Healthcare

passed · Oklahoma · Senate Apr 7, 2026

SB 1813: Professions and occupations; enacting the Athletic Trainer Compact; authorizing certain jurisdiction. Effective date.

SB 1813 authorizes Oklahoma to join the Athletic Trainer Compact, a multi-state agreement enabling licensed athletic trainers to practice across participating states without obtaining separate licenses. The bill establishes a "Compact Privilege" allowing qualified trainers from member states to provide services in Oklahoma while adhering to local scope-of-practice rules. Key provisions include mutual recognition of licenses, streamlined interstate practice, reduced administrative burdens, and enhanced information sharing among states regarding licensure and disciplinary actions. This directly affects athletic trainers seeking to work in multiple states and patients in member states who gain broader access to certified care. The compact preserves each state’s authority to regulate practice and protect public safety through existing licensure systems.

Topics ✓ HealthcareSupports HealthcareEnables interstate practice for athletic trainers, reducing licensing barriers and improving access to healthcare services.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · Senate Mar 20, 2026

SB 392: Oklahoma Strategic Military Planning Commission; extending sunset date. Effective date. Emergency.

SB 392 extends the expiration date of Oklahoma's Long-Term Care Facility Advisory Council from July 1, 2025, to July 1, 2026. The council, which advises on standards for nursing homes, residential care facilities, and adult day care services, continues with its existing structure of 13 members including healthcare professionals and public representatives over age 65. This extension ensures uninterrupted review of care quality, facility regulations, and enforcement under the Nursing Home Care, Residential Care, and Adult Day Care Acts. The bill does not alter the council's duties or membership requirements.

Topics ✓ HealthcareSupports HealthcareExtends oversight council for nursing home care standards, maintaining regulatory continuity to protect care quality in long-term facilities.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed both · Oklahoma · Senate Mar 4, 2026

SB 202: Medicaid; modifying eligibility requirements for self-funded or self-insured health care plan to participate in certain premium assistance program. Emergency.

SB 202 modifies eligibility rules for self-funded health plans to participate in Oklahoma's Medicaid premium assistance program. It allows small businesses and public entities using self-funded health plans to qualify if the plan was already used by an employer in the program as of May 1, 2024, or if it’s owned by a local government public trust. This change specifically affects small employers (under 250 employees) and public-sector health plans seeking to access state premium assistance. The bill aims to expand coverage options for low-income workers by making more health plan types eligible for state-funded premium support.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid premium assistance eligibility for small businesses/public entities, increasing access to healthcare coverage under state program.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · House Feb 25, 2026

HB 1484: Schools; creating Rain's Law; requiring certain instruction on fentanyl abuse prevention and drug poisoning awareness; effective date; emergency.

HB 1484, known as "Rain's Law," requires Oklahoma public schools to provide annual, research-based instruction on fentanyl abuse prevention and drug poisoning awareness to students in grades 6 through 12. The bill mandates that this instruction cover suicide prevention, fentanyl abuse and addiction prevention, local resource access, and health education about fentanyl use. Schools must incorporate this content into health classes, and the State Department of Education will develop curriculum standards and resources to support implementation. The law also designates a week for "Fentanyl Poisoning Awareness Week" to align with National Red Ribbon Week, with age-appropriate instruction determined by each school district.

Topics ✓ EducationSupports EducationMandates fentanyl education in health curriculum for grades 6-12, enhancing student health education programs per bill requirements.95% confidence ✓ HealthcareSupports HealthcareBill mandates school-based public health education on fentanyl abuse and suicide prevention, directly advancing public health programs under healthcare topic.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

in committee · Oklahoma · Senate Feb 24, 2026

SB 2158: Income tax; creating the Health Care Sharing Ministry Tax Parity Act; providing income tax deduction. Effective date.

This Oklahoma bill (SB 2158) allows residents who use health care sharing ministries to deduct membership fees and administrative costs from their state income tax starting in 2027. It also makes money received from these ministries for medical expenses tax-free. To qualify, individuals must have been active members for at least one month during the tax year. The law expires if Oklahoma stops collecting individual income tax.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax deduction for health care sharing ministry fees, providing tax relief by reducing taxable income for qualifying residents.90% confidence ✓ HealthcareSupports HealthcareEnables tax deductions for health care sharing ministries, expanding alternative coverage access and aligning with healthcare access support through tax parity85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · Oklahoma · Senate Feb 24, 2026

SB 1374: School nutrition; requiring certain federal funds to be used to provide certain school meals. Effective date. Emergency.

