Healthcare (Long-Term Care)

in committee · Oklahoma · House Feb 3, 2026

HB 4410: Long-term care referral fees; referral agency referrals; disclosure requirements; restrictions; duties; compensation for referral agency; effective date.

HB 4410 regulates referral agencies that connect seniors to assisted living facilities. It requires agencies to provide clear, written disclosures to consumers before referrals, including fee details, payment responsibility, and the right to terminate services without penalty. The bill prohibits agencies from charging fees for facility transfers within the same provider, after 12 months of service, or for referrals to unlicensed facilities. It also bans conflicts of interest (like owning facilities they refer to) and mandates background checks, insurance, and annual facility license audits for referral agencies. These changes directly affect consumers choosing care, referral agencies, and assisted living facilities.

Topics ✓ HealthcareSupports HealthcareRegulates referral agencies to protect seniors with disclosure requirements and fee restrictions, enhancing patient rights in healthcare access.90% confidence

Sub-Topics Long-Term Care

Track

in committee · Oklahoma · House Feb 9, 2026

HB 4407: Long-term care; Options Counseling for Long-term Care Revolving Fund; purpose; effective date; emergency.

HB 4407 creates the "Options Counseling for Long-term Care Revolving Fund" within Oklahoma's State Treasury to provide free long-term care planning assistance. The fund, financed by state/federal appropriations, donations, and grants, will allow the Oklahoma Department of Human Services to offer in-person or phone counseling about long-term care options to individuals or their representatives. Money from the fund can be spent without annual budget restrictions, with expenditures requiring standard state approval processes. The bill takes effect July 1, 2026, and is classified as an emergency measure.

Topics ✓ HealthcareSupports HealthcareCreates fund for free long-term care planning counseling, enhancing access to healthcare services and patient decision-making support.95% confidence

Sub-Topics Long-Term Care

Track

vetoed · Oklahoma · Senate May 29, 2025

SB 804: Long-term care; directing promulgation of specified rules; requiring assisted living centers to establish internal quality assurance committee. Effective date.

SB 804 requires Oklahoma assisted living centers to establish an internal quality assurance committee that meets quarterly. The committee must monitor incidents, resident satisfaction, and care quality - especially medication administration - and recommend policies, with membership including a registered nurse, administrator, direct care staff, and pharmacist as needed. The bill also updates existing rules to mandate monthly medication reviews by nurses/pharmacists, standardized resident screening, posting inspection results online, and individualized care plans. These changes directly affect all licensed assisted living centers in Oklahoma, effective November 1, 2025.

Topics ✓ HealthcareSupports HealthcareMandates quality committees & monthly medication reviews in assisted living centers to improve care safety and oversight, directly strengthening patient care standards in healthcare services.95% confidence

Sub-Topics Healthcare Workforce Long-Term Care

Track

in committee · Oklahoma · House Feb 19, 2026

HB 3886: Nursing homes; notice of violation and right to hearing; Nursing Home Care Act; State Department of Health; personnel to remain on site; effective date.

HB 3886 requires Oklahoma's State Department of Health to provide nursing homes with written notices of violations, detailing the specific rule or standard breached and the facility's obligation to submit a correction plan within 10 working days. The bill mandates that health personnel remain on-site during emergencies (like life-endangering situations) until a facility's "Plan of Removal" is accepted. It also establishes clear procedures for facilities to dispute violations through informal resolution or formal hearings, and requires exit conferences where facilities can discuss preliminary findings before final reports are issued. This bill directly affects licensed nursing homes operating under Oklahoma's Nursing Home Care Act, enhancing transparency and due process in regulatory enforcement.

Topics ✓ HealthcareSupports HealthcareRequires clearer violation notices, correction plans, and emergency protocols to enhance nursing home accountability and resident safety within healthcare services.85% confidence

Sub-Topics Long-Term Care

Track

passed · Oklahoma · House Apr 23, 2026

HB 3645: Hospice care; requirements; allowing for hospice determination by physicians in certain situations; effective date.

HB 3645 amends Oklahoma's hospice care requirements to expand eligibility determination options when patients lack legal representatives. It allows hospice admission decisions by a licensed long-term care administrator (with 6 months oversight and two physician approvals), two physicians reviewing medical history, or a primary care physician managing care for six months. The bill maintains existing standards like 24/7 care, bereavement programs, and prohibitions on improper patient solicitation. It directly affects hospice providers and patients without appointed guardians, ensuring timely access to hospice services under defined criteria.

Topics ✓ HealthcareSupports HealthcareExpands hospice eligibility options for patients without legal representatives, improving access to end-of-life care services while maintaining existing care standards.95% confidence

Sub-Topics Long-Term Care Primary Care

Track

in committee · Oklahoma · Senate Feb 3, 2026

SB 2042: Nursing facilities; imposing certain duty on personnel of the State Department of Health related to emergency orders. Effective date.

