Healthcare

signed · Oklahoma · Senate May 6, 2026

SB 1644: Public health; requiring addition of alpha-gal disease to list of reportable conditions. Effective date.

SB 1644 would require Oklahoma's health department to add alpha-gal syndrome (AGS) to the official list of reportable diseases, meaning doctors, nurses, and clinical laboratories must report diagnosed cases to the state health department. AGS is a condition causing allergic reactions to red meat and other animal products, which currently lacks formal tracking in Oklahoma. The bill updates existing health reporting laws to include AGS and makes the language gender-neutral. It would take effect on November 1, 2026.

Topics ✓ HealthcareSupports HealthcareRequires reporting of alpha-gal syndrome to enhance disease tracking, strengthening public health surveillance under healthcare policy.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · Senate May 6, 2026

SB 444: Controlled dangerous substances; modifying and removing requirements and procedures related to destruction requiring compliance with federal regulation. Effective date.

SB 444 updates Oklahoma's rules for disposing of expired, unused, or abandoned controlled substances (like prescription medications). It allows regular people (ultimate users) to safely dispose of their own medications without registration, permits hospice programs to handle medications from deceased patients under federal rules, and removes previous restrictions on disposal methods. All disposal must follow federal guidelines (21 C.F.R. Part 1317), require specific forms for hospice cases, and be documented for state/federal review. The law takes effect November 1, 2025.

Topics ✓ HealthcareSupports HealthcareBill enables safe disposal of controlled substances, reducing misuse risks and supporting public health initiatives through federal-compliant disposal methods.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · Senate May 6, 2026

SB 933: Health care; creating the Right to Try for Individualized Treatments Act; authorizing individualized investigational treatments for eligible patients. Effective date.

SB 933 requires Oklahoma hospitals and ambulatory surgical centers to adopt policies using surgical smoke evacuation systems during procedures likely to generate surgical smoke. These systems must capture smoke at the source before it reaches staff or patients' eyes or lungs. The bill defines "surgical smoke" as gaseous by-products like plume or bio-aerosols produced during energy-based surgical procedures. The policy must be implemented by November 1, 2025, to prevent exposure to this airborne hazard.

Topics ✓ HealthcareSupports HealthcareRequires surgical smoke evacuation systems to protect staff/patients from harmful exposure in healthcare facilities, enhancing safety protocols and patient/staff protection.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 6, 2026

HB 1168: Abortion-inducing drugs; terms; trafficking; felony; exceptions.

HB 1168 makes it a felony to knowingly deliver or possess abortion-inducing drugs (like misoprostol or methotrexate) with the intent of causing an abortion, punishable by up to $100,000 in fines or 10 years in prison. It directly affects individuals who provide such drugs for non-exceptional purposes, including off-label use for abortion. Key exceptions include pharmacists, manufacturers, and distributors acting within lawful medical practices, as well as preventive contraception used as directed by manufacturers. The law does not restrict treatment for ectopic pregnancies, miscarriages, or medical uses of drugs like chemotherapy.

Topics ✗ Criminal JusticeOpposes Criminal JusticeExpands criminalization by creating a new felony for possession/delivery of abortion drugs, increasing penalties and broadening criminal law scope without reform indicators.95% confidence ✗ HealthcareOpposes HealthcareRestricts access to abortion-inducing drugs, criminalizing a healthcare service under felony penalties, directly limiting patient access to medical care.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Oklahoma · Senate May 6, 2026

SB 1255: Pardons and paroles; requiring medical director of the Department of Corrections to make certain request. Effective date.

SB 1255 requires Oklahoma's Department of Corrections medical director to certify qualifying medical conditions and request the Pardon and Parole Board to place eligible inmates on a special docket for compassionate parole consideration. It directly affects inmates with specific terminal or debilitating conditions like dementia, cancer, HIV/AIDS, or conditions causing near-death (six-month life expectancy), or those unable to perform basic self-care. The bill bypasses the standard two-step parole hearing process for these inmates and mandates that at least three Board members must concur to consider medical parole. The Board must document concurrence in meeting minutes, and parolees may face revocation if their medical condition poses public safety risks.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill enables compassionate parole for terminally ill/incapacitated inmates, reducing unnecessary incarceration and promoting humane treatment per criminal justice reform indicators.95% confidence ✓ HealthcareSupports HealthcareRequires medical certification for compassionate parole, improving access to healthcare outside prison for terminally ill inmates with qualifying conditions.65% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · House May 5, 2026

HB 3143: Medical marijuana; modifying dates for moratorium; providing restrictions when transferring ownership of medical marijuana business; effective date.

