HB2049 HFLR Page 1
BOLD FACE denotes Committee Amendments. 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
HOUSE OF REPRESENTATIVES - FLOOR VERSION
STATE OF OKLAHOMA
1st Session of the 60th Legislature (2025)
HOUSE BILL 2049 By: Stinson of the House
and
Gollihare of the Senate
AS INTRODUCED
An Act relating to Medicaid parity; providing
coverage for mental health and substance use
disorders; providing for contract compliance;
providing for noncompliance reviews; directing the
Oklahoma Health Care Authority to develop a process
for complaints; providing for publication of reports;
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 4005 of Title 56, unle ss there
is created a duplication in numbering, reads as follows:
A. For Medicaid managed care plans, the Oklahoma Health Care
Authority shall ensure that the insurers, health plans, and managed
care plans comply with federal and state laws, rules, and
regulations applicable to coverage for mental health or substance
use disorder services.
HB2049 HFLR Page 2
BOLD FACE denotes Committee Amendments. 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. Contracts with Medicaid managed care plans must require
entities to conduct regular parity compliance analys is that contain
the information described in 42 U.S. Code Section 300gg–26(a)(8)(i-
v) for each nonquantitative treatment limitation imposed on mental
health or substance use disorder benefits in any classification of
care.
C. Contracts with Medicaid managed care plans must include
language requiring managed car e plans and entities to conduct parity
analysis described in subsection B of this section for a
nonquantitative treatment limitation whenever as -written or in-
operation changes or amendments are made to that nonquantitative
treatment limitation, including prior authorization requirements.
D. State Medicaid programs and Children 's Health Insurance
Programs (CHIP) must review and compile the analys is from all
managed care, CHIP, and alternative benefit plans to ensure
compliance and address any noncompliance through a standardized
process to mitigate findings of noncompliance.
E. The Oklahoma Health Care Authority shall develop a
standardized process for receiving, investigating, substantiating,
and resolving parity complaints.
F. The Oklahoma Health Care A uthority shall make public the
surveys, financial analys is, managed care contract audits, de -
identified substantiated parity complaints, and parity reports
HB2049 HFLR Page 3
BOLD FACE denotes Committee Amendments. 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
prepared by the managed care entities and plans and the reports they
submit to document parity compl iance.
G. The Oklahoma Health Care Authority shall also make public
any parity analysis, summary, or report submitted to the Center s for
Medicare and Medicaid Services regarding the Oklahoma Medicaid
managed care program within thirty (30) days of the state's
submission of these reports to the Centers for Medicare and Medicaid
Services.
SECTION 2. This act shall become effective November 1, 2025.
COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS AND BUDGET, dated
03/06/2025 - DO PASS, As Coauthored.