Healthcare

vetoed · Oklahoma · House May 29, 2025

HB 2298: Practice of nursing; providing for independent prescriptive authority of Advanced Practice Registered Nurses who meet certain requirements; modifying various provisions of the Oklahoma Pharmacy Act, the Oklahoma Nursing Practice Act, and the Uniform Controlled Dangerous Substances Act; effective date.

HB 2298 allows qualified Advanced Practice Registered Nurses (APRNs) in Oklahoma - such as nurse practitioners and nurse-midwives - to prescribe medications independently after meeting specific requirements. To qualify, APRNs must complete 6,240 supervised clinical hours, hold a valid license, and carry $1 million in malpractice insurance per incident. The bill also sets rules for APRN advertising (requiring clear disclosure of their role and scope) and defines supervision requirements for those not yet eligible for independent prescribing. It modifies Oklahoma’s Nursing Practice Act, Pharmacy Act, and Controlled Substances Act to implement these changes.

Topics ✓ HealthcareSupports HealthcareExpands APRN prescribing authority, increasing patient access to care through independent medication management without restrictions or defunding.90% confidence

Sub-Topics Healthcare Workforce Prescription Drugs

Track

in committee · Oklahoma · Senate Feb 4, 2025

SB 193: Medicaid; directing certain program delivery model; repealing provisions relating to managed care delivery model. Effective date.

SB 193 changes Oklahoma's Medicaid program from a managed care model to a direct fee-for-service system. It requires the Oklahoma Health Care Authority to transition all Medicaid members from contracted managed care organizations back to direct coverage, terminate existing managed care contracts, and directly reimburse healthcare providers. The bill repeals numerous existing laws related to managed care delivery (including Sections 4002.1 through 4002.15 and related provisions) and mandates the Authority to seek federal approval for this transition. The change takes effect November 1, 2025, affecting Medicaid recipients and healthcare providers currently covered under managed care contracts.

Topics ✓ HealthcareSupports HealthcareBill transitions Medicaid to direct provider reimbursement, eliminating managed care barriers and aiming to improve program efficiency and access for beneficiaries.85% confidence

Sub-Topics Medicaid

Track

in committee · Oklahoma · Senate Feb 4, 2025

SB 671: Public benefits; modifying definitions related to lawful presence of applicants. Effective date.

This Oklahoma bill modifies how state agencies verify applicants' lawful presence for public benefits. It requires most applicants aged 14+ to submit an affidavit affirming U.S. citizenship or lawful presence, with verification through the federal SAVE program. Key exemptions include emergency medical care, disaster relief, public health services (like immunizations), and community-based aid like soup kitchens. The bill mandates free notary services for applicants and annual compliance reports from agencies, while criminal penalties apply for knowingly false affidavits. It does not affect benefits for emergency health services, disaster relief, or certain community programs.

Topics ✓ HealthcareSupports HealthcareExempts public health services (e.g., immunizations) and emergency medical care from affidavit requirements, ensuring continued access to healthcare without barriers.85% confidence ✗ ImmigrationOpposes ImmigrationRequires immigration status verification for most public benefits, restricting access except for narrow exemptions like emergency care and public health services.95% confidence

Sub-Topics Public Health Citizenship & Naturalization

Track

signed · Oklahoma · House May 6, 2026

HB 1168: Abortion-inducing drugs; terms; trafficking; felony; exceptions.

HB 1168 makes it a felony to knowingly deliver or possess abortion-inducing drugs (like misoprostol or methotrexate) with the intent of causing an abortion, punishable by up to $100,000 in fines or 10 years in prison. It directly affects individuals who provide such drugs for non-exceptional purposes, including off-label use for abortion. Key exceptions include pharmacists, manufacturers, and distributors acting within lawful medical practices, as well as preventive contraception used as directed by manufacturers. The law does not restrict treatment for ectopic pregnancies, miscarriages, or medical uses of drugs like chemotherapy.

Topics ✗ Criminal JusticeOpposes Criminal JusticeExpands criminalization by creating a new felony for possession/delivery of abortion drugs, increasing penalties and broadening criminal law scope without reform indicators.95% confidence ✗ HealthcareOpposes HealthcareRestricts access to abortion-inducing drugs, criminalizing a healthcare service under felony penalties, directly limiting patient access to medical care.95% confidence

Sub-Topics Corrections Women's Health

signed · Oklahoma · House Feb 25, 2026

HB 1484: Schools; creating Rain's Law; requiring certain instruction on fentanyl abuse prevention and drug poisoning awareness; effective date; emergency.

HB 1484, known as "Rain's Law," requires Oklahoma public schools to provide annual, research-based instruction on fentanyl abuse prevention and drug poisoning awareness to students in grades 6 through 12. The bill mandates that this instruction cover suicide prevention, fentanyl abuse and addiction prevention, local resource access, and health education about fentanyl use. Schools must incorporate this content into health classes, and the State Department of Education will develop curriculum standards and resources to support implementation. The law also designates a week for "Fentanyl Poisoning Awareness Week" to align with National Red Ribbon Week, with age-appropriate instruction determined by each school district.

Topics ✓ EducationSupports EducationMandates fentanyl education in health curriculum for grades 6-12, enhancing student health education programs per bill requirements.95% confidence ✓ HealthcareSupports HealthcareBill mandates school-based public health education on fentanyl abuse and suicide prevention, directly advancing public health programs under healthcare topic.90% confidence

Sub-Topics Curriculum Substance Abuse

in committee · Oklahoma · Senate Feb 13, 2025

SB 155: State Department of Health; making appropriations; stating purpose. Effective date. Emergency.

