HB 4124 allows Oklahoma pharmacists to dispense ivermectin to patients without a prescription, following state pharmacy board protocols. Pharmacists would be protected from legal liability when dispensing ivermectin per these protocols. The Oklahoma State Board of Pharmacy would create specific rules for implementation, including patient instructions. The law would take effect November 1, 2026.
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.
HB 4285 creates a dedicated revolving fund called the "Perinatal Quality Improvement Revolving Fund" within Oklahoma's State Treasury. The fund will receive state and federal appropriations, donations, and grants to support the Oklahoma Department of Health in reducing preventable maternal and infant deaths and health complications. It allows the Department to collaborate with research groups across Oklahoma to improve maternal safety and health outcomes using these pooled resources. The fund is designed as a continuous funding source, not limited to annual budgets, to sustain long-term quality improvement efforts in perinatal care. The bill takes effect on July 1, 2026.
HB 4329 modifies Oklahoma law to clarify dental insurance claim processes. It defines "covered services" as those reimbursable under a subscriber agreement, regardless of deductibles or waiting periods. The bill requires dental plans to establish appeal procedures for denied claims based on medical necessity and mandates that written denial notices include the reviewing dentist's license details and contact information. This directly affects dentists and dental insurance plans in Oklahoma by standardizing claim denial processes and improving transparency. The law takes effect November 1, 2026.
HB 4490 creates the Oklahoma Families Thriving Everywhere Now (OFTEN) program through the Oklahoma State Department of Health, using $3 million in state funds for the 2027 fiscal year. The program provides telecare support, community outreach, and care coordination for women with high-risk pregnancies and parents of children under three, aiming to promote healthy childbirth, stable family formation, and economic self-sufficiency. Services include referrals, case management, and parenting assistance delivered by Oklahoma-based community providers. The bill takes effect July 1, 2026, and includes an emergency declaration to accelerate implementation.
SB 392 extends the expiration date of Oklahoma's Long-Term Care Facility Advisory Council from July 1, 2025, to July 1, 2026. The council, which advises on standards for nursing homes, residential care facilities, and adult day care services, continues with its existing structure of 13 members including healthcare professionals and public representatives over age 65. This extension ensures uninterrupted review of care quality, facility regulations, and enforcement under the Nursing Home Care, Residential Care, and Adult Day Care Acts. The bill does not alter the council's duties or membership requirements.
SB 202 modifies eligibility rules for self-funded health plans to participate in Oklahoma's Medicaid premium assistance program. It allows small businesses and public entities using self-funded health plans to qualify if the plan was already used by an employer in the program as of May 1, 2024, or if it’s owned by a local government public trust. This change specifically affects small employers (under 250 employees) and public-sector health plans seeking to access state premium assistance. The bill aims to expand coverage options for low-income workers by making more health plan types eligible for state-funded premium support.
This bill authorizes an emergency appropriation of approximately $19.66 million to the Oklahoma Department of Mental Health and Substance Abuse Services. The funds must come from the Rate Preservation Fund in the State Treasury and are designated specifically for Title XIX services, which are Medicaid-funded mental health and substance abuse programs. The legislation includes an emergency provision, allowing the funding to take effect immediately upon the governor's approval without waiting for the regular budget cycle. This action provides direct financial resources to the state agency responsible for administering mental health and substance abuse services.
HB 1484, known as "Rain's Law," requires Oklahoma public schools to provide annual, research-based instruction on fentanyl abuse prevention and drug poisoning awareness to students in grades 6 through 12. The bill mandates that this instruction cover suicide prevention, fentanyl abuse and addiction prevention, local resource access, and health education about fentanyl use. Schools must incorporate this content into health classes, and the State Department of Education will develop curriculum standards and resources to support implementation. The law also designates a week for "Fentanyl Poisoning Awareness Week" to align with National Red Ribbon Week, with age-appropriate instruction determined by each school district.
HB 2942, the "Health Care Sharing Ministry Tax Parity Act," allows Oklahoma residents who are active members of Health Care Sharing Ministries (HCSMs) to deduct their qualified health care sharing expenses from their state income tax starting in 2027. It directly affects Oklahoma residents using HCSMs - non-profit organizations that share medical costs based on shared ethical or religious beliefs - by granting them tax treatment similar to health insurance premiums. Key provisions include permitting deductions for self-employed individuals and employer contributions (treated as nontaxable benefits), requiring documentation to claim the deduction, and ensuring funds received from HCSMs are not considered taxable income. The bill takes effect November 1, 2026, with the Oklahoma Tax Commission overseeing implementation and reporting.
