This bill approves specific permanent rules proposed by the Oklahoma Medical Marijuana Authority, which will govern how medical marijuana is regulated in the state. By signing off on these rules, the legislature allows the authority to enforce new guidelines for medical marijuana programs. The resolution also instructs the Secretary of State to send copies of the approved rules to the Governor and the editor of The Oklahoma Register.
SB 740 amends Oklahoma's mental health definitions to modernize terminology and clarify eligibility for care. It replaces outdated terms like "insane" and "mental disease" with "mental illness" throughout the law and defines key terms such as "person requiring treatment" (based on specific risk criteria like immediate harm to self/others) and "licensed mental health professional" (including psychiatrists, psychologists, and counselors). The bill directly affects mental health facilities, providers, and individuals receiving care by standardizing how these terms are used in legal documents, admission processes, and treatment decisions. It does not create new services or funding but ensures consistent application of existing mental health laws.
HB 4431 requires Advanced Practice Registered Nurses (APRNs) in Oklahoma, or their employers, to carry malpractice insurance covering $1 million per incident and $3 million annually. This applies to APRNs practicing outside federal or state employment where coverage is already provided under federal insurance or Oklahoma's Governmental Tort Claims Act. The law exempts APRNs working for federal agencies (covered by federal insurance) or state agencies (covered under Tort Claims Act) during their official duties. It takes effect November 1, 2026, directly affecting APRNs who provide care outside these exempted employment settings.
HB 3265 amends Oklahoma's police pension law to clarify disability benefit eligibility for law enforcement officers. It specifically expands the definition of "mental health specialist" to include licensed psychologists for disability certification (Section G). The bill establishes a clear benefit scale based on disability percentage (e.g., 50-74% impairment equals 75% of accrued retirement benefit) and presumes line-of-duty disability for officers exposed to hazardous substances like chemicals or blood-borne pathogens, unless proven otherwise (Section I). These changes directly affect Oklahoma police officers seeking disability benefits through the Oklahoma Police Pension and Retirement System.
HB 3650 sets minimum reimbursement rates for healthcare providers treating Oklahoma Medicaid enrollees, requiring contracted entities to pay in-network providers 100% and out-of-network providers 90% of the 2021 fee schedule rates until 2035. It mandates value-based payment arrangements for providers (with quality-based incentives), requires 11% of contracted entities' healthcare spending to go toward primary care, and includes specific payment rules for rural health clinics, behavioral health centers, pharmacies, and ambulance services. The bill also establishes annual capitation rate updates and medical loss ratio penalties for non-compliant entities. It becomes effective November 1, 2026.
HB 4275 standardizes certification rules for two mental health roles in Oklahoma: behavioral health case managers and peer recovery support specialists. It requires the Board of Mental Health and Substance Abuse Services to establish uniform education, exam, supervision, and continuing education standards for these professionals. The bill applies to individuals employed by state/local governments, contracted service providers, tribal facilities, or VA facilities, and restricts certified titles to these specific employment settings. Certification fees are capped at $100, and failure to comply with rules may result in suspension or revocation. The law takes effect November 1, 2026.
HB 1687 establishes Oklahoma's "Uniform Health Care Decisions Act of 2025," creating a clear framework for advance health care directives. It defines key terms like "advance health care directive" (including mental health directives), "agent" (someone appointed to make decisions), and "default surrogate" (a family member or cohabitant who can act if no directive exists). The bill specifies how directives are created, updated, or revoked, outlines duties for health care professionals, and details procedures for resolving conflicts between directives. This directly affects Oklahomans planning for future medical decisions, their families, and health care providers across the state.
SB 1379 establishes a two-year pilot program through Oklahoma's Attorney General's Office to provide grants to private nonprofit organizations supporting victims of sexual and labor trafficking. The program funds specific services like emergency shelter, mental health counseling, legal assistance, job training, and medical care - directly benefiting trafficking victims through partner organizations. Eligible organizations must demonstrate experience serving trafficking victims, maintain confidentiality, and use grants primarily for direct services (not exceeding 15% for administrative costs). Recipients must submit quarterly reports on services provided and outcomes, with the Attorney General compiling annual program evaluations for state leaders. The bill expands allowable uses of the Victims of Human Trafficking Fund to support this initiative.
HB 4430 changes Oklahoma's rules for physician assistants (PAs) by allowing those with 6,240+ hours of postgraduate clinical experience to practice without physician supervision. PAs meeting this threshold must report their hours to the State Board online (no fee), and the Board will maintain a public list of qualifying PAs. PAs with fewer hours or unreported experience must maintain practice agreements with physicians, including telecommunication requirements and regular reviews. The bill also clarifies prescription authority: experienced PAs can prescribe without delegation, while supervised PAs must follow their physician's delegated protocols, especially for controlled substances.
SB 1427 requires all Oklahoma children to be screened for type 1 diabetes during routine checkups at ages 5 and 12 by their primary care providers, using accepted medical practices. The bill mandates that these screenings be reimbursed through Oklahoma's Medicaid program (pending federal approval) and directs the State Department of Health to seek additional funding to support the screenings. The Oklahoma Health Care Authority Board and State Commissioner of Health must create implementing rules for reimbursement and screening protocols. This law applies to all children in Oklahoma and takes effect November 1, 2026.
