SB 2007 requires pharmacy benefit managers (PBMs) in Oklahoma to pay administrative fees to pharmacies when they adjust reimbursement rates for the same drug within 30 days after a successful appeal. Specifically, if a PBM increases reimbursement based on an appeal but then lowers it again for the same drug within 30 days, the PBM must pay $100 immediately, escalating to $500 after 90 days or $1,000 after 180 days if unpaid. The bill directly affects pharmacies and PBMs by mandating these fee payments for disputed reimbursements, ensuring providers aren’t financially penalized for legitimate appeal outcomes. It also includes other provisions like weekly MAC price updates and requirements for PBMs to provide clear documentation during reimbursement disputes. The law takes effect November 1, 2026.
SB 1134 allocates $100,000 from Oklahoma's General Revenue Fund to the Oklahoma Health Care Authority for the 2026 fiscal year. The bill directly provides funding for the Authority to carry out its legal duties. It declares an emergency to allow immediate implementation upon passage. This is a procedural appropriations measure with no policy changes beyond the specified funding amount.
SB 1142 allocates $100,000 from unallocated state funds to Oklahoma's Department of Mental Health and Substance Abuse Services for the 2025-2026 fiscal year. The funding is intended to support the department's existing duties, including providing mental health and substance abuse services to Oklahomans. The bill declares an emergency to allow immediate implementation upon approval, bypassing standard legislative timelines. This is a procedural funding measure, not a policy change, and remains pending before the Appropriations Committee.
SB 1369 allocates $5.7 million from Oklahoma's general state funds to sustain and expand the state's 9-8-8 suicide and crisis hotline operations for the 2026-2027 fiscal year. This funding directly supports Oklahomans in mental health crises by ensuring access to the 9-8-8 hotline service. The bill provides specific funding to maintain current operations while increasing capacity for crisis response. It becomes effective July 1, 2026, and declares an emergency due to the urgent need for mental health support.
SB 1847 modifies Oklahoma's ADvantage Waiver Program, which provides Medicaid home- and community-based services. It creates an exception allowing individuals with cognitive impairments to qualify if they were already residing in an assisted living center contracted with the state when their impairment developed, and the center has a specific accommodation plan. This change directly affects adults with cognitive impairments who live in state-contracted assisted living facilities and developed their condition after moving in. The bill does not alter financial or age requirements but adjusts eligibility for this specific group. The exception applies to those meeting all three conditions outlined in the bill's new subsection B.
HB 4421 requires Oklahoma's Department of Human Services (DHS) to conduct a safety analysis within 24 hours when a child is suspected of being "drug-endangered" (e.g., due to fentanyl exposure or substance use by caregivers). It mandates drug screening - including mandatory fentanyl testing - for parents or caregivers when substance use is suspected, and allows DHS to seek court orders if consent is refused. The bill also creates a "Child Welfare Fentanyl Testing Revolving Fund" to cover testing costs and requires DHS to refer certain abuse/neglect cases to law enforcement. These provisions directly affect children in welfare cases, their caregivers, DHS staff, and local law enforcement agencies.
HB 3345 requires mandatory mental health, substance abuse, and risk screenings for individuals arrested on felony charges in Oklahoma after their initial court appearance. These screenings, conducted by certified professionals from the Department of Mental Health, must be shared with courts, prosecutors, defendants, and their attorneys. Results cannot be used as evidence in criminal trials unless the defendant waives this right, but may inform sentencing or diversion options. The law takes effect November 1, 2026.
HB 3645 amends Oklahoma's hospice care requirements to expand eligibility determination options when patients lack legal representatives. It allows hospice admission decisions by a licensed long-term care administrator (with 6 months oversight and two physician approvals), two physicians reviewing medical history, or a primary care physician managing care for six months. The bill maintains existing standards like 24/7 care, bereavement programs, and prohibitions on improper patient solicitation. It directly affects hospice providers and patients without appointed guardians, ensuring timely access to hospice services under defined criteria.
SB 2074 requires pharmacy benefit managers (PBMs) to accept all documentation from pharmacies when challenging reimbursement amounts and include specific details in appeal requests. If an appeal is approved, PBMs must adjust payments within 14 days and provide claim-level details. The bill applies to all PBMs working with Oklahoma pharmacies and covers disputes over reimbursement rates for prescription drugs. It aims to streamline the appeals process and prevent delays in payments to pharmacies.
HB 3127 protects Oklahoma medical marijuana patients and caregivers from discrimination in employment, public assistance, and firearm ownership. It prohibits employers from refusing to hire, firing, or penalizing individuals solely for being a licensed medical marijuana user, and bars denial of Medicaid, SNAP, or firearm rights based on that status. However, the bill mandates a "zero-tolerance" policy for safety-sensitive jobs (like operating vehicles, handling hazardous materials, or direct patient care), allowing employers to enforce drug testing and discipline for marijuana use at work. Employers may still maintain written drug testing policies under state standards, but cannot deny employment based solely on medical marijuana license status or a positive test if the user is licensed and not impaired at work.
