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1 STATE OF OKLAHOMA
1
2 2nd Session of the 60th Legislature (2026)
2
3 SENATE BILL 1951 By: Deevers
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4
4
5
5
6 AS INTRODUCED
6
7 An Act relating to reproductive health and fertility;
7 creating the Reproductive Empowerment and Support
8 Through Optimal Restoration (RESTORE) Act; providing
8 short title; stating legislative findings; defining
9 terms; providing certain construction; prohibiting
9 certain discrimination; requiring the State
10 Department of Health to implement certain data
10 collection; describing data collection; providing for
11 patient privacy and confidentiality; requiring
11 certain reports; directing certain facilities to
12 provide specified services; requiring the Department
12 to provide certain guidance; directing certain
13 allocation of funds; specifying certain condition of
13 funding; granting certain protections related to
14 restorative reproductive medicine; requiring the
14 Department to develop certain curricula; describing
15 certain public health programs; requiring certain
15 reporting and advertisement; directing certain update
16 of professional education and licensing requirements;
16 requiring the Department to provide certain training;
17 describing training; mandating certain coordination
17 of specified programs; describing programs; requiring
18 certain reports; requiring certain collaboration and
18 recommendations on medical coding; providing for
19 severability; providing for noncodification;
19 providing for codification; and providing an
20 effective date.
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21
21
22
22
23 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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24
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1 SECTION 1. NEW LAW A new section of law not to be
1
2 codified in the Oklahoma Statutes reads as follows:
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3 A. This act shall be known and may be cited as the
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4 "Reproductive Empowerment and Support Through Optimal Restoration
4
5 (RESTORE) Act".
5
6 B. The Legislature finds that:
6
7 1. There is a growing interest among women and men to
7
8 proactively assess their overall health and understand how factors,
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9 such as their age and medical history, contribute to their
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10 reproductive health and fertility;
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11 2. Women and men are worthy of the highest standard of medical
11
12 care, including the opportunity to assess, understand, and improve
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13 their reproductive health. Yet, many women and men do not receive
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14 adequate information about their reproductive health nor have access
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15 to restorative reproductive medicine;
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16 3. Reproductive health conditions are the leading cause of
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17 infertility, affecting eleven percent (11%) of women and nine
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18 percent (9%) of men in the United States. Leading conditions
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19 include endometriosis, polycystic ovary syndrome (PCOS), blocked
19
20 fallopian tubes, and male-factor infertility;
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21 4. Research shows that male and female infertility is typically
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22 due to four or more conditions or factors, with the diagnosis shared
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23 equally between men and women;
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1 5. There is a gap in research and care for reproductive health
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2 conditions that affect a majority of women struggling with
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3 "unexplained infertility". Unexplained infertility accounts for
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4 fifteen percent (15%) to thirty percent (30%) of all diagnoses of
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5 infertility;
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6 6. Restorative reproductive medicine aims to examine how
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7 women's reproductive functions and cycle interact with the rest of
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8 the female body;
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9 7. Male-factor infertility and reproductive dysfunction has
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10 been on the rise since the 1970s, with a one-percent decrease in
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11 sperm count, testosterone, and total fertility per year;
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12 8. Restorative reproductive medicine can eliminate barriers to
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13 successful conception, pregnancy, and birth. It can also address
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14 some causes of recurrent miscarriages; and
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15 9. Restorative reproductive medicine alleviates other difficult
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16 symptoms associated with reproductive health conditions including,
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17 but not limited to, painful periods, painful flare-ups, bloating,
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18 inflammation, heavy periods, irregular periods, nerve pain, bowel
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19 symptoms, pain during sexual intercourse, and back pain. It also
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20 addresses common symptoms related to male-factor infertility,
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21 including erectile dysfunction.
