Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1 STATE OF OKLAHOMA
2 1st Session of the 60th Legislature (2025)
3 HOUSE BILL 2049 By: Stinson
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6 AS INTRODUCED
7 An Act relating to Medicaid parity; providing
coverage for mental health and substance use
8 disorders; providing for contract compliance;
providing for noncompliance reviews; directing the
9 Oklahoma Health Care Authority to develop a process
for complaints; providing for publication of reports;
10 providing for codification; and providing an
effective date.
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13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
14 SECTION 1. NEW LAW A new section of law to be codified
15 in the Oklahoma Statutes as Section 4005 of Title 56, unless there
16 is created a duplication in numbering, reads as follows:
17 A. For Medicaid managed care plans, the Oklahoma Health Care
18 Authority shall ensure that the insurers, health plans, and managed
19 care plans comply with federal and state laws, rules, and
20 regulations applicable to coverage for mental health or substance
21 use disorder services.
22 B. Contracts with Medicaid managed care plans must require
23 entities to conduct regular parity compliance analysis that contain
24 the information described in 42 U.S. Code Section 300gg�26(a)(8)(i-
Req. No. 10155 Page 1
1 v) for each nonquantitative treatment limitation imposed on mental
2 health or substance use disorder benefits in any classification of
3 care.
4 C. Contracts with Medicaid managed care plans must include
5 language requiring managed care plans and entities to conduct parity
6 analysis described in subsection B of this section for a
7 nonquantitative treatment limitation whenever as-written or in-
8 operation changes or amendments are made to that nonquantitative
9 treatment limitation, including prior authorization requirements.
10 D. State Medicaid programs and Children's Health Insurance
11 Programs (CHIP) must review and compile the analysis from all
12 managed care, CHIP, and alternative benefit plans to ensure
13 compliance and address any noncompliance through a standardized
14 process to mitigate findings of noncompliance.
15 E. The Oklahoma Health Care Authority shall develop a
16 standardized process for receiving, investigating, substantiating,
17 and resolving parity complaints.
18 F. The Oklahoma Health Care Authority shall make public the
19 surveys, financial analysis, managed care contract audits, de-
20 identified substantiated parity complaints, and parity reports
21 prepared by the managed care entities and plans and the reports they
22 submit to document parity compliance.
23 G. The Oklahoma Health Care Authority shall also make public
24 any parity analysis, summary, or report submitted to the Centers for
Req. No. 10155 Page 2
1 Medicare and Medicaid Services regarding the Oklahoma Medicaid
2 managed care program within thirty (30) days of the state's
3 submission of these reports to the Centers for Medicare and Medicaid
4 Services.
5 SECTION 2. This act shall become effective November 1, 2025.
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7 60-1-10155 TJ 01/01/25
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Req. No. 10155 Page 3Every fact on this page links to its source, starting with the official bill record.