Medicaid parity; coverage; mental health and substance use disorders; contract compliance; noncompliance reviews; Oklahoma Health Care Authority; complaints; publication of reports; effective date.
HB 2049 requires Oklahoma's Medicaid managed care plans to comply with federal parity laws for mental health and substance use disorder coverage. It mandates regular compliance checks on nonquantitative treatment limitations (like prior authorization), creates a standardized process for handling parity complaints, and requires the Oklahoma Health Care Authority to publicly report on compliance. The law directly affects Medicaid managed care plans, the Oklahoma Health Care Authority, and Medicaid beneficiaries seeking mental health or substance use services. Key provisions include contract requirements for parity analysis, public disclosure of compliance reports, and a 30-day deadline for publishing federal reports. The bill became effective November 1, 2025.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
Mar 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 3, 2025
Signed May 8, 2025
Maddy AI version diff · 4 comparisons
What changed between versions
Floor (House)
→
Floor (Senate)
·
3 edits
MINOR
The bill was amended to reflect its progression from the House to the Senate floor, including updated header information, committee report details, and formatting changes. The substantive policy content regarding Medicaid parity requirements remains consistent between versions.
TECHNICAL
Header information changed from 'HOUSE OF REPRESENTATIVES - FLOOR VERSION' to 'SENATE FLOOR VERSION' with updated date (April 21, 2025) and sponsor list format.
Committee report attribution changed from 'COMMITTEE ON APPROPRIATIONS AND BUDGET' to 'COMMITTEE ON HEALTH AND HUMAN SERVICES' with updated date.
Page headers and footers were updated to reflect Senate floor version with consistent formatting and committee amendment notation.
Floor votes · Senate Apr 30, 2025 · House Mar 24, 2025
How they voted
35–11
Passed · 3 other
Total votes 49
Apr 30, 2025
D
Democratic9
88% Yea
R
Republican40
67% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
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
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