OklahomaSB 1794Oklahoma 2026 Regular SessionSenateWALLET

Mental health; creating the Oklahoma Behavioral Health Vacancy Registry Act; requiring establishment of certain behavioral health vacancy registry; mandating certain reporting. Effective date.

Sponsored By: Brenda Stanley (Republican)

Signed by Governor

Senate Committee

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Facilities must list beds and respond

Starting November 1, 2026, non-hospital behavioral health facilities must join the registry. They report licensed and staffed capacity, open beds or slots, who they serve, level of care, admission limits, and a 24-hour placement contact. They must update entries when availability changes and at Board-set intervals, and respond to placement requests within Board-set times. Confirmed reservations must be honored for the set window unless clinical facts change or the person no longer meets written criteria. Facilities must apply their criteria fairly and cannot refuse an eligible person when the registry shows capacity, except for documented clinical or safety reasons.

Oversight and privacy for the registry

The Department may audit registry entries and responses for accuracy and timeliness. It can require corrective action plans and use administrative remedies for noncompliance. The registry holds no personally identifiable health information and follows HIPAA and 42 CFR Part 2, when applicable. Registry data are confidential and not open to the public, except for aggregate, de-identified reports. The registry is not a clinical record and does not collect diagnosis, payer, or preauthorization details. These rules apply starting November 1, 2026.

Statewide registry to find open beds

Subject to funding, the Department sets up a secure, statewide registry. It shows near real-time bed and treatment capacity at covered behavioral health facilities. It speeds placements for emergency detention, protective custody, assessment, and court-ordered competency services. The registry includes a court-competency module and follows all state laws and any consent decrees. These features apply beginning November 1, 2026.

Rules, timeline, and build-out plan

The Board sets the operating rules for the registry. Rules cover reporting standards, update intervals, placement priorities and queues, access controls, denial documentation, reservation windows, forensic standards, and hospital technical rules. Subject to funding, within six months after November 1, 2026, the Department must issue an RFP to procure the registry, following state purchasing law. It must seek best value, may prefer acceptable no-cost options, and may use gifts or grants if the state keeps data control and security. State funds for software are not used unless no acceptable no-cost option exists; the act takes effect November 1, 2026.

Hospitals may opt in, no new duty

Starting November 1, 2026, hospitals and hospital psychiatric units may choose to opt in to the registry. They can report staffed capacity and consider placement requests. Opting in does not make a hospital a covered facility and does not create a duty to accept transfers. Evaluation, stabilization, admission, and transfer decisions still follow EMTALA and state law. Reasonable intake or patient-care delays do not count as a registry violation.

Sponsors & Cosponsors

Sponsor

  • Brenda Stanley

    Republican • Senate

Cosponsors

  • Ellyn Hefner

    Democratic • House

  • Julia Kirt

    Democratic • Senate

  • Ellyn Hefner

    Democratic • House

  • Cynthia Roe

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 121 • No: 13

House vote 5/6/2026

Top_of_Page

Yes: 87 • No: 2

House vote 4/15/2026

DO PASS

Yes: 12 • No: 0

House vote 4/15/2026

DO PASS

Yes: 12 • No: 0

House vote 4/1/2026

DO PASS

Yes: 5 • No: 0

House vote 4/1/2026

DO PASS

Yes: 5 • No: 0

Senate vote 3/11/2026

THIRD READING

Yes: 0 • No: 6

Senate vote 3/4/2026

Top_of_Page

Yes: 0 • No: 2

Senate vote 3/4/2026

Top_of_Page

Yes: 0 • No: 1

Senate vote 3/4/2026

Top_of_Page

Yes: 0 • No: 1

Senate vote 2/16/2026

Top_of_Page

Yes: 0 • No: 1

Actions Timeline

  1. Approved by Governor 05/12/2026

    5/13/2026Senate
  2. Sent to Governor

    5/6/2026Senate
  3. Signed, returned to Senate

    5/6/2026House
  4. Enrolled, to House

    5/6/2026Senate
  5. Referred for enrollment

    5/6/2026Senate
  6. Signed, returned to Senate

    5/6/2026House
  7. Third Reading, Measure passed: Ayes: 87 Nays: 2

    5/6/2026House
  8. General Order

    5/6/2026House
  9. Coauthored by Representative(s) Hefner

    4/16/2026House
  10. CR; Do Pass Health and Human Services Oversight Committee

    4/16/2026House
  11. Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health

    4/1/2026House
  12. Referred to Public Health

    3/30/2026House
  13. Second Reading referred to Health and Human Services Oversight

    3/30/2026House
  14. First Reading

    3/12/2026House
  15. Engrossed to House

    3/12/2026Senate
  16. Referred for engrossment

    3/11/2026Senate
  17. Measure passed: Ayes: 35 Nays: 6

    3/11/2026Senate
  18. Title restored

    3/11/2026Senate
  19. General Order, Amended

    3/11/2026Senate
  20. Placed on General Order

    3/9/2026Senate
  21. Coauthored by Senator Kirt

    3/5/2026Senate
  22. Reported Do Pass, amended by committee substitute Appropriations committee; CR filed

    3/4/2026Senate
  23. Coauthored by Representative Roe (principal House author)

    3/2/2026Senate
  24. Referred to Appropriations

    2/16/2026Senate
  25. Title stricken

    2/16/2026Senate

Bill Text

  • Enrolled (final version)

    5/6/2026

  • Floor (House)

    4/20/2026

  • House Committee Report

    4/16/2026

  • House Policy Committee Report

    4/1/2026

  • Engrossed

    3/12/2026

  • Floor (Senate)

    3/5/2026

  • Committee Substitute

    3/4/2026

  • Senate Committee Report 2

    3/4/2026

  • Senate Committee Report 1

    2/16/2026

  • Introduced

    1/14/2026

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