Transcript Highlights:

• Agencies, excluding some proposed rules from the Oklahoma Health Care Authority, which are being treated
• But I'm very disappointed with the process that we have treated administrative rules this year.
• covers CPT listed psychiatric services for children and adults provided by qualified psychiatrists, physicians
• guess, what you would call the second violation How, if you're not able to answer, how that would be treated
• The DUIs would be treated as a single offense.

Bills: HJR1088 , HJR1090 , HJR1091 , HB1370 , SB2154 , HJR1092 , HJR1093 , HJR1095 , HJR1099 , HJR1100 , HB3021 , SB893 , SB206 , SB248 , SB259 , SB423 , SB563 , SB604 , SB633 , HJR1077 , SB667 , SB1224 , SB1257 , SB1264 , SB1319 , SB1360 , SB1437 , SB1531 , SB1543 , SB1806 , HB3004 , SB1572 , HB4342 , SB1618 , SB2 , SB237 , SB1632 , SB1687 , SB1726 , SB1859 , SB1894 , SB1461 , HB4432 , SB1948 , SB1589 , SJR52 , SR46 , HCR1030 , SB2071 , SB2182 , SB1451 , HJR1088 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , HJR1096 , HJR1099 , HJR1100 , SB2185 , SB893 , HB3021 , SR46 , SB206 , SB237 , SB248 , SB259 , SB423 , SB563 , SB604 , SB625 , SB633 , SB667 , SB1224 , SB1257 , SB1264 , SB1319 , SB1360 , SB1378 , SB1437 , SB1531 , SB1543 , SB1572 , SB1618 , SB1632 , SB1687 , SB1726 , SB1806 , SB1859 , SB1894 , SB1948 , SB2071 , SJR52 , HB1370 , HJR1077 , SB2 , SB1451 , SB2182 , HCR1030

Keywords: education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools, Statewide Charter School Board, career and technology education, CTE, OEQA, rule approval, legislative oversight, permanent rules, school governance, teacher retirement, education agencies, Oklahoma Register, Department of Agriculture, Food, and Forestry

Transcript Highlights:

• We'll have this baseline forecast specifically for physicians, and we'll need to reduce it if we're not
• Every year we hear about the physician fix that's needed.
• It's like, if we don't fix this, we're going to cut physician fees by 20%.
• : will Congress come back and say, after all the hospitals say, 'We're going to close,' and the physicians

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• It clarifies that a physician may practice at an organized ambulatory care facility even if the physician
• It clarifies that a physician may practice at an organized ambulatory care facility even if the physician

Transcript Highlights:

• Chapter 13A. 502 KAR 1:121 amends material incorporated by reference to update protocols requiring physicians
• , advanced practice registered nurses, and physician assistants to provide medical clearance or medical
• The amendment to 502 KAR 1:121 updates protocols requiring physicians, advanced practice registered nurses
• , and physician assistants to provide medical clearance or medical authorization for further evaluation

Summary: The Administrative Regulation Review Subcommittee met on February 10 with a quorum present, approved the minutes, and then reviewed a long agenda of agency regulations, most of which were accompanied by staff-suggested amendments for drafting conformity under KRS Chapter 13A. The Department of Financial Institutions’ 808 KAR 9:10, the Secretary of State’s 030 KAR 2:11, the Office of the Attorney General’s 04 KAR 5:10, the Board of Speech-Language Pathology and Audiology’s emergency 201 KAR 17:120, the Department of Fish and Wildlife Resources’ 301 KAR 2:41, the Department for Environmental Protection’s 401 KAR 47:110 and 48:320, the State Police regulations 502 KAR 1:012 and 1:121, the Department for Public Health’s 902 KAR 4:15, the Department for Medicaid Services’ 907 KAR 1:15, and the Department for Community Based Services’ 921 KAR 1:400 were all discussed and, where applicable, staff amendments were approved without objection. The Workplace Standards emergency regulation 803 KAR 2:320E was also presented without amendment, and the Department of Insurance’s 806 KAR 9:360 was taken up but ultimately deferred at the agency’s request. Several regulations drew brief substantive discussion. The Fish and Wildlife rule on foxhound training enclosures was explained as expanding both commercial and non-commercial provisions for training with dogs involving red fox and coyotes, with enclosure standards intended to protect wildlife inside and outside the facilities. The environmental protection rules were tied to House Bill 478 and addressed permit-by-rule timelines, reporting, and operating standards for certain construction and demolition debris landfills, including sites up to two acres; members asked whether these facilities were private or municipal, and staff said they were a mix, often tied to private demolition contractors or single projects. The State Police fee increase for hazardous materials endorsements was described as reflecting a federal TSA fee change, and the witness estimated the new fee at about $23. The most extended debate concerned the Board of Education’s 704 KAR 3:535 on full-time virtual and remote learning programs. The agency amendment would cap enrollment in such programs at 10% above a district’s prior-year in-person enrollment, while also clarifying accountability, staffing, and monitoring requirements. Education officials said the cap was intended to address concerns about district capacity and student performance, and they cited Cloverport as an example of a district with high virtual participation and participation-rate issues. Members expressed concern that the amendment was too open-ended for regulation and suggested the issue might be better addressed in statute; no motion was made to adopt the agency amendment, so the regulation was left to proceed to the committee of jurisdiction. The Department of Insurance also discussed implementation of Senate Bill 188, saying it had received more than 3,000 complaints since the law took effect and was still working through enforcement and complaint processing before asking to defer its PBM licensing regulation.

