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 2298 allows qualified Advanced Practice Registered Nurses (APRNs) in Oklahoma - such as nurse practitioners and nurse-midwives - to prescribe medications independently after meeting specific requirements. To qualify, APRNs must complete 6,240 supervised clinical hours, hold a valid license, and carry $1 million in malpractice insurance per incident. The bill also sets rules for APRN advertising (requiring clear disclosure of their role and scope) and defines supervision requirements for those not yet eligible for independent prescribing. It modifies Oklahoma’s Nursing Practice Act, Pharmacy Act, and Controlled Substances Act to implement these changes.
HB 2788 transfers specific funds back into Oklahoma's Statewide Recovery Fund from several existing programs. It moves $1.56 million from domestic violence services, $162,668 from food assistance programs, $1.49 million from health workforce initiatives, $2.16 million from rural healthcare, $5 million from medical facilities, $20.5 million from mental health hospital construction, and $3.3 million from water resources projects. All transfers align with recommendations from the Joint Committee on Pandemic Relief Funding. The bill takes effect July 1, 2025, and was enacted without the governor's signature on May 29, 2025.
SB 176 requires health insurance plans to cover certain prescription drugs that were previously not included in standard coverage. It directly affects health insurance providers and policyholders by mandating this specific coverage for eligible medications. The key provision is a new requirement for all health benefit plans to include these designated prescriptions without prior authorization or excessive cost-sharing. The law became effective on May 29, 2025, after the Governor did not sign it.
HB 2052 exempts certain domestic health maintenance organizations (HMOs) that exclusively contract with Oklahoma's Medicaid program (via the Oklahoma Health Care Authority) from most state health insurance regulations. These HMOs, which serve only Medicaid recipients and no other patients, are no longer subject to specific provisions of the Health Maintenance Organizations Act, including requirements about benefit coverage and certain administrative rules. The exemption applies solely to services provided to Medicaid recipients under Oklahoma Statutes Title 56, Section 4002.2. The law became effective November 1, 2025, after passing without the Governor's signature.
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 2087 modifies Oklahoma's income tax credit for donations to qualified research institutes. It adjusts annual funding caps: for biomedical research institutes, the limit drops from $2 million to $1.5 million per year starting in 2026, while cancer research institute credits are capped at $500,000 annually. The credit percentage for each donation type is recalculated yearly based on prior-year claims, using specific formulas to stay within these new limits. Taxpayers donating to qualifying nonprofit biomedical or cancer research institutes (defined by NIH funding requirements) can claim the credit, with individual limits of $1,000-$25,000 depending on filing status or business type.
HB 1111 simplifies SNAP eligibility for Oklahomans aged 60+ or with disabilities who have no earned income and live in qualifying households. It allows these individuals to skip annual recertification, use a shortened application form, and remain eligible for benefits for 36 months after approval. The bill also establishes a minimum $100 standard medical deduction for households with elderly or disabled members, covering verified expenses like prescriptions and doctor visits, pending a USDA waiver. These changes take effect November 1, 2025, for all new applications and recertifications.
HB 1934, the "Jamie Lea Pearl Act," establishes rules for small medical transportation providers in Oklahoma. It requires these "medical needs motor carriers" to be 501(c)(3) nonprofit organizations, operate vehicles with a maximum weight of 5,000 pounds and capacity for five passengers (including the driver), and provide non-emergency medical transport (like dialysis or cancer treatment) at little or no cost. Key provisions include mandating $100,000 insurance per person for bodily injury, quarterly vehicle safety inspections, a 10-hour daily driving limit for drivers, and retention of background checks and drug test records for two years. The law directly affects small companies transporting patients for non-emergency medical needs, excluding regular taxis, school buses, or commercial carriers.
HB 1523 would create a pilot program allowing Oklahoma public schools to offer virtual mental health services through telehealth. The State Department of Education must develop this program, with schools able to opt in by applying. Key provisions include requiring parental consent before services, limiting initial funding to $25,000, and defining "health benefit plan" per existing state law. The pilot aims to improve student mental health access without mandating participation. (Note: The bill was withdrawn from committee on February 19, 2025.)
