Healthcare

signed · Oklahoma · Senate May 13, 2026

SB 1555: Medicaid home- and community-based services; modifying certain definition. Effective date.

SB 1555 updates Oklahoma's Medicaid definitions for "individual with intellectual disability" and "developmental disability" to align with current standards. It raises the age for disability manifestation from 18 to 22 years, refines IQ criteria (e.g., requiring scores below 70 or 71-75 with specific scoring), and revises adaptive skill areas to match Social Security Administration guidelines for daily living skills. These changes directly affect Medicaid eligibility for individuals seeking home- and community-based services under Oklahoma Statutes §1406-1424. The bill ensures existing Medicaid recipients as of September 1, 1991, remain eligible, and the Department of Human Services may expand services for underserved individuals within available resources. The updated definitions take effect November 1, 2026.

Topics ✓ HealthcareSupports HealthcareUpdates Medicaid definitions to align with current standards, improving eligibility for home/community-based healthcare services under Medicaid.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 12, 2026

HB 3265: Retirement; Oklahoma Police Pension and Retirement System; term; psychologist; certification; salary; effective date.

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.

Topics ✓ HealthcareSupports HealthcareExpands mental health specialist eligibility to include psychologists for disability certification, directly supporting access to mental health services for law enforcement officers under pension benefits.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands disability benefit eligibility for police officers by including psychologists in certification and presuming line-of-duty status, enhancing retirement benefits and workplace safety protections for law enforcement.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 12, 2026

HB 3644: Venous thromboembolism; creating the Blake Burgess Act; requiring certain hospital policies and training; establishing certain registry and reporting requirements; imposing certain requirements on assisted living centers; effective date; emergency.

HB 3644 (the Blake Burgess Act) requires hospitals with emergency departments and ambulatory surgical centers to implement standardized VTE (venous thromboembolism, or blood clot in veins) risk assessments for patients using nationally recognized tools and provide annual training to non-physician clinical staff. It mandates a statewide VTE registry managed by a private, nonprofit entity meeting specific criteria, which hospitals must report to starting July 2027 with data including patient age, zip code, sex, diagnosis details, and treatment. The registry collects information to improve VTE care quality, monitor outcomes, and inform state health reports, with hospitals required to submit data on VTE incidence, patient demographics, and treatment. The law directly affects hospitals, ambulatory surgical centers, and their clinical staff through new screening, training, and reporting obligations.

Topics ✓ HealthcareSupports HealthcareRequires standardized VTE screening and staff training to improve patient safety and reduce complications in hospitals, directly strengthening healthcare protocols.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 12, 2026

HB 3834: Ibogaine clinical trials; Oklahoma Breakthrough Therapy Act; terms; requirements for drug developers; contractual terms; intellectual property rights; reports; intellectual property account; effective date.

HB 3834, the "Oklahoma Breakthrough Therapy Act," establishes a framework for ibogaine clinical trials in Oklahoma. It requires drug developers to match state funding for trials, provide detailed plans for FDA approval and post-approval patient access (including priority for state residents and low-income care), and share intellectual property proceeds with the state. These proceeds fund an "Ibogaine Intellectual Property Account" managed by the State Treasurer, which must be spent on programs for at-risk populations with conditions treatable by ibogaine (like opioid use disorder). The bill also protects Oklahoma-licensed medical professionals from adverse licensing actions for recommending ibogaine therapy.

Topics ✓ HealthcareSupports HealthcareMandates drug developer funding for clinical trials, ensures patient access (incl. low-income), and directs IP proceeds to fund healthcare programs.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 12, 2026

HB 3767: Controlled dangerous substances; adding certain substances to Schedules I and IV; effective date.

HB 3767 adds specific synthetic drugs and substances to Oklahoma's Schedule I and IV of controlled dangerous substances under state law. It directly affects anyone possessing, distributing, or using the newly listed compounds, including various fentanyl analogs (like para-fluorofentanyl), synthetic hallucinogens (like psilocybin and salvia), and other novel psychoactive substances. The bill amends Oklahoma's Controlled Dangerous Substances Act by expanding the official lists in Schedule I (substances with no medical use and high abuse potential) and Schedule IV (substances with accepted medical use but potential for abuse). This creates new legal prohibitions for these substances without requiring additional medical or legal exceptions.

Topics ✗ HealthcareOpposes HealthcareBill adds substances like psilocybin (used in mental health treatments) to Schedule I/IV, restricting medical access to compounds with potential healthcare applications, directly limiting patient access to certain treatments.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Oklahoma · House May 12, 2026

HB 3650: Medicaid; extending certain termination dates; establishing certain reimbursement rates for multistate contracts; effective date.

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.

Topics ✓ HealthcareSupports HealthcareSets minimum reimbursement rates for Medicaid providers, mandates 11% healthcare spending for primary care, and requires value-based payments with quality incentives, directly advancing provider access and funding.92% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

vetoed · Oklahoma · House May 12, 2026

HB 4294: Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.

HB 4294 requires health insurers in Oklahoma to provide equal coverage for epilepsy as for other conditions, prohibiting termination or non-renewal of policies solely due to an epilepsy diagnosis. It mandates coverage for seizure prevention devices, surgeries, or medical procedures prescribed by an epilepsy specialist when medically necessary to reduce SUDEP (sudden unexpected death in epilepsy) risk. The law applies to all individual and group health insurance plans covering medical/surgical benefits and takes effect November 1, 2026. This directly affects epilepsy patients and insurers offering such coverage in Oklahoma.

Topics ✓ HealthcareSupports HealthcareMandates equal epilepsy coverage, prohibits termination for diagnosis, requires SUDEP-reducing treatments - expands patient access and protections under healthcare coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

signed · Oklahoma · House May 12, 2026

HB 4275: Mental health; rules and standards for certification of behavioral health case managers; uniformity in rules and standards for certification for behavioral health case managers; certification as peer recovery support specialist; uniformity in rules and standards for certification for peer recovery support specialist; effective date.

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.

Topics ✓ HealthcareSupports HealthcareStandardizes certification for mental health roles, establishing uniform education/exam requirements to improve service quality and consistency for behavioral health case managers and peer recovery specialists.95% confidence ✓ VeteransSupports VeteransBill applies to VA facilities and standardizes mental health certifications, improving veteran healthcare service quality through uniform professional standards.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 12, 2026

HB 1687: Advance health care directives; creating the Uniform Health Care Decisions Act of 2026; establishing requirements for certain health care directives; effective date.

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.

Topics ✓ HealthcareSupports HealthcareEstablishes framework for advance healthcare directives, protecting patient autonomy and rights in medical decision-making through clear definitions and agent authority.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 12, 2026

HB 2749: Medicaid; directing establishment of certain nursing facility add-on rate under specified conditions; effective date; emergency.

HB 2749 creates a special fund called the Intergenerational Education Revolving Fund within the Oklahoma Health Care Authority. It establishes a competitive grant program to connect nursing facilities participating in Oklahoma's Medicaid program with public school districts for collaborative intergenerational education initiatives. Grant awards, provided as rate adjustments to qualifying facilities, will fund these partnerships. The program begins July 1, 2025, with funds limited to the total amount deposited into the revolving fund.

Topics ✓ EducationSupports EducationCreates Intergenerational Education Revolving Fund to provide Medicaid rate adjustments funding for school-nursing facility partnerships, directly advancing educational access through new school funding mechanism.90% confidence ✓ HealthcareSupports HealthcareFunds Medicaid nursing facilities via rate adjustments for intergenerational education programs, strengthening healthcare partnerships within existing Medicaid framework.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare