Healthcare

vetoed · Oklahoma · Senate Apr 22, 2026

SB 2074: Pharmacy benefit managers; prohibiting PBM from refusing to accept documentation; requiring information to be included in appeal. Effective date.

SB 2074 requires pharmacy benefit managers (PBMs) to accept all documentation from pharmacies when challenging reimbursement amounts and include specific details in appeal requests. If an appeal is approved, PBMs must adjust payments within 14 days and provide claim-level details. The bill applies to all PBMs working with Oklahoma pharmacies and covers disputes over reimbursement rates for prescription drugs. It aims to streamline the appeals process and prevent delays in payments to pharmacies.

Topics ✓ HealthcareSupports HealthcareRequires PBMs to accept all pharmacy documentation and expedite reimbursements, preventing payment delays and supporting pharmacy access to medications.95% confidence

Sub-Topics Prescription Drugs

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died · Oklahoma · House Feb 17, 2026

HB 3699: Medicaid; Oklahoma Health Care Authority; waivers; state plan amendments; services; supplemental reimbursement rate; physician practices; letter; effective date.

HB 3699 requires Oklahoma's Medicaid agency (OHCA) to seek federal approval for a supplemental reimbursement rate for physician practices, community health workers, and nonprofits already enrolled in Oklahoma's patient-centered medical home program. This rate specifically supports pediatric care for children from birth to age four, covering wellness visits and funding interdisciplinary staff needed to implement team-based care aligned with Bright Futures screening guidelines (at 9, 18, and 30 months). Providers must verify ongoing participation in evidence-based pediatric practice models through annual documentation. The bill mandates OHCA to periodically review the rate during future Medicaid physician service rate adjustments and takes effect November 1, 2026.

Topics ✓ HealthcareSupports HealthcareBill mandates supplemental Medicaid reimbursement for pediatric wellness visits and team-based care, expanding coverage and funding for children under four per Bright Futures guidelines.95% confidence

Sub-Topics Children's Health Medicaid

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in committee · Oklahoma · House Feb 11, 2026

HB 4463: Workplace safety; Oklahoma Health Care Workplace Incentive Safety Act; committee; membership; duties; codification; effective date.

HB 4463 creates the "Oklahoma Health Care Workplace Incentive Safety Act," requiring hospitals and health care systems receiving state reimbursement to adopt formal workplace violence policies. It establishes a committee to develop safety metrics, assess hospital compliance annually, and administer incentives paid by the Oklahoma Employment Security Commission. The bill directly affects participating healthcare facilities by linking state funding to workplace safety standards, with the committee also identifying federal funding opportunities and submitting legislative recommendations.

Topics ✓ HealthcareSupports HealthcareRequires hospitals receiving state funds to adopt workplace violence policies, linking funding to safety compliance, strengthening healthcare workplace safety standards.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates workplace violence policies for healthcare facilities receiving state funds, links funding to safety compliance, and establishes committee to develop safety metrics and incentives.95% confidence

Sub-Topics Hospitals Workplace Safety

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signed · Oklahoma · Senate May 11, 2026

SB 1561: Emergency medical services; modifying certain disciplinary actions. Effective date.

SB 1561 updates Oklahoma's enforcement rules for ambulance services that violate emergency medical regulations. It expands the State Commissioner of Health's disciplinary options to include requiring free public service or mandatory training programs, in addition to fines, license suspensions, or probation. The bill clarifies that out-of-state ambulance services responding to emergencies in Oklahoma must comply with state rules and submit documentation of their response. These changes strengthen oversight of ambulance services operating within the state.

Topics ✓ HealthcareSupports HealthcareBill strengthens EMS compliance through expanded disciplinary measures (free service, training), ensuring service quality and patient safety per healthcare regulations.95% confidence

in committee · Oklahoma · Senate Feb 3, 2026

SB 2042: Nursing facilities; imposing certain duty on personnel of the State Department of Health related to emergency orders. Effective date.

SB 2042 requires Oklahoma Department of Health personnel to remain on-site at nursing facilities during emergencies that pose immediate risks to resident health, safety, or welfare. This applies when the Department issues an emergency order under the Nursing Home Care Act, mandating staff stay until the facility's "plan of removal" is accepted. The bill directly affects nursing facilities, health department staff, and residents during critical incidents. Key provisions clarify emergency order procedures, including requiring immediate on-site presence during life-endangering situations and ensuring facilities receive written notice of violations with correction deadlines. It does not change existing penalties or dispute processes but adds this specific on-site requirement during emergencies.

Topics ✓ HealthcareSupports HealthcareRequires health department staff to remain onsite during nursing facility emergencies, ensuring continuous oversight and resident safety per Nursing Home Care Act provisions.95% confidence

Sub-Topics Long-Term Care

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in committee · Oklahoma · House Feb 3, 2026

HB 3361: Medicaid reimbursements; minimum rates of reimbursements; discretionary; effective date.

