Healthcare

passed · Oklahoma · Senate Apr 7, 2026

SB 1813: Professions and occupations; enacting the Athletic Trainer Compact; authorizing certain jurisdiction. Effective date.

SB 1813 authorizes Oklahoma to join the Athletic Trainer Compact, a multi-state agreement enabling licensed athletic trainers to practice across participating states without obtaining separate licenses. The bill establishes a "Compact Privilege" allowing qualified trainers from member states to provide services in Oklahoma while adhering to local scope-of-practice rules. Key provisions include mutual recognition of licenses, streamlined interstate practice, reduced administrative burdens, and enhanced information sharing among states regarding licensure and disciplinary actions. This directly affects athletic trainers seeking to work in multiple states and patients in member states who gain broader access to certified care. The compact preserves each state’s authority to regulate practice and protect public safety through existing licensure systems.

Topics ✓ HealthcareSupports HealthcareEnables interstate practice for athletic trainers, reducing licensing barriers and improving access to healthcare services.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · Senate Mar 20, 2026

SB 392: Oklahoma Strategic Military Planning Commission; extending sunset date. Effective date. Emergency.

SB 392 extends the expiration date of Oklahoma's Long-Term Care Facility Advisory Council from July 1, 2025, to July 1, 2026. The council, which advises on standards for nursing homes, residential care facilities, and adult day care services, continues with its existing structure of 13 members including healthcare professionals and public representatives over age 65. This extension ensures uninterrupted review of care quality, facility regulations, and enforcement under the Nursing Home Care, Residential Care, and Adult Day Care Acts. The bill does not alter the council's duties or membership requirements.

Topics ✓ HealthcareSupports HealthcareExtends oversight council for nursing home care standards, maintaining regulatory continuity to protect care quality in long-term facilities.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed both · Oklahoma · Senate Mar 4, 2026

SB 202: Medicaid; modifying eligibility requirements for self-funded or self-insured health care plan to participate in certain premium assistance program. Emergency.

SB 202 modifies eligibility rules for self-funded health plans to participate in Oklahoma's Medicaid premium assistance program. It allows small businesses and public entities using self-funded health plans to qualify if the plan was already used by an employer in the program as of May 1, 2024, or if it’s owned by a local government public trust. This change specifically affects small employers (under 250 employees) and public-sector health plans seeking to access state premium assistance. The bill aims to expand coverage options for low-income workers by making more health plan types eligible for state-funded premium support.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid premium assistance eligibility for small businesses/public entities, increasing access to healthcare coverage under state program.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · House Feb 25, 2026

HB 1484: Schools; creating Rain's Law; requiring certain instruction on fentanyl abuse prevention and drug poisoning awareness; effective date; emergency.

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.

Topics ✓ EducationSupports EducationMandates fentanyl education in health curriculum for grades 6-12, enhancing student health education programs per bill requirements.95% confidence ✓ HealthcareSupports HealthcareBill mandates school-based public health education on fentanyl abuse and suicide prevention, directly advancing public health programs under healthcare topic.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

in committee · Oklahoma · Senate Feb 24, 2026

SB 2158: Income tax; creating the Health Care Sharing Ministry Tax Parity Act; providing income tax deduction. Effective date.

This Oklahoma bill (SB 2158) allows residents who use health care sharing ministries to deduct membership fees and administrative costs from their state income tax starting in 2027. It also makes money received from these ministries for medical expenses tax-free. To qualify, individuals must have been active members for at least one month during the tax year. The law expires if Oklahoma stops collecting individual income tax.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax deduction for health care sharing ministry fees, providing tax relief by reducing taxable income for qualifying residents.90% confidence ✓ HealthcareSupports HealthcareEnables tax deductions for health care sharing ministries, expanding alternative coverage access and aligning with healthcare access support through tax parity85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Oklahoma · House May 30, 2025

HB 1224: Health care; minor self-consent to health services; granting certain protections to parent or legal guardian related to medical records; effective date.

HB 1224 allows certain minors to consent to specific health services without parental approval, including treatment for pregnancy, sexually transmitted infections, substance abuse, or sexual assault. Parents generally retain access to their minor child's medical records, but this right is limited when the minor uses the bill's self-consent provisions for the listed health conditions. Health professionals must make a reasonable attempt to notify parents for emergency care but are not required to inform them for most other services covered under the bill. The bill also protects health providers from liability when acting in good faith under these rules, ensuring minors' confidentiality in sensitive health matters.

