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republic-os/legislation/us/states/ok/2024/sb-254.md
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---
type: "Bill"
title: "Behavioral health; requiring health insurer to cover certain out-of-network services under certain circumstances; providing exceptions. Effective date."
description: "Behavioral health; requiring health insurer to cover certain out-of-network services under certain circumstances; providing exceptions. Effective date."
jurisdiction: "us/states/ok"
legislature: "Oklahoma Legislature"
session: "2024"
identifier: "SB 254"
citation: "Oklahoma SB 254 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Boatman", "Garvin"]
version_count: 11
action_count: 28
vote_count: 5
first_action: "2023-02-06"
last_action: "2023-05-25"
source: "openstates"
source_identifier: "ocd-bill/b4555386-3da3-4ab8-9f3f-2371415a7fce"
source_url: "http://www.oklegislature.gov/BillInfo.aspx?Bill=SB254&session=2400"
source_hash: "5ae64190e36c06956613847e9ac7fd3dabe94c1099b6a37603ee72beb6fbfbd8"
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 254 (2024) — Behavioral health; requiring health insurer to cover certain out-of-network services under certain circumstances; providing exceptions. 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/SB/SB254 INT.PDF)
2. **Amended And Engrossed** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 AMENDMENTS/Amendment & Engr/SB254 HASB & ENGR.PDF)
3. **Committee Amendment** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 COMMITTEE AMENDMENTS/Senate/SB254 PCS.PDF)
4. **Committee Amendment 1** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 COMMITTEE AMENDMENTS/Senate/SB254 CA1.PDF)
5. **Committee Substitute** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 COMMITTEE SUBS/SCS/SB254 CS.PDF)
6. **Engrossed** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 ENGR/SB/SB254 ENGR.PDF)
7. **Enrolled (final version)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 ENR/SB/SB254 ENR.PDF)
8. **Floor (House)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 FLR/HFLR/SB254 HFLR.PDF)
9. **Floor (Senate)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 FLR/SFLR/SB254 SFLR.PDF)
10. **House Committee Substitute for Senate Bill** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 COMMITTEE SUBS/HCSS/SB254 HCS.PDF)
11. **SB254 FULLPCS1 JEFF BOATMAN-TJ.PDF** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2023-24 COMMITTEE AMENDMENTS/House/SB254 FULLPCS1 JEFF BOATMAN-TJ.PDF)
## Votes
- Third Reading — **441** (pass) · upper
- Fourth Reading — **441** (pass) · upper
- Third Reading — **850** (pass) · lower
- Committee On Retirement & Insurance: Strike The Title, Motion By Senator Garvin - Adopted — **90** (pass) · upper
- Public Health Committee: Do Pass As Amended By Cs — **60** (pass) · lower
## Sponsors
- Boatman — primary (person)
- Garvin — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-02-06** First Reading `introduction, reading-1`
- **2023-02-06** Authored by Senator Garvin
- **2023-02-07** Second Reading referred to Retirement and Insurance `reading-2, referral-committee`
- **2023-02-13** Coauthored by Representative Boatman (principal House author)
- **2023-02-21** Reported Do Pass, amended by committee substitute Retirement and Insurance committee; CR filed `committee-passage`
- **2023-02-21** Title stricken
- **2023-03-23** General Order, Considered
- **2023-03-23** Measure passed: Ayes: 44 Nays: 1 `passage`
- **2023-03-23** Referred for engrossment
- **2023-03-27** Engrossed to House `passage`
- **2023-03-27** First Reading `introduction, reading-1`
- **2023-03-29** Second Reading referred to Public Health `reading-2, referral-committee`
- **2023-04-13** CR; Do Pass, amended by committee substitute Public Health Committee `committee-passage`
- **2023-04-13** Title restored
- **2023-04-24** General Order
- **2023-04-24** Coauthored by Representative(s) Provenzano
- **2023-04-24** Third Reading, Measure passed: Ayes: 85 Nays: 0 `passage, reading-3`
- **2023-04-24** Referred for engrossment
- **2023-04-25** Engrossed, signed, to Senate `passage`
- **2023-04-25** HAs read
- **2023-04-25** Coauthored by Representative Alonso-Sandoval
- **2023-05-18** HAs adopted
- **2023-05-18** Measure passed: Ayes: 44 Nays: 1 `passage`
- **2023-05-18** Referred for enrollment
- **2023-05-19** Enrolled, to House
- **2023-05-19** Signed, returned to Senate
- **2023-05-19** Sent to Governor `executive-receipt`
- **2023-05-25** Approved by Governor 05/25/2023 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b4555386-3da3-4ab8-9f3f-2371415a7fce`. Confidence: reported (aggregated from official Oklahoma legislature records).