HB 3266 amends Oklahoma law to expand the definition of Class D2 felony offenses, adding 22 specific violations including reckless driving that causes a collision (Section 11-901, item 10). It also includes multiple abortion-related offenses such as performing abortions after the first trimester, violating pain-awareness laws, and conducting abortions on minors without consent (items 11-19). The bill specifies penalties: Class D2 felons face up to 2 years in prison (with 20% mandatory service), increasing to 5-10 years for repeat offenders. It exempts certain offenses (like abortion violations) from these penalties, instead applying existing statutes. This bill directly affects individuals convicted of these specific offenses under Oklahoma Statutes.
HB 4490 creates the Oklahoma Families Thriving Everywhere Now (OFTEN) program through the Oklahoma State Department of Health, using $3 million in state funds for the 2027 fiscal year. The program provides telecare support, community outreach, and care coordination for women with high-risk pregnancies and parents of children under three, aiming to promote healthy childbirth, stable family formation, and economic self-sufficiency. Services include referrals, case management, and parenting assistance delivered by Oklahoma-based community providers. The bill takes effect July 1, 2026, and includes an emergency declaration to accelerate implementation.
HB 3887 removes a 30-day limit requiring physical therapists to obtain a doctor's referral for patient care in Oklahoma. It allows physical therapists (including those working directly for employers) to provide treatment without a referral for up to 30 days, after which a referral from a physician, dentist, chiropractor, podiatrist, or advanced nurse is required. The bill specifically exempts care for children under federal education laws (IDEA/Section 504) and allows physical therapists to offer wellness/prevention services without referrals. It does not change requirements for students, federal employees, or prevent physical therapists from performing screening or educational services. The law takes effect November 1, 2026.
HB 3784 restricts medical micropigmentation (permanent makeup for medical purposes, such as scar camouflage or breast reconstruction) to be performed only in physician offices. It limits who can perform the procedure to three categories: physicians, registered nurses with a special health commissioner certificate working under physician supervision (after 6,240 supervised hours), and other certified individuals under similar supervision rules. Supervision ends once the required hours are documented with the State Board of Health and prescription medications aren't used on clients. The law takes effect November 1, 2026.
HB 4410 regulates referral agencies that connect seniors to assisted living facilities. It requires agencies to provide clear, written disclosures to consumers before referrals, including fee details, payment responsibility, and the right to terminate services without penalty. The bill prohibits agencies from charging fees for facility transfers within the same provider, after 12 months of service, or for referrals to unlicensed facilities. It also bans conflicts of interest (like owning facilities they refer to) and mandates background checks, insurance, and annual facility license audits for referral agencies. These changes directly affect consumers choosing care, referral agencies, and assisted living facilities.
HB 2785 requires Oklahoma's Office of Management and Enterprise Services (OMES) to implement stricter budget oversight for the Department of Mental Health and Substance Abuse Services. It mandates OMES to review agency budgets against actual spending before releasing funds, prohibit contracts without clear cost limits, restrict multi-year contract encumbrances to current-year funds, and block payments for unapproved expenses. The bill also requires OMES to report monthly revenue and spending status to the Governor, legislature leadership, and relevant committees. This directly affects state budget management for mental health services by adding specific financial controls to prevent overspending. The law takes immediate effect due to an emergency declaration.
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.
HB 2013, "Dylan's Law," requires health insurance companies to cover epilepsy treatments equally to other conditions, prohibits dropping coverage solely due to an epilepsy diagnosis, and mandates coverage for medically necessary neurostimulation devices. It also allows individuals with epilepsy (diagnosed by a licensed doctor) to voluntarily add a unique symbol to their Oklahoma driver's license or ID card by June 1, 2026, to help first responders identify their condition during emergencies. The symbol cannot be used for any other purpose and may be removed at any time. These provisions became law on May 25, 2025, without a gubernatorial signature. The bill directly affects people with epilepsy and insurers operating under the Affordable Care Act in Oklahoma.
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.