Transcript Highlights:

• And so, for the consumer, it is, again, consistency in how their data will be treated, whether they are
• I put this device that's being used as being prescribed by a physician.
• I put this device that's being used as being prescribed by a physician.
• Prescribed by a physician, so these are consumer devices—a great, great distinction.
• I'm also a fellow with Physicians for Reproductive Health.

Committee: Joint Joint Committee on Advanced Information Technology, the Internet and Cybersecurity

Summary: The committee hearing focused on a package of Massachusetts privacy and technology bills, especially measures to ban the sale of location data, establish a comprehensive consumer data privacy law, and regulate biometric recognition and surveillance pricing. Chairs and sponsors argued that self-regulation has failed, that data brokers and large tech companies routinely collect and monetize sensitive information, and that state action is needed because federal protections are weak or absent. Several speakers tied the bills to reproductive health, gender-affirming care, domestic violence, children’s data, and other sensitive uses of location and biometric information. Supporters included legislators and advocates who backed H. 86/S. 197 (Location Shield), H. 78/S. 45/H. 104/S. 29 (comprehensive privacy bills), H. 99/S. 47 (surveillance pricing in grocery stores), and H. 36/S. 36 (biometric recognition accountability). They emphasized data minimization, bans on selling sensitive data, consumer rights to access, delete, and opt out, and in some cases a private right of action. Several witnesses said Massachusetts should lead or align with other states, while others argued that stronger protections are needed because data can be weaponized by stalkers, anti-abortion actors, abusive partners, insurers, or law enforcement. Industry and coalition witnesses urged the committee to favor a more standardized, interoperable framework modeled on laws already adopted in other states, warning that novel definitions, data-minimization rules, and private rights of action could create compliance burdens, confusion, and costs for businesses, including small businesses. They argued that entity-level exemptions for sectors already covered by federal laws like HIPAA or GLBA promote consistency, and that Attorney General enforcement is preferable to private lawsuits. Committee members questioned witnesses on patchwork concerns, the scope of exemptions, and whether the proposed bills would harm or help consumers and small businesses. No votes or final actions were taken during the hearing; written testimony was noted as due later, and the committee continued taking testimony from multiple panels and virtual witnesses.

Transcript Highlights:

• If if you're treating know about.
• How do you how do you treat that?
• How do you treat that?
• How do you treat that?
• How do you treat that?

Committee: Senate Health and Human Services

Transcript Highlights:

• There is also some language around physician licensure, making sure that our physicians can get licensed
• adding in the amendment as supportive was a good step toward making sure that patients and their physicians
• I filed specific legislation that I thought Missouri physician groups would support, such as allowing
• collaborating physicians to supervise up to 10 mid-level providers instead of six.
• For those of us who represent rural districts with aging and retiring physicians, that very simple kind

