SB 423 — Medical records; access; eliminating certain health care provider duties; authorizing certain fees. Effective date.
Last action — Pocket veto 06/01/2026
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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5To Executive
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6Enacted
This bill has been sent to the executive. Introduced February 03, 2025. It awaits signature.
Signed by Governor Kevin Stitt (Republican) on May 14, 2026.
Next likely step: the executive signs it into law or issues a veto.
Odds of enactment
Low chanceBased on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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To Executive
Current position in the legislative process.
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2 sponsors
2 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (2 R).
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Cleared a recorded vote
Passed 6 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
In plain language
The bill changes access rules for medical records and allows providers to charge fees.
This legislation modifies the responsibilities of healthcare providers regarding access to medical records and permits them to impose certain fees. It impacts how patients obtain their medical information.
What this means for you
- Consumers: Consumers may face fees when requesting their medical records.
- Healthcare: Healthcare providers can now charge fees for access to medical records.
Bill Text
What changed in the latest version
169 added · 178 removedPlain-language change summary
The recent amendments to Bill SB 423 simplify the language around accessing medical records and remove the proposal for criminal penalties related to breaches of these regulations. Instead of criminalizing certain actions, the bill now focuses on administrative penalties and authorizes fees for records access, which could help ensure that patients have the right to their medical information while also making the process clearer. This change matters because it aims to balance patient rights with regulations in a more straightforward manner without creating the potential for criminal charges.
ENGROSSEDAn Act ENROLLED SENATE BILL NO.
Rader of the Senate and Caldwell (Chad) of the House 6 An Act relating to medical records;
creatingproviding misdemeanoradministrative offense;penalties;
providing administrative and criminal penalties;
updating statutory language;
BESUBJECT: IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
Medical records BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
Disclosure of the information described in paragraph 1 of this subsection regarding a deceased patient shall require either a ENGR.court order or a written release of an executor, administrator, or personal representative appointed by the court, or if there is no such appointment, by the spouse of the patient or, if none, by any responsible member of the family of the patient.
S.
B.
NO.
423 Page 1 court order or a written release of an executor, administrator, or personal representative appointed by the court, or if there is no such appointment, by the spouse of the patient or, if none, by any responsible family member of the family of the patient.
ENGR.4.
Requests for medical records and medical bills from, or directed to, attorneys, insurance companies, other third parties, and by way of subpoena shall be charged a base fee of Twenty Dollars ($20.00) not more than Twenty-five Dollars ($25.00) in addition to the a per page charges required pursuant to this section fee of:
a.
not more than seventy cents ($0.70) for paper copies, plus postage or delivery fee, or b.
not more than forty cents ($0.40) for electronic copies.
The base fee shall be charged regardless of whether any records related to the request are located.
A fee of not more than Fifteen Dollars ($15.00) shall be charged if a certification or an affidavit by the provider regarding the authenticity of the medical records or ENR.
423 Page 2 4.bills is requested.
Requests for medical records and medical bills from, or directed to, attorneys, insurance companies, other third parties, and by way of subpoena shall be charged a base fee of Twenty Dollars ($20.00) Twenty-three Dollars ($23.00) in addition to the a per page charges required pursuant to this section fee of:
a.
sixty-seven cents ($0.67) for paper copies, plus postage or delivery fee, or b.
forty cents ($0.40) for electronic copies.
The base fee shall be charged regardless of whether any records related to the request are located.
A fee of Fifteen Dollars ($15.00) shall be charged if a certification or an affidavit by the provider regarding the authenticity of the medical records or bills is requested.
If a provider or business associate transmits the records electronically, no postage shall be charged but a delivery charge ENGR.shall apply.
S.
B.
NO.
423 Page 3 shall apply.
The cost of each printed x-ray, other photograph, or image to such person or to the legal representative of such person shall be not more than Fifteen Dollars ($15.00).
If the x-ray, other photograph, or image is provided on a CD/DVD or other electronic media, the fee shall be Twenty Dollars ($20.00) Twenty-threenot more than Twenty-five Dollars ($23.00)($25.00) per CD/DVD or other electronic media.
In the case of psychological,ENR. psychiatric, mental health, or ENGR.
423 Page 43 psychological, psychiatric, mental health, or substance abuse treatment records, access to information contained in the records shall be obtained pursuant to Section 1-109 of Title 43A of the Oklahoma Statutes.
