Req. No. 13185 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 60th Legislature (2025) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 1831 By: Hefner, Stinson, and Roe COMMITTEE SUBSTITUTE An Act relating to community health workers; creating the Oklahoma Community Health Workers Act; defining terms; directing establishment of certificate; making certification voluntary; listing powers of community health worker; requiring and authorizing promulgation of certain rules; directing establishment of certain fees; affirming private employer discretion in community health worker hiring; providing for codification; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1280 of Title 59, unless there is created a duplication in numbering, reads as follows: This act shall be known and may be cited as the "Oklahoma Community Health Worker s Act". SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1280. 1 of Title 59, unless there is created a duplication in numbering, reads as follows: Req. No. 13185 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 As used in the Oklahoma Community Health Worker s Act: 1. "Certified community hea lth worker" means a community health worker to whom the State Department of Health has issued a certificate to practice as a certified community health worker in this state; 2. "Community health worker " means a frontline health worker who has a shared und erstanding of and is a trusted member of the community being served; 3. "Core competencies" are defined as the knowledge and skills a certified community health worker is expected to demonstrate in order to carry out the mission and goals of the professio n as defined by the Department through the promulgation of administrative regulations in accordance with state guidelines; and 4. "Department" means the State Department of Health as established to direct guidance, in collaboration with the State Community Health Worker Association or Advisory Committee, in relation to community health worker training, certification, and recertification protocols. SECTION 3. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Sec tion 1280.2 of Title 59, unless there is created a duplication in numbering, reads as follows: A. The State Department of Health shall establish a certificate for community health workers. This certification shall be voluntary. Req. No. 13185 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. A certified community health worker may: 1. Serve as a liaison between health and social services and the community, including faith-based organizations, to facilitate access to services and improve the quality and cultural competence of service delivery; 2. Assist in identif ying and communicating gaps in current community and health care resources; and 3. Build individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, coaching, m entoring, social support, and advocacy, including efforts within faith -based settings. SECTION 4. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1280.3 of Title 59, unless there is created a duplicat ion in numbering, reads as follows: Eligibility to apply for voluntary certification in order to be eligible to apply for community health worker certification, an individual shall: 1. Be a legal United States resident; 2. Be a resident of Oklahoma; 3. Be at least eighteen (18) years of age; and 4. Provide evidence to the Department of his or her work experience as a community health worker, demonstrating a minimum of one thousand (1,000) practical hours and recommendation from a Req. No. 13185 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 supervising provider, s hall be considered certified under this work experience pathway provision. SECTION 5. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1280. 4 of Title 59, unless there is created a duplication in numbe ring, reads as follows: A. The State Commissioner of Health shall promulgate rules to: 1. Adopt a set of standards for the approval of certified community health worker s' initial coursework or curriculum; 2. Establish examination administration requirem ents for the Department or one or more designees; 3. Define minimum qualifications for applicants to be certified; and 4. Establish the criteria for granting, renewing, denying, suspending, and revoking a certificate to uphold health standards and safety. B. The Commissioner may also promulgate rules to establish partnerships with faith -based organizations to enhance community health outreach and service delivery, including , but not limited to: 1. Recognizing faith-based organizations as eligible entit ies for community health care worker training and certification programs when they meet established state standards; 2. Facilitating collaboration between community health care workers and faith-based organizations to improve health access, prevention, and health literacy efforts in underserved communities; Req. No. 13185 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Supporting faith-based health initiatives through technical assistance and programmatic support for community health care workers working within congregations and religious institutions; 4. Encouraging the integration of community health care worker s into existing faith-based outreach programs to enhance culturally competent care and strengthen trust in community health efforts. C. The Commissioner shall prescribe fees for the certified community health worker examination, initial certification, and certification renewal. SECTION 6. This act shall become effective November 1, 2025. 60-1-13185 TJ 03/05/25