HB 4490 creates the Oklahoma Families Thriving Everywhere Now (OFTEN) program through the Oklahoma State Department of Health, using $3 million in state funds for the 2027 fiscal year. The program provides telecare support, community outreach, and care coordination for women with high-risk pregnancies and parents of children under three, aiming to promote healthy childbirth, stable family formation, and economic self-sufficiency. Services include referrals, case management, and parenting assistance delivered by Oklahoma-based community providers. The bill takes effect July 1, 2026, and includes an emergency declaration to accelerate implementation.
HB 1201 creates a 70% tax credit for Oklahoma taxpayers who donate to certified pregnancy resource centers, capping the credit at $50,000 per donor annually. To qualify, centers must provide free, non-abortion services (like prenatal care and counseling) without performing or referring for abortions, and must be certified by the state health director. The total annual tax credits for all donors are capped at $5 million, with annual adjustments to prevent exceeding this limit. The credit applies to donations of $100 or more and takes effect January 1, 2026.
SB 2165, the "Child Support Upon Conception Act," would allow mothers to seek court-ordered child support based on verified pregnancy, requiring medical proof of gestation and paternity testing before any support is awarded. It establishes temporary pre-birth support for pregnancy-related medical expenses, prenatal care, and living costs necessary for maternal and fetal health, continuing until birth when standard post-birth support begins. The bill treats the unborn child as having legal standing under Oklahoma's Children's Code, granting rights to protective orders and custody proceedings while requiring paternity verification. The bill is pending in the Oklahoma Senate Judiciary Committee after its introduction on February 2, 2026.
HB 3904 requires Oklahoma Medicaid to reimburse specific maternal health services for pregnant and postpartum women. It changes payment rules to separately cover prenatal, delivery, and postpartum care (instead of bundled payments), implements immediate presumptive eligibility for prenatal care, and adds reimbursement for depression screening, self-measured blood pressure monitoring, remote ultrasounds, and doula/community health worker services. The bill directs the Oklahoma Health Care Authority to adopt implementing rules and seek federal approvals, effective November 1, 2026. It directly affects Medicaid-covered pregnant and postpartum individuals in Oklahoma by expanding access to targeted health services.
SB 1503, the "Choosing Childbirth Act," allows Oklahoma to provide state grants to both in-state and out-of-state nonprofit organizations that offer services supporting pregnant women to carry pregnancies to term. It covers reimbursable services like medical care, mental health support, housing assistance, transportation, and postpartum care (aimed at reducing maternal/infant mortality by 3% by 2026), but explicitly prohibits funding for organizations providing or referring for abortions. To qualify, organizations must be registered nonprofits in Oklahoma, provide accurate fetal development information, and certify that funds won’t support abortion counseling or referrals. The bill takes effect November 1, 2026.
SB 1941 establishes Oklahoma's RESTORE Act to improve access to reproductive health care. It requires the State Department of Health to collect data on conditions like endometriosis, PCOS, and unexplained infertility (affecting 15-30% of cases), and mandates certain healthcare facilities to provide restorative reproductive medicine services. The bill directs funding toward programs addressing reproductive health conditions, requires new provider training on natural approaches, and specifies that facilities must report on services related to fertility and symptom management. It focuses on conditions such as endometriosis (with a typical 10-12 year diagnosis delay) and male-factor infertility, without promoting specific treatments.
SB 1951, the RESTORE Act, establishes a framework to improve access to restorative reproductive medicine (RRM) for Oklahomans with reproductive health conditions like endometriosis, PCOS, and infertility. It requires the State Department of Health to collect data on these conditions, mandate healthcare facilities to provide specific RRM services, and allocate funds for related programs and provider training. The bill defines RRM as approaches that restore natural reproductive physiology rather than suppress or bypass it, distinguishing it from assisted reproductive technologies like IVF. It directly affects patients with diagnosed reproductive conditions and healthcare providers by setting new service, data, and training requirements.
SB 1648, the "Healthy Moms, Healthy Babies Act," requires Oklahoma Medicaid to cover specific maternal health services for pregnant and postpartum women. It mandates separate reimbursement for prenatal, delivery, and postpartum care (including office visits, lab work, remote monitoring, and gestational diabetes management) instead of bundled payments, and adds coverage for depression screening, self-measured blood pressure monitoring, remote ultrasounds, and doulas/community health workers for home visits. The bill also establishes presumptive eligibility for pregnant applicants to access immediate prenatal care while processing full applications. These changes take effect November 1, 2026, and require the Oklahoma Health Care Authority to seek necessary federal approvals.
SB 1565 requires Oklahoma's Medicaid program to include nutrition support services for pregnant and postpartum women with diet-related conditions or high-risk pregnancy factors. It mandates medically tailored home-delivered meals designed by dietitians to meet specific medical needs, along with optional nutritional counseling, to improve maternal health outcomes. The bill authorizes Oklahoma Health Care Authority to use federal funds from the CMS Transforming Maternal Health (TMaH) Model exclusively for these services. The law takes effect July 1, 2026, and is designated as an emergency measure.
SB 1649 prohibits Oklahoma's Medicaid program (administered by the Oklahoma Health Care Authority) from requiring healthcare providers to disclose whether they perform, refer for, or are affiliated with abortion services. This applies specifically to contracting, Medicaid payment, and credentialing processes. The bill directly affects Medicaid providers who previously might have faced such disclosure demands as a condition of participation. It mandates the Authority to create implementing rules and declares an emergency for immediate effect.
