Health care; prohibiting health care staffing agency from charging certain excess fee; making agency liable for certain violation. Effective date.

SB 668 prohibits health care staffing agencies from charging facilities fees exceeding 105% of a nurse's or direct care worker's previous hourly wage at that facility (if employed within the last two years). It directly affects staffing agencies placing temporary nurses at Oklahoma hospitals or licensed nursing facilities, and gives those facilities legal recourse if agencies violate the fee cap. Covered facilities can sue for actual damages, attorney fees, and other relief after providing the agency written notice of the overcharge with pay records. The bill takes effect November 1, 2025.