SB 331, the Emerson Kate Cole Act, requires Oklahoma school employees to call 911 immediately after administering Epinephrine to a student experiencing an allergic reaction. It also mandates schools to notify parents or guardians when a student has a possible allergic reaction and to provide annual training for teachers and staff on recognizing anaphylaxis and using Epinephrine. The law amends existing school medication policies to clarify procedures for handling allergic emergencies and ensures staff are trained on emergency response. This directly affects students with severe allergies, school employees, and school districts across Oklahoma.
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 56 requires the Oklahoma Health Care Authority to create a program that reimburses family caregivers for providing home care services. This directly affects family members who care for relatives with medical needs at home, such as elderly or disabled individuals. The bill establishes a specific reimbursement mechanism through the Authority, directing them to implement the program immediately as an emergency measure. It became law on May 12, 2025, without the Governor's signature.
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 2049 requires Oklahoma's Medicaid managed care plans to comply with federal parity laws for mental health and substance use disorder coverage. It mandates regular compliance checks on nonquantitative treatment limitations (like prior authorization), creates a standardized process for handling parity complaints, and requires the Oklahoma Health Care Authority to publicly report on compliance. The law directly affects Medicaid managed care plans, the Oklahoma Health Care Authority, and Medicaid beneficiaries seeking mental health or substance use services. Key provisions include contract requirements for parity analysis, public disclosure of compliance reports, and a 30-day deadline for publishing federal reports. The bill became effective November 1, 2025.
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.
HB 1601, the "ARCHER Act," extends maternity leave protections for eligible public school teachers in Oklahoma. It amends existing sick leave rules (70 O.S. § 6-104.8) to require school districts to provide extended leave for teachers who have worked at least 1,250 hours in the past year, specifically covering pregnancy-related needs beyond standard sick leave. The bill creates a dedicated exception to current sick leave policies, ensuring teachers can take leave for maternity without losing pay, aligning with federal Family and Medical Leave Act (FMLA) standards. This directly affects full-time classroom teachers in public school districts who meet the employment threshold. The law became effective after Governor approval on May 6, 2025.
HB 2050 creates a new temporary licensure pathway for international medical graduates in Oklahoma who cannot immediately qualify for full licensure. It allows these applicants to obtain a limited license if they meet ECFMG standards, provide evidence of three years of post-graduate training or clinical practice abroad, secure employment at an accredited health care provider, and pass an English competency exam. During the limited license period (up to three years), they must practice only under supervision at an approved training program. After three years with no disciplinary issues and passing all USMLE exams, they may qualify for full licensure without the prior practice restrictions. This directly affects foreign-trained physicians seeking to practice in Oklahoma.
