SB 1500 requires pharmacy benefits managers (PBMs) and other payors to pay pharmacies within 30 days for "clean claims" (properly submitted claims without issues). It prohibits PBMs from conditioning payments on post-transaction reconciliations or shifting payment delays to pharmacies, and mandates transparent accounting for payments. The bill also authorizes Oklahoma’s Attorney General to impose fines for violations and voids contracts that violate these rules. These changes directly affect pharmacies (as providers) and PBMs/insurers (as payors) by standardizing payment timelines and reducing financial risk for pharmacies.
SB 1907 allows pharmacists in Oklahoma to dispense ivermectin to patients without a prescription, provided they follow written protocols established by the State Board of Pharmacy. The bill grants pharmacists immunity from criminal, civil, or professional disciplinary action when dispensing ivermectin in good faith under these protocols. It also authorizes the State Board of Pharmacy to create necessary rules for implementation. The law takes effect on November 1, 2026, directly affecting pharmacists and patients seeking ivermectin without a physician's prescription.
HB 3342, the "Oklahoma Medicaid Audit Bill of Rights Act," establishes new rules for Medicaid audits of healthcare providers. It requires auditors to provide at least one week's notice before an audit, limits audit scope to 50 claims or 0.25% of a provider's billed claims (whichever is greater), bans the use of extrapolation to calculate overpayments, and mandates that audits involving clinical judgment be conducted by specialists in the same field. The bill also guarantees providers 60 days to respond to audit findings, prohibits recoupment for simple clerical errors, and requires clear appeals processes. These changes directly protect healthcare providers who bill Oklahoma's Medicaid program by making audit procedures more transparent and fair.
SB 1494 requires Oklahoma's Legislature to annually appropriate funds for a flexible benefit allowance for school district employees. This allowance, which can be used to pay for health insurance or taken as taxable cash, applies to employees in districts meeting specific instructional requirements: those with 170+ days of in-person classroom instruction receive full funding, while others get a minimum set amount based on 2026 standards. The bill mandates that school districts establish a cafeteria plan for employees to access these benefits and clarifies the allowance does not count toward retirement contributions or salary calculations. It takes effect July 1, 2026.
HB 3544 prohibits AI chatbots with human-like features (e.g., claiming sentience or seeking emotional bonds) from being available to minors under 18. It requires developers to implement age verification systems and offer alternative versions without such features for minors. Therapeutic chatbots providing mental health support are exempt if they include clear disclaimers, require professional oversight, provide clinical evidence of safety, and maintain transparency. Violations could result in civil penalties up to $7,500 per intentional violation, with minors or parents able to seek damages of $100-$750 per incident. The law takes effect November 1, 2026.
HB 3795 ensures parents have full access to their minor child's medical records (including lab results, prescriptions, and electronic portal access) until the child turns 18, unless specific exceptions apply. Health care providers must grant this access within five business days without charging fees and cannot require minors to create separate accounts. Exceptions include records related to minor-consent services (like STI testing, substance abuse treatment, or pregnancy care), court-ordered restrictions, or documented risks of harm to the minor. Violations would be treated as deceptive practices under Oklahoma law.
SB 1941 establishes Oklahoma's RESTORE Act to improve access to reproductive health care. It requires the State Department of Health to collect data on conditions like endometriosis, PCOS, and unexplained infertility (affecting 15-30% of cases), and mandates certain healthcare facilities to provide restorative reproductive medicine services. The bill directs funding toward programs addressing reproductive health conditions, requires new provider training on natural approaches, and specifies that facilities must report on services related to fertility and symptom management. It focuses on conditions such as endometriosis (with a typical 10-12 year diagnosis delay) and male-factor infertility, without promoting specific treatments.
SB 1473 updates Oklahoma's guardianship definitions to clarify when a person with mental illness is considered "gravely disabled" and unable to meet basic needs like food, clothing, or shelter. It adds specific criteria guardians must meet to request authorities (like police or county officials) to retrieve a gravely disabled ward from an unsheltered environment and transport them to inpatient treatment. The bill changes "inpatient mental health treatment" to require 48 hours of continuous care (previously 24 hours) and explicitly states that mental illness evaluation or treatment does not automatically mean a person is incompetent. These changes apply to guardians, courts, and mental health facilities managing cases involving incapacitated individuals. The bill takes effect November 1, 2026.
SB 1798, the "Medical Ethics Defense Act," grants medical practitioners (like doctors and nurses), health care institutions (hospitals, clinics), and health care payers (insurance companies) the right to refuse participation in or payment for specific medical procedures or services that conflict with their ethical, moral, or religious beliefs. The law prohibits discrimination against these entities for such refusals, including actions like termination, demotion, loss of licensure, or denial of contracts. It defines "discrimination" broadly to cover nearly all adverse employment or operational actions taken due to conscience-based objections. The bill specifically limits this right to objections against particular procedures, not general patient care, and requires that providers still offer other services not conflicting with their beliefs.
SB 1549 makes Oklahoma vaccine manufacturers liable to individuals if their advertised vaccine causes harm. It defines "advertise" broadly to include paid promotions (like ads, influencer deals, or digital campaigns) but excludes standard doctor-patient discussions or clinic materials. Individuals harmed by advertised vaccines can sue within 3 years of injury and recover actual damages, court costs, and attorney fees. The law directly affects vaccine manufacturers promoting products in Oklahoma and individuals injured by those promoted vaccines.