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 2749 creates a special fund called the Intergenerational Education Revolving Fund within the Oklahoma Health Care Authority. It establishes a competitive grant program to connect nursing facilities participating in Oklahoma's Medicaid program with public school districts for collaborative intergenerational education initiatives. Grant awards, provided as rate adjustments to qualifying facilities, will fund these partnerships. The program begins July 1, 2025, with funds limited to the total amount deposited into the revolving fund.
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.
HB 4454 restricts THC content and packaging for medical marijuana edibles in Oklahoma. It limits each serving to 10mg THC (100mg per package) and drinks to 20mg per container, while banning child-appealing designs, candy-like shapes, and color additives. Licensed processors must comply with these rules, submit monthly production/sales reports to the Oklahoma Medical Marijuana Authority, and undergo annual inspections. The bill directly affects medical marijuana processors who create edible products and takes effect November 1, 2026.
SB 1653 would allow Oklahoma to join the Occupational Therapy Licensure Compact, enabling licensed occupational therapists and assistants from participating states to practice in Oklahoma without obtaining a separate Oklahoma license. This "Compact Privilege" applies when the patient is located in Oklahoma (the "Remote State"), preserving each state's regulatory authority while facilitating interstate practice. The bill establishes mutual recognition of licenses, supports military spouses relocating across states, and includes provisions for telehealth services and sharing disciplinary information between states. It directly affects occupational therapists seeking to practice across state lines and enhances access to services for patients in Oklahoma.
SB 1503, the "Choosing Childbirth Act," allows Oklahoma to provide state grants to both in-state and out-of-state nonprofit organizations that offer services supporting pregnant women to carry pregnancies to term. It covers reimbursable services like medical care, mental health support, housing assistance, transportation, and postpartum care (aimed at reducing maternal/infant mortality by 3% by 2026), but explicitly prohibits funding for organizations providing or referring for abortions. To qualify, organizations must be registered nonprofits in Oklahoma, provide accurate fetal development information, and certify that funds won’t support abortion counseling or referrals. The bill takes effect November 1, 2026.
