appointment and certify they have no financial ties to potential buyers. The bill also requires CMS provider numbers to revert to the hospital immediately upon termination of third-party leases. It takes effect 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.
