HB 1853 requires health insurance plans covering children to provide full, cost-sharing-free coverage for all recommended childhood immunizations (including those mandated by the State Board of Health) from birth through age 18. It also allows policyholders to pay for health care services directly at a negotiated lower rate and submit documentation to have that payment count toward their deductible. The law applies to most health insurance plans (excluding dental, vision, short-term coverage, and others listed in the bill) and takes effect November 1, 2025. This ensures children's routine vaccines are fully covered without out-of-pocket costs for families.
This bill requires Oklahoma's Medicaid program to approve prior authorization for atypical antipsychotic drugs not on the preferred drug list when treating mood disorders like schizophrenia, bipolar disorder, or related conditions. It mandates approval if a patient has failed a trial of a preferred drug in the past year or is stable on a non-preferred medication. The policy ensures these drugs are covered at parity with other branded medications in the same class, without additional restrictions beyond standard Medicaid criteria.
HB 1832 clarifies rules for electronic monitoring in Oklahoma's long-term care facilities, directly affecting residents of nursing homes, assisted living centers, intermediate care facilities, and continuum of care facilities. The bill requires facilities to obtain written consent from residents or their representatives before monitoring resident rooms and prohibits refusing admission or removal based on monitoring. It also mandates facilities to post notices about monitoring and allows residents to install their own monitoring devices with roommate consent. The law prohibits unauthorized monitoring, tampering with devices, and sharing recordings without consent, ensuring privacy protections for residents.
HB 2805 establishes minimum medical loss ratio (MLR) requirements for dental benefit plans in Oklahoma, requiring insurers to spend at least 85% of premium revenue on actual dental care (not overhead) for large group plans and 80% for individual/small group plans. If insurers fail to meet these ratios, they must issue annual rebates to enrollees calculated as the shortfall multiplied by total premium revenue (excluding certain fees). The bill also mandates annual MLR reporting to the Oklahoma Insurance Department by calendar year, with public data disclosure, and requires insurers to file dental rate changes by July 1 for January 1 effective dates. It does not apply to Medicaid plans and takes effect January 1, 2028, for rebate implementation.
HB 1769 modifies Oklahoma school district health insurance benefits for employees. It sets minimum monthly flexible benefit allowances: $69.71 for certified staff (like teachers) and $189.69 for support staff (like aides) if they opt out of the district’s health plan. Employees who don’t use their full allowance to cover health benefits receive the excess as taxable cash payments. The bill requires annual enrollment between November 1 and December 15, with specific rules for mid-year terminations and unused allowances.
HB 1416 requires insurers offering group health plans for state employees to ensure non-opioid pain medications (approved by the FDA) are not disadvantaged in coverage compared to opioids on their preferred drug lists. It directly affects state employee health insurance plans by mandating equal treatment for FDA-approved non-opioid pain drugs, such as those that don’t act on opioid receptors. The bill does not ban opioids or require non-opioid use but prohibits insurers from making non-opioid options harder to access through coverage rules. This applies to all drugs covered under state employee plans and takes effect November 1, 2025.
This bill (HB 1837) protects Oklahoma residents using Achieving a Better Life Experience (ABLE) accounts by exempting these funds from being seized for debts or used to calculate eligibility for public assistance. Specifically, it ensures ABLE account balances cannot be claimed by creditors, garnished, or used to determine benefits under programs like Temporary Assistance for Needy Families. It also prevents Medicaid from seeking repayment from these accounts after a beneficiary's death. The law applies to both Oklahoma-established ABLE accounts and those from other states, effective November 1, 2025.
HB 2606 creates a five-year pilot program in Oklahoma counties with over 100,000 residents to provide free domestic violence forensic exams for victims. The program, funded through a state victim compensation fund, covers up to $200 per exam for medical evaluations conducted by trained health professionals (like nurses or physicians who completed a 40-hour course). It directly affects domestic violence victims in qualifying counties who would otherwise pay for these exams, while defining domestic violence broadly to include dating relationships and household members. The bill requires counties to participate and sets clear standards for exam qualifications and fund disbursement.
This bill updates Oklahoma's teledentistry rules, requiring dentists to hold an Oklahoma license when diagnosing or treating patients remotely within the state and mandating that all teledentistry records be maintained in Oklahoma or within 50 miles of its border. It also expands the Oklahoma Dental Loan Repayment Program, offering up to $60,000 annually for five years to dentists who agree to provide care to Medicaid patients (at least 30% of their practice) and serve in designated underserved areas (with exemptions for specialists and FQHC providers). The program prioritizes new dental graduates, particularly from the University of Oklahoma, and requires participants to teach at the University of Oklahoma College of Dentistry if selected as faculty. The law aims to increase dental access in rural and underserved communities while ensuring Medicaid-dependent patients receive care.
HB 2033 creates a revolving fund called the "Community Health Center Access to Care Revolving Fund" within Oklahoma's State Department of Health. The fund, not limited by fiscal years, will use appropriated monies to increase access to care at federally authorized community health centers (as defined under 42 U.S.C. §330). The Department of Health can spend these funds to support such centers, with expenditures requiring State Treasurer warrants based on approved claims. The bill takes effect July 1, 2025, and was declared an emergency to allow immediate implementation.
