Rep. Preston Stinson

Maddy summaryThis bill changes Oklahoma Medicaid rules for autism treatment coverage. It requires a diagnosis of autism spectrum disorder by specific licensed providers (like neurologists, developmental pediatricians, or psychologists) to qualify for applied behavior analysis (ABA) therapy. The bill prohibits Medicaid from requiring re-diagnoses after an initial diagnosis and mandates in-person ABA services while allowing remote supervision via telehealth. It directly affects Oklahoma Medicaid recipients with autism spectrum disorder seeking ABA therapy.

Maddy summarySB 1383 requires Oklahoma Medicaid to cover diabetes self-management education and support (DSMES) for beneficiaries with diabetes. It mandates the Oklahoma Health Care Authority to develop a state plan amendment for this coverage after completing a feasibility study and reporting on costs, clinical evidence, and pilot results. The bill defines DSMES as personalized education covering healthy eating, physical activity, blood sugar monitoring, and medication management. This policy change directly affects Oklahoma Medicaid enrollees diagnosed with diabetes by expanding their covered health services. The bill becomes effective November 1, 2026.

Maddy summaryHB 3651 would authorize the Director of the Oklahoma Department of Corrections to supervise certain probationers and parolees. This change would directly affect individuals on probation or parole who fall under the Director’s supervision, as well as the Department of Corrections in its management of community supervision. The bill amends state law to add this new authority to the Director’s existing duties, expanding their role beyond prison operations. The bill is currently under review in the Judiciary and Public Safety Oversight committee after its introduction.

Maddy summaryHB 3646 amends Oklahoma's property and casualty insurance rate filing rules, directly affecting insurers operating in the state. It requires insurers to submit rates and supporting documentation to the Insurance Commissioner, who must review filings within 30 days and may disapprove rates that don't meet standards. The bill establishes a process for insurers to request hearings if rates are disapproved and clarifies that insurers cannot use unfiled rates. It repeals outdated provisions and defines key terms like "competitive market" and "prospective loss costs" to standardize the filing process. The changes streamline rate oversight while ensuring transparency in how insurance premiums are set.

Maddy summaryHB 3653 creates the "Oklahoma Multiple Employer Welfare Arrangements (MEWA) Insurance Plans Reform Act of 2026," establishing new regulations for health insurance plans used by multiple employers. This bill directly affects MEWAs operating in Oklahoma, which are group health plans sponsored by multiple unrelated employers. The act will take effect on November 1, 2026, though the specific regulatory changes it introduces are not detailed in the provided text. The bill serves as the foundational framework for future MEWA regulations but does not outline the exact provisions or requirements.

Maddy summaryThis bill names the upcoming insurance law as the "Insurance Act of 2026" and sets its effective date for November 1, 2026. It contains no substantive policy changes or regulations - its sole purpose is to establish the act's official name and effective date. The bill directly affects future insurance law implementation in Oklahoma but does not alter existing insurance rules or regulations. As a procedural measure, it has no direct impact on insurers, consumers, or policyholders beyond formalizing the law's designation.

Maddy summaryHB 3655 creates the "Oklahoma Blood Clot Registry Act of 2026" and establishes a non-codified registry for blood clot data. The bill specifies that it becomes effective on November 1, 2026, but does not detail how the registry would operate, who would manage it, or which patients or healthcare providers it would directly affect. As a procedural bill naming the registry and setting an effective date, it does not include substantive policy changes or mechanisms.

Maddy summarySB 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.

Maddy summaryOklahoma's SB 773 regulates pharmacy benefit managers (PBMs) by prohibiting unfair practices that affect independent pharmacies and patients. It requires PBMs to pay independent pharmacies the same reimbursement rate for identical drugs as they pay PBM-owned pharmacies, banning "spread pricing" where PBMs charge plans more than they pay pharmacies. The bill also prohibits PBMs from charging pharmacies fees for claim submission, network enrollment, or claims processing, and restricts retroactive payment reductions except for fraud or audit errors. These changes directly impact PBMs, pharmacies, and health plans operating in Oklahoma, aiming to ensure fairer payment practices. The bill was vetoed by the governor but overridden by the legislature on May 29, 2025.

Maddy summaryHB 2048, the "340B Nondiscrimination Act," prohibits health insurers, pharmacy benefits managers (PBMs), and third-party payors from discriminating against healthcare providers participating in the federal 340B drug discount program. It specifically bans lower reimbursement rates for 340B drugs, extra fees or administrative burdens for 340B entities, exclusion from provider networks based on 340B status, and requirements to disclose 340B-specific billing details. The law applies to all 340B entities - such as community health centers and hospitals participating in the federal program - and ensures they receive equal treatment in billing, reimbursement, and network access. Enforcement is handled by the Attorney General, with the Oklahoma Medicaid program excluded from these provisions.