HB 2047, the Emerson Kate Cole Act, updates Oklahoma school medication policies to improve safety for students with allergies and asthma. It requires school districts to adopt policies allowing students to self-administer prescribed asthma inhalers, epinephrine for allergic reactions, and cystic fibrosis medications, with written parental permission and physician documentation. Key provisions include mandating annual staff training on recognizing allergic reactions and administering epinephrine, requiring schools to notify parents after medication use, and specifying protocols for stocking and using epinephrine injectors (including 911 contact procedures). The bill also creates model policies for districts to follow and clarifies that schools and staff incur no liability for medication administration under these guidelines. This law, effective May 14, 2025, directly affects public school districts, students with chronic conditions, and their families.
HB 1566, known as "Neil's Law," establishes the Oklahoma Elder Exploitation and Abuse Act (OEAA) to protect vulnerable adults from abuse and exploitation. The law defines vulnerable adults as individuals 18+ who cannot manage their financial or health needs due to mental illness, disability, or other impairments, and creates a civil right for them (or their legal representatives) to sue abusers or exploiters. Key provisions include clear definitions of abuse, exploitation, and neglect; court requirements to encourage vulnerable adults' participation in decisions; and ensuring legal claims survive the vulnerable adult's death. The law does not replace mandatory reporting obligations to Adult Protective Services for suspected abuse.
SB 947 updates Oklahoma's nursing facility fee structure and fund allocation rules to improve long-term care services for seniors. It revises how the Nursing Facilities Quality of Care Fee is calculated (based on 6% of total patient gross receipts divided by patient days) and designates specific uses for the resulting fund, including funding 15 ombudsmen positions and increasing monthly personal needs allowances for nursing home residents from $30 to $50. The bill ensures these programs - such as Medicaid services, nursing facility inspections, and senior support services - remain exempt from budget cuts. It directly affects nursing facilities (which pay the fee), seniors receiving Medicaid long-term care, and state agencies managing these programs. The bill was enacted without the Governor's signature on May 13, 2025.
SB 1066 creates a state registry for physicians who recommend medical marijuana in Oklahoma, requiring them to complete specific medical education courses annually to be listed. It mandates that all medical marijuana businesses use a detailed inventory tracking system to record every transaction, from planting to sale, including product types, batches, and sales data. The law also prohibits physicians from being located at the same address as dispensaries and requires them to notify the authority if a patient no longer qualifies for a medical marijuana license. These changes apply directly to licensed physicians, medical marijuana businesses, and the Oklahoma Medical Marijuana Authority, effective January 1, 2026. The bill was signed into law by the governor on May 9, 2025.
SB 515 allows Oklahoma health insurance enrollees to pay health care providers directly for covered, medically necessary services at negotiated lower prices. If the patient pays out of pocket for such a service (at a price below the insurer's standard rate), the provider must accept it as full payment and cannot bill for any balance. The insurer must then count this payment toward the patient's deductible and out-of-pocket maximum, depending on whether the provider was in-network or out-of-network. The bill applies to most health benefit plans (excluding Medicaid, Medicare supplements, and short-term plans) and takes effect November 1, 2025. It directly affects patients, providers, and insurers by changing how out-of-pocket payments count toward coverage costs.
SB 1019 requires Oklahoma health insurers to cover continuous anesthesia services without arbitrary time limits during medical procedures. It defines "anesthesia time" as the period from patient preparation through service discontinuation and mandates that insurers cannot restrict coverage or payment based on time duration. The law directly affects insurers and anesthesia providers by eliminating policies that previously limited coverage for procedures requiring extended anesthesia care. Effective November 1, 2025, this bill codifies these requirements into Oklahoma Statutes (Title 36, Section 7500).
HB 2295 prohibits public trust hospitals in Oklahoma communities with fewer than 30,000 residents (per federal census) from transferring their licenses to locations more than 15 miles away. If a hospital plans to close, the bill mandates a mediation process: the hospital and municipality each appoint a mediator, who then select a third mediator to set a sale price for the facility if agreement isn’t reached. Hospital trustees must complete an approved education program within 90 days of appointment and certify they have no financial ties to potential buyers. The bill also requires CMS provider numbers to revert to the hospital immediately upon termination of third-party leases. It takes effect November 1, 2025.
HB 2746 amends Oklahoma's Remote Quality Jobs Incentive Act to require proxy establishments (entities that attract remote workers to the state) to verify that included remote workers have basic health insurance meeting specific coverage standards. The insurance must cover hospital care, physician services, mental health, substance abuse treatment, prescription drugs, and prenatal care, with employees paying no more than 50% of the premium. The bill also clarifies key terms like "remote worker" (an employee working outside Oklahoma who hasn't lived there in the past year) and "new direct job" (a job created by an establishment other than the proxy that didn't exist before application approval). The law takes effect November 1, 2025, and became effective without the Governor's signature on May 8, 2025.
HB 1601, the "ARCHER Act," extends maternity leave protections for eligible public school teachers in Oklahoma. It amends existing sick leave rules (70 O.S. § 6-104.8) to require school districts to provide extended leave for teachers who have worked at least 1,250 hours in the past year, specifically covering pregnancy-related needs beyond standard sick leave. The bill creates a dedicated exception to current sick leave policies, ensuring teachers can take leave for maternity without losing pay, aligning with federal Family and Medical Leave Act (FMLA) standards. This directly affects full-time classroom teachers in public school districts who meet the employment threshold. The law became effective after Governor approval on May 6, 2025.
HB 2050 creates a new temporary licensure pathway for international medical graduates in Oklahoma who cannot immediately qualify for full licensure. It allows these applicants to obtain a limited license if they meet ECFMG standards, provide evidence of three years of post-graduate training or clinical practice abroad, secure employment at an accredited health care provider, and pass an English competency exam. During the limited license period (up to three years), they must practice only under supervision at an approved training program. After three years with no disciplinary issues and passing all USMLE exams, they may qualify for full licensure without the prior practice restrictions. This directly affects foreign-trained physicians seeking to practice in Oklahoma.
