Healthcare

SB 1064 requires health insurance plans in Oklahoma to use evidence-based clinical guidelines when creating step therapy protocols (where insurers mandate trying cheaper drugs first). It mandates that insurers provide a clear, accessible process for doctors and patients to request exceptions when step therapy blocks necessary medications, and they must grant exceptions if the doctor provides justification (e.g., prior drug failure, adverse reactions, or medical necessity). Insurers must respond to exception requests within 72 hours (24 hours for emergencies), and failure to respond on time automatically grants the exception. The bill directly affects insurers, healthcare providers, and patients using prescription drugs covered under step therapy protocols.

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.