HB 1144 allows Oklahoma public school students to take one excused absence per semester for mental health reasons without requiring documentation from parents or students. This policy directly affects all K-12 students in Oklahoma public schools by expanding valid reasons for excused absences beyond traditional medical or family emergencies. The key provision limits mental health absences to a single full school day each semester, with no need for verification like a doctor's note. It does not change existing rules for other excused absences (such as for 4-H activities or online course participation) but adds mental health as a standalone, no-documentation reason. The bill amends Oklahoma's school attendance statutes to include this specific provision.
HB 1808, now law in Oklahoma, reforms health insurance prior authorization and step-therapy rules to improve patient access to medications. It requires insurers to grant exceptions to step-therapy protocols (where patients must try cheaper drugs first) if a medication is contraindicated, ineffective based on medical history, or causes harm - covering specific scenarios like prior adverse reactions or stability on a current treatment. The bill mandates insurers respond to urgent prior authorization requests within 24 hours and non-urgent requests within 2 business days, with requests deemed approved if deadlines are missed. It also ensures continuity of coverage for stable treatments when switching plans (90-day protection) and requires insurers to cover at least one readily available asthma controller medication per class without prior authorization.
Oklahoma's SB 773 regulates pharmacy benefit managers (PBMs) by prohibiting unfair practices that affect independent pharmacies and patients. It requires PBMs to pay independent pharmacies the same reimbursement rate for identical drugs as they pay PBM-owned pharmacies, banning "spread pricing" where PBMs charge plans more than they pay pharmacies. The bill also prohibits PBMs from charging pharmacies fees for claim submission, network enrollment, or claims processing, and restricts retroactive payment reductions except for fraud or audit errors. These changes directly impact PBMs, pharmacies, and health plans operating in Oklahoma, aiming to ensure fairer payment practices. The bill was vetoed by the governor but overridden by the legislature on May 29, 2025.
HB 2749 creates a special fund called the Intergenerational Education Revolving Fund within the Oklahoma Health Care Authority. It establishes a competitive grant program to connect nursing facilities participating in Oklahoma's Medicaid program with public school districts for collaborative intergenerational education initiatives. Grant awards, provided as rate adjustments to qualifying facilities, will fund these partnerships. The program begins July 1, 2025, with funds limited to the total amount deposited into the revolving fund.
HJR 1027 is a proposed constitutional amendment (Article XXXI) that would establish a fundamental right to reproductive freedom for Oklahomans. It guarantees individuals' rights to make decisions about pregnancy care - including abortion, contraception, and miscarriage management - without state interference unless a "compelling" state interest (like protecting health) is proven through the least restrictive means. The amendment specifically prohibits state bans on abortions medically necessary to protect a patient’s life or physical/mental health, and bans prosecution of individuals or healthcare providers exercising this right. It directly affects Oklahomans seeking reproductive care, healthcare providers, and state enforcement practices. The amendment would override conflicting state laws and requires voter approval via ballot referendum.
HB 2513, titled the "Oklahoma Mental Health Reform Act of 2025," proposed creating a position requiring an individual with specific qualifications to address the Department of Mental Health and Substance Abuse Services' court-ordered consent decree. The bill specified requirements for this appointee and included an emergency provision. It was scheduled to take effect November 1, 2025, but was pocket-vetoed by the Governor on May 30, 2025, with the veto taking effect June 15, 2025, meaning it never became law. The bill directly affected the Department's compliance with its existing legal agreement but was not enacted.
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.)
HCR 1004 is a procedural resolution approving a consent decree resolving a class-action lawsuit against Oklahoma's mental health system. It formally authorizes the Oklahoma Legislature to adopt the court-approved settlement between the Department of Mental Health and Substance Abuse Services, the Oklahoma Forensic Center, and a group of individuals alleging inadequate competency restoration treatment for people found incompetent to stand trial. The decree resolves claims about delays in providing required treatment to ensure court competency, avoiding further litigation costs. This resolution does not create new policy but legally ratifies an existing court agreement.
SB 176 requires health insurance plans to cover certain prescription drugs that were previously not included in standard coverage. It directly affects health insurance providers and policyholders by mandating this specific coverage for eligible medications. The key provision is a new requirement for all health benefit plans to include these designated prescriptions without prior authorization or excessive cost-sharing. The law became effective on May 29, 2025, after the Governor did not sign it.
HB 2947 adds a new provider code in Oklahoma Medicaid for master's and doctoral-level behavioral health clinical interns. These interns - graduate students in nationally accredited programs - can provide services under the direct supervision of licensed behavioral health providers (like LPCs or LCSWs) while following all Medicaid documentation and training requirements. The bill directly affects interns seeking practical experience and licensed supervisors who will oversee their Medicaid-covered services. It expands Medicaid access to behavioral health care by formalizing intern participation in the state's Medicaid plan.
