Healthcare

in committee · Oklahoma · Senate Feb 4, 2025

SB 442: Health care; authorizing Certified Registered Nurse Anesthetist to provide interventional pain management services and operate certain facilities under specified conditions. Effective date.

SB 442 allows Certified Registered Nurse Anesthetists (CRNAs) in Oklahoma to provide specific interventional pain management treatments, such as nerve ablation, spinal injections, and fluoroscopy-guided procedures, under defined conditions. CRNAs may operate freestanding pain facilities only when collaborating with a board-certified physician who is available for immediate on-site consultation. The bill explicitly prohibits CRNAs from performing surgical techniques, prescribing opioids, or conducting procedural sedation. This directly affects CRNAs, pain management facilities, and patients seeking non-surgical chronic pain treatments under these new parameters.

Topics ✓ HealthcareSupports HealthcareExpands CRNA scope to provide pain management services, increasing provider access to care under defined conditions without restricting patient access.95% confidence

Sub-Topics Healthcare Workforce

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signed · Oklahoma · House Apr 20, 2026

HB 2361: Children; Successful Adulthood Act; documents; foster care; age; services; custody; Office of Juvenile Affairs; codification; effective date.

HB 2361, the "Successful Adulthood Act," requires Oklahoma's Department of Human Services to provide foster youth aged 14 and older with a "Notice of Rights" explaining their legal protections. It mandates that youth transitioning out of foster care at age 18 receive essential documents, including birth certificates, Social Security cards, medical records, and educational transcripts, to support independent living. The bill extends eligibility for transition services, including housing, education, and Medicaid coverage, until age 21 for those in foster care due to abuse or neglect. It also requires the Department to provide information about college financial aid programs to foster youth and their guardians. These provisions aim to improve stability and self-sufficiency for young adults aging out of foster care.

Topics ✓ EducationSupports EducationBill requires provision of educational transcripts to foster youth transitioning to adulthood, directly supporting educational access and continuity for this vulnerable population.95% confidence ✓ HealthcareSupports HealthcareRequires provision of medical records to foster youth transitioning to adulthood, enabling continued healthcare access and supporting independent living through essential health documentation.85% confidence ✓ HousingSupports HousingExtends housing services for foster youth transitioning to adulthood, directly supporting their housing needs during critical transition period.90% confidence

Sub-Topics Higher Education Student Financial Aid Medicaid

passed · Oklahoma · House Apr 22, 2025

HB 1853: Health care services; terms; documentation; prohibiting certain billing; deductible; codification; effective date.

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.

Topics ✓ HealthcareSupports HealthcareRequires full cost-sharing-free coverage for childhood immunizations and allows direct payment at negotiated rates to reduce out-of-pocket costs, expanding access and protecting patient rights.95% confidence

Sub-Topics Children's Health Insurance

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signed · Oklahoma · Senate Apr 28, 2025

SB 595: Jail standards; creating the Oklahoma Jail Standards Act. Emergency.

SB 595 creates the Oklahoma Jail Standards Act, requiring all city and county jails to meet new safety, health, and operational standards. It mandates annual inspections by the State Department of Health, sets specific requirements for inmate food, sanitation, medical care, staff training (4-8 hours yearly for direct-contact staff), and inmate classification, and requires facilities to develop written policies for emergencies and medical services. The bill directly affects all county jails, sheriff's departments, and facility administrators, while allowing temporary tent jails to operate under different rules. The Act also clarifies that medical care must cover illnesses or injuries from arrest through incarceration, and includes exceptions for short-term holding facilities under 12 hours.

Topics ✓ Criminal JusticeSupports Criminal JusticeMandates improved jail standards including medical care, sanitation, staff training, and inspections, directly advancing corrections reform and inmate safety standards.90% confidence ✓ HealthcareSupports HealthcareMandates medical care standards for inmates in jails, strengthening healthcare provision within correctional facilities as part of operational requirements.80% confidence

Sub-Topics Corrections Law Enforcement

in committee · Oklahoma · Senate Feb 4, 2025

SB 1017: State Medicaid program; allowing coverage of educationally necessary school-based services; prohibiting certain acts by the Oklahoma Health Care Authority. Effective date. Emergency.

SB 1017 allows Oklahoma's Medicaid program to cover educationally necessary school-based services for students with disabilities, directly affecting K-12 public schools and Medicaid-eligible students. The bill defines "educationally necessary" services (like classroom support) separately from medically necessary ones (e.g., physical therapy), requiring these services to be attached to an Individualized Education Program (IEP) rather than included in the IEP itself. It prohibits the Oklahoma Health Care Authority from expanding this definition or covering non-educational health services like eye exams or flu shots. The law takes effect July 1, 2025, and applies to students under 21 receiving a free and appropriate public education.

