Read the full stored bill text
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STATE OF OKLAHOMA
2nd Session of the 60th Legislature (2026)
SENATE BILL 1951 By: Deevers
AS INTRODUCED
An Act relating to reproductive health and fertility;
creating the Reproductive Empowerment and Support
Through Optimal Restoration (RESTORE) Act; providing
short title; stating legislative findings; defining
terms; providing certain construction; prohibiting
certain discrimination; requiring the State
Department of Health to implement certain data
collection; describing data collection; providing for
patient privacy and confidentiality; requiring
certain reports; directing certain facilities to
provide specified services; requiring the Department
to provide certain guidance; directing certain
allocation of funds; specifying certain condition of
funding; granting certain protections related to
restorative reproductive medicine; requiring the
Department to develop certain curricula; describing
certain public health programs; requiring certain
reporting and advertisement; directing certain update
of professional education and licensing requirements;
requiring the Department to provide certain training;
describing training; mandating certain coordination
of specified programs; describing programs; requiring
certain reports; requiring certain collaboration and
recommendations on medical coding; providing for
severability; providing for noncodification;
providing for codification; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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SECTION 1. NEW LAW A new section of law not to be
codified in the Oklahoma Statutes reads as follows:
A. This act shall be known and may be cited as the
“Reproductive Empowerment and Support Through Optimal Restoration
(RESTORE) Act”.
B. The Legislature finds that:
1. There is a growing interest among women and men to
proactively assess their overall health and understand how factors,
such as their age and medical history, contribute to their
reproductive health and fertility;
2. Women and men are worthy of the highest standard of medical
care, including the opportunity to assess, understand, and improve
their reproductive health. Yet, many women and men do not receive
adequate information about their reproductive health nor have access
to restorative reproductive medicine;
3. Reproductive health conditions are the leading cause of
infertility, affecting eleven percent (11%) of women and nine
percent (9%) of men in the United States. Leading conditions
include endometriosis, polycystic ovary syndrome (PCOS), blocked
fallopian tubes, and male-factor infertility;
4. Research shows that male and female infertility is typically
due to four or more conditions or factors, with the diagnosis shared
equally between men and women;
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5. There is a gap in research and care for reproductive health
conditions that affect a majority of women struggling with
“unexplained infertility”. Unexplained infertility accounts for
fifteen percent (15%) to thirty percent (30%) of all diagnoses of
infertility;
6. Restorative reproductive medicine aims to examine how
women’s reproductive functions and cycle interact with the rest of
the female body;
7. Male-factor infertility and reproductive dysfunction has
been on the rise since the 1970s, with a one-percent decrease in
sperm count, testosterone, and total fertility per year;
8. Restorative reproductive medicine can eliminate barriers to
successful conception, pregnancy, and birth. It can also address
some causes of recurrent miscarriages; and
9. Restorative reproductive medicine alleviates other difficult
symptoms associated with reproductive health conditions including,
but not limited to, painful periods, painful flare-ups, bloating,
inflammation, heavy periods, irregular periods, nerve pain, bowel
symptoms, pain during sexual intercourse, and back pain. It also
addresses common symptoms related to male-factor infertility,
including erectile dysfunction.