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for the prior day by a vote of 118-1. The bulk of the meeting consisted of lengthy points of personal privilege, including farewell remarks from several outgoing members who thanked family, staff, colleagues, and constituents, reflected on their service, and spoke about issues such as law enforcement, veterans, rural schools, unborn life, kindness, and the influence of money and lobbyists in the legislative process. The chamber also recognized several special guests, including schoolchildren, interns, a law school graduate, family members, and a former representative. The House then took up committee reports and several bills. It granted further conference on Senate Bill 1020. Senate Bill 1019, dealing with hospital finance and related health-care provisions, was amended and passed 110-31 after debate over an amendment on prior authorization reform, physician licensure, telehealth, workplace violence language, and Lyme disease fixes. Senate Bill 1572, a pensions measure affecting MOSERS, EMPERS, the St. Louis police retirement system, and Kansas City police retirement timing, was amended on several technical and policy points and passed 129-14 after discussion of overpayment recoupment rules and retirement system compliance concerns. The House also passed House Committee Substitute for Senate Substitute for Senate Bill 1196, which removed the sunset from the workforce diploma program, expanded Fast Track Workforce Incentive Grants, added workforce Pell Grant language, and established a future higher-education funding model subject to later legislative approval. It passed 115-20-4, but the emergency clause failed 2-132-2 after the sponsor said it was included only to speed Pell Grant implementation and was being handled “tongue in cheek.” Finally, the House began consideration of House Bill 2508 with Senate amendments, an LLC-related bill addressing certificates of good standing, court dissolution of LLCs in limited cases, and a St. Louis County property-management affidavit requirement for unresolved ordinance violations.

Transcript Highlights:

• And finally, an investment in developing a multi-campus physician assistant consortium.
• The use of physician assistants is a key strategy for our health care partners to meet health care demand
• modeled on the UC Medical School's PRIME framework, programs in medical education, which has produced physicians
• practices remain concentrated in middle... ...programs and medical education, which has produced physicians
• dedicated, programs and medical education, which has produced physicians dedicated to underserved communities

Transcript Highlights:

• gets into a little bit more technical, but the risk models that we're talking about are based on physician
• you know, they have armies of people out there making sure that the coding is correct from the physicians

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• No need for coordination with primary care physicians, no holistic approach to any other pre-existing
• No need for coordination with primary care physicians, no holistic approach to any other pre-existing

Committee: Senate Health

Summary: The Senate Standing Committee on Health considered a series of health-related bills, many of which were reported favorably. Among the measures approved were SB 999, which would restructure Medicaid reimbursement for early and periodic screening, diagnosis, and treatment services for children with IEPs or disabilities; SB 1816, lowering the state definition of elevated blood lead levels to 3.5 micrograms per deciliter; SB 1911A, extending due process protections for health care professionals when insurers terminate or fail to renew them; and SB 3105, allowing reciprocity for out-of-state medical cannabis patients. The committee also advanced SB 4589 on federally qualified health center rate adequacy, SB 4955B on Medicaid Inspector General audit procedures, SB 9196 to ban new for-profit hospices, SB 9237 expanding the definition of family for certain foster care health facility services, and SB 9275 requiring Medicaid coverage for gender-affirming care and prohibiting related discrimination. Several of these bills were sent to Finance, while others were sent to First Reading or Higher Education as noted. The committee also discussed SB 2625, which would expand pharmacists’ authority to prescribe, administer, and dispense medication-assisted treatment for opioid use disorder. One member raised concerns about expanding scope of practice without coordination with primary care or a holistic review of patient conditions, and indicated opposition; the bill was nevertheless referred to Higher Education. SB 5056B, requiring the Department of Health to examine heat vulnerability and heat-related deaths, prompted discussion about whether the bill should explicitly require recommendations for prevention; the sponsor said the idea was to gather data and that recommendations could be added, and the bill advanced with some reservations. Other measures included SB 7460, reauthorizing a maternal infant care centers pilot program using an existing $350,000 appropriation, and SB 9388, requiring public notice and engagement when a general hospital closes or shuts down a psychiatric, mental health, or substance use unit. The hospital closure bill drew discussion about relocations and whether moves that shift services to a new site would trigger the community engagement process; the sponsor said they would. Most bills were approved by voice vote, with some members voting no or without recommendation on certain measures, and the committee adjourned after reporting the bills onward.

Transcript Highlights:

• runs too long because you don't want a situation where it's in the middle of the surgery and the physician
• It's in the middle of the surgery and the physician feels like, well, they're not going to get paid or

Committee: House Health and Mental Health

Transcript Highlights:

• HB 4168 by Compost relating to the requirements for the renewal of physicians' registration permits,
• HB 4186 by McLaughlin relating to student loan repayment assistance for certain physicians employed as

Transcript Highlights:

• And so I actually think it's really important that we're treating maternal deaths as something to be
• And so I actually think it's really important that we're treating maternal deaths as something to be
• This is because in Minnesota there is no law for the students or the physicians to lean on if asked to
• She's treated thousands of patients, but because of this one mistake, her medical career is over.
• She's treated thousands of patients, but because of this one mistake, her medical career is over.

Committee: Senate Health and Human Services

Transcript Highlights:

• And thank you, Executive, for taking my question. would you treat that as endangerment as would you treat
• that there are many cases we've dealt with specifically where we run into this issue where we can't treat
• > a</c><00:39:20.680><c> case</c><00:39:21.680><c> like</c><00:39:21.920><c> an</c> where we can't treat
• a case like an where we can't treat a case like an instance<00:39:22.400><c> of</c><00:39:22.560><c>
• or nurse physicians assistants or nurse practitioners.<02:02:03.040><c> We</c><02:02:03.280><c> are<

Summary: The committee opened with Senate Bill 22-FN, which would expand child care licensing background checks so the Department of Health and Human Services can receive fuller criminal history information, including pending charges and other non-conviction records, similar to the system already used for school staff. Grant Bossi, for Senator Pearl, and DHHS officials Melissa Clement and Christine Sheay testified in support, saying the bill closes a gap that can allow people with disqualifying charges to work with children. They explained that the FBI record is a snapshot in time, that juvenile records are not included, and that the bill would apply to child care programs including residential group homes. Questions focused on what “confidential criminal history” means and how often checks are repeated; DHHS said checks are done every five years or sooner if new charge information is received. The hearing on SB 22 was then closed. The committee then took up Senate Bill 23-FN, which would expand the child endangerment statute and remove the word “purposely” from part of the language. Senator Pat Long said the bill is intended to strengthen protection for children and allow more serious conduct to be charged appropriately. Testimony from law enforcement, including Executive Counselor Dave Wheeler, Sergeant Ryan Rooney of Nashua Police, and Nicholas Georgulis of Manchester Police, supported the bill as a way to distinguish routine misdemeanor cases from the most egregious abuse and neglect cases, such as children living in squalor or being exposed to severe danger. Wheeler and some members raised concerns that the language could be vague or overbroad and cited a prior Manchester firearm-in-a-car arrest as an example of possible unintended consequences; supporters responded that the bill still requires knowingly violating a duty of care and that the serious bodily injury or death standard limits its reach. Rooney also described a fentanyl overdose case involving an 11-year-old and said the current misdemeanor charge did not fully reflect the seriousness of the conduct. The committee recessed SB 23 briefly to open and close SB 161, then returned to SB 23, which remained under hearing with no final vote taken in the excerpt.

Transcript Highlights:

• That should be a decision between the physician and the patient.
• </c><00:36:52.160><c> feels</c><00:36:52.400><c> that</c><00:36:52.640><c> it</c> testing if the physician
• That should be a decision<00:36:57.440><c> between</c><00:36:57.680><c> the</c><00:36:57.920><c> physician
• </c><00:36:58.240><c> and</c><00:36:58.560><c> the</c> decision between the physician and the decision
• between the physician and the patient.<00:36:59.520><c> And</c><00:36:59.680><c> like</c><00:36:59.920

Committee: House Capital Investment

Transcript Highlights:

• It treats human suffering as an investment opportunity and sick patients as revenue streams.
• </c><00:07:33.120><c> It</c><00:07:33.360><c> treats</c><00:07:33.680><c> human</c><00:07:34.080><c>
• It treats human suffering It's ruthless.
• You care that there are doctors available to treat her. exorcism.
• So physician practices, it could size.

Committee: Senate Health and Human Services

Transcript Highlights:

• She is a board-certified internal medicine physician based in Blanchard, Oklahoma.
• She currently serves as a hospitality physician at the VA Medical Center, providing comprehensive care
• to medical and surgical patients and supervising resident physicians.

