Struck = removed from the bill ยท
added = the amendment's new text.
STATEHB4490 OFFA1 OKLAHOMATownleyTa-TJ(Untimely 2ndFiled) Session3/25/2026 of11:22:07 theam 60thFLOOR LegislatureAMENDMENT (2026)HOUSE SUBCOMMITTEEOF RECOMMENDATIONREPRESENTATIVES FORState HOUSEof BILLOklahoma NO.SPEAKER:
4490CHAIR: By:
TownleyI move to amend HB4490 Of the printed Bill Page 6 8Section SUBCOMMITTEE3 RECOMMENDATIONLines An9-13 ActOf relatingthe toEngrossed maternalBill care;By deleting subsection C in its entirety.
creatingAMEND theTITLE OklahomaTO FamiliesCONFORM ThrivingTO EverywhereAMENDMENTS NowAmendment (OFTEN)submitted Revolvingby: Fund;
statingTammy theTownley purpose;Adopted:
providing_____________________________ for______________________Reading codification;Clerk___
providing an effective date;
and declaring an emergency.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1.
NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-234.2 of Title 63, unless there is created a duplication in numbering, reads as follows:
A.
There is hereby created in the State Treasury a revolving fund for the State Department of Health to be designated the "Oklahoma Families Thriving Everywhere Now (OFTEN) Revolving Fund".
The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of all monies received by the State Department of Health from state-appropriated funds, federal funds, donations, grants, and contributions from any public or private Req.
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16441 Page 1 source and designated for the purpose set forth in this act.
All monies accruing to the credit of said fund are hereby appropriated and may be budgeted and expended by the State Department of Health for the purpose provided in this act.
Expenditures from said fund shall be made upon warrants issued by the State Treasurer against claims filed as prescribed by law with the Director of the Office of Management and Enterprise Services for approval and payment.
The program shall include operation of a telecare pregnancy and parenting support program and a maternal health component to provide community outreach, consultations, and care coordination for women experiencing under-supported, high-risk pregnancies, or both, and for parents of young children.
The program is designed to:
1.
Encourage healthy childbirth;
2.
Support childbirth and adoption as alternatives to abortion;
3.
Promote stable family formation;
4.
Assist in establishing successful parenting techniques;
5.
Increase the economic self-sufficiency of families;
and 6.
Improve maternal and infant health outcomes and reduce health disparities, including disparities among black and other minority mothers who experience higher rates of preterm birth, low birth weight, and maternal morbidity.
B.
Program services shall be delivered primarily through electronic means, including telephone, secured video, text, and other remote technologies, and coordinated with in-person pregnancy Req.
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16441 Page 2 resource centers, community-based organizations, health care providers, and social service agencies physically located in the State of Oklahoma.
SECTION 2.
NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-234.3 of Title 63, unless there is created a duplication in numbering, reads as follows:
A.
To the extent appropriations are available, the State Department of Health shall enter one or more contracts with eligible public or private nonprofit organizations to facilitate operation of the telecare support network and associated maternal health program.
B.
Services may include, but are not limited to:
1.
Outreach to at-risk populations eligible for the Program, conducted exclusively through online and digital marketing strategies, including websites, search engine marketing, social media, text messaging, email, and other Internet-based outreach methods;
2.
Screening for maternal and infant risk factors, including lack of insurance, age under twenty (20) or over thirty-five (35), low educational attainment, prior adverse pregnancy outcomes, chronic medical conditions, and behavioral health risk factors;
3.
Development of individualized care plans for program participants;
4.
Consultations, supports, social services case management, referrals, and care coordination to address medical, behavioral Req.
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16441 Page 3 health, social, educational, economic, environmental, and parenting needs throughout pregnancy and the postpartum period;
5.
Education and support related to preventive medical care, environmental risks, nutrition, smoking, alcohol and substance use cessation, and other factors that contribute to safer pregnancies and healthier infants;
6.
Assistance in applying for and connecting to state and federal benefits programs and local charitable resources;
7.
Behavioral health supports, including referrals for counseling or therapy to address perinatal mood and anxiety disorders;
8.
Coordination of appointments with in-person pregnancy resource centers or similar agencies that provide counseling, ultrasounds, pregnancy tests, prenatal and parenting education, material support, and adoption information;
and 9.
Tracking and support to encourage attendance at prenatal care, postpartum follow-up visits, and pediatric well-child visits.
C.
Services supported by this program shall be non-medical in nature and shall not include the direct provision of clinical medical services or the prescription of medications.
Nothing in this subsection prohibits program personnel from providing medically accurate, pregnancy-related medical information or from encouraging and facilitating timely prenatal, postpartum, and pediatric medical care by licensed health professionals.
Req.
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16441 Page 4 SECTION 3.
NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-234.4 of Title 63, unless there is created a duplication in numbering, reads as follows:
A.
In order to receive funding under this act, an entity shall:
1.
Be a public or private nonprofit organization;
2.
Have the capacity and provide assurances to deliver services primarily through electronic means as described in Section 1 of this act;
3.
Acknowledge and certify that the entity:
a.
does not perform, refer for, or assist with the elective termination of a pregnancy, and b.
does not set appointments with or refer women or parents to any entity that performs or recommends elective termination of a pregnancy;
4.
Allow and agree that:
a.
the State Department of Health personnel may conduct annual, and, at the Department's discretion, additional, programmatic contract reviews, including on-site or virtual monitoring for compliance, and b.
the entity grants to the Office of the State Auditor and Inspector, the Department, the federal government, and any other authorized representatives the right to audit, inspect, and review all books and records pertaining to services rendered under their contract.
Req.
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16441 Page 5 B.
Eligibility for services is limited to Oklahoma residents who, at the time of initial contact, are pregnant or the biological parent of an unborn child.
C.
Any program participant who voluntarily terminates a pregnancy may be eligible to continue receiving non-medical support and parenting-related services through the Program for a period not to exceed six (6) months from the date of pregnancy termination, as determined by Department rule.
SECTION 4.
NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-234.5 of Title 63, unless there is created a duplication in numbering, reads as follows:
A.
Contractors shall collect and report to the State Department of Health de-identified data necessary to evaluate program performance, including, to the extent feasible:
1.
Participant demographic and risk characteristics;
2.
Referrals to state and federal programs;
3.
Service utilization and engagement, including behavioral health and nutrition services;
4.
Maternal outcomes such as prenatal care initiation, postpartum visit completion, and reported postpartum depression;
and 5.
Infant outcomes such as gestational age at birth, birth weight, NICU utilization, and attendance at initial well-child visits.
Req.
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16441 Page 6 B.
The Department shall, on or before December 31 of each year in which funds are expended under this act, submit a report to the Governor, the President Pro Tempore of the Oklahoma State Senate, and the Speaker of the Oklahoma House of Representatives summarizing program implementation, utilization, and outcomes, and offering recommendations regarding continuation, expansion, or modification of the program.
SECTION 5.
This act shall become effective July 1, 2026.
SECTION 6.
It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and after its passage and approval.
60-2-16441 TJ 02/17/26 Req.
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