HB 3647 Oklahoma House · 2026 Regular Session

Health information; creating the Oklahoma Health Care Transparency Initiative Act of 2026; requiring and authorizing submission of certain data; providing data privacy and security protections; providing penalties; establishing Health Care Cost Transparency Board.

HB 3647 creates the "Oklahoma Health Care Transparency Initiative" requiring most licensed health care providers in Oklahoma to submit anonymized claims and enrollment data to a state-designated health information exchange starting July 1, 2026. It establishes an Office within the Oklahoma Health Care Authority to oversee the initiative, with limited exemptions for providers facing financial hardship, small practice size, or technological limitations. The law mandates strict confidentiality and privacy protections for patient data, aligning with federal standards like HIPAA, and prohibits misuse of the collected information. This initiative aims to build a centralized database for health care cost and utilization data, primarily affecting hospitals, clinics, and insurers participating in Oklahoma's health care system.

Issues: ✓ Technology

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2026

Committee Review

Apr 2026

House Passage

Mar 2026

Senate Passage

Governor

Introduced Feb 2, 2026 Last action Apr 13, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

Senate Committee Substitute for House Bill → Floor (House) · 4 edits

MODERATE

The bill was transitioned from a committee substitute version to the final floor version, resulting in significant structural and substantive changes. The most critical change is the extension of the implementation deadline for health care providers to report data to the state-designated entity from July 1, 2023, to July 1, 2026. Additionally, the bill's title and citation were updated to reflect the final House floor version, and the list of exemptions for providers was expanded to include the 'type of health care provider' as a potential basis for exemption.

Scope change

The bill's scope remains focused on creating a health information exchange and transparency initiative, but the applicability timeline for providers has been extended by three years.

TIMELINE

The requirement for health care providers to report data and utilize the state-designated entity was delayed from July 1, 2023, to July 1, 2026.

REQUIREMENT

The list of bases for granting exemptions to the reporting requirement was expanded to include 'type of health care provider' alongside financial hardship, size, and technological capability.

TECHNICAL

The bill header was updated to reflect the 'House of Representatives - Floor Version' instead of the 'Committee Substitute'.

The bill's title and citation were updated to match the final floor version, including a more detailed description of the amendments.

Floor votes · House Mar 25, 2026

How they voted

63–33

Passed · 4 other

Total votes 100

Mar 25, 2026

D Democratic18

17 Yea 1

94% Yea

R Republican82

46 Yea 33 Nay 3

56% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 13, 2026

Committee

Referred to Appropriations

upper

Apr 13, 2026

Upper · Passed

Reported Do Pass, amended by committee substitute Health and Human Services committee; CR filed

upper

Mar 30, 2026

Introduced

First Reading

upper

Mar 30, 2026

Lower · Passed

Engrossed, signed, to Senate

lower

Mar 25, 2026

Committee

Referred for engrossment

lower

Mar 25, 2026

Lower · Passed

Third Reading, Measure passed and Emergency failed: Ayes: 63 Nays: 32; Ayes: 63 Nays: 32

lower

Mar 25, 2026

Introduced

Amended by floor substitute

lower

Feb 25, 2026

Lower · Passed

CR; Do Pass Health and Human Services Oversight Committee

lower

Feb 11, 2026

Lower · Passed

Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health

lower

Feb 3, 2026

Committee

Referred to Public Health

lower

Feb 2, 2026

Introduced

First Reading

lower

2 primary · 0 co-sponsors