Bills: HR1038 , HB3263 , HB3127 , HB2997 , HB3115 , HB2123 , HB3587 , HB3028 , HB2035 , HB3369 , HB3620 , HB3621 , HB3622 , HB3624 , HB3175 , HB3173 , HB3178 , HB1979 , HB4476

Summary: The House convened with prayer, the pledge, and several recognitions, including Veteran of the Week Major General (ret.) Tony L. Wright, Doctor of the Day Dr. Jeanette Kelly, Capitol Day students, Girl Scouts, and family members of legislators. Members also adopted House Resolution 1038 honoring the Oklahoma Youth Expo and its agricultural education and scholarship impact, including recognition of top ag mechanics exhibitors. The chamber then considered and passed several bills, including HB 3263 designating the morel mushroom as the state mushroom; HB 315 setting qualifications and a term limit for the Department of Corrections director; HB 2123 revising authorization for an Arkansas River bridge project near Bigsby; HB 3587 allowing court-ordered outpatient mental health treatment; HB 3028 allowing career techs in public schools to pass along credit card surcharges; HB 2035 clarifying transportation protection agreements related to funeral services; HB 3369 allowing food trucks to use two fire extinguishers and training in lieu of an automatic suppression system; and a series of census-related bills creating a census count committee, reestablishing a state data center function, and updating Commerce technology for census address work. The House also passed HB 3624 to standardize county boundary mapping, HB 3175 creating an Oklahoma Advanced Nuclear Energy Office, HB 3173 allowing repurposing of orphaned and abandoned wells for geothermal or energy storage uses, and HB 4476 creating a revolving-fund rebate program to help smaller communities compete for music events and tourism. Two measures failed on final passage: HB 3178, which would have created a standard depreciation table for county assessors to value farm equipment, and HB 1979, which would have created an Early Childhood Task Force. In both cases, members later served notice of intent to reconsider the failed votes. The House also reconsidered and passed previously failed motions on HB 3127 and HB 2997. Most bills that reached final passage were approved by recorded vote, with HB 3178 failing 43-45 and HB 1979 failing 46-43. The House adjourned until the next scheduled meeting.

Transcript Highlights:

• suggesting that in those statutorily protected periods of confidentiality, say for example with a physician
• suggesting that in those statutorily protected periods of confidentiality, say for example with a physician
• suggesting that in those statutorily protected periods of confidentiality, say for example with a physician

Bills: SB1415 , SB1714 , SB1962 , SB26 , SB172

Committee: Senate Retirement and Government Resources

Summary: The Committee on Retirement and Government Resources heard several bills dealing with state employment, purchasing, and retirement policy. Senate Bill 1415, by Senator Brooks, would prohibit nondisclosure agreements when a state employee resigns or is terminated, with exceptions for statutorily protected confidentiality such as physician or attorney privilege. Members questioned how the bill would interact with whistleblower protections and sensitive information, but the bill passed 6-1. The committee then considered Senate Bill 1714, by Senator Jett, which would expand an existing state employee suggestion/incentive program to encourage agencies to identify cost savings and efficiencies, require agencies to review recommendations in good faith, and report back on accepted or rejected ideas. Members raised concerns about open meetings, employee notification, written documentation of suggestions, and possible disputes over the value of savings. The author agreed to work on amendments, the title was struck, and the bill passed as amended 5-2. Senate Bill 1962, by Senator Bullard, would move certain purchasing exemptions out of statute and into the administrative rules process so exemptions must be periodically renewed and justified. Supporters said this would reduce personality-driven exemptions and improve oversight, while concerns were raised about ongoing needs and emergency situations. The bill passed unanimously 7-0. The committee also passed Senate Bill 26, which would allow retired teachers to return to work after a 90-day break with a salary set by local districts and a 3% contribution back to the retirement system, and Senate Bill 172, which would tie cost-of-living adjustments for pension systems to funding benchmarks and a rolling average, rather than legislative discretion; both bills passed, with SB 26 passing 7-0 and SB 172 passing 6-1. The chair noted the committee expected at least one more meeting and hoped to finish the following week.

Transcript Highlights:

• There's at least one physician at Dartmouth who is investigating the link with ALS.
• There's at least one physician at There's at least one physician at Dartmouth<00:25:49.919><c> who</c

Committee: Senate Energy and Natural Resources

Transcript Highlights:

• They are optometrists that serve primary health care physicians for vision and eye health care in the
• Please welcome the Colorado Optometric Association. that are primary health care physicians that are
• primary health care physicians for<00:28:14.080><c> vision</c><00:28:14.399><c> and</c><00:28:14.720>
• </c> about how they would like to be treated about how they would like to be treated as<03:28:38.399>
• </c> of how we're treating our employees. of how we're treating our employees.