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Oklahoma Legislation that Shapes Rare Lives

Policy decisions in Oklahoma directly affect how rare disease patients and caregivers access care, services, and support. This page highlights the bills we believe matter for the Oklahoma Rare community, with direct links so you can click through, read the full text, and understand what each proposal means for you.Check back often for updates throughout the legislative session.

 

If you come across a bill you believe should be added, please let us know - we want this tracker to reflect what matters most to our community. Stay informed, stay engaged, and let your rare voice help shape the policies that impact our lives.

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2026 LEGISLATIVE CALENDAR – 2nd Session of the 60th Legislature

December 5, 2025

Bill Request Deadline

December 19, 2025

Bill Language Deadline

December 30, 2025 

Fiscal Bill Filing Deadline

January 15, 2026

Bill Introduction Deadline

February 2, 2026

Session Begins, 12:00 pm

March 26, 2026

 Third Reading in House ofOrigin Deadline
May 7, 2026  

Third Reading in Opposite House Deadline

May 29, 2026 

Sine Die Adjournment

Health Care Access & Coverage

SB 257

Medicaid; creating exception to certain prohibition on contracts with out-of-state providers.

SB 1064

Health insurance; establishing guidelines for step therapy protocol

SB 1547

An Act relating to the state Medicaid program; specifying certain condition of eligibility

SB 2038

Health Insurance; prohibiting issue of outcomes with AI; requiring decisions to be made by provider

HB 1772

Medicaid; out-of-state medical providers

HB 1816

Medicaid; out-of-state medical providers

HB 3359

Medicaid coverage; biomarker testing coverage

HB 3675

Health insurance; review agents; artificial intelligence system; adverse determinations

HB 4294

Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries

HB 4462

Health insurance; prior authorization; utilization review organizations; insurers; exemptions

2

Rare Disease Specific (RDAC, Acts)

SB 225

An Act relating to public health; establishing the Oklahoma Rare Disease Advisory Council

HB 1019

An Act relating to public health; establishing the Oklahoma Rare Disease Advisory Council

HB 3863

Health; Oklahoma Rare Disease Reform Act of 2026

3

Rural Health

HB 3975

Department of Health; Oklahoma Rural Health Transformation Program; partner agencies; reporting requirements; Oklahoma Rural Health Transformation Revolving Fund

HB 3562

Health; Oklahoma Rural Health Reform Act of 2026

HB 3976

Hospitals; Rural and Small Hospital Grant Program; Rural and Small Hospital Grant Revolving Fund

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