All Roll Calls
Yes: 157 • No: 0
OklahomaHB 1811Oklahoma 2026 Regular SessionHouse
Insurance; chronic conditions; validity period; prior authorization; inpatient; non-inpatient; timeframe; effective date.
Sponsored By: Carl Newton (Republican)
Became Law
Senate Committee
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Chronic care patients get approval protections
Beginning November 1, 2025, Oklahoma sets approval periods for chronic-condition care when health plans require advance approval. Non-inpatient approvals last at least six months after the provider receives approval, unless clinical criteria change with the required notice. Initial inpatient acute-care approvals last at least 14 calendar days after the provider receives approval. For longer stays, reviewers cannot use stricter medical-need standards than those used for the initial approval. They must consider relevant research or data the provider submits; each continuation approval lasts no more than 14 calendar days after receipt. Complete continuation requests are timely when submitted at least 24 hours before the approved stay ends, instead of 72 hours. If reviewers have not responded when that stay ends, plans must keep paying providers the contracted rate until a decision. Plans must also keep paying that rate until an appeal is final when the provider appeals a denial under the law. These protections do not require plans to cover care for conditions their coverage terms exclude, even when medically necessary.
Sponsors & Cosponsors
Sponsor
Carl Newton
Republican • House
Cosponsors
Darcy Jech
Republican • Senate
Roll Call Votes
Senate vote • 5/6/2025
THIRD READING
Yes: 44 • No: 0
Senate vote • 4/10/2025
Committee vote: Business & Insurance
Yes: 9 • No: 0
House vote • 3/13/2025
THIRD READING
Yes: 82 • No: 0
House vote • 3/6/2025
DO PASS
Yes: 15 • No: 0
House vote • 2/24/2025
DO PASS
Yes: 7 • No: 0
Actions Timeline
Becomes law without Governor's signature 05/14/2025
5/14/2025HouseSent to Governor
5/7/2025HouseEnrolled measure signed, returned to House
5/7/2025SenateEnrolled, signed, to Senate
5/7/2025HouseReferred for enrollment
5/6/2025HouseEngrossed measure signed, returned to House
5/6/2025SenateMeasure passed: Ayes: 44 Nays: 0
5/6/2025SenateGeneral Order, Considered
5/6/2025SenatePlaced on General Order
4/15/2025SenateReported Do Pass Business and Insurance committee; CR filed
4/10/2025SenateSecond Reading referred to Business and Insurance
4/1/2025SenateFirst Reading
3/17/2025SenateEngrossed, signed, to Senate
3/17/2025HouseReferred for engrossment
3/13/2025HouseThird Reading, Measure passed: Ayes: 82 Nays: 0
3/13/2025HouseGeneral Order
3/13/2025HouseAuthored by Senator Jech (principal Senate author)
3/6/2025HouseCR; Do Pass Commerce and Economic Development Oversight Committee
3/6/2025HousePolicy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance
2/25/2025HouseReferred to Insurance
2/4/2025HouseSecond Reading referred to Commerce and Economic Development Oversight
2/4/2025HouseAuthored by Representative Newton
2/3/2025HouseFirst Reading
2/3/2025House
Bill Text
Enrolled (final version)
5/7/2025
Floor (Senate)
4/14/2025
Senate Committee Report
4/10/2025
Engrossed
3/17/2025
Floor (House)
3/9/2025
House Committee Report
3/6/2025
House Policy Committee Report
2/25/2025
Introduced
1/16/2025
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