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22 SECTION 2. NEW LAW A new section of law to be codified
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23 in the Oklahoma Statutes as Section 1-559.2 of Title 63, unless
23
24 there is created a duplication in numbering, reads as follows:
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1 As used in this act:
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2 1. "Infertility" means a symptom of an underlying disease or
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3 condition within a person's body that makes it difficult or
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4 impossible to successfully conceive and carry a live child to term
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5 where it should otherwise be possible through intercourse with a
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6 person of the other sex. A diagnosis of infertility often occurs
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7 after twelve (12) months of targeted intercourse for women under
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8 thirty-five (35) years of age, or after six (6) months of targeted
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9 intercourse without the use of a chemical, barrier, or other
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10 contraceptive method for women thirty-five (35) years of age and
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11 older;
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12 2. "Restorative reproductive medicine" (RRM) means any
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13 scientific approach to reproductive medicine that seeks to cooperate
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14 with or restore the normal physiology and anatomy of the human
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15 reproductive system. It does not employ methods that are inherently
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16 suppressive, circumventive, or destructive to the human body;
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17 3. "Restorative reproductive health" (RRH) includes empowering
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18 women and men to know and understand their bodies and appreciate the
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19 importance of natural reproductive health to overall health and
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20 well-being, including through the use of body literacy programs that
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21 incorporate science-based charting methods, teacher-led reproductive
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22 health education, restorative reproductive medicine, Natural
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23 Procreative Technology (NaProTechnology), fertility awareness-based
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24 methods, and fertility education and medical management;
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1 4. "Assisted reproductive technology" means any treatments or
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2 procedures that involve the handling of a human egg, sperm, and
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3 embryo outside of the body with the intent of facilitating a
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4 pregnancy, including artificial insemination, intrauterine
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5 insemination, in vitro fertilization, gamete intrafallopian
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6 fertilization, zygote intrafallopian fertilization, egg, embryo, and
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7 sperm cryopreservation, and egg or embryo donation;
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8 5. "Natural Procreative Technology" (NaProTechnology) means an
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9 approach to health care that monitors and maintains a woman's
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10 reproductive and gynecological health, including laparoscopic
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11 gynecologic surgery to reconstruct the uterus, fallopian tubes,
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12 ovaries, and other organ structures to eliminate endometriosis and
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13 other reproductive health conditions;
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14 6. "Reproductive health conditions" includes endometriosis,
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15 adenomyosis, polycystic ovary syndrome (PCOS), uterine fibroids,
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16 blocked fallopian tubes, hormone imbalances, hyperprolactinemia,
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17 thyroid conditions, ovulation dysfunctions, and other health
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18 conditions that make it difficult or impossible to successfully
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19 conceive a child where conception should otherwise be possible;
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20 7. "Endometriosis" means a disease where tissue resembling
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21 endometrial lining tissue grows outside of the uterus. The tissue
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22 often sticks to different organs, disfiguring them, and, through
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23 scar tissue or adhesions, can make the organs stick to one another
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24 or to the pelvic walls. It has been found in the abdominal organs,
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1 the bowel, the diaphragm, the lungs, the brain, and the eye. It is
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2 a progressive disease and has been compared to cancer growth.
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3 Endometriosis is often diagnosed in stages, with Stage I the mildest
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4 form and Stage IV the most severe and widespread form. The average
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5 diagnosis delay for endometriosis is ten (10) to twelve (12) years.
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6 Endometriosis frequently goes undiagnosed, and women may suffer for
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7 years with painful periods, pelvic pain, or infertility. The cause
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8 of endometriosis is unknown;
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9 8. "Adenomyosis" means a disease that occurs when endometrial
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10 tissue (tissue that would normally line the inside of the uterus,
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11 distinct from endometriosis tissue) grows down into the muscle layer
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12 of the uterus. Adenomyosis is different from, but can exist
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13 concurrently with, endometriosis. Adenomyosis may increase the risk
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14 of miscarriage and preterm labor and may contribute to infertility.
