HB 2048, the "340B Nondiscrimination Act," prohibits health insurers, pharmacy benefits managers (PBMs), and third-party payors from discriminating against healthcare providers participating in the federal 340B drug discount program. It specifically bans lower reimbursement rates for 340B drugs, extra fees or administrative burdens for 340B entities, exclusion from provider networks based on 340B status, and requirements to disclose 340B-specific billing details. The law applies to all 340B entities - such as community health centers and hospitals participating in the federal program - and ensures they receive equal treatment in billing, reimbursement, and network access. Enforcement is handled by the Attorney General, with the Oklahoma Medicaid program excluded from these provisions.
This bill requires Oklahoma health insurance plans to cover low-dose mammography screenings for breast cancer without cost-sharing (such as deductibles or copays). It mandates coverage once every five years for women aged 35-39 and annually for women 40 and older. The law also requires coverage for necessary diagnostic and supplemental breast exams, including those for high-risk cases like dense breast tissue. The policy takes effect November 1, 2025.
SB 1067 creates a new database for ambulance service providers and changes how health insurers pay for ambulance services in Oklahoma. It requires ambulance providers to report specific data to this database and modifies the rates and criteria insurers use to reimburse ambulance services. This bill directly affects ambulance companies and health insurance providers by establishing new reporting requirements and payment rules. The law became effective without the Governor's signature on May 28, 2025.
SB 789, now effective as of May 28, 2025, restricts how pharmacy benefit managers (PBMs) can audit pharmacies. It requires PBMs to give pharmacies 14 days' notice (30 days for wholesale audits), prohibits recouping funds for simple errors like typos, and allows pharmacies to use hospital/physician records or any drug purchase records (without date/source limits) to validate claims. The law also caps audits at 50 prescriptions per pharmacy annually and mandates that any recouped funds first be refunded to the patient. This directly affects pharmacies, PBMs, and patients by standardizing audit practices and protecting against unfair financial penalties.
HB 2011, titled "Fighting Chance for Firefighters Act," actually expands health insurance benefits for firefighters rather than providing tax credits, as the title incorrectly states. The bill amends Oklahoma Statutes Section 1315 to explicitly include municipal fire departments (organized under 11 O.S. § 29-101) and county fire departments (under 19 O.S. § 351) in the Oklahoma Employees Insurance and Benefits Plans. This allows firefighters employed by these departments to access the same health insurance coverage available to state employees, including continuation of coverage after retirement or termination with eight years of service. The law, enacted without the Governor’s signature on May 27, 2025, directly affects firefighters in local fire departments by improving their access to health insurance benefits.
HB 1810 modifies Oklahoma's Medicaid prior authorization rules for healthcare providers and facilities serving Medicaid beneficiaries. It streamlines approval processes for emergency services, clarifies requirements for "adverse determinations" (denied care), and defines key terms like "essential community provider" to ensure consistent application. The bill affects contracted entities (including hospitals, clinics, and dental providers) by requiring faster reviews for urgent care and updating how they handle denied claims. It became law on May 25, 2025, without the governor's signature, and directly impacts how Medicaid providers obtain approval for covered services.
SB 697 establishes a new "medical marijuana transporter license" in Oklahoma, allowing specific entities - like licensed growers, processors, dispensaries, research facilities, and logistics companies - to legally transport medical marijuana products. It requires transporters to use a digital tracking system for all shipments, store products in secure facilities, and follow strict vehicle safety rules (including GPS tracking, locked containers, and driver-inaccessible storage). The bill also creates a separate "transporter agent" license for employees, requiring background checks and a $25 annual fee. These changes directly affect medical marijuana businesses, transporters, and the Oklahoma Medical Marijuana Authority, which will enforce the new rules. The bill aims to standardize and regulate transportation logistics within the state’s medical marijuana system.
HB 1600, now effective as law in Oklahoma since May 22, 2025, establishes 19 specific rights for all patients receiving medical care in the state, including respectful treatment, clear communication about treatment options, advance directive support, privacy, and visitor rights. It also outlines patient responsibilities, such as providing accurate health information and participating in care planning. The law requires hospitals to inform patients of these rights and their complaint processes, replacing prior guidelines with enforceable statutory standards. This bill directly affects every patient in Oklahoma healthcare facilities and all hospitals providing care under state law.
SB 993 regulates how pharmacy benefit managers (PBMs) audit pharmacies in Oklahoma. It requires PBMs to provide 14 days' notice (30 days for wholesale audits) before audits, prohibits treating simple clerical errors (like typos or computer mistakes) as fraud, and bans recouping funds for such errors without proof of intentional fraud. The bill also mandates that if funds are recouped, pharmacies must refund patients first, and PBMs must conduct audits using licensed pharmacists for clinical judgments. This directly affects pharmacies and PBMs by setting clear standards for audit processes and preventing unfair financial penalties.
SB 518 requires medical marijuana businesses in Oklahoma to use specific warning labels on all products sold to licensed patients. The labels must include mandatory statements like "For use by licensed medical marijuana patients only," "Keep out of reach of children," and warnings about driving under influence and pregnancy risks, along with potency details (THC/cannabinoids) and contaminant testing information. The law prohibits child-targeted packaging (such as cartoon characters) and bans health benefit claims on product containers. It applies to all medical marijuana businesses and takes effect November 1, 2025, after becoming law without the governor's signature on May 21, 2025.