HB 3143 extends Oklahoma's moratorium on new medical marijuana business licenses (dispensaries, processors, growers) from August 1, 2026, to August 1, 2028. It requires existing license holders to get written approval from the Oklahoma Medical Marijuana Authority before transferring ownership, including submitting documentation to the Oklahoma State Bureau of Narcotics. Transfers must follow a 15-business-day timeline for license and registration changes, and applicants cannot submit transfer requests if disciplinary actions are pending. The bill also mandates that businesses provide a full inventory of all medical marijuana products during ownership changes and prohibits transfers without approval, with a 30-day window for pending applications to comply with new rules.

Topics ✗ HealthcareOpposes HealthcareExtends moratorium on new medical marijuana licenses and restricts ownership transfers, limiting patient access to medical cannabis treatment options.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

failed · Oklahoma · House May 5, 2026

HJR 1067: Joint resolution; terminating effect of Medicaid expansion coverage mandate under specified condition; providing certain construction.

This bill proposes a constitutional amendment to expand Oklahoma's Medicaid program to cover low-income adults. It would require the state to maintain eligibility without additional restrictions and allow Oklahoma to halt Medicaid expansion funding if federal matching falls below 90%. The amendment must be approved by voters via ballot measure. If passed, it would change Medicaid eligibility rules and create a specific funding threshold for state coverage. The resolution directs the Secretary of State to place this proposal on the ballot for voter approval.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for low-income adults, maintains eligibility without restrictions, and secures funding thresholds - directly advancing healthcare access and coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Oklahoma · Senate May 5, 2026

SB 1436: Hospitals; imposing certain duties on hospital in cases of fetal death or miscarriage; requiring State Department of Health to publish certain form. Effective date.

This bill requires Oklahoma hospitals to provide patients experiencing fetal death or miscarriage with a form explaining how to request official certificates (fetal death or stillbirth birth certificates) before discharge. Hospitals must also verbally inform patients about these certificate options. The State Department of Health must create and publish this standardized form online, including clear instructions and contact details for vital records. The law takes effect November 1, 2026, directly affecting hospitals and patients in Oklahoma facing these medical circumstances.

Topics ✓ HealthcareSupports HealthcareRequires hospitals to inform patients about fetal death certificate options, protecting patient rights in healthcare access and post-event support.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Oklahoma · Senate May 5, 2026

SB 1645: Medicaid; establishing certain requirements and procedures for audits of providers; directing establishment of certain appeals. Effective date.

SB 1645 establishes new rules for auditing long-term care providers (like nursing homes and Medicaid home-care agencies) under Oklahoma's Medicaid program. It requires the Oklahoma Health Care Authority to give providers 1 week's notice before audits, limits audits to 50 claims or 0.25% of annual claims, and prohibits holding providers liable for simple clerical errors (like typos) as fraud. Providers must be allowed 60 days to correct claims after an audit, and recoupments (recovery of overpaid funds) can only apply to corrected claims, not original billing errors. The bill also creates a two-step appeals process, allowing providers to challenge audit results through the Authority and then to an administrative law judge.

Topics ✓ HealthcareSupports HealthcareBill reduces administrative burden on Medicaid providers by limiting audits, prohibiting liability for clerical errors, and allowing correction periods - protecting access to long-term care services under Medicaid.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

vetoed · Oklahoma · Senate May 5, 2026

SB 2007: Pharmacy Benefit Managers; requiring PBM to remit certain fees. Effective date.

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.

Topics ✓ HealthcareSupports HealthcareRequires PBMs to pay pharmacies for unfair rate adjustments, protecting pharmacy revenue and ensuring stable drug access - directly strengthens pharmacy-provider healthcare delivery.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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