SB 155 appropriates $1.1 million to Oklahoma's State Department of Health for a public information campaign about diabetes care and free/reduced-price diabetes supplies, directly affecting Oklahomans managing diabetes. It also allocates $340,222 to federally qualified community health centers serving underserved populations. The funds are designated for the 2023 fiscal year and take effect July 1, 2025. The bill establishes specific funding mechanisms without altering existing laws or creating new requirements.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $1.1M for diabetes care campaign and $340k for community health centers, increasing state budget funding for essential public health services.95% confidence ✓ HealthcareSupports HealthcareBill allocates $1.1M for diabetes care campaign/supplies and $340k to community health centers serving underserved populations, directly expanding access to healthcare services and public health programs.95% confidence

Track

signed · Oklahoma · House May 7, 2025

HB 2050: Professions and occupations; foreign applicants and requirements; international medical school graduates; foreign licensure body; limited licensure; parameters; employment; training programs; supervision; full licensure; unprofessional conduct; professional competence; good moral character; effective date.

HB 2050 creates a new temporary licensure pathway for international medical graduates in Oklahoma who cannot immediately qualify for full licensure. It allows these applicants to obtain a limited license if they meet ECFMG standards, provide evidence of three years of post-graduate training or clinical practice abroad, secure employment at an accredited health care provider, and pass an English competency exam. During the limited license period (up to three years), they must practice only under supervision at an approved training program. After three years with no disciplinary issues and passing all USMLE exams, they may qualify for full licensure without the prior practice restrictions. This directly affects foreign-trained physicians seeking to practice in Oklahoma.

Topics ✓ HealthcareSupports HealthcareCreates temporary licensure pathway for international medical graduates to practice under supervision, expanding healthcare workforce access and addressing provider shortages per bill's purpose.92% confidence ✓ ImmigrationSupports ImmigrationCreates temporary licensure pathway for international medical graduates, enabling healthcare employment under supervision, supporting immigrant professional integration.95% confidence

Sub-Topics Medical Licensing

signed · Oklahoma · Senate May 29, 2025

SB 109: Health insurance; requiring coverage of certain genetic testing and cancer imaging; providing exclusions. Effective date.

SB 109 requires Oklahoma health insurance plans to cover genetic testing for inherited cancer risks and evidence-based cancer imaging for individuals with a personal or family history of cancer or increased cancer risk. This coverage must be provided without patient cost-sharing (such as deductibles or copays) when ordered by a healthcare provider following current medical guidelines, including those from the National Comprehensive Cancer Network. The law applies to all health benefit plans offered in Oklahoma starting November 1, 2025, ensuring these preventive services are accessible without financial barriers. It does not affect health savings account eligibility for non-preventive services but guarantees coverage for preventive care under federal guidelines.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for genetic testing and cancer imaging without cost-sharing, expanding patient access to preventive care per medical guidelines.95% confidence

Sub-Topics Insurance Primary Care

in committee · Oklahoma · Senate Feb 3, 2026

SB 1402: Income tax; creating the Health Care Sharing Ministries Tax Parity Act; providing deduction for certain expenditures. Effective date.

SB 1402, the "Health Care Sharing Ministries Tax Parity Act," creates tax benefits for Oklahoma residents who participate in qualifying health care sharing ministries (HCSMs). It allows eligible residents to deduct qualified health care sharing expenses (including membership fees and administrative costs) from their Oklahoma adjusted gross income for tax years 2027 and later. Additionally, it exempts from taxable income any "qualified health care share" received by individuals through an HCSM for medical expenses. The bill defines HCSMs as not-for-profit, faith-based organizations that operate without insurance-like guarantees, and requires claims to be filed using forms prescribed by the Oklahoma Tax Commission.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax deduction for health sharing expenses, providing direct tax relief to eligible residents through adjusted gross income reduction.95% confidence ✓ HealthcareSupports HealthcareBill creates tax deductions for HCSM expenses, expanding alternative healthcare coverage options and reducing costs for residents through tax parity.95% confidence

Sub-Topics Income Tax

Track

in committee · Oklahoma · House Feb 4, 2025

HB 1724: Abortion pills; Prevention of Maternal Harm Act of 2025; coerced abortion; imprisonment; fines; Schedule IV; mifepristone and misoprostol; effective date.

HB 1724, the "Prevention of Maternal Harm Act of 2025," criminalizes administering abortion-inducing drugs (mifepristone and misoprostol) without a pregnant person’s consent. It imposes penalties of 5-20 years in prison and fines up to $100,000 for "coerced criminal abortion by means of fraud," with harsher sentences if the pregnancy exceeds three months. The bill also redesignates mifepristone and misoprostol as Schedule IV controlled substances under Oklahoma law, treating them like other restricted medications. This directly affects healthcare providers, caregivers, or others who administer these drugs without consent, making non-consensual use a felony. The law takes effect November 1, 2025.

Topics ✗ Criminal JusticeOpposes Criminal JusticeExpands criminalization of abortion drug administration with 5-20 year prison terms and fines, increasing penalties under criminal justice framework95% confidence ✗ HealthcareOpposes HealthcareCriminalizes administration of abortion drugs without consent, restricts access to medical abortion services, and redesignates mifepristone/misoprostol as controlled substances.95% confidence

Sub-Topics Corrections Women's Health

Track