SB 146 expands mental wellness services provided by Oklahoma's Department of Public Safety to include retirees of public safety personnel (such as police and firefighters), in addition to current employees. It creates a dedicated revolving fund (Section 9102) to finance these services and strengthens privacy protections by prohibiting the sharing of individual mental health data without consent, while allowing aggregate data use for policy improvements (Section 9101). The bill also mandates that all Mental Wellness Division resources operate separately from other department divisions. These changes took effect November 1, 2025, after becoming law without the Governor's signature on May 29, 2025.
HB 1740 requires Oklahoma's Department of Mental Health and Substance Abuse Services (ODMHSAS) to create written, individualized service plans within 45 days for people found not guilty by reason of mental illness (NGRI/MI). These plans must be based on comprehensive psychological and psychiatric evaluations, include specific details like treatment history and service schedules, and be written in plain language. The court must approve the plan after reviewing it with input from the individual, their attorney, and treating doctors, and the plan must be updated regularly. The bill also mandates frequent court review hearings - four quarterly in the first year, then two semi-annually - and requires ODMHSAS to provide detailed reports to the court before each hearing.
SB 391 extends the Opioid Overdose Fatality Review Board's existence until July 1, 2026 (correcting the bill title's "dissolving" error), requiring it to review opioid overdose cases involving adults. The Board gathers confidential records from medical examiners, hospitals, law enforcement, and other agencies to identify systemic issues in medical or law enforcement responses, then makes recommendations for improvement. All case discussions and recommendations remain confidential and privileged, not admissible in court, while the Board must publish an annual public report by February 1 detailing its findings and system coordination. This directly affects state agencies (like mental health services, law enforcement, and medical examiners) and ensures public transparency through annual reports.
SB 251 expands eligibility for Oklahoma county mental health and substance abuse funding to include employment, education, and housing programs alongside existing treatment services. It requires the state to allocate at least 0.5% of total funds to each county government or multi-county partnership applying for grants. The bill also mandates annual reports to legislative leaders detailing funding distribution and services provided. These changes aim to broaden community-based support options while ensuring minimum funding for all participating counties.
SB 1227 allows mobile crisis teams (groups of mental health professionals and peer specialists) to request safety-related information from police before responding to mental health, substance use, or suicidal crises. It requires local law enforcement agencies to create protocols for sharing only necessary safety details - like weapons history, violent behavior patterns, or outstanding warrants - with the teams. The bill limits disclosures to what ensures responder safety, keeps information confidential, and grants police immunity for following these protocols. This directly affects mobile crisis teams, law enforcement, and individuals in crisis by improving safety coordination during emergency responses.
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.
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.
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 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.
SB 423 updates Oklahoma's medical records access law by establishing standardized fees for patients and their representatives to obtain copies of medical records. Patients pay $0.50 per page for standard records, $15 for printed x-rays, and $20 for x-rays on CD/DVD, with providers prohibited from charging for searching or preparing records for the patient. The bill excludes psychological, psychiatric, mental health, and substance abuse records from these provisions, requiring separate access under different legal processes. It also sets higher fees for third parties (e.g., $20 base fee plus per-page charges for attorneys), while maintaining existing rules for disability-related requests.
