All Roll Calls
Yes: 314 • No: 25
OklahomaSB 804Oklahoma 2026 Regular SessionSenateWALLET
Long-term care; directing promulgation of specified rules; requiring assisted living centers to establish internal quality assurance committee. Effective date.
Sponsored By: Adam Pugh (Republican)
Became Law
Senate Committee
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Assisted living residents choose providers without fees
Beginning November 1, 2025, Oklahoma assisted living and continuum-of-care residents can choose their doctors and medical-service or supply providers. Facilities cannot charge a fee or financial penalty for that choice; chosen providers must meet the state’s minimum standards. Required state rules also protect resident rights and provide for services designed for and chosen by each resident. Staff cannot disclose residents’ financial information to third parties without written consent from the resident or designated representative. Rules must establish inspections and investigations to check compliance. The Health Department’s website must offer a consumer guide and post routine inspection and complaint-investigation results. Posted results must include correction plans and show when licensing violations were corrected. License applicants must provide a bond or deposit to guarantee obligations to residents. That requirement can be reduced or waived when assets or contracts reasonably ensure those obligations are met.
Care safeguards for assisted living residents
Beginning November 1, 2025, Oklahoma’s Health Commissioner must issue care rules for assisted living centers and continuum-of-care facilities. Rules must cover resident screening and placement, staffing based on residents’ needs, and buildings that support safety, privacy, and independence. They must also address sharing staff between care components and measuring residents’ care outcomes. Medication rules require qualified staff, compliance with provider orders, and records documenting every dose given. Medication reviews must occur monthly by a registered nurse or pharmacist and quarterly by a consultant pharmacist. Facilities must have medication storage and disposal policies, plus a care plan and service contract signed with each resident or representative. Each assisted living center must maintain a quality committee that meets at least quarterly. Members must include the administrator, a direct-care or medication-administration staff member, and the owner or owner’s representative. A registered nurse or doctor must participate in medical reviews; a consultant pharmacist must participate in medication reviews. Committees track care trends, incidents, and customer satisfaction, document quality efforts and results, recommend care policies, and perform Commissioner-assigned duties. Existing nursing-home and adult-day-care laws continue to govern those services within continuum-of-care facilities.
Sponsors & Cosponsors
Sponsor
Adam Pugh
Republican • Senate
Cosponsors
Pittman
Affiliation unavailable
Stinson
Affiliation unavailable
Roll Call Votes
Senate vote • 5/30/2025
OVERRIDE
Yes: 43 • No: 3
House vote • 5/30/2025
OVERRIDE
Yes: 77 • No: 6
Senate vote • 5/21/2025
FOURTH READING
Yes: 36 • No: 9
House vote • 5/7/2025
THIRD READING
Yes: 85 • No: 5
House vote • 4/14/2025
DO PASS
Yes: 13 • No: 0
House vote • 4/9/2025
DO PASS
Yes: 6 • No: 0
Senate vote • 3/26/2025
THIRD READING
Yes: 44 • No: 2
Senate vote • 2/17/2025
THE OKLAHOMA
Yes: 10 • No: 0
Actions Timeline
Filed with Secretary of State
5/29/2025SenateTo Senate
5/29/2025HouseVeto overridden: Ayes: 77 Nays: 6
5/29/2025HouseVeto override message received
5/29/2025HouseMeasure sent to House
5/29/2025SenateVeto overridden: Ayes: 43 Nays: 3
5/29/2025SenateVetoed 05/28/2025
5/28/2025SenateSent to Governor
5/22/2025SenateSigned, returned to Senate
5/22/2025HouseEnrolled, to House
5/22/2025SenateReferred for enrollment
5/21/2025SenateMeasure passed: Ayes: 36 Nays: 9
5/21/2025SenateHAs adopted
5/21/2025SenateHAs read
5/8/2025SenateEngrossed, signed, to Senate
5/8/2025HouseReferred for engrossment
5/7/2025HouseThird Reading, Measure passed: Ayes: 85 Nays: 5
5/7/2025HouseCoauthored by Representative(s) Pittman
5/7/2025HouseGeneral Order
5/7/2025HouseCR; Do Pass, amended by committee substitute Health and Human Services Oversight Committee
4/16/2025HousePolicy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
4/9/2025HouseReferred to Public Health
4/1/2025HouseSecond Reading referred to Health and Human Services Oversight
4/1/2025HouseFirst Reading
3/27/2025HouseEngrossed to House
3/27/2025Senate
Bill Text
Enrolled (final version)
5/22/2025
Amended And Engrossed
5/8/2025
Floor (House)
4/21/2025
House Committee Report
4/16/2025
House Committee Substitute for Senate Bill
4/16/2025
House Policy Committee Report
4/9/2025
Engrossed
3/27/2025
Floor (Senate)
2/19/2025
Senate Committee Report
2/17/2025
Introduced
1/15/2025
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