SB 1374, the Thrive Act, provides state funding reimbursement for school meal programs in Oklahoma. It applies to school districts with 40% or more students qualifying for free meals (based on federal eligibility criteria) that choose to participate in the federal community eligibility program. Starting in the 2027-2028 school year, these districts receive tiered state reimbursements per meal: 100% for districts under 2,000 students, 90% for 2,000-10,000 students, and 80% for districts over 10,000 students. The law also requires the State Department of Education to evaluate the program’s impact every three years starting in 2028.

Topics ✓ EducationSupports EducationProvides state funding reimbursements for school meal programs in qualifying districts, directly increasing financial support for K-12 nutrition access and meal program sustainability.95% confidence ✓ HealthcareSupports HealthcareFunds school meal programs under public health initiative, advancing student nutrition as part of healthcare policy per Thrive Act's reimbursement structure.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · House May 30, 2025

HB 2262: Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure Act; imposing certain duties; broadening applicability of certain penalties; effective date.

HB 2262 requires nursing homes, assisted living facilities, and other care providers marketing specialized dementia care to publicly disclose detailed information about their services. Facilities must submit a standardized form to Oklahoma's State Department of Health, covering staff ratios, care plans, facility design, activities, fees, and family involvement - ensuring transparency for residents and families considering placement. The bill mandates posting this disclosure online and in facilities, with the Department reviewing it during inspections. It directly affects dementia care providers and supports informed decisions by families seeking appropriate care.

Topics ✓ HealthcareSupports HealthcareMandates transparency in dementia care facilities, improving patient/family decision-making and accountability, aligning with healthcare protection and access indicators.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

died · Oklahoma · House May 30, 2025

HB 1224: Health care; minor self-consent to health services; granting certain protections to parent or legal guardian related to medical records; effective date.

HB 1224 allows certain minors to consent to specific health services without parental approval, including treatment for pregnancy, sexually transmitted infections, substance abuse, or sexual assault. Parents generally retain access to their minor child's medical records, but this right is limited when the minor uses the bill's self-consent provisions for the listed health conditions. Health professionals must make a reasonable attempt to notify parents for emergency care but are not required to inform them for most other services covered under the bill. The bill also protects health providers from liability when acting in good faith under these rules, ensuring minors' confidentiality in sensitive health matters.

Topics ✓ HealthcareSupports HealthcareEnables minors to access sensitive health services (pregnancy, STIs, etc.) without parental consent, expanding patient access and protecting rights in healthcare.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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vetoed · Oklahoma · Senate May 29, 2025

SB 804: Long-term care; directing promulgation of specified rules; requiring assisted living centers to establish internal quality assurance committee. Effective date.

SB 804 requires Oklahoma assisted living centers to establish an internal quality assurance committee that meets quarterly. The committee must monitor incidents, resident satisfaction, and care quality - especially medication administration - and recommend policies, with membership including a registered nurse, administrator, direct care staff, and pharmacist as needed. The bill also updates existing rules to mandate monthly medication reviews by nurses/pharmacists, standardized resident screening, posting inspection results online, and individualized care plans. These changes directly affect all licensed assisted living centers in Oklahoma, effective November 1, 2025.

Topics ✓ HealthcareSupports HealthcareMandates quality committees & monthly medication reviews in assisted living centers to improve care safety and oversight, directly strengthening patient care standards in healthcare services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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vetoed · Oklahoma · Senate May 29, 2025

SB 773: Pharmacy benefit managers; modifying definitions; prohibiting certain circumstances; requiring nonpayment under providing venue for certain court proceeding; allowing Attorney General to obtain certain information. Effective date.

Oklahoma's SB 773 regulates pharmacy benefit managers (PBMs) by prohibiting unfair practices that affect independent pharmacies and patients. It requires PBMs to pay independent pharmacies the same reimbursement rate for identical drugs as they pay PBM-owned pharmacies, banning "spread pricing" where PBMs charge plans more than they pay pharmacies. The bill also prohibits PBMs from charging pharmacies fees for claim submission, network enrollment, or claims processing, and restricts retroactive payment reductions except for fraud or audit errors. These changes directly impact PBMs, pharmacies, and health plans operating in Oklahoma, aiming to ensure fairer payment practices. The bill was vetoed by the governor but overridden by the legislature on May 29, 2025.

Topics ✓ HealthcareSupports HealthcareRegulates PBMs to ensure fair reimbursement for independent pharmacies and patients, preventing spread pricing and fees that limit access to medications.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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