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OklahomaHB 2049Oklahoma 2026 Regular SessionHouse

Medicaid parity; coverage; mental health and substance use disorders; contract compliance; noncompliance reviews; Oklahoma Health Care Authority; complaints; publication of reports; effective date.

Sponsored By: Preston Stinson (Republican)

Became Law

Senate Committee

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Stronger Medicaid protections for mental health care

Beginning November 1, 2025, Oklahoma requires stronger oversight of mental health and substance use disorder coverage. The Oklahoma Health Care Authority must ensure Medicaid insurers, health plans, and managed care plans follow federal and state coverage rules. Medicaid managed care contracts must require regular fairness reviews, called parity analyses, using federally required information. Reviews must cover every non-numerical treatment limit in every care category, including rules requiring approval before treatment. New reviews are required whenever these limits change, either in writing or in practice. Medicaid and the Children’s Health Insurance Program must collect and review analyses from managed care, children’s coverage, and alternative benefit plans. They must use a standard process to address failures to comply. The authority must also create a standard process to receive, investigate, confirm, and resolve parity complaints. It must publicly release surveys, financial analyses, managed care contract audits, confirmed complaints with identifying details removed, and plans’ parity reports. State parity analyses, summaries, and reports sent to federal Medicaid officials must be made public within 30 days of submission.

Sponsors & Cosponsors

Sponsor

  • Preston Stinson

    Republican • House

Cosponsors

  • Nick Archer

    Republican • House

  • Todd Gollihare

    Republican • Senate

  • Ellyn Hefner

    Democratic • House

  • Julia Kirt

    Democratic • Senate

  • Nikki Nice

    Democratic • Senate

  • Pittman

    Affiliation unavailable

  • Trish Ranson

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 155 • No: 25

Senate vote • 4/30/2025

THIRD READING

Yes: 33 • No: 11

Senate vote • 4/21/2025

Committee vote: Health & Human Services

Yes: 10 • No: 0

House vote • 3/24/2025

THIRD READING

Yes: 75 • No: 14

House vote • 3/5/2025

DO PASS

Yes: 31 • No: 0

House vote • 2/17/2025

DO PASS

Yes: 6 • No: 0

Actions Timeline

  1. Becomes law without Governor's signature 05/08/2025

    5/8/2025House

  2. Sent to Governor

    5/1/2025House

  3. Enrolled measure signed, returned to House

    5/1/2025Senate

  4. Enrolled, signed, to Senate

    5/1/2025House

  5. Referred for enrollment

    4/30/2025House

  6. Engrossed measure signed, returned to House

    4/30/2025Senate

  7. Measure passed: Ayes: 33 Nays: 11

    4/30/2025Senate

  8. General Order, Considered

    4/30/2025Senate

  9. Coauthored by Senator Kirt

    4/30/2025Senate

  10. Coauthored by Senator Nice

    4/29/2025Senate

  11. Placed on General Order

    4/23/2025Senate

  12. Reported Do Pass Health and Human Services committee; CR filed

    4/21/2025Senate

  13. Second Reading referred to Health and Human Services

    4/1/2025Senate

  14. Coauthored by Representative Pittman

    3/25/2025Senate

  15. First Reading

    3/25/2025Senate

  16. Engrossed, signed, to Senate

    3/25/2025House

  17. Referred for engrossment

    3/24/2025House

  18. Third Reading, Measure passed: Ayes: 75 Nays: 14

    3/24/2025House

  19. Coauthored by Representative(s) Ranson, Archer, Hefner

    3/24/2025House

  20. General Order

    3/24/2025House

  21. Authored by Senator Gollihare (principal Senate author)

    3/6/2025House

  22. CR; Do Pass Appropriations and Budget Committee

    3/6/2025House

  23. Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee

    2/20/2025House

  24. Referred to Appropriations and Budget Health Subcommittee

    2/4/2025House

  25. Second Reading referred to Appropriations and Budget

    2/4/2025House

Bill Text

  • Enrolled (final version)

    5/1/2025

    PDF

  • Floor (Senate)

    4/22/2025

    PDF

  • Senate Committee Report

    4/21/2025

    PDF

  • Engrossed

    3/25/2025

    PDF

  • Floor (House)

    3/10/2025

    PDF

  • House Committee Report

    3/6/2025

    PDF

  • House Committee Report

    2/20/2025

    PDF

  • Introduced

    1/16/2025

    PDF

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