Topics ✓ EducationSupports EducationExpands Medicaid coverage for school-based services (e.g., classroom support) for K-12 students with disabilities, directly enhancing educational access via IEPs without restricting funding.95% confidence ✓ HealthcareSupports HealthcareSB 1017 explicitly expands Medicaid coverage to include educationally necessary school-based services for students with disabilities, advancing healthcare access through state Medicaid program funding.90% confidence

Sub-Topics K-12 Education Special Education Student Health Medicaid

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vetoed · Oklahoma · House May 29, 2025

HB 2298: Practice of nursing; providing for independent prescriptive authority of Advanced Practice Registered Nurses who meet certain requirements; modifying various provisions of the Oklahoma Pharmacy Act, the Oklahoma Nursing Practice Act, and the Uniform Controlled Dangerous Substances Act; effective date.

HB 2298 allows qualified Advanced Practice Registered Nurses (APRNs) in Oklahoma - such as nurse practitioners and nurse-midwives - to prescribe medications independently after meeting specific requirements. To qualify, APRNs must complete 6,240 supervised clinical hours, hold a valid license, and carry $1 million in malpractice insurance per incident. The bill also sets rules for APRN advertising (requiring clear disclosure of their role and scope) and defines supervision requirements for those not yet eligible for independent prescribing. It modifies Oklahoma’s Nursing Practice Act, Pharmacy Act, and Controlled Substances Act to implement these changes.

Topics ✓ HealthcareSupports HealthcareExpands APRN prescribing authority, increasing patient access to care through independent medication management without restrictions or defunding.90% confidence

Sub-Topics Healthcare Workforce Prescription Drugs

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in committee · Oklahoma · Senate Feb 4, 2025

SB 193: Medicaid; directing certain program delivery model; repealing provisions relating to managed care delivery model. Effective date.

SB 193 changes Oklahoma's Medicaid program from a managed care model to a direct fee-for-service system. It requires the Oklahoma Health Care Authority to transition all Medicaid members from contracted managed care organizations back to direct coverage, terminate existing managed care contracts, and directly reimburse healthcare providers. The bill repeals numerous existing laws related to managed care delivery (including Sections 4002.1 through 4002.15 and related provisions) and mandates the Authority to seek federal approval for this transition. The change takes effect November 1, 2025, affecting Medicaid recipients and healthcare providers currently covered under managed care contracts.

Topics ✓ HealthcareSupports HealthcareBill transitions Medicaid to direct provider reimbursement, eliminating managed care barriers and aiming to improve program efficiency and access for beneficiaries.85% confidence

Sub-Topics Medicaid

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in committee · Oklahoma · Senate Feb 4, 2025

SB 671: Public benefits; modifying definitions related to lawful presence of applicants. Effective date.

This Oklahoma bill modifies how state agencies verify applicants' lawful presence for public benefits. It requires most applicants aged 14+ to submit an affidavit affirming U.S. citizenship or lawful presence, with verification through the federal SAVE program. Key exemptions include emergency medical care, disaster relief, public health services (like immunizations), and community-based aid like soup kitchens. The bill mandates free notary services for applicants and annual compliance reports from agencies, while criminal penalties apply for knowingly false affidavits. It does not affect benefits for emergency health services, disaster relief, or certain community programs.

Topics ✓ HealthcareSupports HealthcareExempts public health services (e.g., immunizations) and emergency medical care from affidavit requirements, ensuring continued access to healthcare without barriers.85% confidence ✗ ImmigrationOpposes ImmigrationRequires immigration status verification for most public benefits, restricting access except for narrow exemptions like emergency care and public health services.95% confidence

Sub-Topics Public Health Citizenship & Naturalization

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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

Sub-Topics Curriculum Substance Abuse

in committee · Oklahoma · Senate Feb 13, 2025

SB 155: State Department of Health; making appropriations; stating purpose. Effective date. Emergency.

SB 155 appropriates $1.1 million to Oklahoma's State Department of Health for a public information campaign about diabetes care and free/reduced-price diabetes supplies, directly affecting Oklahomans managing diabetes. It also allocates $340,222 to federally qualified community health centers serving underserved populations. The funds are designated for the 2023 fiscal year and take effect July 1, 2025. The bill establishes specific funding mechanisms without altering existing laws or creating new requirements.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $1.1M for diabetes care campaign and $340k for community health centers, increasing state budget funding for essential public health services.95% confidence ✓ HealthcareSupports HealthcareBill allocates $1.1M for diabetes care campaign/supplies and $340k to community health centers serving underserved populations, directly expanding access to healthcare services and public health programs.95% confidence

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