Sen. Paul Rosino

Maddy summarySB 875 addresses the State Medicaid program. It proposes that entities contracted to provide Medicaid services would become ineligible for future capitated contracts if they fail to meet a specified minimum expense requirement. This bill directly affects organizations that contract with the state to manage and deliver Medicaid benefits.

Maddy summaryHB 2261 creates Oklahoma's participation in the Social Work Licensure Compact, enabling social workers licensed in Oklahoma (the "Home State") to practice in other participating states without obtaining separate licenses. It establishes a "Multistate License" that allows licensed social workers to provide services across member states, reducing duplicate licensing requirements and improving access to social work services. The bill also creates a Compact Commission to oversee data sharing, disciplinary actions, and dispute resolution among participating states. This law, enacted without the governor's signature on May 8, 2025, directly affects social workers seeking to practice across state lines and enhances public access to licensed professionals.

Maddy summaryHB 2261 establishes the Social Work Licensure Compact, an agreement among participating states to streamline licensing for regulated social workers. This compact allows a social worker licensed in one member state (their Home State) to practice in other member states through a "Multistate Authorization to Practice," reducing the need for multiple, individual state licenses. It aims to increase public access to social work services, reduce burdensome licensing requirements for professionals, and address workforce shortages, including supporting military families. The bill also creates a Social Work Licensure Compact Commission to oversee the compact, facilitate data sharing, and ensure public health and safety across member states. This directly affects regulated social workers seeking to practice in multiple states and individuals needing social work services across state lines, including via telehealth.

Maddy summaryHB 2050 creates a new temporary licensure pathway for international medical graduates in Oklahoma who cannot immediately qualify for full licensure. It allows these applicants to obtain a limited license if they meet ECFMG standards, provide evidence of three years of post-graduate training or clinical practice abroad, secure employment at an accredited health care provider, and pass an English competency exam. During the limited license period (up to three years), they must practice only under supervision at an approved training program. After three years with no disciplinary issues and passing all USMLE exams, they may qualify for full licensure without the prior practice restrictions. This directly affects foreign-trained physicians seeking to practice in Oklahoma.

Maddy summaryHB 2050 establishes new requirements and pathways for foreign-trained medical professionals seeking to practice in Oklahoma. It specifies criteria for full licensure for foreign applicants, including educational program equivalency and accredited clerkships. A key provision creates a limited licensure option for international medical school graduates, allowing them to practice under supervision at specific healthcare providers with accredited training programs after meeting experience and competency requirements. After three years under a limited license and passing required examinations, these graduates may apply for a full and unrestricted medical license. The bill also addresses English language proficiency, documentation, and grounds for disciplinary action for these applicants.

Maddy summaryHB 1579 sets salary limits for juvenile bureau staff in Oklahoma counties, capping directors' pay at 90% of Class A county officer salaries and other employees at 85%. It requires juvenile court judges (with county commissioner oversight) to establish expense limits for bureau operations and mandates that all bureau costs - salaries and expenses - be funded through county budgets or dedicated sales taxes. The bill also specifies that county excise boards must appropriate funds for bureau staffing and operations, consistent with other county officer budgets. Additionally, it clarifies that district attorneys represent juvenile bureaus in lawsuits, unless conflicts arise. The law became effective November 1, 2025.

Maddy summaryHouse Bill 1579 updates regulations concerning juvenile bureaus in Oklahoma. It modifies the salary limitations for the director and other employees of these bureaus, capping the director's salary at 90% and other employees' salaries at 85% of Class A county officers. The bill also details how expenses for bureau personnel are fixed and reimbursed, and how the overall budget for salaries and expenses is established and funded, either as a county charge or through a dedicated sales tax. Additionally, it clarifies the provisions for legal representation of the juvenile bureau and its employees. This act will become effective on November 1, 2025.

Maddy summaryHB 1686 requires hospitals to establish evidence-based sepsis protocols for early identification and treatment of patients with sepsis or septic shock, including staff training and population-specific guidelines (e.g., for pediatric or adult patients). It also mandates that Medicaid payors and health insurance plans (including private insurers) use specific clinical criteria for sepsis billing: a provider’s diagnosis of sepsis plus two symptoms of inflammatory response (such as fever, rapid heartbeat, or abnormal white blood cell count). The bill directly affects hospitals providing care and insurance companies administering Medicaid or health benefit plans in Oklahoma. It becomes effective November 1, 2025, aligning with federal coding standards for sepsis diagnosis.

Maddy summaryHB 1686 requires Oklahoma hospitals to establish and update evidence-based protocols for the early identification and treatment of sepsis and septic shock. These protocols must include provisions for screening, identifying appropriate patients for treatment, treatment guidelines, population-specific variations, and staff training. Additionally, the bill mandates that certain third-party payors and health benefit plans, including those contracting for Medicaid services, use specific clinical criteria for sepsis diagnosis. These criteria require a provider's diagnosis with a suspected infection and at least two symptoms of inflammatory response, such as elevated body temperature or heart rate. The bill aims to standardize sepsis identification and treatment practices, becoming effective November 1, 2025.

Maddy summaryHB 2138 is an Oklahoma civil procedure bill that modifies rules for default judgments and defense objections. It extends the deadline for defendants to respond to lawsuits from 20 to 35 days in certain cases and clarifies when specific defenses (like improper service or venue) must be raised to avoid waiver. The bill requires courts to hold hearings on certain objections before trial and specifies that failing to raise defenses in a motion waives them. This directly affects defendants in civil lawsuits who must navigate response deadlines and defense procedures under Oklahoma law.