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.
SB 889 requires Oklahoma hospitals to publicly post detailed pricing information online in an accessible, machine-readable format. It directly affects licensed hospitals and state-owned hospital facilities by mandating they publish a digital list of standard charges for all services, including gross charges, discounted cash prices, and negotiated rates with insurers. The bill specifies that hospitals must display this information free of charge, without requiring user accounts, and update it annually on their public website. This transparency measure aims to help patients compare costs for services like procedures, room fees, and supplies before receiving care.
HB 2807 creates a new "medical marijuana transporter license" category for businesses handling medical marijuana products. It allows licensed transporters (including current growers, processors, dispensaries, and new applicants) to operate warehouses with annual permits, maintain security-compliant storage, and use a state tracking system for all shipments. The bill requires GPS trackers on transport vehicles, labeled secure containers, and detailed inventory manifests documenting all movements. These provisions directly affect medical marijuana businesses, transporters, and warehouses by standardizing transportation rules and enhancing product tracking across Oklahoma.
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.
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.
HB 1512 grants Oklahoma's Insurance Commissioner authority to operate a state-based health insurance exchange under the Affordable Care Act, including applying for federal waivers. It creates a dedicated "State-based Exchange Revolving Fund" to support the exchange's operations and requires the Commissioner to promulgate necessary rules. The bill directly affects Oklahomans purchasing health insurance through the state marketplace by enabling a state-run exchange option. It becomes effective July 1, 2025, and was enacted without the Governor's signature on May 15, 2025.
SB 251 expands eligibility for Oklahoma county mental health and substance abuse funding to include employment, education, and housing programs alongside existing treatment services. It requires the state to allocate at least 0.5% of total funds to each county government or multi-county partnership applying for grants. The bill also mandates annual reports to legislative leaders detailing funding distribution and services provided. These changes aim to broaden community-based support options while ensuring minimum funding for all participating counties.
SB 253 requires Oklahoma's Medicaid agency (the Oklahoma Health Care Authority) to include specific funding details in its annual budget request. It mandates that the budget reflect new state and federal funding needed to cover the most recent audited costs for reimbursing nursing facilities and intermediate care facilities serving individuals with intellectual disabilities. The audited cost must be calculated using the latest cost report submitted to the agency. This change takes effect November 1, 2025.
HB 1516 allows minors aged 15-16 to contract for life, accident, or health insurance with parental or guardian consent, and minors aged 16+ to contract for other types of insurance with consent. It specifies that these minors are legally bound by their insurance contracts (including settlements) but cannot be held responsible for unpaid premiums on unperformed agreements. The law, effective November 1, 2025, amends Oklahoma's insurance code to clarify minor contracting rights and responsibilities. This directly affects minors seeking insurance coverage and their parents/guardians who must provide written consent.