SECTION 2. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.2 of Title 63, unless
there is created a duplication in numbering, reads as follows:
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As used in this act:
1. “Infertility” means a symptom of an underlying disease or
condition within a person’s body that makes it difficult or
impossible to successfully conceive and carry a live child to term
where it should otherwise be possible through intercourse with a
person of the other sex. A diagnosis of infertility often occurs
after twelve (12) months of targeted intercourse for women under
thirty-five (35) years of age, or after six (6) months of targeted
intercourse without the use of a chemical, barrier, or other
contraceptive method for women thirty-five (35) years of age and
older;
2. “Restorative reproductive medicine” (RRM) means any
scientific approach to reproductive medicine that seeks to cooperate
with or restore the normal physiology and anatomy of the human
reproductive system. It does not employ methods that are inherently
suppressive, circumventive, or destructive to the human body;
3. “Restorative reproductive health” (RRH) includes empowering
women and men to know and understand their bodies and appreciate the
importance of natural reproductive health to overall health and
well-being, including through the use of body literacy programs that
incorporate science-based charting methods, teacher-led reproductive
health education, restorative reproductive medicine, Natural
Procreative Technology (NaProTechnology), fertility awareness-based
methods, and fertility education and medical management;
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4. “Assisted reproductive technology” means any treatments or
procedures that involve the handling of a human egg, sperm, and
embryo outside of the body with the intent of facilitating a
pregnancy, including artificial insemination, intrauterine
insemination, in vitro fertilization, gamete intrafallopian
fertilization, zygote intrafallopian fertilization, egg, embryo, and
sperm cryopreservation, and egg or embryo donation;
5. “Natural Procreative Technology” (NaProTechnology) means an
approach to health care that monitors and maintains a woman’s
reproductive and gynecological health, including laparoscopic
gynecologic surgery to reconstruct the uterus, fallopian tubes,
ovaries, and other organ structures to eliminate endometriosis and
other reproductive health conditions;
6. “Reproductive health conditions” includes endometriosis,
adenomyosis, polycystic ovary syndrome (PCOS), uterine fibroids,
blocked fallopian tubes, hormone imbalances, hyperprolactinemia,
thyroid conditions, ovulation dysfunctions, and other health
conditions that make it difficult or impossible to successfully
conceive a child where conception should otherwise be possible;
7. “Endometriosis” means a disease where tissue resembling
endometrial lining tissue grows outside of the uterus. The tissue
often sticks to different organs, disfiguring them, and, through
scar tissue or adhesions, can make the organs stick to one another
or to the pelvic walls. It has been found in the abdominal organs,
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the bowel, the diaphragm, the lungs, the brain, and the eye. It is
a progressive disease and has been compared to cancer growth.
Endometriosis is often diagnosed in stages, with Stage I the mildest
form and Stage IV the most severe and widespread form. The average
diagnosis delay for endometriosis is ten (10) to twelve (12) years.
Endometriosis frequently goes undiagnosed, and women may suffer for
years with painful periods, pelvic pain, or infertility. The cause
of endometriosis is unknown;
8. “Adenomyosis” means a disease that occurs when endometrial
tissue (tissue that would normally line the inside of the uterus,
distinct from endometriosis tissue) grows down into the muscle layer
of the uterus. Adenomyosis is different from, but can exist
concurrently with, endometriosis. Adenomyosis may increase the risk
of miscarriage and preterm labor and may contribute to infertility.
The cause of adenomyosis is unknown;
9. “Polycystic ovary syndrome” (PCOS) means a reproductive
hormonal disorder that causes cysts to grow on the ovaries, usually
as a result of hormonal imbalances. Polycystic ovary syndrome
affects approximately fifteen percent (15%) of women overall but is
more common among women with infertility. It is more prevalent
among women with obesity and insulin resistance. Women with
polycystic ovary syndrome who are trying to achieve pregnancy are
commonly prescribed oral ovulation medication and hormonal
injections that stimulate ovulation. Accurate and timely diagnosis
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and treatment can correct underlying hormonal imbalances, critical
for both long-term health improvements as well as for fertility
outcomes;
10. “Uterine fibroids” means muscular tumors that grow in the
wall of the uterus. While not all women experience symptoms
associated with fibroids, if the tumors are large enough or embedded
far enough in the uterine lining, they can lead to pain and heavy
bleeding. Treatment for fibroids may be a hysteroscopic myomectomy,
abdominal myomectomy, uterine fibroid embolization (UFE), or uterine
artery embolization (UAE). Uterine fibroids can increase risks of
preterm labor, pregnancy complications leading to a cesarean
section, and placental abruption, among other risks. The cause of
uterine fibroids is unknown;
11. “Blocked fallopian tubes” means a condition where the
fallopian tubes are blocked by tubal spasm, scarring from
inflammatory conditions, debris, tubal polyps, tubal ligation, prior
ectopic pregnancy, pelvic adhesions, endometriosis, or prior pelvic
infection (pelvic inflammatory disease or “PID”). Approximately one
in four women with infertility have a tubal blockage. This
condition makes achieving pregnancy difficult, if not impossible.
