SB 808 clarifies Oklahoma's physical therapy referral rules, allowing licensed physical therapists (and assistants under supervision) to evaluate and treat patients without a doctor's referral for up to 30 days, except for workers' compensation cases. It specifically exempts children receiving physical therapy under federal special education laws (IDEA/504), screening/education services, and non-injury-related fitness/wellness programs. The bill explicitly states physical therapists cannot practice "healing arts" beyond their scope and maintains existing restrictions on non-therapeutic services. Signed into law on April 23, 2025, it takes effect November 1, 2025.
HB 2802 amends Oklahoma's licensing laws for professions and occupations to limit when criminal history can block a license. It prohibits denial based on sealed/expunged records, arrests without conviction, or convictions over five years old (unless involving specific violent offenses like domestic abuse or sex offenses). Licensing agencies must now consider factors like the offense's relevance to the job, time passed, rehabilitation efforts, and provide written notice with appeal rights if denying a license. This directly affects applicants with criminal records seeking licenses for jobs like nursing, contracting, or childcare, ensuring decisions are based on specific, relevant criteria rather than vague standards.
HB 1853 requires health insurance plans covering children to provide full, cost-sharing-free coverage for all recommended childhood immunizations (including those mandated by the State Board of Health) from birth through age 18. It also allows policyholders to pay for health care services directly at a negotiated lower rate and submit documentation to have that payment count toward their deductible. The law applies to most health insurance plans (excluding dental, vision, short-term coverage, and others listed in the bill) and takes effect November 1, 2025. This ensures children's routine vaccines are fully covered without out-of-pocket costs for families.
HB 1676, the "Kay Floyd SANE Act," creates a new Sexual Assault Nurse Examiner (SANE) Statewide Coordinator position within Oklahoma's District Attorneys Council. The coordinator will oversee forensic medical exam training, recruit SANE professionals, develop local SANE and Sexual Assault Response Team programs, and manage payments from the Sexual Assault Examination Fund. The role requires a minimum annual salary of $125,000, funded through the District Attorneys Council's appropriations. The position is established until October 1, 2025, with the bill taking effect November 1, 2025. This directly affects county-level sexual assault response systems and SANE program expansion statewide.
SB 1036, the "Oklahoma Triage, Treat, and Transport to Alternative Destination Act," requires health insurers in Oklahoma to cover specific ambulance services starting January 1, 2026. It mandates coverage for ambulance providers treating patients in place, triaging/treating/transporting to lower-acuity facilities (like urgent care or mental health centers), or for encounters resulting in no transport. This affects insurers, ambulance services, and people covered by health insurance plans. The law excludes hospitals, dialysis centers, and residential settings from "alternative destinations" and sets minimum reimbursement rates for ambulance services. It applies to all new or renewed health insurance contracts on or after the effective date.
SB 1104 requires the Oklahoma Medical Marijuana Authority to select a vendor for a statewide inventory tracking system to monitor medical marijuana from cultivation to sale. The system must track key events like planting, harvesting, transportation, and disposal, and maintain detailed records of all products, including batches and transactions. This affects all medical marijuana businesses, research facilities, education centers, and waste disposal facilities, which must integrate their operations with the new system. The bill takes effect on November 1, 2025, aiming to standardize tracking and improve oversight.
SB 534 amends Oklahoma's medical marijuana transportation license rules to allow license holders to transport marijuana directly to patients, in addition to moving it between licensed facilities. This affects existing medical marijuana retailers, growers, and processors who hold transportation licenses. The key change requires all transported marijuana to be in a locked, clearly labeled container marked "Medical Marijuana or Derivative," and explicitly permits transport from licensed retailers to patients. The bill takes effect November 1, 2025, and does not create new licenses but modifies existing transportation provisions.
SB 161 requires pharmacy benefit managers (PBMs) operating in the state to uphold a specific fiduciary duty. This means PBMs must act in the best interests of patients, not just their own financial gain, when making decisions about drug coverage and pricing. The bill establishes new rules for how PBMs manage prescription drug benefits, mandating transparency and prioritizing patient welfare. It directly affects all PBMs providing services to health plans within the state, changing their operational obligations under current law.
SB 456, the "Abolition of Abortion Act," would reclassify most abortion procedures as criminal homicide under Oklahoma law, defining "human being" to include unborn children and applying homicide statutes to abortion-related deaths. It exempts legal abortions with maternal consent, standard medical practices, life-saving procedures for the mother (with steps to save the fetus), and spontaneous miscarriages. The bill also modifies wrongful death claims to include unborn children and expands duress defenses for mothers who undergo abortions under threat. The bill failed in committee in February 2025 and would not take effect if passed, as it is currently pending legislative action.
