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.
HB 3066 creates the Health Care Workforce Training Commission and establishes the "Rural Health Transformation Revolving Fund" in Oklahoma's state treasury. The fund will collect federal funds (including those from the One Big Beautiful Bill Act of 2025), interest, and designated state monies to specifically recruit and retain healthcare workers in rural and underserved Oklahoma communities, requiring a minimum 5-year service commitment. The Commission can use these funds for workforce programs and create necessary rules to implement the program. The bill takes effect July 1, 2026, and directly affects rural healthcare providers and communities facing workforce shortages.
HB 4454 restricts THC content and packaging for medical marijuana edibles in Oklahoma. It limits each serving to 10mg THC (100mg per package) and drinks to 20mg per container, while banning child-appealing designs, candy-like shapes, and color additives. Licensed processors must comply with these rules, submit monthly production/sales reports to the Oklahoma Medical Marijuana Authority, and undergo annual inspections. The bill directly affects medical marijuana processors who create edible products and takes effect November 1, 2026.
SB 1503, the "Choosing Childbirth Act," allows Oklahoma to provide state grants to both in-state and out-of-state nonprofit organizations that offer services supporting pregnant women to carry pregnancies to term. It covers reimbursable services like medical care, mental health support, housing assistance, transportation, and postpartum care (aimed at reducing maternal/infant mortality by 3% by 2026), but explicitly prohibits funding for organizations providing or referring for abortions. To qualify, organizations must be registered nonprofits in Oklahoma, provide accurate fetal development information, and certify that funds won’t support abortion counseling or referrals. The bill takes effect November 1, 2026.
SB 1655 modifies Oklahoma's adoption confidentiality rules to allow limited sharing of identifying information under specific conditions. It permits biological and adoptive parents to mutually agree in writing to share identifying details, with court and agency notification. The bill also allows the Department of Human Services to share adoptive parent contact information with healthcare providers managing an adopted child's "Children’s Specialty Plan" for medical continuity. Most adoption records remain confidential, with exceptions only for these two scenarios, and the law takes immediate effect due to an emergency declaration.
SB 1849 modifies Oklahoma's continuing education requirements for podiatrists renewing their licenses. It mandates 60 hours of continuing education every two years, including at least 2 hours on pain management, opioid use, or addiction (unless the practitioner lacks a federal DEA registration). The bill broadens acceptable continuing education to include medical marijuana training approved by the Board and allows out-of-state practitioners to substitute hours from where they practice. Fully retired podiatrists are exempt but must complete accrued requirements if they resume practice. The changes take effect November 1, 2026.
HB 2268 requires the Oklahoma Medicaid Program or its contracted entities to reimburse providers for "cognitive assessment and care planning services" (defined using standard medical billing code 99483). This directly affects low-income Medicaid beneficiaries who receive these specific cognitive care services. The bill mandates reimbursement for these services under existing Medicaid rules, with no new funding or eligibility changes. It takes effect November 1, 2025.
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.