Treatments for a blockage include fallopian tube recanalization,
tubotubal anastomosis (tubal ligation reversal), and
neosalpingostomy/fimbrioplasty;
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12. “Fertility awareness-based methods” (FABMs) means modern,
evidence-based methods of tracking the menstrual cycle through
observable biological signs in a woman, such as body temperature,
cervical fluid, and hormone production in the reproductive system,
including luteinizing hormone (LH) and estrogen. Such methods
include fertility education and medical management, the
symptothermal method, the Marquette method, the Creighton method,
and the Billings ovulation method; and
13. “Fertility education and medical management” (FEMM) means
the program developed in collaboration with the Reproductive Health
Research Institute for medical research, protocols, and medical
training for health care professionals in order to enable the
clinical application of important research advances in reproductive
endocrinology, by providing education for women about their bodies
and hormonal health and medical support, as appropriate.
SECTION 3. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.3 of Title 63, unless
there is created a duplication in numbering, reads as follows:
Notwithstanding any other provision of law, nothing in this act
shall be construed to require hospitals, individuals, employees,
grantees, contractors, or entities to violate their consciences,
religious beliefs, or moral convictions by requiring them, or
holding them liable for refusing, to provide any health care
referenced in this act.
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SECTION 4. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.4 of Title 63, unless
there is created a duplication in numbering, reads as follows:
Notwithstanding any other state law, a person or entity,
including a state or local government agency, that receives state
funds, including state-administered federal funds, or local
government funds shall not penalize, retaliate against, or otherwise
discriminate against a health care provider on the basis that the
health care provider does not, or declines to:
1. Assist in, receive training in, provide, perform, refer for,
pay for, or otherwise participate in assisted reproductive
technology; or
2. Facilitate or make arrangements for any of the activities
described in paragraph 1 of this subsection in a manner that
violates the health care provider’s sincerely held religious beliefs
or moral convictions.
SECTION 5. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.5 of Title 63, unless
there is created a duplication in numbering, reads as follows:
A. The State Department of Health shall implement data
collection and produce a report every three (3) years on the
standard of care for women with infertility diagnoses.
B. In carrying out the data collection under subsection A of
this section, the Department shall:
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1. Collect and assess data related to restorative reproductive
medicine prior to referral for or use of assisted reproductive
technology. Restorative reproductive medicine may include
ultrasounds, blood tests, hormone panels, laparoscopic and
exploratory surgeries, examining the woman’s overall health and
lifestyle, eliminating environmental endocrine disruptors, and
assessing her partner’s health and fertility;
2. Collect and assess data related to access to information and
training for fertility awareness-based methods; and
3. Assess group health plans or issuers of group or individual
health insurance coverage of the treatments, tests, and training
described in paragraphs 1 and 2 of this subsection.
C. In carrying out the data collection under subsection A of
this section, the Department shall ensure that the privacy and
confidentiality of individual patients are protected in a manner
consistent with relevant privacy and confidentiality laws.
D. No later than two (2) years after the date of enactment of
this act, the Department shall electronically submit the report to
the President Pro Tempore of the Senate, the Speaker of the House of
Representatives, and the Governor, and make publicly available on
the website of the Department, a report on the data collection
carried out under this section.
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SECTION 6. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.6 of Title 63, unless
there is created a duplication in numbering, reads as follows:
A. The State Department of Health shall implement data
collection and produce a report every three (3) years on the
standard of care for women and men seeking reproductive health
condition diagnoses.
B. In carrying out the data collection under subsection A of
this section, the Department shall:
1. Collect and assess data related to access to restorative
reproductive medicine and restorative reproductive health, including
access to medical professionals trained in Natural Procreative
Technology (NaProTechnology) and fertility education and medical
management;
2. Collect and assess data related to access to information and
training on fertility awareness-based methods; and
3. Assess group health plans or issuers of group or individual
health insurance coverage of the treatments, tests, and training
described in paragraphs 1 and 2 of this subsection.
