Healthcare

passed · Oklahoma · House Apr 7, 2026

HB 2834: Medicaid; Oklahoma Health Care Authority; coverage; Medicaid programs without therapy benefits.

HB 2834 requires Oklahoma's Medicaid program to cover 96% of Medicare's payment rates for in-home physical, occupational, and speech therapy services. This directly affects Oklahoma Medicaid recipients needing these specific therapies by ensuring providers receive a standardized reimbursement rate. The bill sets a new reimbursement standard for these services, effective July 1, 2025, rather than expanding eligibility. It passed the Oklahoma House of Representatives with 64-25 support but did not secure emergency status.

Topics ✓ HealthcareSupports HealthcareMandates 96% of Medicare rates for therapy reimbursements, improving provider participation and patient access to essential services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Oklahoma · House Apr 1, 2026

HB 3130: Gender transition procedures; health services for minors; definition; referrals and aiding and abetting; punitive damages; exempting immunity protection for employees in certain actions; emergency.

HB 3130 prohibits Oklahoma state agencies, contractors, and public institutions from using state funds for gender transition procedures for minors, including allocation, referral, or contracting with providers offering such care. It also protects parents' rights by stating that withholding consent for gender transition procedures does not constitute child abuse or grounds for losing custody. The bill amends medical licensure laws to classify aiding or abetting gender transition procedures as unprofessional conduct, subjecting medical professionals to disciplinary action by licensing boards. These provisions apply directly to state-funded healthcare providers, minors receiving medical care, and licensed physicians or medical staff.

Topics ✗ HealthcareOpposes HealthcareRestricts state funding for gender transition procedures for minors, defunding a specific healthcare service under medical licensure amendments.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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passed · Oklahoma · House Apr 1, 2026

HB 3266: Reckless driving; D2 felony offenses; making certain acts unlawful; effective date.

HB 3266 amends Oklahoma law to expand the definition of Class D2 felony offenses, adding 22 specific violations including reckless driving that causes a collision (Section 11-901, item 10). It also includes multiple abortion-related offenses such as performing abortions after the first trimester, violating pain-awareness laws, and conducting abortions on minors without consent (items 11-19). The bill specifies penalties: Class D2 felons face up to 2 years in prison (with 20% mandatory service), increasing to 5-10 years for repeat offenders. It exempts certain offenses (like abortion violations) from these penalties, instead applying existing statutes. This bill directly affects individuals convicted of these specific offenses under Oklahoma Statutes.

Topics ✗ Criminal JusticeOpposes Criminal JusticeExpands felony offenses (reckless driving, abortion violations), increasing criminalization and mandatory sentences per bill text.95% confidence ✗ HealthcareOpposes HealthcareBill criminalizes post-first-trimester abortions and related procedures, directly restricting reproductive healthcare access per its abortion-related felony offenses.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

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passed · Oklahoma · House Apr 1, 2026

HB 4092: 988 Mental Health Lifeline; terms; Department of Mental Health and Substance Abuse Services; suicide prevention and crisis service activities; performance and clinical standards; promulgation of rules; 988 Lifeline Revolving Fund; purpose; funding; enforcement; effective date.

HB 4092 establishes Oklahoma's statewide 988 Mental Health Lifeline system to provide 24/7 crisis support. It designates the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) as the lead agency to oversee suicide prevention and crisis services, including coordinating with designated 988 Lifeline Crisis Centers. The bill creates a 988 Trust Fund to finance the system, mandates performance and clinical standards for crisis services (such as mobile crisis teams and urgent recovery centers), and requires real-time coordination between emergency response systems. This directly affects Oklahomans in mental health crises by ensuring accessible, standardized care through phone, text, or in-person support. The law takes effect upon passage.

Topics ✓ HealthcareSupports HealthcareEstablishes 988 Mental Health Lifeline with dedicated funding (Trust Fund) and mandates clinical standards for crisis services, directly advancing mental health care access.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · Senate Jun 15, 2025

SB 207: Public health; establishing the Oklahoma Rare Disease Advisory Council; modifying requirements relating to newborn screening program. Effective date. Emergency.

SB 207 establishes the Oklahoma Rare Disease Advisory Council within the State Department of Health to address the needs of Oklahomans living with rare diseases (defined as conditions affecting fewer than 200,000 people nationally). The Council, composed of 13 diverse members including patients, caregivers, healthcare providers, researchers, and industry representatives, will conduct public hearings, develop policy recommendations, and create emergency care protocols to improve access to specialists, diagnostics, and equitable treatment. The bill also modifies Oklahoma’s newborn screening program to require an educational initiative for treatable genetic disorders, aiming to prevent intellectual disabilities and reduce infant mortality through early intervention. This legislation directly affects rare disease patients, their families, healthcare providers, and state agencies responsible for public health programs in Oklahoma.

Topics ✓ HealthcareSupports HealthcareEstablishes Oklahoma Rare Disease Advisory Council to improve patient access through policy recommendations and emergency care protocols for rare disease patients.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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vetoed · Oklahoma · House May 30, 2025

HB 2645: Revenue and taxation; practice of medicine; tax credit; time period; effective date.

HB 2645 creates a tax credit for qualifying doctors practicing medicine in rural Oklahoma, directly affecting licensed physicians who meet specific residency and education criteria. The credit, capped at $20,000 per year per doctor, applies to taxable income from medical practice in designated rural areas (population under 25,000 and at least 25 miles from larger cities). The bill includes an annual $1 million total credit limit, with adjustments to prevent exceeding this cap. The bill was pocket-vetoed by the governor on June 15, 2025, and never became law.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax credit for rural doctors, reducing taxable income and incentivizing medical practice in underserved areas, aligning with tax relief indicators.95% confidence ✓ HealthcareSupports HealthcareBill provides tax credit to attract doctors to rural areas, improving healthcare access for underserved populations and directly supporting medical professionals in healthcare delivery.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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signed · Oklahoma · House May 29, 2025

HB 1808: Health insurance; creating the Ensuring Transparency in Prescription Drugs Prior Authorization Act; determination; consultation; prior authorization; effective date.

HB 1808, now law in Oklahoma, reforms health insurance prior authorization and step-therapy rules to improve patient access to medications. It requires insurers to grant exceptions to step-therapy protocols (where patients must try cheaper drugs first) if a medication is contraindicated, ineffective based on medical history, or causes harm - covering specific scenarios like prior adverse reactions or stability on a current treatment. The bill mandates insurers respond to urgent prior authorization requests within 24 hours and non-urgent requests within 2 business days, with requests deemed approved if deadlines are missed. It also ensures continuity of coverage for stable treatments when switching plans (90-day protection) and requires insurers to cover at least one readily available asthma controller medication per class without prior authorization.

Topics ✓ HealthcareSupports HealthcareMandates insurers to grant exceptions for patient access to medications, improving access as stated in summary.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Oklahoma · Senate May 29, 2025

SB 1178: Department of Mental Health and Substance Abuse Services; making an appropriation; identifying sources of funds. Emergency.

SB 1178 appropriates $100,000 from Oklahoma's General Revenue Fund to the Department of Human Services for fiscal year 2026 to support its existing mental health and substance abuse services duties. The bill directly affects state-funded mental health programs by providing dedicated funding for current operations. It includes an emergency clause, allowing it to take immediate effect without the governor's signature, which occurred on May 29, 2025. This is a procedural funding measure with no new policy requirements, solely allocating existing resources. The appropriation is limited to the specified amount and purpose as defined in the bill text.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $100k from General Revenue Fund to fund existing mental health services, directly supporting state budget allocation for public programs.95% confidence ✓ HealthcareSupports HealthcareAppropriates $100,000 for existing mental health/substance abuse services, directly funding public health programs per healthcare topic description.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Oklahoma · House May 29, 2025

HB 2788: Statewide Recovery Fund; transfers of funds; effective date; emergency.

HB 2788 transfers specific funds back into Oklahoma's Statewide Recovery Fund from several existing programs. It moves $1.56 million from domestic violence services, $162,668 from food assistance programs, $1.49 million from health workforce initiatives, $2.16 million from rural healthcare, $5 million from medical facilities, $20.5 million from mental health hospital construction, and $3.3 million from water resources projects. All transfers align with recommendations from the Joint Committee on Pandemic Relief Funding. The bill takes effect July 1, 2025, and was enacted without the governor's signature on May 29, 2025.

Topics ✗ HealthcareOpposes HealthcareDefunds healthcare programs by transferring $1.49M from health workforce and $2.16M from rural healthcare to recovery fund.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Oklahoma · Senate May 29, 2025

SB 109: Health insurance; requiring coverage of certain genetic testing and cancer imaging; providing exclusions. Effective date.

SB 109 requires Oklahoma health insurance plans to cover genetic testing for inherited cancer risks and evidence-based cancer imaging for individuals with a personal or family history of cancer or increased cancer risk. This coverage must be provided without patient cost-sharing (such as deductibles or copays) when ordered by a healthcare provider following current medical guidelines, including those from the National Comprehensive Cancer Network. The law applies to all health benefit plans offered in Oklahoma starting November 1, 2025, ensuring these preventive services are accessible without financial barriers. It does not affect health savings account eligibility for non-preventive services but guarantees coverage for preventive care under federal guidelines.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for genetic testing and cancer imaging without cost-sharing, expanding patient access to preventive care per medical guidelines.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare