HB 4118 proposes a tax credit for Oklahoma caregivers of eligible family members. It allows a 50% credit on qualifying expenses - such as medical travel mileage, home modifications, medical equipment, and hiring aides - for caregivers with income under $50,000 (or $100,000 for couples) caring for someone aged 62+ who needs help with two or more daily living tasks (like bathing, dressing, or eating). The credit caps at $2,000 annually per family, rising to $3,000 if the care recipient is a veteran or has dementia. The total annual credit pool is limited to $1.5 million, with unused funds adjusted yearly. If passed, it would take effect November 1, 2026.
HB 3904 requires Oklahoma Medicaid to reimburse specific maternal health services for pregnant and postpartum women. It changes payment rules to separately cover prenatal, delivery, and postpartum care (instead of bundled payments), implements immediate presumptive eligibility for prenatal care, and adds reimbursement for depression screening, self-measured blood pressure monitoring, remote ultrasounds, and doula/community health worker services. The bill directs the Oklahoma Health Care Authority to adopt implementing rules and seek federal approvals, effective November 1, 2026. It directly affects Medicaid-covered pregnant and postpartum individuals in Oklahoma by expanding access to targeted health services.
SB 1503, the "Choosing Childbirth Act," allows Oklahoma to provide state grants to both in-state and out-of-state nonprofit organizations that offer services supporting pregnant women to carry pregnancies to term. It covers reimbursable services like medical care, mental health support, housing assistance, transportation, and postpartum care (aimed at reducing maternal/infant mortality by 3% by 2026), but explicitly prohibits funding for organizations providing or referring for abortions. To qualify, organizations must be registered nonprofits in Oklahoma, provide accurate fetal development information, and certify that funds won’t support abortion counseling or referrals. The bill takes effect November 1, 2026.
SB 1653 would allow Oklahoma to join the Occupational Therapy Licensure Compact, enabling licensed occupational therapists and assistants from participating states to practice in Oklahoma without obtaining a separate Oklahoma license. This "Compact Privilege" applies when the patient is located in Oklahoma (the "Remote State"), preserving each state's regulatory authority while facilitating interstate practice. The bill establishes mutual recognition of licenses, supports military spouses relocating across states, and includes provisions for telehealth services and sharing disciplinary information between states. It directly affects occupational therapists seeking to practice across state lines and enhances access to services for patients in Oklahoma.
HB 3834, the "Oklahoma Breakthrough Therapy Act," establishes a framework for ibogaine clinical trials in Oklahoma. It requires drug developers to match state funding for trials, provide detailed plans for FDA approval and post-approval patient access (including priority for state residents and low-income care), and share intellectual property proceeds with the state. These proceeds fund an "Ibogaine Intellectual Property Account" managed by the State Treasurer, which must be spent on programs for at-risk populations with conditions treatable by ibogaine (like opioid use disorder). The bill also protects Oklahoma-licensed medical professionals from adverse licensing actions for recommending ibogaine therapy.
SB 1647 creates a revolving fund called the County Community Safety Investment Fund within Oklahoma's Department of Mental Health and Substance Abuse Services. The bill broadens the fund's purpose to support evidence-based county programs including mental health/substance abuse treatment, pretrial diversion, jail intake screenings, employment, education, and housing services. Counties and multi-county partnerships can apply for funding, while the Oklahoma Indigent Defense System Board may receive up to $1 million annually for similar programs. The bill requires annual reporting to state legislators on fund allocations and program outcomes. It becomes effective July 1, 2026, with an emergency declaration.
This bill proposes a constitutional amendment to expand Oklahoma's Medicaid program to cover low-income adults. It would require the state to maintain eligibility without additional restrictions and allow Oklahoma to halt Medicaid expansion funding if federal matching falls below 90%. The amendment must be approved by voters via ballot measure. If passed, it would change Medicaid eligibility rules and create a specific funding threshold for state coverage. The resolution directs the Secretary of State to place this proposal on the ballot for voter approval.
Oklahoma's SB 1967 regulates how health insurance companies use artificial intelligence (AI) in reviewing medical care requests. The bill prohibits AI tools from denying, delaying, or modifying care based on medical necessity - requiring licensed physicians or healthcare professionals to make these final decisions instead. It also mandates that AI tools must base reviews on individual patient records (not group data), be transparent to enrollees, and undergo regular accuracy checks. This directly affects health insurers using AI for coverage decisions and ensures patients receive human-reviewed care determinations.
SB 1794 requires Oklahoma's Department of Mental Health to create a real-time statewide registry tracking mental health facility availability, directly affecting hospitals and clinics that serve patients. The registry will display current capacity, populations served, diagnostic details (without patient identifiers), admission criteria, and emergency placement contacts to improve urgent care access. Facilities must electronically update their capacity hourly (or per department rules for low-volume settings) and comply with privacy laws like HIPAA. The bill takes effect November 1, 2026, aiming to streamline emergency placements without sharing identifiable patient data.
HB 3929 establishes Oklahoma's participation in the Occupational Therapy Compact, allowing licensed occupational therapists from other participating states to practice in Oklahoma without obtaining a separate state license. The bill creates a "compact privilege" that permits therapists to provide services where their patient is located (not where the therapist resides), while preserving each state's regulatory authority over licensure. Key provisions include standardized rules for license verification, sharing of disciplinary information between states, and requirements for therapists to maintain active licenses in their home state. This affects occupational therapists seeking multi-state practice opportunities and patients needing access to therapy services across state lines.
