HB 1811 Oklahoma House · 2026 Regular Session

Insurance; chronic conditions; validity period; prior authorization; inpatient; non-inpatient; timeframe; effective date.

HB 1811 changes Oklahoma insurance rules for chronic condition care. It requires insurers to keep prior authorizations valid for six months for non-inpatient treatments (like outpatient care) and 14 days for inpatient acute care. For ongoing inpatient stays, insurers must approve extensions within 72 hours or continue paying providers; they cannot use stricter criteria than the initial approval. The law does not require coverage for conditions already excluded from policies.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
House Passage
Mar 2025
Senate Passage
May 2025
Signed into Law
May 2025
Introduced Feb 3, 2025 Signed May 14, 2025
Maddy AI version diff · 4 comparisons

What changed between versions

Floor (House) Floor (Senate) · 3 edits
MINOR
The bill text was reformatted from House floor version to Senate floor version, with minor spacing adjustments and updated page headers. No substantive policy changes were made to the insurance coverage requirements, prior authorization rules, or effective dates.
TECHNICAL

Page headers were updated from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' with revised formatting and committee report attribution.

Line spacing and indentation were adjusted throughout the document to match Senate floor formatting standards.

Committee report section was updated to reflect Senate committee review with 'DO PASS' recommendation dated April 10, 2025.

Floor votes · Senate May 6, 2025 · House Mar 13, 2025

How they voted

450
Passed · 4 other
Total votes 49
May 6, 2025
D Democratic9
9 Yea
100% Yea
R Republican40
36 Yea 4
90% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
23
Key actions
7
Committee
6
May 6, 2025
Committee
Referred for enrollment
lower
May 6, 2025
Upper · Passed
Engrossed measure signed, returned to House
upper
May 6, 2025
Upper · Passed
Measure passed: Ayes: 44 Nays: 0
upper
Apr 10, 2025
Upper · Passed
Reported Do Pass Business and Insurance committee; CR filed
upper
Mar 17, 2025
Introduced
First Reading
upper
Mar 17, 2025
Lower · Passed
Engrossed, signed, to Senate
lower
Mar 13, 2025
Committee
Referred for engrossment
lower
Mar 13, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 82 Nays: 0
lower
Mar 6, 2025
Lower · Passed
CR; Do Pass Commerce and Economic Development Oversight Committee
lower
Feb 25, 2025
Lower · Passed
Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance
lower
Feb 4, 2025
Committee
Referred to Insurance
lower
Feb 3, 2025
Introduced
First Reading
lower
2 primary · 0 co-sponsors

Sponsors