---
type: "Bill"
title: "Health insurance; requiring coverage of certain genetic testing and cancer imaging; providing exclusions. Effective date."
description: "Health insurance; requiring coverage of certain genetic testing and cancer imaging; providing exclusions. Effective date."
jurisdiction: "us/states/ok"
legislature: "Oklahoma Legislature"
session: "2026"
identifier: "SB 109"
citation: "Oklahoma SB 109 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Miller", "Stanley"]
version_count: 6
action_count: 44
vote_count: 7
first_action: "2025-02-03"
last_action: "2025-05-29"
source: "openstates"
source_identifier: "ocd-bill/e31e71e9-40b0-4ac8-98d4-4ff6c8bed53a"
source_url: "http://www.oklegislature.gov/BillInfo.aspx?Bill=SB109&session=2600"
source_hash: "7664a3eb4ec6bc730b51e5f6b95947b7b894929d0227cf06307c3c1c5cfc8751"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ok"]
---

# Oklahoma SB 109 (2026) — Health insurance; requiring coverage of certain genetic testing and cancer imaging; providing exclusions. Effective date.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 INT/SB/SB109 INT.PDF)
2. **Amended And Engrossed** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 AMENDMENTS/Amendment and Engr/SB109 HASB AND ENGR.PDF)
3. **Engrossed** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENGR/SB/SB109 ENGR.PDF)
4. **Enrolled (final version)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENR/SB/SB109 ENR.PDF)
5. **Floor (House)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/HFLR/SB109 HFLR.PDF)
6. **Floor (Senate)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/SFLR/SB109 SFLR.PDF)

## Votes

- Third Reading — **63–27** (pass) · lower
- Fourth Reading — **68–20** (pass) · lower
- Appropriations And Budget Committee: Do Pass As Amended, Strike The Title — **28–0** (pass) · lower
- Fourth Reading — **35–11** (pass) · upper
- Third Reading — **35–8** (pass) · upper
- Appropriations And Budget Health Subcommittee: Do Pass — **4–0** (pass) · lower
- Do Pass — **8–2** (pass) · upper

## Sponsors

- Miller — primary (person)
- Stanley — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-02-03** First Reading `introduction, reading-1`
- **2025-02-03** Authored by Senator Stanley
- **2025-02-03** Coauthored by Representative Miller (principal House author)
- **2025-02-04** Second Reading referred to Business and Insurance `reading-2, referral-committee`
- **2025-02-20** Reported Do Pass Business and Insurance committee; CR filed `committee-passage`
- **2025-02-25** Placed on General Order
- **2025-03-18** General Order, Considered
- **2025-03-18** Measure passed: Ayes: 35 Nays: 8 `passage`
- **2025-03-18** Referred for engrossment
- **2025-03-18** Coauthored by Senator Hicks
- **2025-03-24** Engrossed to House `passage`
- **2025-03-24** First Reading `introduction, reading-1`
- **2025-04-01** Second Reading referred to Appropriations and Budget `reading-2, referral-committee`
- **2025-04-02** Referred to Appropriations and Budget Health Subcommittee `referral-committee`
- **2025-04-08** Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee `committee-passage`
- **2025-04-16** CR; Do Pass, as amended, Appropriations and Budget Committee `committee-passage`
- **2025-04-16** Title stricken
- **2025-04-16** Enacting clause stricken
- **2025-04-16** Coauthored by Representative(s) Roe, Townley, West (Tammy), Hefner, Ranson, Provenzano, Munson, Schreiber
- **2025-04-16** Coauthored by Senator(s) Nice
- **2025-04-30** General Order
- **2025-04-30** Third Reading, Measure passed: Ayes: 63 Nays: 27 `passage, reading-3`
- **2025-04-30** Referred for engrossment
- **2025-05-01** Engrossed, signed, to Senate `passage`
- **2025-05-01** HAs read
- **2025-05-01** HAs rejected, conference requested `amendment-failure`
- **2025-05-07** Coauthored by Representative Pittman
- **2025-05-12** SCs named Stanley, Coleman, Hall, Rader, Jech, Hicks
- **2025-05-15** Conference granted, naming GCCA
- **2025-05-20** CCR read
- **2025-05-20** Title restored
- **2025-05-20** Enacting clause restored
- **2025-05-21** CCR adopted
- **2025-05-21** Measure passed, to House: Ayes: 35 Nays: 11 `passage`
- **2025-05-21** CCR submitted
- **2025-05-22** CCR adopted
- **2025-05-22** Coauthored by Representative(s) Fugate
- **2025-05-22** Fourth Reading, Measure passed: Ayes: 68 Nays: 20 `passage`
- **2025-05-22** To Senate
- **2025-05-22** Referred for enrollment
- **2025-05-22** Enrolled, to House
- **2025-05-22** Signed, returned to Senate
- **2025-05-22** Sent to Governor `executive-receipt`
- **2025-05-29** Becomes law without Governor's signature 05/29/2025 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e31e71e9-40b0-4ac8-98d4-4ff6c8bed53a`. Confidence: reported (aggregated from official Oklahoma legislature records).