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HB4294 • 2026
Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.
Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.
Vetoed
The latest official action shows the governor vetoed this bill. Check the bill history to see whether lawmakers later overrode that veto.
- Sponsor
- Pae
- Last action
- 2026-05-12
- Official status
- Vetoed 05/12/2026
- Effective date
- Not listed
Plain English Breakdown
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.
Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.
What This Bill Does
- Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.
- Bill Summaries/Fiscal Impact for HB 4294 (House): Introduced (2/16/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Proposed Policy Committee Substitute 1 (3/4/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Proposed Policy Committee Recommendation (3/4/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Committee Substitute (3/9/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Senate Amendment to House Bill (5/4/2026)
Fiscal Impact Statements For HB 4294 (Senate): HB4294 ENGR FI.PDF (Fiscal (Senate))
Limits and Unknowns
- This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.
Amendments
These notes stay tied to the official amendment files and metadata from the legislature.
Plain English: HB4294 FA1 OsburnMi-SP
3/24/2026 4:40:29 pm
AMEND TITLE TO CONFORM TO AMENDMENTS
Amendment submitted by: Mike Osburn
Adopted: _____________________________
______________________________________
Reading Clerk
FLOOR AMENDMENT
HOUSE OF REPRESENTATIVES
State of Oklahoma
SPEAKER:
CHAIR:
I move to amend HB4294
Of the printed Bill
Page Section Lines
Of the Engrossed Bill
By striking the Title.
- HB4294 FA1 OsburnMi-SP
3/24/2026 4:40:29 pm
AMEND TITLE TO CONFORM TO AMENDMENTS
Amendment submitted by: Mike Osburn
Adopted: _____________________________
______________________________________
Reading Clerk
FLOOR AMENDMENT
HOUSE OF REPRESENTATIVES
State of Oklahoma
SPEAKER:
CHAIR:
I move to amend HB4294
Of the printed Bill
Page Section Lines
Of the Engrossed Bill
By striking the Title.
Plain English: Filed
- The official amendment file could not be read automatically during the last sync, so only the official amendment metadata is shown right now.
Plain English: (Floor Amendments Only) Date and Time Filed:
Untimely Amendment Cycle Extended Secondary Amendment
SENATE CHAMBER
STATE OF OKLAHOMA DISPOSITION
FLOOR AMENDMENT No.
- (Floor Amendments Only) Date and Time Filed:
Untimely Amendment Cycle Extended Secondary Amendment
SENATE CHAMBER
STATE OF OKLAHOMA DISPOSITION
FLOOR AMENDMENT No.
- ________
COMMITTEE AMENDMENT
(Date)
I move to amend House Bill No.
- 4294 on Page 1, Line 13 1/2, by inserting a new SECTION 1 and
SECTION 2 to read as follows, renumbering subsequent sections, and amending the title to conform:
“SECTION 1.
- AMENDATORY Section 2, Chapter 332, O.S.L.
Plain English: (Floor Amendments Only) Date and Time Filed:
Untimely Amendment Cycle Extended Secondary Amendment
SENATE CHAMBER
STATE OF OKLAHOMA DISPOSITION
FLOOR AMENDMENT No.
- (Floor Amendments Only) Date and Time Filed:
Untimely Amendment Cycle Extended Secondary Amendment
SENATE CHAMBER
STATE OF OKLAHOMA DISPOSITION
FLOOR AMENDMENT No.
- ________
COMMITTEE AMENDMENT
(Date)
I move to amend House Bill No.
- 4294 on Page 1, Line 13 1/2, by inserting a new SECTION 1 and
SECTION 2 to read as follows, renumbering subsequent sections, and amending the title to conform:
“SECTION 1.
- AMENDATORY Section 2, Chapter 332, O.S.L.
Plain English: Req.
- Req.
- No.
- 16537 Page 1
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STATE OF OKLAHOMA
2nd Session of the 60th Legislature (2026)
POLICY COMMITTEE
RECOMMENDATION
FOR
HOUSE BILL NO.
- 4294 By: Pae
POLICY COMMITTEE RECOMMENDATION
An Act relating to health insurance; directing fair
coverage for individuals with epilepsy; disallowing
termination of coverage for individuals diagnosed
with epilepsy; providing coverage for devices or
surgeries for epilepsy if certain criteria are met;
providing for codification; and providing an
effective date.
Plain English: HB4294 POLPCS1 Daniel Pae-TJ
2/16/2026 9:21:58 am
AMEND TITLE TO CONFORM TO AMENDMENTS
Amendment submitted by: Daniel Pae
Adopted: _____________________________
______________________________________
Reading Clerk
COMMITTEE AMENDMENT
HOUSE OF REPRESENTATIVES
State of Oklahoma
SPEAKER:
CHAIR:
I move to amend HB4294
Of the printed Bill
Page Section Lines
Of the Engrossed Bill
By deleting the content of the entire measure, and by inserting in lieu
thereof the following language:
Req.
- HB4294 POLPCS1 Daniel Pae-TJ
2/16/2026 9:21:58 am
AMEND TITLE TO CONFORM TO AMENDMENTS
Amendment submitted by: Daniel Pae
Adopted: _____________________________
______________________________________
Reading Clerk
COMMITTEE AMENDMENT
HOUSE OF REPRESENTATIVES
State of Oklahoma
SPEAKER:
CHAIR:
I move to amend HB4294
Of the printed Bill
Page Section Lines
Of the Engrossed Bill
By deleting the content of the entire measure, and by inserting in lieu
thereof the following language:
Req.
- No.
- 16370 Page 1
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STATE OF OKLAHOMA
2nd Session of the 60th Legislature (2026)
PROPOSED POLICY
COMMITTEE SUBSTITUTE
FOR
HOUSE BILL NO.
- 4294 By: Pae
PROPOSED POLICY COMMITTEE SUBSTITUTE
An Act relating to health insurance; directing fair
coverage for individuals with epilepsy; disallowing
termination of coverage for individuals diagnosed
with epilepsy; providing coverage for devices or
surgeries for epilepsy if certain criteria are met;
providing for codification; and providing an
effective date.
Bill History
-
2026-05-12
House
Vetoed 05/12/2026
-
2026-05-06
House
Enrolled, signed, to Senate
-
2026-05-06
Senate
Enrolled measure signed, returned to House
-
2026-05-06
House
Sent to Governor
-
2026-05-05
House
SA's read, adopted
-
2026-05-05
House
Fourth Reading, Measure passed: Ayes: 55 Nays: 30
-
2026-05-05
House
Referred for enrollment
-
2026-04-30
Senate
Engrossed to House
-
2026-04-30
House
SA's received
-
2026-04-29
Senate
General Order, Considered
-
2026-04-29
Senate
Title restored
-
2026-04-29
Senate
Enacting clause restored
-
2026-04-29
Senate
Measure passed: Ayes: 28 Nays: 16
-
2026-04-29
Senate
Referred for engrossment
-
2026-04-22
Senate
Placed on General Order
-
2026-04-20
Senate
Reported Do Pass as amended Health and Human Services committee; CR filed
-
2026-04-20
Senate
Enacting clause stricken
-
2026-04-09
Senate
Withdrawn from Rules committee
-
2026-04-09
Senate
Referred to Health and Human Services
-
2026-04-01
Senate
Second Reading referred to Rules
-
2026-03-31
Senate
Coauthored by Representative Hefner
-
2026-03-25
House
Engrossed, signed, to Senate
-
2026-03-25
Senate
First Reading
-
2026-03-24
House
General Order
-
2026-03-24
House
Coauthored by Representative(s) Fugate
-
2026-03-24
House
Amended
-
2026-03-24
House
Title stricken
-
2026-03-24
House
Third Reading, Measure passed: Ayes: 63 Nays: 32
-
2026-03-24
House
Referred for engrossment
-
2026-03-04
House
CR; Do Pass, amended by committee substitute Commerce and Economic Development Oversight Committee
-
2026-02-19
House
Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass, amended by committee substitute Insurance
-
2026-02-19
House
Authored by Senator Stanley (principal Senate author)
-
2026-02-03
House
Second Reading referred to Commerce and Economic Development Oversight
-
2026-02-03
House
Referred to Insurance
-
2026-02-02
House
First Reading
-
2026-02-02
House
Authored by Representative Pae
Official Summary Text
Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.
Bill Summaries/Fiscal Impact for HB 4294 (House): Introduced (2/16/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Proposed Policy Committee Substitute 1 (3/4/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Proposed Policy Committee Recommendation (3/4/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Committee Substitute (3/9/2026)
Bill Summaries/Fiscal Impact for HB 4294 (House): Senate Amendment to House Bill (5/4/2026)
Fiscal Impact Statements For HB 4294 (Senate): HB4294 ENGR FI.PDF (Fiscal (Senate))
Current Bill Text
Read the full stored bill text
An Act
ENROLLED HOUSE
BILL NO. 4294 By: Pae, Fugate, and Hefner of
the House
and
Stanley of the Senate
An Act relating to health insurance; directing fair
coverage for individuals with epilepsy; disallowing
termination of coverage for individuals diagnosed
with epilepsy; providing coverage for devices or
surgeries for epilepsy if certain criteria are met;
providing for codification; and providing an
effective date.
SUBJECT: Health insurance
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 6060.31 of Title 36, unless
there is created a duplication in numbering, reads as follows:
A. All individual and group health insurance policies that
provide medical and surgical benefits shall provide the same
coverage and benefits to any individual who has been diagnosed with
epilepsy as the policy would provide coverage and benefits to an
individual who has not been diagnosed with epilepsy.
B. No insurer shall terminate coverage or refuse to renew an
individual's health insurance coverage solely based upon the
individual's diagnosis of epilepsy.
C. To reduce the risk of death from sudden unexpected death in
epilepsy (SUDEP), all individual and group health insurance policies
that provide medical and surgical benefits shall adopt medical
policies that provide coverage for medically necessary
neurostimulation devices if prescribed by a licensed physician who
is actively treating the enrollee.
SECTION 2. This act shall become effective November 1, 2026.
ENR. H. B. NO. 4294 Page 2
Passed the House of Representatives the 5th day of May, 2026.
Presiding Officer of the House
of Representatives
Passed the Senate the 29th day of April, 2026.
Presiding Officer of the Senate
OFFICE OF THE GOVERNOR
Received by the Office of the Governor this ____________________
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________
Approved by the Governor of the State of Oklahoma this _________
day of ___________________, 20_______, at _______ o'clock _______ M.
_________________________________
Governor of the State of Oklahoma
OFFICE OF THE SECRETARY OF STATE
Received by the Office of the Secretary of State this __________
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________