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 3912 requires health insurance plans in Oklahoma (including the State and Education Employees Group Health Insurance Plan) to cover scalp cooling systems for cancer patients undergoing chemotherapy to prevent hair loss, including the cost of the system, supplies, and monitoring. The bill specifies that scalp cooling is considered supportive cancer care, not cosmetic or experimental, and coverage remains subject to standard cost-sharing like other benefits. Plans must notify enrollees about this coverage by December 1, 2026, and the law excludes small employer plans (50 or fewer employees) and federal health plans, while also mandating Oklahoma Medicaid cover scalp cooling for eligible recipients. The bill takes effect on November 1, 2026.
SB 2029, the Oklahoma Medical Freedom Act, protects Oklahomans' right to refuse medical treatments, vaccines, or procedures without interference, and safeguards healthcare professionals who speak out against mandates. It prohibits licensing boards from disciplining doctors, nurses, or other providers for advocating patient rights, raising concerns about mandates, or whistleblowing on unethical practices. The bill creates legal recourse for healthcare workers facing retaliation, allowing them to seek injunctions, damages, and expedited court reviews. It directly affects patients making healthcare choices and healthcare professionals working in Oklahoma's medical system. The law takes effect immediately under an emergency declaration.
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.
HB 3910 prohibits health care providers in Oklahoma from making misleading or untrue advertisements about their services, directly affecting clinics, hospitals, and other health care businesses that market to the public. The bill defines deceptive advertising broadly to include all media - such as websites, social media, TV, radio, and print - describing health care services. Enforcement is handled by the Attorney General or district attorneys, who can issue civil penalties of up to $3,000 for first violations and $10,000 for repeat offenses, after providing a 10-day cure period. The law takes effect November 1, 2026.
SB 1908 removes the requirement for a prescription to purchase non-narcotic medications, homeopathic treatments, and medical supplies in Oklahoma. It prohibits state agencies, healthcare payers, and others from demanding prescriptions for these items and protects pharmacists from liability when selling them per the law. The bill directly affects patients seeking these products, pharmacists dispensing them, and healthcare payers. It takes effect November 1, 2026, and allows the State Board of Pharmacy to create implementing rules.
HB 4460 requires health insurance plans in Oklahoma to directly collect patient cost-sharing amounts (like copays and deductibles) from enrollees instead of providers, and prohibits canceling coverage for nonpayment of these costs. It mandates that health plans pay full in-network or out-of-network allowable amounts to clinicians and hospitals in a timely manner, regardless of whether the patient has paid their share. The bill also prohibits insurers from requiring providers to collect patient cost-sharing and establishes penalties, including fines, for violations. This law affects all commercial health insurance plans, patients, and healthcare providers in Oklahoma, effective November 1, 2026.
HB 3587 allows Oklahoma courts to order outpatient mental health treatment instead of hospitalization for eligible individuals, prioritizing community-based care when it meets treatment needs and prevents harm to the person or others. The bill requires certified community mental health centers to develop treatment plans in collaboration with the individual, advocates, and their treatment team, which must be approved by the court. Courts must review these plans at least every 90 days through status hearings (with 72-hour notice), prohibit forced medication administration, and allow modifications or extensions if needed. This law directly affects individuals under court-ordered outpatient treatment and mental health providers, ensuring structured oversight while preserving patient rights.
HB 3628 expands Oklahoma's community-based services for people with developmental disabilities, including those with Prader-Willi syndrome. It requires the Department of Human Services to establish programs providing health-related services (like basic nursing care and medication administration), supportive daily living assistance, and home-delivered meals. The bill mandates these services be administered by the Developmental Disabilities Service Division and specifies eligibility for individuals with developmental or intellectual disabilities. It becomes effective November 1, 2026, and directs the Department to seek federal funding for these programs.
SB 1646 requires Oklahoma health insurance plans to cover medically necessary mental health and substance use disorder treatment without arbitrary limits, affecting all residents with such coverage. It mandates coverage for "core treatments" aligned with clinical standards (like those from psychiatric associations), prohibits limiting care to short-term/acute settings, and bans insurers from rescinding authorizations after services are provided. The bill also requires insurers to follow specific rules for reviewing treatment requests and ensures out-of-network care access when in-network options aren't available. This applies to all health benefit plans covering hospital or medical services in Oklahoma, aiming to align mental health coverage with physical health benefits. The bill is pending in committee as of February 2026.