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15 The cause of adenomyosis is unknown;
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16 9. "Polycystic ovary syndrome" (PCOS) means a reproductive
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17 hormonal disorder that causes cysts to grow on the ovaries, usually
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18 as a result of hormonal imbalances. Polycystic ovary syndrome
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19 affects approximately fifteen percent (15%) of women overall but is
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20 more common among women with infertility. It is more prevalent
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21 among women with obesity and insulin resistance. Women with
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22 polycystic ovary syndrome who are trying to achieve pregnancy are
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23 commonly prescribed oral ovulation medication and hormonal
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24 injections that stimulate ovulation. Accurate and timely diagnosis
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1 and treatment can correct underlying hormonal imbalances, critical
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2 for both long-term health improvements as well as for fertility
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3 outcomes;
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4 10. "Uterine fibroids" means muscular tumors that grow in the
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5 wall of the uterus. While not all women experience symptoms
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6 associated with fibroids, if the tumors are large enough or embedded
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7 far enough in the uterine lining, they can lead to pain and heavy
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8 bleeding. Treatment for fibroids may be a hysteroscopic myomectomy,
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9 abdominal myomectomy, uterine fibroid embolization (UFE), or uterine
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10 artery embolization (UAE). Uterine fibroids can increase risks of
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11 preterm labor, pregnancy complications leading to a cesarean
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12 section, and placental abruption, among other risks. The cause of
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13 uterine fibroids is unknown;
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14 11. "Blocked fallopian tubes" means a condition where the
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15 fallopian tubes are blocked by tubal spasm, scarring from
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16 inflammatory conditions, debris, tubal polyps, tubal ligation, prior
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17 ectopic pregnancy, pelvic adhesions, endometriosis, or prior pelvic
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18 infection (pelvic inflammatory disease or "PID"). Approximately one
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19 in four women with infertility have a tubal blockage. This
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20 condition makes achieving pregnancy difficult, if not impossible.
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21 Treatments for a blockage include fallopian tube recanalization,
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22 tubotubal anastomosis (tubal ligation reversal), and
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23 neosalpingostomy/fimbrioplasty;
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1 12. "Fertility awareness-based methods" (FABMs) means modern,
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2 evidence-based methods of tracking the menstrual cycle through
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3 observable biological signs in a woman, such as body temperature,
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4 cervical fluid, and hormone production in the reproductive system,
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5 including luteinizing hormone (LH) and estrogen. Such methods
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6 include fertility education and medical management, the
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7 symptothermal method, the Marquette method, the Creighton method,
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8 and the Billings ovulation method; and
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9 13. "Fertility education and medical management" (FEMM) means
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10 the program developed in collaboration with the Reproductive Health
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11 Research Institute for medical research, protocols, and medical
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12 training for health care professionals in order to enable the
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13 clinical application of important research advances in reproductive
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14 endocrinology, by providing education for women about their bodies
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15 and hormonal health and medical support, as appropriate.
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16 SECTION 3. NEW LAW A new section of law to be codified
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17 in the Oklahoma Statutes as Section 1-559.3 of Title 63, unless
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18 there is created a duplication in numbering, reads as follows:
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19 Notwithstanding any other provision of law, nothing in this act
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20 shall be construed to require hospitals, individuals, employees,
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21 grantees, contractors, or entities to violate their consciences,
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22 religious beliefs, or moral convictions by requiring them, or
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23 holding them liable for refusing, to provide any health care
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24 referenced in this act.
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1 SECTION 4. NEW LAW A new section of law to be codified
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2 in the Oklahoma Statutes as Section 1-559.4 of Title 63, unless
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3 there is created a duplication in numbering, reads as follows:
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4 Notwithstanding any other state law, a person or entity,
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5 including a state or local government agency, that receives state
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6 funds, including state-administered federal funds, or local
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7 government funds shall not penalize, retaliate against, or otherwise
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8 discriminate against a health care provider on the basis that the
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9 health care provider does not, or declines to:
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10 1. Assist in, receive training in, provide, perform, refer for,
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11 pay for, or otherwise participate in assisted reproductive
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12 technology; or
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13 2. Facilitate or make arrangements for any of the activities
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14 described in paragraph 1 of this subsection in a manner that
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15 violates the health care provider's sincerely held religious beliefs
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16 or moral convictions.
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17 SECTION 5. NEW LAW A new section of law to be codified
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18 in the Oklahoma Statutes as Section 1-559.5 of Title 63, unless
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19 there is created a duplication in numbering, reads as follows:
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20 A. The State Department of Health shall implement data
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21 collection and produce a report every three (3) years on the
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22 standard of care for women with infertility diagnoses.
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23 B. In carrying out the data collection under subsection A of
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24 this section, the Department shall:
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1 1. Collect and assess data related to restorative reproductive
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2 medicine prior to referral for or use of assisted reproductive
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3 technology. Restorative reproductive medicine may include
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4 ultrasounds, blood tests, hormone panels, laparoscopic and
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5 exploratory surgeries, examining the woman's overall health and
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6 lifestyle, eliminating environmental endocrine disruptors, and
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7 assessing her partner's health and fertility;
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8 2. Collect and assess data related to access to information and
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9 training for fertility awareness-based methods; and
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10 3. Assess group health plans or issuers of group or individual
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11 health insurance coverage of the treatments, tests, and training
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12 described in paragraphs 1 and 2 of this subsection.
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13 C. In carrying out the data collection under subsection A of
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14 this section, the Department shall ensure that the privacy and
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15 confidentiality of individual patients are protected in a manner
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16 consistent with relevant privacy and confidentiality laws.
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17 D. No later than two (2) years after the date of enactment of
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18 this act, the Department shall electronically submit the report to
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19 the President Pro Tempore of the Senate, the Speaker of the House of
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20 Representatives, and the Governor, and make publicly available on
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21 the website of the Department, a report on the data collection
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22 carried out under this section.
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1 SECTION 6. NEW LAW A new section of law to be codified
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2 in the Oklahoma Statutes as Section 1-559.6 of Title 63, unless
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3 there is created a duplication in numbering, reads as follows:
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4 A. The State Department of Health shall implement data
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5 collection and produce a report every three (3) years on the
5
6 standard of care for women and men seeking reproductive health
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7 condition diagnoses.
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8 B. In carrying out the data collection under subsection A of
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9 this section, the Department shall:
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10 1. Collect and assess data related to access to restorative
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11 reproductive medicine and restorative reproductive health, including
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12 access to medical professionals trained in Natural Procreative
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13 Technology (NaProTechnology) and fertility education and medical
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14 management;
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15 2. Collect and assess data related to access to information and
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16 training on fertility awareness-based methods; and
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17 3. Assess group health plans or issuers of group or individual
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18 health insurance coverage of the treatments, tests, and training
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19 described in paragraphs 1 and 2 of this subsection.
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20 C. In carrying out the data collection under subsection A of
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21 this section, the Department shall ensure that the privacy and
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22 confidentiality of individual patients are protected in a manner
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23 consistent with relevant privacy and confidentiality laws.
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1 D. No later than two (2) years after the date of enactment of
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2 this act, the Department shall electronically submit the report to
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3 the President Pro Tempore of the Senate, the Speaker of the House of
3
4 Representatives, and the Governor, and make publicly available on
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5 the website of the Department, a report on the data collection
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6 carried out under this section.
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7 SECTION 7. NEW LAW A new section of law to be codified
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8 in the Oklahoma Statutes as Section 1-559.7 of Title 63, unless
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9 there is created a duplication in numbering, reads as follows:
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10 A. All Title X-funded facilities in this state shall include
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11 fertility awareness-based methods as part of covered family planning
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12 and reproductive health services.
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13 B. 1. The State Department of Health shall work with Title X-
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14 funded facilities to integrate fertility awareness-based methods
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15 into existing programs within twelve (12) months of the effective
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16 date of this act.
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17 2. The Department shall provide guidance and support to
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18 facilities in implementing the fertility awareness-based methods,
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19 including:
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20 a. training for health care providers on fertility
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21 awareness-based methods, and
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22 b. development of patient education materials on
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23 fertility awareness-based methods.
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1 C. Consistent with federal law, Title X-funded facilities shall
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2 allocate a portion of existing Title X funds to cover implementing
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3 and providing fertility awareness-based methods.
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4 D. Compliance with this section shall be a condition of receipt
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5 of Title X funds.
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6 E. 1. The Department shall not exclude entities that provide
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7 restorative reproductive medicine from receiving the grants and
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8 contracts provided to other Title X entities, provided they meet all
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9 other qualifications.
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10 2. The Department shall not exclude entities that provide
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11 training and education for medical students and professionals in
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12 restorative reproductive medicine from receiving the grants and
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13 contracts provided to other Title X entities, provided they meet all
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14 other qualifications.
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15 SECTION 8. NEW LAW A new section of law to be codified
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16 in the Oklahoma Statutes as Section 1-559.8 of Title 63, unless
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17 there is created a duplication in numbering, reads as follows:
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18 A. The State Department of Health shall develop within the
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19 already existing state health education standards and public health
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20 program curricula to include information on reproductive health
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21 conditions, restorative reproductive medicine, restorative
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22 reproductive health, and fertility awareness-based methods. Public
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23 health programs include:
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24 1. Family planning services;
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1 2. Maternal and child health programs; and
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2 3. Women's health initiatives.
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3 B. No later than eighteen (18) months after the date of
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4 enactment of this act, the Department shall make publicly available
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5 a report on the updated curriculum standards for public health
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6 programs and a plan for regular reporting on their outcomes.
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7 C. The Department shall ensure that any grant or partnership
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8 opportunities within these programs are advertised to and inclusive
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9 of organizations that specialize in restorative reproductive health
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10 and fertility awareness education.
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11 SECTION 9. NEW LAW A new section of law to be codified
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12 in the Oklahoma Statutes as Section 1-559.9 of Title 63, unless
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13 there is created a duplication in numbering, reads as follows:
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14 A. The State Department of Health shall work with health care
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15 professional licensure boards to update professional education and
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16 licensing requirements as needed to include training in restorative
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17 reproductive medicine, restorative reproductive health, and
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18 fertility awareness-based methods through the management of their
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19 health care license.
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20 B. The Department shall provide training to staff working at
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21 Title X providers on reproductive health conditions, restorative
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22 reproductive medicine, restorative reproductive health, and
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23 fertility awareness-based methods.
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1 C. This training may include restorative reproductive medicine
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2 (RRM), fertility education and medical management (FEMM), and
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3 fertility awareness-based methods (FABMs) toolkits, peer learning
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4 opportunities, Natural Procreative Technology (NaProTechnology)
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5 educational fellowships, FEMM and FABMs education, short videos on
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6 reproductive health conditions and RRM, and contracts with medical
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7 professionals for seminars and training on RRM, NaProTechnology,
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8 FEMM, and FABMs.
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9 SECTION 10. NEW LAW A new section of law to be codified
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10 in the Oklahoma Statutes as Section 1-559.10 of Title 63, unless
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11 there is created a duplication in numbering, reads as follows:
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12 A. The State Department of Health shall expand and coordinate
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13 programs to conduct and support research on reproductive health
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14 conditions.
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15 B. The Department shall implement this research initiative in
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16 coordination with any other agency or research university already
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17 conducting research on reproductive health conditions, infertility,
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18 and maternal health.
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19 C. In carrying out the research under subsection A of this
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20 section, the Department may direct research on:
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21 1. The causes of reproductive health conditions, especially
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22 endometriosis, adenomyosis, uterine fibroids, and polycystic ovary
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23 syndrome (PCOS);
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24 2. Ways to diagnose reproductive health conditions;
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1 3. Restorative reproductive medicine and new treatment options
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2 for reproductive health conditions;
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3 4. Endocrine-disrupting chemicals in endometriosis, the
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4 relationship of endometriosis and cancer, and prenatal and
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5 epigenetic influences on the risk for endometriosis;
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6 5. The growth and progression of reproductive health conditions
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7 and recurrence post-surgical procedures;
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8 6. Male mechanisms of infertility, such as low sperm count, low
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9 sperm motility, erectile dysfunction, low testosterone, varicocele,
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10 and testicular torsion;
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11 7. The effectiveness of fertility awareness-based methods to
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12 achieve pregnancy and increase the number of live births;
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13 8. Premenstrual syndrome (PMS), hormonal dysfunctions,
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14 ovulation defects, abnormal uterine bleeding, adhesion prevention,
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15 tubal corrective surgery, and preconception health;
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16 9. The prevalence of sexually transmitted infections (STIs) and
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17 their effects on fertility in both men and women; and
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18 10. The impact of exposure to environmental factors like per-
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19 and polyfluoroalkyl substances (PFAS) and microplastics on male and
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20 female reproductive health, including sperm quality.
