Healthcare

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

died · Oklahoma · Senate Mar 11, 2026

SB 1647: Mental health and substance abuse services; broadening purpose of County Community Safety Investment Fund; authorizing certain awards for specified programs. Effective date. Emergency.

SB 1647 creates a revolving fund called the County Community Safety Investment Fund within Oklahoma's Department of Mental Health and Substance Abuse Services. The bill broadens the fund's purpose to support evidence-based county programs including mental health/substance abuse treatment, pretrial diversion, jail intake screenings, employment, education, and housing services. Counties and multi-county partnerships can apply for funding, while the Oklahoma Indigent Defense System Board may receive up to $1 million annually for similar programs. The bill requires annual reporting to state legislators on fund allocations and program outcomes. It becomes effective July 1, 2026, with an emergency declaration.

Topics ✓ Criminal JusticeSupports Criminal JusticeFunds mental health/substance abuse treatment, pretrial diversion, and rehabilitation programs to reduce recidivism and support criminal justice reform.95% confidence ✓ HealthcareSupports HealthcareCreates revolving fund specifically for mental health/substance abuse treatment programs, broadening purpose to directly fund these healthcare services through county programs.92% confidence ✓ HousingSupports HousingBill explicitly authorizes funding for housing services as part of eligible county programs under the County Community Safety Investment Fund.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill explicitly authorizes funding for 'employment' services within the County Community Safety Investment Fund, directly advancing labor/employment programs as a supported purpose.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Oklahoma · Senate Mar 9, 2026

SB 1836: Health care providers; requiring specified mental health screenings. Effective date.

SB 1836 requires physicians, physician assistants, advanced practice nurses, and osteopathic physicians to conduct annual mental health screenings using a standardized tool during routine primary care visits. The State Board of Medical Licensure will develop the screening method and educational materials, collaborating with other health boards. This applies only to providers who perform direct patient care, excluding those in non-clinical roles. The law becomes effective November 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates annual mental health screenings for providers, enhancing early detection and access to mental health services per bill's requirements.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · Oklahoma · Senate Mar 4, 2026

SB 2179: Criminal procedure; persons in a state of mental illness or defect; modifying conditions and procedures for discharge or conditional release. Effective date.

SB 2179 requires Oklahoma's Department of Mental Health to create a written individualized service plan for people found not guilty by reason of mental illness (NGRI/MI) within 45 days of their court adjudication. The plan must include treatment details, risk assessments, and service schedules, developed with the individual's input and based on a forensic psychological evaluation. Once approved by the court, the plan becomes part of the court's final order and must be reviewed quarterly for the first year, then semiannually, with updates provided to the court and parties. This bill directly affects NGRI/MI individuals, courts, mental health providers, and the Department of Mental Health by mandating structured treatment planning and oversight.

Topics ✓ Criminal JusticeSupports Criminal JusticeRequires individualized treatment plans for NGRI individuals, promoting rehabilitation and court oversight per criminal justice reform principles.95% confidence ✓ HealthcareSupports HealthcareMandates mental health service plans for NGRI/MI individuals, requiring treatment integration and quarterly reviews, advancing mental health care access and continuity.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Oklahoma · Senate Mar 2, 2026

SB 1566: Medicaid; modifying requirements and procedures related to applied behavior analysis treatment for autism spectrum disorder. Effective date.

This bill changes Oklahoma Medicaid rules for autism treatment coverage. It requires a diagnosis of autism spectrum disorder by specific licensed providers (like neurologists, developmental pediatricians, or psychologists) to qualify for applied behavior analysis (ABA) therapy. The bill prohibits Medicaid from requiring re-diagnoses after an initial diagnosis and mandates in-person ABA services while allowing remote supervision via telehealth. It directly affects Oklahoma Medicaid recipients with autism spectrum disorder seeking ABA therapy.

Topics ✓ HealthcareSupports HealthcareModifies Medicaid rules to require specific providers for autism diagnosis, prohibits re-diagnoses, and allows telehealth supervision, improving access to ABA therapy coverage for Medicaid recipients.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · House Mar 2, 2026

HB 2786: Department of Mental Health and Substance Abuse Services; making an appropriation; source; amount; purpose; emergency.

This bill authorizes an emergency appropriation of approximately $19.66 million to the Oklahoma Department of Mental Health and Substance Abuse Services. The funds must come from the Rate Preservation Fund in the State Treasury and are designated specifically for Title XIX services, which are Medicaid-funded mental health and substance abuse programs. The legislation includes an emergency provision, allowing the funding to take effect immediately upon the governor's approval without waiting for the regular budget cycle. This action provides direct financial resources to the state agency responsible for administering mental health and substance abuse services.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill provides emergency appropriation of $19.66M to fund mental health and substance abuse services through Medicaid, directly increasing government spending on essential public programs.95% confidence ✓ HealthcareSupports HealthcareBill provides emergency funding of $19.66M for mental health and substance abuse services under Medicaid, directly advancing healthcare access and program strength.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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

died · Oklahoma · Senate Feb 24, 2026

SB 1837: Medicaid home- and community-based services; requiring Oklahoma Health Care Authority to seek certain exemption. Effective date.

SB 1837 requires the Oklahoma Health Care Authority (OHCA) to seek a federal exemption allowing Medicaid providers in rural counties (population ≤60,000) to provide case management and develop person-centered plans for home- and community-based services. This directly affects rural healthcare providers who currently face restrictions under federal regulation 42 C.F.R. §441.301(c)(1)(vi). The bill mandates OHCA to establish conflict-of-interest protections for exempt providers, separating case management and provider functions within organizations. The exemption would permit these rural providers to deliver services without federal barriers, effective November 1, 2026.

Topics ✓ HealthcareSupports HealthcareRemoves federal restriction on rural Medicaid providers, enabling home/community-based services access. Expands patient access to care in underserved areas per bill's explicit mandate.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · Oklahoma · Senate Feb 24, 2026

SB 1374: School nutrition; requiring certain federal funds to be used to provide certain school meals. Effective date. Emergency.

SB 1374, the Thrive Act, provides state funding reimbursement for school meal programs in Oklahoma. It applies to school districts with 40% or more students qualifying for free meals (based on federal eligibility criteria) that choose to participate in the federal community eligibility program. Starting in the 2027-2028 school year, these districts receive tiered state reimbursements per meal: 100% for districts under 2,000 students, 90% for 2,000-10,000 students, and 80% for districts over 10,000 students. The law also requires the State Department of Education to evaluate the program’s impact every three years starting in 2028.

Topics ✓ EducationSupports EducationProvides state funding reimbursements for school meal programs in qualifying districts, directly increasing financial support for K-12 nutrition access and meal program sustainability.95% confidence ✓ HealthcareSupports HealthcareFunds school meal programs under public health initiative, advancing student nutrition as part of healthcare policy per Thrive Act's reimbursement structure.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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died · Oklahoma · Senate Feb 19, 2026

SB 1383: Medicaid; providing for Medicaid coverage of diabetes self-management education and support. Effective date.

SB 1383 requires Oklahoma Medicaid to cover diabetes self-management education and support (DSMES) for beneficiaries with diabetes. It mandates the Oklahoma Health Care Authority to develop a state plan amendment for this coverage after completing a feasibility study and reporting on costs, clinical evidence, and pilot results. The bill defines DSMES as personalized education covering healthy eating, physical activity, blood sugar monitoring, and medication management. This policy change directly affects Oklahoma Medicaid enrollees diagnosed with diabetes by expanding their covered health services. The bill becomes effective November 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid coverage for diabetes self-management education, expanding access to critical care for beneficiaries with diabetes.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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