Topics ✓ HealthcareSupports HealthcareEnables minors to access sensitive health services (pregnancy, STIs, etc.) without parental consent, expanding patient access and protecting rights in healthcare.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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vetoed · Oklahoma · Senate May 29, 2025

SB 773: Pharmacy benefit managers; modifying definitions; prohibiting certain circumstances; requiring nonpayment under providing venue for certain court proceeding; allowing Attorney General to obtain certain information. Effective date.

Oklahoma's SB 773 regulates pharmacy benefit managers (PBMs) by prohibiting unfair practices that affect independent pharmacies and patients. It requires PBMs to pay independent pharmacies the same reimbursement rate for identical drugs as they pay PBM-owned pharmacies, banning "spread pricing" where PBMs charge plans more than they pay pharmacies. The bill also prohibits PBMs from charging pharmacies fees for claim submission, network enrollment, or claims processing, and restricts retroactive payment reductions except for fraud or audit errors. These changes directly impact PBMs, pharmacies, and health plans operating in Oklahoma, aiming to ensure fairer payment practices. The bill was vetoed by the governor but overridden by the legislature on May 29, 2025.

Topics ✓ HealthcareSupports HealthcareRegulates PBMs to ensure fair reimbursement for independent pharmacies and patients, preventing spread pricing and fees that limit access to medications.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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vetoed · Oklahoma · House May 29, 2025

HB 2048: Prescriptions; 340B Nondiscrimination Act; definitions; discriminatory actions; reimbursement; manufacturer; distributor; enforcement; Attorney General; Insurance Commissioner; violations; federal preemption; effective date.

HB 2048, the "340B Nondiscrimination Act," prohibits health insurers, pharmacy benefits managers (PBMs), and third-party payors from discriminating against healthcare providers participating in the federal 340B drug discount program. It specifically bans lower reimbursement rates for 340B drugs, extra fees or administrative burdens for 340B entities, exclusion from provider networks based on 340B status, and requirements to disclose 340B-specific billing details. The law applies to all 340B entities - such as community health centers and hospitals participating in the federal program - and ensures they receive equal treatment in billing, reimbursement, and network access. Enforcement is handled by the Attorney General, with the Oklahoma Medicaid program excluded from these provisions.

Topics ✓ HealthcareSupports HealthcarePrevents insurers from discriminating against 340B providers, ensuring consistent reimbursement and access to discounted drugs for safety-net hospitals serving vulnerable populations.95% confidence ✓ VeteransSupports VeteransProtects 340B providers (including VA facilities) from discriminatory reimbursement, ensuring veterans' access to discounted medications via the federal 340B program.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · House May 29, 2025

HB 1808: Health insurance; creating the Ensuring Transparency in Prescription Drugs Prior Authorization Act; determination; consultation; prior authorization; effective date.

HB 1808, now law in Oklahoma, reforms health insurance prior authorization and step-therapy rules to improve patient access to medications. It requires insurers to grant exceptions to step-therapy protocols (where patients must try cheaper drugs first) if a medication is contraindicated, ineffective based on medical history, or causes harm - covering specific scenarios like prior adverse reactions or stability on a current treatment. The bill mandates insurers respond to urgent prior authorization requests within 24 hours and non-urgent requests within 2 business days, with requests deemed approved if deadlines are missed. It also ensures continuity of coverage for stable treatments when switching plans (90-day protection) and requires insurers to cover at least one readily available asthma controller medication per class without prior authorization.

Topics ✓ HealthcareSupports HealthcareMandates insurers to grant exceptions for patient access to medications, improving access as stated in summary.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · Senate May 29, 2025

SB 1135: Health insurance; premium taxes; clarifying applicability of certain exclusion; premium tax credit; creating certain exclusion. Emergency.

SB 1135 allocates $100,000 from Oklahoma's General Revenue Fund to the Oklahoma Health Care Authority for the 2025-2026 fiscal year to support its operations. The bill declares an emergency to allow immediate implementation upon approval. This legislation provides specific funding for the Authority's duties without altering existing health insurance or tax policies.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $100k from General Revenue Fund to fund Oklahoma Health Care Authority operations, directly advancing state budget allocation for essential services without tax policy changes.90% confidence ✓ HealthcareSupports HealthcareAllocates $100k to Oklahoma Health Care Authority for operations, directly funding public health services without altering existing policies.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare