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2025 Mental Health, Substance Use and Housing Related Legislation
Mental Health
HB 2049 authored by Rep. Preston Stinson (R-Edmond) aligns the parity reporting requirements for Medicaid managed care organizations with those that already apply to commercial insurers. By mandating that both managed care organizations and the Oklahoma Health Care Authority publish parity reports, Oklahoma could enhance transparency and reaffirm its commitment to ensuring access to behavioral health services.
HB 2261 authored by Rep. Nicole Miller (R-Edmond) and Sen. Paul Rosino (R-Oklahoma City) would enable Oklahoma to join the Social Work Licensure Compact, allowing social workers licensed in any compact member state to practice in Oklahoma without needing an additional license. This would help Oklahoma attract providers from other states and increase the number of practicing social workers. The bill would also maintain Oklahoma’s authority over social workers within the state, regardless of where their license was issued.
SB 251 authored by Sen. Todd Gollihare (R-Kellyville) clarifies the guidelines for using the County Community Safety Investment Fund, which allocates cost savings from reduced incarcerations to counties for mental health, substance use, and criminal justice diversion programs. It also establishes a minimum funding allocation for counties in each award cycle, ensuring that smaller counties receive sufficient resources to effectively implement these initiatives.
SB 811 authored by Sen. Julie Daniels (R-Bartlesville) and SB 1089 authored by Sen. Paul Rosino (R-Oklahoma City) would modify the existing process for competency evaluation and restoration services under Oklahoma law to better align with the terms of the consent decree. This includes expanding the jail-based competency restoration program, creating a pilot program for community-based restoration, and establishing a clear timeline for evaluations.
HB 2186 authored by Rep. Meloyde Blancett (D-Tulsa) would require county jails to gather mental health and demographic data during the intake process. Collecting this information could help policymakers identify trends and uncover diversion opportunities for Oklahomans whose arrests are linked to mental illness or substance use.
SB 740 authored by Sen. Julie Daniels (R-Bartlesville) would expand the definition by removing the requirement that individuals must be in “immediate” danger to themselves or others to qualify for treatment. It would also allow officials to take into account whether someone is unhoused when determining if they meet the criteria of “a person requiring treatment.”
SB 937 authored by Sen. Brent Howard (R-Altus) and HB 1687 authored by Rep. Cynthia Roe (R-Lindsay) propose adopting the Uniform Health Care Decisions Act. By using standardized language, a mental health advance directive in Oklahoma would also be recognized in other states that adopt the same law.
SB 1036 authored by Sen. Dave Rader (R-Tulsa) establishes the Oklahoma Triage, Treat, and Transport to Alternative Destination Act, enabling ambulatory transport to behavioral or mental health care facilities, such as crisis stabilization units or diversion centers.
HB 1343 authored by Rep. Justin J.J. Humphrey would abolish the Oklahoma Department of Mental Health and Substance Abuse Services and transfer all duties, powers and responsibilities to the State Department of Corrections
Youth & Mental Health
SB 139 authored by Sen. Ally Seifried (R-Claremore) and Rep. Chad Caldwell (R-Enid) would mandate that all school districts ban students from using cellphones throughout the entire school day, from the start to the end of classes, and establish a grant program to assist schools in implementing these policies.
HB 1276 authored by Rep. Chad Caldwell (R-Enid) would prohibit students from using cellphones or smartwatches on school premises during the entire school day.
HB 1275 authored by Rep. Chad Caldwell (R-Enid) would prevent Oklahomans under the age of 16 from creating social media accounts and would require parental consent for 16- and 17-year-olds to have them.
SB 838 authored by Sen. Kristen Thompson (R-Edmond) would prohibit Oklahomans under 16 from owning social media accounts.
SB 839 authored by Sen. Kristen Thompson (R-Edmond) would classify social media platforms as “addictive and dangerous to mental health, especially that of minors.”
SB 885 authored by Sen. Ally Seifried (R-Claremore) would establish the “Safe Screens for Kids Act,” banning Oklahomans under 18 from having social media accounts without parental consent.
SB 931 authored by Sen. Darcy Jech (R-Kingfisher) would mandate social media platforms to implement specific protections for users under 18.
SB 486 authored by Sen. Shane Jett (R-Shawnee) and SB 590 authored by Sen. Dana Prieto (R-Tulsa) would enable schools to hire chaplains to offer support services similar to those of a school counselor, without requiring a school counseling certification or master’s degree.
HB 1523 authored by Rep. Dick Lowe (R-Amber) would establish a school-based telehealth pilot program to provide mental health services to students during the school day.
HB 1998 authored by Rep. Tim Turner (R-Kinta) would require parents to opt-in, rather than opt-out, for their children’s participation in school assessments like the Oklahoma Prevention and Needs Assessment (OPNA). The OPNA is a key tool for measuring students’ mental health, alcohol and drug use, social media habits, and other risk and protective factors. The state also uses the OPNA data to apply for important funding through grants.
SB 1017 authored by Dusty Deevers (R-Elgin) would prevent Medicaid from covering school-based behavioral or psychological therapy for students with an Individualized Education Program (IEP).
SB 702 authored by Dusty Deevers (R-Elgin) would remove all references to mental health from school-provided health education.
HB 2916 authored by Rep. Ajay Pittman (D-Oklahoma City) reintroduces Handle with Care Oklahoma, a program that would enable law enforcement to alert a child’s school when the child has been exposed to a traumatic event.
Substance Use
HB 2012 authored by Rep. Daniel Pae (R-Lawton) would eliminate the expiration date on Oklahoma’s law authorizing harm reduction organizations, which is currently set to “sunset” in 2026 without legislative action. Since Oklahoma legalized harm reduction services in 2021, these organizations have facilitated over 1,000 overdose reversals and provided essential services, including sterile supplies, treatment referrals, and other life-saving interventions to thousands of Oklahomans.
SB 574 authored by Sen. John Haste (R-Broken Arrow) would permit the Attorney General’s office to use up to 10% of the funds allocated to the Oklahoma Opioid Abatement Revolving Fund for statewide opioid abatement projects that meet the approved criteria for fund usage.
Behavioral Health Workforce
Sen 670 authored by Sen. Julia Kirt (D-Oklahoma City) would mandate that physicians complete continuing education on integrated behavioral health care and conduct mental health screenings during every routine patient visit.
HB 1173 authored by Rep. Marilyn Stark (R-Bethany) would grant psychologists with an additional certification the authority to prescribe psychotropic medications, such as antidepressants and other drugs used to treat mental health conditions.
HB 2615 authored by Rep. Erick Harris (R-Edmond), SB 424 authored by Sen. Christi Gillespie (R-Broken Arrow) and SB 362 authored by Sen. Nikki Nice (D-Oklahoma city) would establish the Oklahoma Community Health Worker Act, creating a certification program for community health workers. It would introduce a voluntary certification through the state Department of Health for frontline public health workers who act as liaisons between community members and health and social service providers.
Access to Care
HB 1115 authored by Rep. Ronald Stewart (D-Tulsa) would mandate the Oklahoma Health Care Authority to raise mental health rates by 30% for Oklahomans under the age of 19.
HB 1808 authored by Rep. Carl Newton (R-Cherokee) would require insurers to make specific exceptions to their step-therapy protocols. Step therapy, or “fail-first” protocols, require patients to try and fail on certain approved (and typically lower-cost) medications before the insurer will cover other, potentially more expensive, treatments.
SB 1064 authored by Sen. Paul Rosino (R-Oklahoma City) would require step-therapy protocols to be no more restrictive for treating a rare disease than they are for any other condition that a drug may be prescribed for.
Homelessness & Housing
SB 848 authored by Sen. Lisa Standridge (R-Norman) would prevent municipalities with a population of fewer than 300,000 residents from utilizing city resources for programs or shelters for individuals experiencing homelessness. This would allow only Tulsa and Oklahoma City to offer these programs and services.
HB 1798 authored by Rep. Dell Kerbs (R-Shawnee) would permit municipalities to use funds from their general revenue budgets to purchase one-way bus tickets out of the State of Oklahoma for individuals experiencing homelessness.
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