Preventative diagnostic services; eligibility; administer; coverage; educational; public awareness; annual report; Legislature; effective date.

HB 1974 requires Medicare to cover annual preventative diagnostic screenings and advanced imaging services at no cost for Medicare-eligible Oklahomans. It specifically mandates coverage for cardiovascular, diabetes, and endocrinology testing (such as HbA1c, TSH, and lipid panels), plus MRI when medically necessary. The Oklahoma State Department of Health will administer the program in partnership with healthcare providers, including targeted outreach to rural and underserved communities. The bill also requires an annual report to the Legislature detailing program participation, health impacts, and cost savings.