All Roll Calls
Yes: 453 • No: 90
OklahomaHB 1576Oklahoma 2026 Regular SessionHouseWALLET
Medicaid; terms; Oklahoma Health Care Authority; coverage; Medicaid; criteria; medical necessity; discretion; Chief Operating Officer; Health Information Portability and Accountability Act; scientific research; consent; research; opting-out; minors; promulgation of rules and regulations; waiver application; effective date; emergency.
Sponsored By: Mark Lawson (Republican)
Became Law
Senate Committee
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Rapid genetic testing for young Medicaid patients
The law requires Oklahoma Medicaid to pay separately for rapid whole genome sequencing, subject to required federal approval. Patients must be under 21 and receiving care in intensive care or another high-acuity hospital unit. They must have a complex or acute illness of unknown cause. The illness cannot be confirmed as caused by environmental exposure, toxic ingestion, trauma, or an infection responding normally to treatment. Testing examines the entire genome, including coding regions, non-coding regions, and mitochondrial DNA. It includes patient-only testing or testing with one or both biological parents. Preliminary positive results must return within seven days after the lab receives the sample; final results within 15–21 days. Coverage may use evidence-based medical-need rules. These require multiple possible diagnoses that otherwise call for multiple genetic tests, plus a provider finding that quick diagnosis is needed and may guide care. They also require at least one listed medical sign. Signs include birth defects affecting two organ systems, complex defects in one system, or organ defects strongly suggesting a genetic cause. Other signs include lab findings suggesting genetic or metabolic disease; severe or treatment-resistant low or high blood sugar; unusual treatment response; severe muscle weakness, rigidity, or spasticity; or treatment-resistant seizures. Certain high-risk brief resolved unexplained events, heart test findings, imaging or body-function tests suggesting genetic disease, and related family genetic history also qualify. The state's Chief Operating Officer can expand qualifying conditions or covered genetic tests based on new medical evidence. That officer must implement coverage, including needed rules, federal waiver requests or amendments, and other administrative steps. Section 2 lists July 1, 2025, as the effective date; the emergency clause also states effect upon passage and approval.
Medicaid patients control genetic data use
Genetic data from covered rapid whole genome sequencing must mainly help the ordering clinician and care team diagnose and treat the patient. The data is protected health information under HIPAA, the HITECH Act, and related privacy rules. Research use requires express consent from the patient or a minor's legal guardian. Patients or guardians can withdraw consent at any time. After written withdrawal, the provider or other entity using the data must stop using it and delete it from every repository. Patients and guardians can access results for use in other care settings; providers can access them with consent. A provider may charge a small fee based on the direct cost of preparing results in a usable format.
Sponsors & Cosponsors
Sponsor
Mark Lawson
Republican • House
Cosponsors
Josh Cantrell
Republican • House
Carri Hicks
Democratic • Senate
Danny Williams
Republican • House
Roll Call Votes
Senate vote • 5/29/2025
OVERRIDE
Yes: 36 • No: 9
House vote • 5/29/2025
OVERRIDE
Yes: 76 • No: 12
House vote • 5/22/2025
FOURTH READING
Yes: 68 • No: 21
Senate vote • 5/22/2025
FOURTH READING
Yes: 27 • No: 15
Senate vote • 5/22/2025
EMERGENCY
Yes: 39 • No: 3
Senate vote • 5/8/2025
THIRD READING
Yes: 33 • No: 13
Senate vote • 5/8/2025
EMERGENCY
Yes: 45 • No: 1
Senate vote • 4/23/2025
Committee vote: Appropriations
Yes: 20 • No: 2
Senate vote • 4/7/2025
Committee vote: Health & Human Services
Yes: 11 • No: 0
House vote • 3/3/2025
THIRD READING
Yes: 83 • No: 14
House vote • 2/26/2025
DO PASS
Yes: 10 • No: 0
House vote • 2/5/2025
DO PASS
Yes: 5 • No: 0
Actions Timeline
To Senate
5/30/2025HouseVeto overridden: Ayes: 76 Nays: 12
5/30/2025HouseFiled with Secretary of State
5/29/2025HouseMeasure returned to House
5/29/2025SenateVeto overridden: Ayes: 36 Nays: 9
5/29/2025SenateVetoed 05/28/2025
5/28/2025HouseSent to Governor
5/22/2025HouseEnrolled measure signed, returned to House
5/22/2025SenateEnrolled, signed, to Senate
5/22/2025HouseReferred for enrollment
5/22/2025HouseEmergency passed, to House: Ayes: 39 Nays: 3
5/22/2025SenateMeasure passed, to House: Ayes: 27 Nays: 15
5/22/2025SenateCCR adopted, GCCA
5/22/2025SenateCCR read, GCCA
5/22/2025SenateTo Senate
5/22/2025HouseFourth Reading, Measure and Emergency Passed: Ayes: 68 Nays: 21
5/22/2025HouseCCR adopted
5/22/2025HouseEnacting clause restored
5/21/2025HouseTitle restored
5/21/2025HouseCoauthored by Representative(s) Cantrell, Williams
5/21/2025HouseCCR submitted
5/21/2025HouseConference granted, GCCA
5/15/2025SenateHC's named: Conference Committee on Health and Human Services Oversight
5/15/2025HouseSA's rejected, conference requested, conferees to be named later
5/14/2025HouseSA's received
5/12/2025House
Bill Text
Enrolled (final version)
5/22/2025
House Conference Committee Report
5/22/2025
Scheduled House CCR 1(A)
5/21/2025
Scheduled House CCR 1(A)
5/20/2025
Amended And Engrossed
5/12/2025
Floor (Senate)
4/24/2025
Senate Committee Report 2
4/23/2025
Senate Committee Report 1
4/7/2025
Engrossed
3/4/2025
Floor (House)
2/27/2025
House Committee Report
2/26/2025
House Policy Committee Report
2/5/2025
Introduced
1/16/2025
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