HB 2049 Oklahoma House · 2025 Regular Session

Medicaid parity; coverage; mental health and substance use disorders; contract compliance; noncompliance reviews; Oklahoma Health Care Authority; complaints; publication of reports; effective date.

House Bill 2049 requires the Oklahoma Health Care Authority (OHCA) to ensure Medicaid managed care plans comply with federal and state parity laws for mental health and substance use disorder services. It mandates that contracts with these plans include provisions for regular compliance analysis of nonquantitative treatment limitations. The bill also tasks the OHCA with developing a process for investigating and resolving parity complaints and requires the public release of compliance reports and de-identified substantiated complaints. These changes aim to enhance oversight and transparency for mental health and substance use disorder coverage for individuals on Medicaid.
Bill status passed both 4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
Mar 2025
Senate Passage
Apr 2025
Governor
Introduced Feb 3, 2025 Last action May 8, 2025
Maddy AI version diff · 4 comparisons

What changed between versions

Floor (House) Floor (Senate) · 3 edits
MINOR
The bill was converted from the House version to the Senate floor version, primarily updating formatting, headers, and committee report information. The substantive policy content regarding Medicaid parity requirements for mental health and substance use disorder coverage remains unchanged.
TECHNICAL

Updated document headers from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' with revised page numbering and committee report attribution.

Changed committee report section from Appropriations and Budget to Health and Human Services with updated date (April 21, 2025).

Adjusted line numbers and formatting to reflect Senate floor processing rather than House introduction.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
27
Key actions
7
Committee
6
Apr 30, 2025
Committee
Referred for enrollment
lower
Apr 30, 2025
Upper · Passed
Engrossed measure signed, returned to House
upper
Apr 30, 2025
Upper · Passed
Measure passed: Ayes: 33 Nays: 11
upper
Apr 21, 2025
Upper · Passed
Reported Do Pass Health and Human Services committee; CR filed
upper
Mar 25, 2025
Introduced
First Reading
upper
Mar 25, 2025
Lower · Passed
Engrossed, signed, to Senate
lower
Mar 24, 2025
Committee
Referred for engrossment
lower
Mar 24, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 75 Nays: 14
lower
Mar 6, 2025
Lower · Passed
CR; Do Pass Appropriations and Budget Committee
lower
Feb 20, 2025
Lower · Passed
Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee
lower
Feb 4, 2025
Committee
Referred to Appropriations and Budget Health Subcommittee
lower
Feb 3, 2025
Introduced
First Reading
lower
2 primary · 0 co-sponsors

Sponsors