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21 D. No later than twenty-four (24) months after the effective
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22 date of this act, the Department shall make a report on the research
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23 publicly available. This report shall be updated annually.
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1 SECTION 11. NEW LAW A new section of law to be codified
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2 in the Oklahoma Statutes as Section 1-559.11 of Title 63, unless
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3 there is created a duplication in numbering, reads as follows:
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4 A. The State Department of Health shall expand and coordinate
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5 programs, within existing public health or family planning
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6 initiatives, for the development of education, awareness, and
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7 treatment for male-factor infertility through lifestyle and
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8 metabolic modifications.
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9 B. This new integration includes, but is not limited to, low
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10 sperm count, motility, morphology, hormonal imbalances, sexually
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11 transmitted infections (STIs), obesity, varicoceles, and erectile
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12 dysfunction.
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13 C. No later than twenty-four (24) months after the effective
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14 date of this act, the Department shall make a report on the research
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15 publicly available, along with the developed plans for education and
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16 treatment for male factor infertility within the existing state
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17 public health and family planning programs. This report shall be
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18 updated annually.
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19 SECTION 12. NEW LAW A new section of law to be codified
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20 in the Oklahoma Statutes as Section 1-559.12 of Title 63, unless
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21 there is created a duplication in numbering, reads as follows:
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22 The State Department of Health shall collaborate with local,
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23 state, and federal policymakers to recommend updated diagnostic and
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24 procedural codes related to infertility treatments to reflect the
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Req. No. 3429 Page 17
1 latest knowledge and practices in restorative reproductive medicine,
1
2 including recommending a thorough federal review of the
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3 International Classification of Diseases, 10th Revision, Clinical
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4 Modification (ICD-10-CM), the International Classification of
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5 Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS), the
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6 Current Procedural Terminology (CPT) code set, and the Healthcare
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7 Common Procedure Coding System (HCPCS). Codes should be revised and
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8 developed for:
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9 1. Endometriosis, polycystic ovary syndrome (PCOS), uterine
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10 fibroids, adenomyosis, blocked fallopian tubes, and male mechanisms
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11 of infertility to ensure accurate classification of severe, chronic
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12 reproductive health conditions requiring medical or surgical
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13 intervention;
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14 2. Laparoscopic excision, hysteroscopic procedures, and other
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15 minimally invasive surgeries aimed at addressing such conditions,
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16 including the excision of fibroids, ovarian cysts, and adenomyosis-
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17 related tissue removal;
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18 3. Minimally invasive surgeries and other interventions that
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19 target infertility-related conditions, specifically including
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20 laparoscopic excision, differentiation between laparoscopic ablation
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21 and laparoscopic excision of endometriosis, appendectomy related to
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22 endometriosis, bowel resection related to endometriosis,
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23 hysteroscopic myomectomy, abdominal myomectomy, cystectomy, other
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24 minimally invasive procedures that directly treat underlying
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1 reproductive health conditions, and for family planning services,
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2 specifically including female cycle charting instruction; and
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3 4. Ensuring appropriate reimbursement under the Medicare and
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4 Medicaid programs for reproductive health-related surgical
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5 procedures, postoperative care, and family planning services,
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6 specifically including female cycle charting instruction.
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7 SECTION 13. NEW LAW A new section of law to be codified
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8 in the Oklahoma Statutes as Section 1-559.13 of Title 63, unless
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9 there is created a duplication in numbering, reads as follows:
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10 If any provision of this act, or the application of such
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11 provision to any person, entity, government, or circumstance, is
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12 held to be unconstitutional, the remainder of this act, or the
12
13 application of such provision to all other persons, entities,
13
14 governments, or circumstances, shall not be affected thereby.
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15 SECTION 14. This act shall become effective November 1, 2026.
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17 60-2-3429 DC 1/15/2026 9:09:24 AM
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Req. No. 3429 Page 19Every fact on this page links to its source, starting with the official bill record.