HB 3361 sets minimum reimbursement rates for Medicaid providers in Oklahoma through July 2027. It requires contracted entities to pay participating providers 100% of the standard fee schedule rate and non-participating providers 90% of the 2021 rate. The bill mandates value-based payment plans for providers tied to quality metrics, while ensuring specific protections for pharmacies, rural health clinics, behavioral health clinics, and emergency medical services. It also requires contracted entities to spend at least 11% of healthcare expenses on primary care and updates capitation rates annually based on federal standards. The bill takes effect November 1, 2026.

Topics ✓ HealthcareSupports HealthcareSets minimum Medicaid reimbursement rates (100%/90%) and mandates protections for providers, improving access and funding stability for healthcare services.95% confidence

Sub-Topics Medicaid Mental Health Primary Care

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signed · Oklahoma · Senate May 6, 2026

SB 1484: Medicolegal investigations; broadening certain investigative requirements; requiring certain notice to parent or legal guardian. Effective date.

SB 1484 requires Oklahoma medical examiners to conduct standardized investigations for sudden infant or young deaths (including SIDS, SUID, SDY, and SADS), mandating autopsies when needed, review of medical records, and documentation of recent immunizations. It requires medical examiners to notify parents or legal guardians before investigations begin and grants them the right to refuse parts of the process unless a crime is suspected. The bill expands mandatory investigations to cover all sudden unexplained deaths in children under 20, requiring reporting to a national CDC/NIH registry and sharing findings with the State Department of Health. This directly affects medical examiners, parents/guardians of deceased children, and state health authorities through new procedural requirements.

Topics ✓ HealthcareSupports HealthcareRequires standardized infant death investigations with parental notification, protecting family rights and improving public health data collection for SIDS/SUID cases.95% confidence

in committee · Oklahoma · Senate Feb 3, 2026

SB 2097: Oklahoma Juvenile Code; modifying definitions. Effective date.

SB 2097 amends specific definitions within Oklahoma's Juvenile Code (10A O.S. 2021, Section 2-1-103) to clarify terminology used in juvenile justice proceedings. It defines key terms like "behavioral health" (including mental health and substance abuse treatment), "community-based" services (near-home programs for prevention/diversion), and "core community-based" services (specific counseling, case management, and rehabilitative treatments). The bill directly affects juveniles, families, and juvenile justice professionals by standardizing how services and legal terms are applied in court and treatment settings. This definition update aims to improve consistency in implementing existing juvenile justice programs and reporting.

Topics ✓ Criminal JusticeSupports Criminal JusticeClarifies definitions for community-based rehabilitation services (counseling, case management) to enhance juvenile diversion programs, aligning with reform goals to reduce recidivism and improve outcomes.95% confidence ✓ HealthcareSupports HealthcareDefines 'behavioral health' including mental health/substance abuse treatment, integrating these services into juvenile justice protocols to improve access and support for youth.85% confidence

Sub-Topics Courts Juvenile Justice Mental Health Substance Abuse

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signed · Oklahoma · Senate May 11, 2026

SB 1655: Oklahoma Adoption Code; modifying applicability of certain confidentiality provisions. Emergency.

SB 1655 modifies Oklahoma's adoption confidentiality rules to allow limited sharing of identifying information under specific conditions. It permits biological and adoptive parents to mutually agree in writing to share identifying details, with court and agency notification. The bill also allows the Department of Human Services to share adoptive parent contact information with healthcare providers managing an adopted child's "Children’s Specialty Plan" for medical continuity. Most adoption records remain confidential, with exceptions only for these two scenarios, and the law takes immediate effect due to an emergency declaration.

Topics ✓ HealthcareSupports HealthcareEnables sharing adoptive parent contact info with healthcare providers managing adopted children's 'Children’s Specialty Plan' for medical continuity, improving care coordination.85% confidence

in committee · Oklahoma · Senate Feb 3, 2026

SB 1807: State Medicaid program; eliminating certain reduced assessment rate. Effective date.

SB 1807 eliminates a reduced assessment rate for nursing facilities under Oklahoma's Medicaid program, replacing it with a uniform per-patient day fee calculation. This fee, based on total annual patient gross receipts divided by patient days, directly affects licensed nursing facilities (excluding those operated by the Oklahoma Department of Veterans Affairs). The bill updates funding mechanisms, requiring the fee to fund specific Medicaid services including increasing personal needs allowances for nursing home residents from $30 to $50 monthly. It also clarifies that the fee must align with federal Medicaid reimbursement rules and ensures funds are exempt from budget cuts.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill updates Medicaid funding mechanism to fund specific services including increased personal needs allowances, strengthening program financing.90% confidence ✓ HealthcareSupports HealthcareBill updates Medicaid funding mechanism for nursing facilities, requiring fee to fund services including increased personal needs allowances, strengthening program support.90% confidence

Sub-Topics Long-Term Care Medicaid

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