--- type: "Bill" title: "Health insurance; Ensuring Transparency in Prior Authorization Act; definitions; disclosure and review of prior authorization; adverse determinations; consultation; reviewing physicians; utilization review entity; exception; retrospective denial; length of prior authorization; continuity of care; standard for transmission of authorization; failure to comply; severability; effective date." description: "Health insurance; Ensuring Transparency in Prior Authorization Act; definitions; disclosure and review of prior authorization; adverse determinations; consultation; reviewing physicians; utilization review entity; exception; retrospective denial; length of prior authorization; continuity of care; standard for transmission of authorization; failure to comply; severability; effective date." jurisdiction: "us/states/ok" legislature: "Oklahoma Legislature" session: "2024" identifier: "HB 3190" citation: "Oklahoma HB 3190 (2024)" classification: ["bill"] subjects: [] status: "enacted" primary_sponsors: ["Garvin", "Newton"] version_count: 9 action_count: 37 vote_count: 6 first_action: "2024-02-05" last_action: "2024-05-15" source: "openstates" source_identifier: "ocd-bill/51450882-ed48-4918-b224-3d1287c5c475" source_url: "http://www.oklegislature.gov/BillInfo.aspx?Bill=HB3190&session=2400" source_hash: "d576423cf73bd542f1b4d5333784f25fc92f66700e1023bfa288c4500841ac32" 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 HB 3190 (2024) — Health insurance; Ensuring Transparency in Prior Authorization Act; definitions; disclosure and review of prior authorization; adverse determinations; consultation; reviewing physicians; utilization review entity; exception; retrospective denial; length of prior authorization; continuity of care; standard for transmission of authorization; failure to comply; severability; effective date. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **Introduced** (filed) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 INT/hB/HB3190 INT.PDF) 2. **1 Floor Amendment by NEWTON** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 FLOOR AMENDMENTS/House/HB3190 FA1 NEWTONCA-TJ.PDF) 3. **2 Floor Amendment by CALDWELL (UNTIMELY FILED)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 FLOOR AMENDMENTS/House/HB3190 FA2 CALDWELLTR-CC(UNTIMELY FILED).PDF) 4. **Amended And Engrossed** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 AMENDMENTS/Amendment & Engr/HB3190 SAHB & ENGR.PDF) 5. **Engrossed** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 ENGR/hB/HB3190 ENGR.PDF) 6. **Enrolled (final version)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 ENR/hB/HB3190 ENR.PDF) 7. **Floor (House)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 FLR/HFLR/HB3190 HFLR.PDF) 8. **Floor (Senate)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 FLR/SFLR/HB3190 SFLR.PDF) 9. **HB3190 (4-24-24) (GARVIN) RT FA1.PDF** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 FLOOR AMENDMENTS/Senate/HB3190 (4-24-24) (GARVIN) RT FA1.PDF) ## Votes - Appropriations — **12–0** (pass) · upper - Third Reading — **43–0** (pass) · upper - Third Reading — **79–0** (pass) · lower - Insurance Committee: Do Pass — **6–0** (pass) · lower - Retirement & Insurance — **10–0** (pass) · upper - Fourth Reading — **80–0** (pass) · lower ## Sponsors - Garvin — primary (person) - Newton — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2024-02-05** First Reading `introduction, reading-1` - **2024-02-05** Authored by Representative Newton - **2024-02-06** Second Reading referred to Insurance `reading-2, referral-committee` - **2024-02-21** CR; Do Pass Insurance Committee `committee-passage` - **2024-02-21** Authored by Senator Garvin (principal Senate author) - **2024-03-13** General Order - **2024-03-13** Coauthored by Representative(s) Boles, Manger, Munson, Humphrey, Burns, McDugle, McBride, Rosecrants, Schreiber, Caldwell (Chad), Hasenbeck, Dollens, West (Kevin), Talley, Deck, Moore, West (Rick), May, Pfeiffer, Ford, West (Tammy), Osburn - **2024-03-13** Amended by floor substitute - **2024-03-13** Amended `amendment-passage` - **2024-03-13** Title stricken - **2024-03-13** Third Reading, Measure passed: Ayes: 79 Nays: 0 `passage, reading-3` - **2024-03-13** Referred for engrossment - **2024-03-18** Engrossed, signed, to Senate `passage` - **2024-03-18** First Reading `introduction, reading-1` - **2024-03-18** Coauthored by Representative Hefner - **2024-03-27** Second Reading referred to Retirement and Insurance Committee then to Appropriations Committee `reading-2, referral-committee` - **2024-04-02** Reported Do Pass as amended Retirement and Insurance committee; CR filed `committee-passage` - **2024-04-02** Enacting clause stricken - **2024-04-02** Referred to Appropriations `referral-committee` - **2024-04-02** Coauthored by Senator Coleman - **2024-04-10** Coauthored by Senator Hicks - **2024-04-18** Reported Do Pass Appropriations committee; CR filed `committee-passage` - **2024-04-25** General Order, Amended - **2024-04-25** Title restored - **2024-04-25** Enacting clause restored - **2024-04-25** Measure passed: Ayes: 43 Nays: 0 `passage` - **2024-04-25** Referred for engrossment - **2024-04-29** Engrossed to House `passage` - **2024-04-29** SA's received - **2024-05-09** SA's read, adopted - **2024-05-09** Coauthored by Representative(s) Provenzano, Roberts, Fugate - **2024-05-09** Fourth Reading, Measure passed: Ayes: 80 Nays: 0 `passage` - **2024-05-09** Referred for enrollment - **2024-05-13** Enrolled, signed, to Senate - **2024-05-13** Enrolled measure signed, returned to House - **2024-05-13** Sent to Governor `executive-receipt` - **2024-05-15** Approved by Governor 05/15/2024 `executive-signature` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/51450882-ed48-4918-b224-3d1287c5c475`. Confidence: reported (aggregated from official Oklahoma legislature records).