Rep. Preston Stinson

Maddy summarySB 1572 reduces the Oklahoma Commission on Children and Youth membership from 18 to 17 members by removing the position of "one member appointed by the Governor who shall represent one of the metropolitan juvenile bureaus." The bill updates statutory language and clarifies the commission's composition, which includes state agency leaders, youth service organization representatives, and appointed members with child-focused experience. It does not change the commission's purpose or functions but adjusts who serves on it. The bill takes effect July 1, 2026.

Maddy summarySB 647 amends Oklahoma municipal land use procedures to clarify that public input during land use applications must be objective and relevant to influence decisions. It directly affects cities and towns handling zoning or development approvals by prohibiting non-objective or irrelevant public comments from being determinative in those proceedings. Key provisions include adding explicit language to prevent such non-relevant input from swaying outcomes and modifying record-keeping requirements to include meeting minutes. The bill focuses on streamlining land use decisions by setting clearer standards for public participation. This is a substantive policy change affecting local government land use processes, not a procedural or commemorative measure.

Maddy summarySB 1380 requires Oklahoma's Medicaid program to verify death records before approving new applications and conduct monthly checks for existing enrollees using Social Security and state vital records. It directly affects all Medicaid applicants and current beneficiaries by mandating these verifications to prevent payments to deceased individuals. If death is confirmed, coverage must be stopped immediately, and any payments for services after death must be recovered. The law also requires cost-saving contracts for verification services and gives beneficiaries 10 business days to respond to eligibility discrepancies.

Maddy summaryHB 3644 (the Blake Burgess Act) requires hospitals with emergency departments and ambulatory surgical centers to implement standardized VTE (venous thromboembolism, or blood clot in veins) risk assessments for patients using nationally recognized tools and provide annual training to non-physician clinical staff. It mandates a statewide VTE registry managed by a private, nonprofit entity meeting specific criteria, which hospitals must report to starting July 2027 with data including patient age, zip code, sex, diagnosis details, and treatment. The registry collects information to improve VTE care quality, monitor outcomes, and inform state health reports, with hospitals required to submit data on VTE incidence, patient demographics, and treatment. The law directly affects hospitals, ambulatory surgical centers, and their clinical staff through new screening, training, and reporting obligations.

Maddy summaryHB 3650 sets minimum reimbursement rates for healthcare providers treating Oklahoma Medicaid enrollees, requiring contracted entities to pay in-network providers 100% and out-of-network providers 90% of the 2021 fee schedule rates until 2035. It mandates value-based payment arrangements for providers (with quality-based incentives), requires 11% of contracted entities' healthcare spending to go toward primary care, and includes specific payment rules for rural health clinics, behavioral health centers, pharmacies, and ambulance services. The bill also establishes annual capitation rate updates and medical loss ratio penalties for non-compliant entities. It becomes effective November 1, 2026.

Maddy summaryHB 3649 creates a trust for all real property owned by Oklahoma's Department of Mental Health and Substance Abuse Services. It allows the sale of 12 specific land parcels (listed by location) but requires all sale proceeds to fund infrastructure improvements or capital projects directly benefiting the Department's clients - **not** prevention or treatment services. The trust mandates that most property remain held permanently, with only the named parcels eligible for sale under strict conditions. This bill directly affects the Department and the mental health clients it serves by governing how its land assets are managed and utilized.

Maddy summaryHB 2137 modifies Oklahoma's criminal procedure laws to clarify how courts handle defendants found incompetent to stand trial who may regain competency. It requires courts to hold new hearings if medical staff report potential competency restoration and mandates strict procedures for authorizing involuntary medication (including psychiatric medication) to restore competency, including requiring petitioners to prove necessity with "clear and convincing evidence." The bill ensures defendants receive legal representation, 30-day hearing deadlines, and specific court findings on medical necessity, alternatives, and the defendant's wishes. It directly affects individuals in criminal cases under involuntary competency restoration, ensuring due process while allowing medication administration only when medically justified and legally permissible.

Maddy summarySB 1621 requires Oklahoma county law libraries, their boards, and employees to receive free legal representation from the local district attorney for matters related to their official duties. If a district attorney cannot serve due to a conflict of interest, the state Attorney General's office must provide that representation instead. The bill mandates this free legal assistance for all county law libraries and codifies the requirement in Oklahoma law. It takes effect November 1, 2026.

Maddy summarySB 2007 requires pharmacy benefit managers (PBMs) in Oklahoma to pay administrative fees to pharmacies when they adjust reimbursement rates for the same drug within 30 days after a successful appeal. Specifically, if a PBM increases reimbursement based on an appeal but then lowers it again for the same drug within 30 days, the PBM must pay $100 immediately, escalating to $500 after 90 days or $1,000 after 180 days if unpaid. The bill directly affects pharmacies and PBMs by mandating these fee payments for disputed reimbursements, ensuring providers aren’t financially penalized for legitimate appeal outcomes. It also includes other provisions like weekly MAC price updates and requirements for PBMs to provide clear documentation during reimbursement disputes. The law takes effect November 1, 2026.

Maddy summarySB 1344 creates Oklahoma's Insulin Access and Affordability Program, administered by the State Department of Health, to increase access to affordable insulin for residents. The bill requires the Department to provide financial support to a nonprofit pharmaceutical manufacturer developing fast-acting biosimilar insulin, contingent on the manufacturer matching funds and agreeing to produce insulin at low cost without rebates (except as required by law). The agreement includes annual reporting on development progress and repayment terms if the insulin isn't produced and distributed as promised. This program directly affects Oklahoma residents needing insulin, public and private payors, and the specified nonprofit manufacturer.