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 1512 grants Oklahoma's Insurance Commissioner authority to operate a state-based health insurance exchange under the Affordable Care Act, including applying for federal waivers. It creates a dedicated "State-based Exchange Revolving Fund" to support the exchange's operations and requires the Commissioner to promulgate necessary rules. The bill directly affects Oklahomans purchasing health insurance through the state marketplace by enabling a state-run exchange option. It becomes effective July 1, 2025, and was enacted without the Governor's signature on May 15, 2025.
SB 693 requires social media platforms to display a clear warning about potential mental health risks for minors when users under 18 access the platform. This warning must be provided in a specific, conspicuous manner as defined by the bill, and failure to do so would be deemed an unlawful business practice under Oklahoma's Consumer Protection Act. Violations would result in civil penalties, which would be deposited into a new "Social Media Mitigation for Minor Mental Health Fund" managed by the Department of Mental Health and Substance Abuse Services. The fund aims to support mental health services for minors in Oklahoma, directly affecting social media companies operating within the state.
HB 2196 establishes a flexible benefit allowance for Oklahoma school district employees to cover health insurance and other benefits for themselves and their dependents. The state must appropriate annual funds to cover the allowance, calculated based on the number of eligible employees (including certified personnel and support staff like bus drivers or janitors) and their dependents. School districts must offer a flexible benefits plan including health coverage, allowing employees to use the allowance for health insurance or receive unused portions as taxable pay. The bill also updates definitions of "dependent" and requires the State Board of Education to report on self-insured health plans used by school districts.
SB 1178 appropriates $100,000 from Oklahoma's General Revenue Fund to the Department of Human Services for fiscal year 2026 to support its existing mental health and substance abuse services duties. The bill directly affects state-funded mental health programs by providing dedicated funding for current operations. It includes an emergency clause, allowing it to take immediate effect without the governor's signature, which occurred on May 29, 2025. This is a procedural funding measure with no new policy requirements, solely allocating existing resources. The appropriation is limited to the specified amount and purpose as defined in the bill text.
HB 2011, titled "Fighting Chance for Firefighters Act," actually expands health insurance benefits for firefighters rather than providing tax credits, as the title incorrectly states. The bill amends Oklahoma Statutes Section 1315 to explicitly include municipal fire departments (organized under 11 O.S. § 29-101) and county fire departments (under 19 O.S. § 351) in the Oklahoma Employees Insurance and Benefits Plans. This allows firefighters employed by these departments to access the same health insurance coverage available to state employees, including continuation of coverage after retirement or termination with eight years of service. The law, enacted without the Governor’s signature on May 27, 2025, directly affects firefighters in local fire departments by improving their access to health insurance benefits.
HB 2945, the "Protecting Moms and Babies Act," prohibits manufacturing, distributing, mailing, transporting, prescribing, or providing abortion-inducing drugs in Oklahoma, with specific exceptions for medical treatments like ectopic pregnancy or miscarriage. It allows only private citizens (via "qui tam" lawsuits) to enforce the ban, not state officials, and explicitly prohibits lawsuits against pregnant women seeking abortion or common carriers transporting patients (if unaware of intent). The law defines "abortion-inducing drugs" to include medications like Mifeprex and misoprostol, excluding use for non-abortion medical purposes. Key exceptions permit the drug's use solely to preserve a mother's life, treat ectopic pregnancy, or address miscarriage-related complications.
SB 107 creates a state income tax credit for ambulance service staff in Oklahoma, effective for tax year 2025 and beyond. It provides specific credit amounts based on certification level: $100 for certified emergency medical responders, $200 for emergency medical technicians, $400 for intermediate/advanced EMTs, and $600 for paramedics. To qualify, workers must maintain required licenses/certifications and submit employer documentation verifying employment through the tax year, with only one credit allowed per tax year. The bill also requires the State Commissioner of Health to create an online submission form for this documentation.
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 2797 prohibits Oklahoma's Health Care Authority (OHCA) from using statistical methods like extrapolation to audit Medicaid home and community-based service claims, which could require providers to repay overpayments. It invalidates all past audits using these methods (January 2020-November 2025) and voids related repayment demands. The bill requires OHCA and the Department of Human Services to jointly develop new audit standards and provide training for providers by November 2027. It also mandates compliance with existing fraud reporting rules and updates audit responsibilities for Medicaid waiver programs.