C. In carrying out the data collection under subsection A of
this section, the Department shall ensure that the privacy and
confidentiality of individual patients are protected in a manner
consistent with relevant privacy and confidentiality laws.
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D. No later than two (2) years after the date of enactment of
this act, the Department shall electronically submit the report to
the President Pro Tempore of the Senate, the Speaker of the House of
Representatives, and the Governor, and make publicly available on
the website of the Department, a report on the data collection
carried out under this section.
SECTION 7. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.7 of Title 63, unless
there is created a duplication in numbering, reads as follows:
A. All Title X-funded facilities in this state shall include
fertility awareness-based methods as part of covered family planning
and reproductive health services.
B. 1. The State Department of Health shall work with Title X-
funded facilities to integrate fertility awareness-based methods
into existing programs within twelve (12) months of the effective
date of this act.
2. The Department shall provide guidance and support to
facilities in implementing the fertility awareness-based methods,
including:
a. training for health care providers on fertility
awareness-based methods, and
b. development of patient education materials on
fertility awareness-based methods.
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C. Consistent with federal law, Title X-funded facilities shall
allocate a portion of existing Title X funds to cover implementing
and providing fertility awareness-based methods.
D. Compliance with this section shall be a condition of receipt
of Title X funds.
E. 1. The Department shall not exclude entities that provide
restorative reproductive medicine from receiving the grants and
contracts provided to other Title X entities, provided they meet all
other qualifications.
2. The Department shall not exclude entities that provide
training and education for medical students and professionals in
restorative reproductive medicine from receiving the grants and
contracts provided to other Title X entities, provided they meet all
other qualifications.
SECTION 8. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.8 of Title 63, unless
there is created a duplication in numbering, reads as follows:
A. The State Department of Health shall develop within the
already existing state health education standards and public health
program curricula to include information on reproductive health
conditions, restorative reproductive medicine, restorative
reproductive health, and fertility awareness-based methods. Public
health programs include:
1. Family planning services;
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2. Maternal and child health programs; and
3. Women’s health initiatives.
B. No later than eighteen (18) months after the date of
enactment of this act, the Department shall make publicly available
a report on the updated curriculum standards for public health
programs and a plan for regular reporting on their outcomes.
C. The Department shall ensure that any grant or partnership
opportunities within these programs are advertised to and inclusive
of organizations that specialize in restorative reproductive health
and fertility awareness education.
SECTION 9. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.9 of Title 63, unless
there is created a duplication in numbering, reads as follows:
A. The State Department of Health shall work with health care
professional licensure boards to update professional education and
licensing requirements as needed to include training in restorative
reproductive medicine, restorative reproductive health, and
fertility awareness-based methods through the management of their
health care license.
B. The Department shall provide training to staff working at
Title X providers on reproductive health conditions, restorative
reproductive medicine, restorative reproductive health, and
fertility awareness-based methods.
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C. This training may include restorative reproductive medicine
(RRM), fertility education and medical management (FEMM), and
fertility awareness-based methods (FABMs) toolkits, peer learning
opportunities, Natural Procreative Technology (NaProTechnology)
educational fellowships, FEMM and FABMs education, short videos on
reproductive health conditions and RRM, and contracts with medical
professionals for seminars and training on RRM, NaProTechnology,
FEMM, and FABMs.
SECTION 10. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.10 of Title 63, unless
there is created a duplication in numbering, reads as follows:
A. The State Department of Health shall expand and coordinate
programs to conduct and support research on reproductive health
conditions.
B. The Department shall implement this research initiative in
coordination with any other agency or research university already
conducting research on reproductive health conditions, infertility,
and maternal health.