SB 2042 requires Oklahoma Department of Health personnel to remain on-site at nursing facilities during emergencies that pose immediate risks to resident health, safety, or welfare. This applies when the Department issues an emergency order under the Nursing Home Care Act, mandating staff stay until the facility's "plan of removal" is accepted. The bill directly affects nursing facilities, health department staff, and residents during critical incidents. Key provisions clarify emergency order procedures, including requiring immediate on-site presence during life-endangering situations and ensuring facilities receive written notice of violations with correction deadlines. It does not change existing penalties or dispute processes but adds this specific on-site requirement during emergencies.

Topics ✓ HealthcareSupports HealthcareRequires health department staff to remain onsite during nursing facility emergencies, ensuring continuous oversight and resident safety per Nursing Home Care Act provisions.95% confidence

Sub-Topics Long-Term Care

Track

in committee · Oklahoma · Senate Feb 3, 2026

SB 1807: State Medicaid program; eliminating certain reduced assessment rate. Effective date.

SB 1807 eliminates a reduced assessment rate for nursing facilities under Oklahoma's Medicaid program, replacing it with a uniform per-patient day fee calculation. This fee, based on total annual patient gross receipts divided by patient days, directly affects licensed nursing facilities (excluding those operated by the Oklahoma Department of Veterans Affairs). The bill updates funding mechanisms, requiring the fee to fund specific Medicaid services including increasing personal needs allowances for nursing home residents from $30 to $50 monthly. It also clarifies that the fee must align with federal Medicaid reimbursement rules and ensures funds are exempt from budget cuts.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill updates Medicaid funding mechanism to fund specific services including increased personal needs allowances, strengthening program financing.90% confidence ✓ HealthcareSupports HealthcareBill updates Medicaid funding mechanism for nursing facilities, requiring fee to fund services including increased personal needs allowances, strengthening program support.90% confidence

Sub-Topics Long-Term Care Medicaid

Track

signed · Oklahoma · Senate May 5, 2026

SB 1645: Medicaid; establishing certain requirements and procedures for audits of providers; directing establishment of certain appeals. Effective date.

SB 1645 establishes new rules for auditing long-term care providers (like nursing homes and Medicaid home-care agencies) under Oklahoma's Medicaid program. It requires the Oklahoma Health Care Authority to give providers 1 week's notice before audits, limits audits to 50 claims or 0.25% of annual claims, and prohibits holding providers liable for simple clerical errors (like typos) as fraud. Providers must be allowed 60 days to correct claims after an audit, and recoupments (recovery of overpaid funds) can only apply to corrected claims, not original billing errors. The bill also creates a two-step appeals process, allowing providers to challenge audit results through the Authority and then to an administrative law judge.

Topics ✓ HealthcareSupports HealthcareBill reduces administrative burden on Medicaid providers by limiting audits, prohibiting liability for clerical errors, and allowing correction periods - protecting access to long-term care services under Medicaid.90% confidence

Sub-Topics Long-Term Care Medicaid Substance Abuse

in committee · Oklahoma · Senate Feb 3, 2026

SB 1650: Long-term care; requiring assisted living centers to post certain assisted living center bill of rights. Effective date.

SB 1650 requires all assisted living centers in Oklahoma to prominently display a "bill of rights" specific to the center and its staff. This bill of rights outlines 12 key provisions, including the center's right to be treated with respect, to terminate resident contracts under defined conditions (like health or safety risks), and to file grievances without fear of retaliation. The law applies to all assisted living facilities under Oklahoma’s Continuum of Care Act and takes effect on November 1, 2026. It focuses on clarifying operational rights for facilities, not altering resident protections.

Topics ✓ HealthcareSupports HealthcareMandates assisted living centers to display resident rights bill, protecting patient rights within long-term care facilities as part of healthcare services.95% confidence

Sub-Topics Long-Term Care

Track

signed · Oklahoma · Senate Apr 28, 2026

SB 1847: Medicaid home- and community-based services; modifying eligibility criteria for the ADvantage Waiver Program. Effective date. Emergency.

SB 1847 modifies Oklahoma's ADvantage Waiver Program, which provides Medicaid home- and community-based services. It creates an exception allowing individuals with cognitive impairments to qualify if they were already residing in an assisted living center contracted with the state when their impairment developed, and the center has a specific accommodation plan. This change directly affects adults with cognitive impairments who live in state-contracted assisted living facilities and developed their condition after moving in. The bill does not alter financial or age requirements but adjusts eligibility for this specific group. The exception applies to those meeting all three conditions outlined in the bill's new subsection B.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid eligibility for cognitive impairment patients in state-contracted facilities, increasing access to home-based care services under ADvantage Waiver Program.95% confidence

Sub-Topics Long-Term Care Medicaid