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---
type: "Bill"
title: "Health insurance; methods of payments to providers; requiring notice of certain fee. Effective date."
description: "Health insurance; methods of payments to providers; requiring notice of certain fee. Effective date."
jurisdiction: "us/states/ok"
legislature: "Oklahoma Legislature"
session: "2026"
identifier: "SB 438"
citation: "Oklahoma SB 438 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Coleman", "Sneed"]
version_count: 7
action_count: 23
vote_count: 6
first_action: "2025-02-03"
last_action: "2025-05-05"
source: "openstates"
source_identifier: "ocd-bill/6cb7c91d-dd63-4a91-bf03-46003fd943c3"
source_url: "http://www.oklegislature.gov/BillInfo.aspx?Bill=SB438&session=2600"
source_hash: "71ea655173c6de8be4492ae20128e73242e99d36b57ed6bb722ee8f28c70b271"
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 438 (2026) — Health insurance; methods of payments to providers; requiring notice of certain fee. 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/SB438 INT.PDF)
2. **Committee Amendment** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 COMMITTEE AMENDMENTS/Senate/SB438 PCS.PDF)
3. **Committee Substitute** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 COMMITTEE SUBS/SCS/SB438 CS.PDF)
4. **Engrossed** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENGR/SB/SB438 ENGR.PDF)
5. **Enrolled (final version)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENR/SB/SB438 ENR.PDF)
6. **Floor (House)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/HFLR/SB438 HFLR.PDF)
7. **Floor (Senate)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/SFLR/SB438 SFLR.PDF)
## Votes
- Third Reading — **880** (pass) · lower
- Do Pass Amended Cs — **100** (pass) · upper
- Advance — **400** (pass) · upper
- Third Reading — **410** (pass) · upper
- Insurance Committee: Do Pass — **70** (pass) · lower
- Commerce And Economic Development Oversight Committee: Do Pass — **160** (pass) · lower
## Sponsors
- Coleman — primary (person)
- Sneed — 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 Coleman
- **2025-02-04** Second Reading referred to Business and Insurance `reading-2, referral-committee`
- **2025-02-27** Reported Do Pass, amended by committee substitute Business and Insurance committee; CR filed `committee-passage`
- **2025-03-04** Placed on General Order
- **2025-03-04** Coauthored by Representative Sneed (principal House author)
- **2025-03-12** General Order, Considered
- **2025-03-12** Measure passed: Ayes: 41 Nays: 0 `passage`
- **2025-03-12** Referred for engrossment
- **2025-03-13** Engrossed to House `passage`
- **2025-03-13** First Reading `introduction, reading-1`
- **2025-04-01** Second Reading referred to Commerce and Economic Development Oversight `reading-2, referral-committee`
- **2025-04-01** Referred to Insurance `referral-committee`
- **2025-04-08** Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance `committee-passage`
- **2025-04-17** CR; Do Pass Commerce and Economic Development Oversight Committee `committee-passage`
- **2025-04-28** General Order
- **2025-04-28** Third Reading, Measure passed: Ayes: 88 Nays: 0 `passage, reading-3`
- **2025-04-28** Signed, returned to Senate
- **2025-04-28** Referred for enrollment
- **2025-04-29** Enrolled, to House
- **2025-04-29** Signed, returned to Senate
- **2025-04-29** Sent to Governor `executive-receipt`
- **2025-05-05** Approved by Governor 05/03/2025 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6cb7c91d-dd63-4a91-bf03-46003fd943c3`. Confidence: reported (aggregated from official Oklahoma legislature records).