C. In carrying out the research under subsection A of this
section, the Department may direct research on:
1. The causes of reproductive health conditions, especially
endometriosis, adenomyosis, uterine fibroids, and polycystic ovary
syndrome (PCOS);
2. Ways to diagnose reproductive health conditions;
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3. Restorative reproductive medicine and new treatment options
for reproductive health conditions;
4. Endocrine-disrupting chemicals in endometriosis, the
relationship of endometriosis and cancer, and prenatal and
epigenetic influences on the risk for endometriosis;
5. The growth and progression of reproductive health conditions
and recurrence post-surgical procedures;
6. Male mechanisms of infertility, such as low sperm count, low
sperm motility, erectile dysfunction, low testosterone, varicocele,
and testicular torsion;
7. The effectiveness of fertility awareness-based methods to
achieve pregnancy and increase the number of live births;
8. Premenstrual syndrome (PMS), hormonal dysfunctions,
ovulation defects, abnormal uterine bleeding, adhesion prevention,
tubal corrective surgery, and preconception health;
9. The prevalence of sexually transmitted infections (STIs) and
their effects on fertility in both men and women; and
10. The impact of exposure to environmental factors like per-
and polyfluoroalkyl substances (PFAS) and microplastics on male and
female reproductive health, including sperm quality.
D. No later than twenty-four (24) months after the effective
date of this act, the Department shall make a report on the research
publicly available. This report shall be updated annually.
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SECTION 11. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.11 of Title 63, unless
there is created a duplication in numbering, reads as follows:
A. The State Department of Health shall expand and coordinate
programs, within existing public health or family planning
initiatives, for the development of education, awareness, and
treatment for male-factor infertility through lifestyle and
metabolic modifications.
B. This new integration includes, but is not limited to, low
sperm count, motility, morphology, hormonal imbalances, sexually
transmitted infections (STIs), obesity, varicoceles, and erectile
dysfunction.
C. No later than twenty-four (24) months after the effective
date of this act, the Department shall make a report on the research
publicly available, along with the developed plans for education and
treatment for male factor infertility within the existing state
public health and family planning programs. This report shall be
updated annually.
SECTION 12. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.12 of Title 63, unless
there is created a duplication in numbering, reads as follows:
The State Department of Health shall collaborate with local,
state, and federal policymakers to recommend updated diagnostic and
procedural codes related to infertility treatments to reflect the
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latest knowledge and practices in restorative reproductive medicine,
including recommending a thorough federal review of the
International Classification of Diseases, 10th Revision, Clinical
Modification (ICD-10-CM), the International Classification of
Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS), the
Current Procedural Terminology (CPT) code set, and the Healthcare
Common Procedure Coding System (HCPCS). Codes should be revised and
developed for:
1. Endometriosis, polycystic ovary syndrome (PCOS), uterine
fibroids, adenomyosis, blocked fallopian tubes, and male mechanisms
of infertility to ensure accurate classification of severe, chronic
reproductive health conditions requiring medical or surgical
intervention;
2. Laparoscopic excision, hysteroscopic procedures, and other
minimally invasive surgeries aimed at addressing such conditions,
including the excision of fibroids, ovarian cysts, and adenomyosis-
related tissue removal;
3. Minimally invasive surgeries and other interventions that
target infertility-related conditions, specifically including
laparoscopic excision, differentiation between laparoscopic ablation
and laparoscopic excision of endometriosis, appendectomy related to
endometriosis, bowel resection related to endometriosis,
hysteroscopic myomectomy, abdominal myomectomy, cystectomy, other
minimally invasive procedures that directly treat underlying
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reproductive health conditions, and for family planning services,
specifically including female cycle charting instruction; and
4. Ensuring appropriate reimbursement under the Medicare and
Medicaid programs for reproductive health-related surgical
procedures, postoperative care, and family planning services,
specifically including female cycle charting instruction.
SECTION 13. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-559.13 of Title 63, unless
there is created a duplication in numbering, reads as follows:
If any provision of this act, or the application of such
provision to any person, entity, government, or circumstance, is
held to be unconstitutional, the remainder of this act, or the
application of such provision to all other persons, entities,
governments, or circumstances, shall not be affected thereby.
SECTION 14. This act shall become effective November 1, 2026.
60-2-3429 DC 1/15/2026 9:09:24 AM