SB 1565 requires Oklahoma's Medicaid program to include nutrition support services for pregnant and postpartum women with diet-related conditions or high-risk pregnancy factors. It mandates medically tailored home-delivered meals designed by dietitians to meet specific medical needs, along with optional nutritional counseling, to improve maternal health outcomes. The bill authorizes Oklahoma Health Care Authority to use federal funds from the CMS Transforming Maternal Health (TMaH) Model exclusively for these services. The law takes effect July 1, 2026, and is designated as an emergency measure.
SB 1500 requires pharmacy benefits managers (PBMs) and other payors to pay pharmacies within 30 days for "clean claims" (properly submitted claims without issues). It prohibits PBMs from conditioning payments on post-transaction reconciliations or shifting payment delays to pharmacies, and mandates transparent accounting for payments. The bill also authorizes Oklahoma’s Attorney General to impose fines for violations and voids contracts that violate these rules. These changes directly affect pharmacies (as providers) and PBMs/insurers (as payors) by standardizing payment timelines and reducing financial risk for pharmacies.
SB 1644 would require Oklahoma's health department to add alpha-gal syndrome (AGS) to the official list of reportable diseases, meaning doctors, nurses, and clinical laboratories must report diagnosed cases to the state health department. AGS is a condition causing allergic reactions to red meat and other animal products, which currently lacks formal tracking in Oklahoma. The bill updates existing health reporting laws to include AGS and makes the language gender-neutral. It would take effect on November 1, 2026.
SB 444 updates Oklahoma's rules for disposing of expired, unused, or abandoned controlled substances (like prescription medications). It allows regular people (ultimate users) to safely dispose of their own medications without registration, permits hospice programs to handle medications from deceased patients under federal rules, and removes previous restrictions on disposal methods. All disposal must follow federal guidelines (21 C.F.R. Part 1317), require specific forms for hospice cases, and be documented for state/federal review. The law takes effect November 1, 2025.
SB 933 requires Oklahoma hospitals and ambulatory surgical centers to adopt policies using surgical smoke evacuation systems during procedures likely to generate surgical smoke. These systems must capture smoke at the source before it reaches staff or patients' eyes or lungs. The bill defines "surgical smoke" as gaseous by-products like plume or bio-aerosols produced during energy-based surgical procedures. The policy must be implemented by November 1, 2025, to prevent exposure to this airborne hazard.
SB 1255 requires Oklahoma's Department of Corrections medical director to certify qualifying medical conditions and request the Pardon and Parole Board to place eligible inmates on a special docket for compassionate parole consideration. It directly affects inmates with specific terminal or debilitating conditions like dementia, cancer, HIV/AIDS, or conditions causing near-death (six-month life expectancy), or those unable to perform basic self-care. The bill bypasses the standard two-step parole hearing process for these inmates and mandates that at least three Board members must concur to consider medical parole. The Board must document concurrence in meeting minutes, and parolees may face revocation if their medical condition poses public safety risks.
This bill proposes a constitutional amendment to expand Oklahoma's Medicaid program to cover low-income adults. It would require the state to maintain eligibility without additional restrictions and allow Oklahoma to halt Medicaid expansion funding if federal matching falls below 90%. The amendment must be approved by voters via ballot measure. If passed, it would change Medicaid eligibility rules and create a specific funding threshold for state coverage. The resolution directs the Secretary of State to place this proposal on the ballot for voter approval.
This bill requires Oklahoma hospitals to provide patients experiencing fetal death or miscarriage with a form explaining how to request official certificates (fetal death or stillbirth birth certificates) before discharge. Hospitals must also verbally inform patients about these certificate options. The State Department of Health must create and publish this standardized form online, including clear instructions and contact details for vital records. The law takes effect November 1, 2026, directly affecting hospitals and patients in Oklahoma facing these medical circumstances.
HB 3329 extends the expiration date of Oklahoma's Long-Term Care Facility Advisory Board from July 1, 2025, to July 1, 2027. The bill modifies Oklahoma Statutes Section 1-1923 to continue the board's operation, which advises the State Commissioner of Health on long-term care services. The advisory board, composed of 13 members including healthcare professionals, facility operators, and public representatives, provides recommendations on care standards for nursing homes, residential care facilities, and adult day care centers. The bill takes effect July 1, 2026, as an emergency measure.
HB 4457 prohibits pharmacy benefits managers (PBMs) from owning or controlling pharmacy licenses in Oklahoma. The State Board of Pharmacy must revoke licenses of violators after November 2026, though it may issue temporary licenses for rare, orphan, or limited-distribution drugs until September 2028. Pharmacies must notify patients of service changes by January 2027, and the Board must provide lists of compliant pharmacies. This law prevents conflicts of interest by restricting PBMs from owning pharmacies.
