HB 4490 creates the Oklahoma Families Thriving Everywhere Now (OFTEN) program through the Oklahoma State Department of Health, using $3 million in state funds for the 2027 fiscal year. The program provides telecare support, community outreach, and care coordination for women with high-risk pregnancies and parents of children under three, aiming to promote healthy childbirth, stable family formation, and economic self-sufficiency. Services include referrals, case management, and parenting assistance delivered by Oklahoma-based community providers. The bill takes effect July 1, 2026, and includes an emergency declaration to accelerate implementation.
HB 3266 amends Oklahoma law to expand the definition of Class D2 felony offenses, adding 22 specific violations including reckless driving that causes a collision (Section 11-901, item 10). It also includes multiple abortion-related offenses such as performing abortions after the first trimester, violating pain-awareness laws, and conducting abortions on minors without consent (items 11-19). The bill specifies penalties: Class D2 felons face up to 2 years in prison (with 20% mandatory service), increasing to 5-10 years for repeat offenders. It exempts certain offenses (like abortion violations) from these penalties, instead applying existing statutes. This bill directly affects individuals convicted of these specific offenses under Oklahoma Statutes.
HB 1201 creates a 70% tax credit for Oklahoma taxpayers who donate to certified pregnancy resource centers, capping the credit at $50,000 per donor annually. To qualify, centers must provide free, non-abortion services (like prenatal care and counseling) without performing or referring for abortions, and must be certified by the state health director. The total annual tax credits for all donors are capped at $5 million, with annual adjustments to prevent exceeding this limit. The credit applies to donations of $100 or more and takes effect January 1, 2026.
SB 1709 amends Oklahoma's Class D2 criminal offenses to include 12 abortion-related violations, such as performing an abortion without a license, after the first trimester, or on an unemancipated minor. The bill specifies that these abortion offenses will be punished under their original statutes (not standard Class D2 penalties), while other Class D2 offenses (like escape or assault) follow standard sentencing. It repeals Section 1289.18 of the Oklahoma Statutes, which previously referenced the Oklahoma Firearms Act of 1971 - a reference now deemed inconsistent. The bill takes effect November 1, 2026, and directly affects individuals convicted of these specific abortion-related crimes. Note: Despite its title referencing firearms, the bill’s content is solely about abortion criminalization.
SB 2165, the "Child Support Upon Conception Act," would allow mothers to seek court-ordered child support based on verified pregnancy, requiring medical proof of gestation and paternity testing before any support is awarded. It establishes temporary pre-birth support for pregnancy-related medical expenses, prenatal care, and living costs necessary for maternal and fetal health, continuing until birth when standard post-birth support begins. The bill treats the unborn child as having legal standing under Oklahoma's Children's Code, granting rights to protective orders and custody proceedings while requiring paternity verification. The bill is pending in the Oklahoma Senate Judiciary Committee after its introduction on February 2, 2026.
SJR 34 is a proposed constitutional amendment that would prohibit most abortions in Oklahoma by defining "abortion" as intentionally terminating an unborn person's life from conception. It requires healthcare providers to attempt live births when a medical condition threatens the mother's life, making every reasonable effort to preserve both lives. Violating this prohibition would be classified as first-degree murder, and the amendment grants criminal immunity to providers who meet the reasonable effort standard, while allowing civil lawsuits with $10,000+ per violation and attorney fees. The amendment explicitly excludes contraceptive use before pregnancy detection and permits medical procedures for live birth, ectopic pregnancy care, or miscarriage management.
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 1941 establishes Oklahoma's RESTORE Act to improve access to reproductive health care. It requires the State Department of Health to collect data on conditions like endometriosis, PCOS, and unexplained infertility (affecting 15-30% of cases), and mandates certain healthcare facilities to provide restorative reproductive medicine services. The bill directs funding toward programs addressing reproductive health conditions, requires new provider training on natural approaches, and specifies that facilities must report on services related to fertility and symptom management. It focuses on conditions such as endometriosis (with a typical 10-12 year diagnosis delay) and male-factor infertility, without promoting specific treatments.
SB 2054 creates Oklahoma's "Mother and Child Protection Act," which prohibits the manufacture, distribution, or provision of abortion-inducing drugs in the state (defined to include drugs like mifepristone used for medication abortion). The law allows private citizens - not the state - to file lawsuits (via "qui tam" actions) against violators, with exceptions for medical emergencies (e.g., life-threatening conditions, ectopic pregnancy, or miscarriage-related cases). It specifically exempts drugs prescribed for non-abortion medical purposes (like chemotherapy) and does not apply to actions taken under federal law. This bill directly affects healthcare providers, pharmacies, and anyone distributing such drugs in Oklahoma.