In cases involving a claim for personal injury or death against any practitioner of the healing arts or a licensed hospital, or a nursing facility or nursing home licensed pursuant to Section 1-1903 of Title 63 of the Oklahoma Statutes arising out of patient care, where any person has placed the physical or mental condition of that person in issue by the commencement of any action, proceeding, or suit for damages, or where any person has placed in issue the physical or mental condition of any other person or deceased person by or through whom the person rightfully claims, that person shall be deemed to waive any privilege granted by law concerning any communication made to a physician or health care provider with reference to any physical or mental condition or any knowledge obtained by the physician or health care provider by ENGR.personal examination of the patient;
S.
B.
NO.
423 Page 5 personal examination of the patient;
Show all 68 changed lines (28 more)
C.ENR.
S.
B.
NO.
423 Page 4 C.
ENGR.3.
S.
B.
NO.
423 Page 6 3.
A covered entity found in violation of paragraph 2 of this subsection shall, upon conviction, be guilty of a misdemeanor punishable by a fine not to exceed One Thousand Dollars ($1,000.00).
5.
This act shall become effective November 1, 2025.2026.
PassedENR. the Senate the 26th day of March, 2025.
Presiding Officer of the Senate Passed the House of Representatives the ____ day of __________, 2025.
Presiding Officer of the House of Representatives ENGR.
423 Page 75 Passed the Senate the 14th day of May, 2026.
Presiding Officer of the Senate Passed the House of Representatives the 6th day of May, 2026.
Presiding Officer of the House of Representatives OFFICE OF THE GOVERNOR Received by the Office of the Governor this ____________________ day of ___________________, 20_______, at _______ o'clock _______ M.
By:
_________________________________ Approved by the Governor of the State of Oklahoma this _________ day of ___________________, 20_______, at _______ o'clock _______ M.
_________________________________ Governor of the State of Oklahoma OFFICE OF THE SECRETARY OF STATE Received by the Office of the Secretary of State this __________ day of __________________, 20 _______, at _______ o'clock _______ M.
By:
_________________________________ ENR.
S.
B.
NO.
423 Page 6
Show all 68 changed rows (28 more)
View plain text versions (9)
- Enrolled Enrolled (final version) Current pdf
- Engrossed View text pdf
- Floor (House) View text pdf
- Floor (Senate) View text pdf
- SB423 (3-24-25) (RADER) FS FA1.PDF View text pdf
- Policy Committee Recommendation View text pdf
- Amended Amended And Engrossed pdf
- Committee Substitute House Committee Substitute for Senate Bill pdf
- Introduced View text pdf
Amendments
5 amendments- 1 Floor Amendment by CALDWELL Show changes
- 2 Floor Amendment by CALDWELL Show changes
- 1 Amendment to Amendment by CALDWELL Show changes
- Committee Amendment 1 Show changes
- Proposed Policy Committee Amendment 1 Show changes
Click Show changes on an amendment above to see how it modifies the bill.
Action History
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Pocket veto 06/01/2026
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Sent to Governor
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Signed, returned to Senate
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Enrolled, to House
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Referred for enrollment
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Measure passed: Ayes: 34 Nays: 13
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HAs adopted
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HAs read
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Engrossed, signed, to Senate
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Referred for engrossment
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Third Reading, Measure passed: Ayes: 80 Nays: 7
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Amended by floor substitute
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General Order
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CR; Do Pass, amended by committee substitute Health and Human Services Oversight Committee
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Policy recommendation to the Health and Human Services Oversight committee; Do Pass, amended by committee substitute Public Health
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Referred to Public Health
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Second Reading referred to Health and Human Services Oversight
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First Reading
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Engrossed to House
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Referred for engrossment
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Measure passed: Ayes: 44 Nays: 0
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General Order, Amended by Floor Substitute
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Placed on General Order
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Reported Do Pass as amended Health and Human Services committee; CR filed
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Second Reading referred to Health and Human Services
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Coauthored by Representative Caldwell (Chad) (principal House author)
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Authored by Senator Rader
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First Reading
Sponsors
- Dave Rader · Primary
- Chad Caldwell · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 0 co-sponsors · 149 not signed on · 19 voted No
Sponsors (2)
- Dave Rader Republican
- Chad Caldwell Republican
Co-sponsors (0)
None.
Not signed on (149)
149 members have not signed on to this bill.
Show all 149 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 28 | 10 | 0 | 1 |
| Democrat | 6 | 3 | 0 | 0 |
| Total | 34 | 13 | 0 | 1 |
| % of votes cast | 71% | 27% | 0% | 2% |
How each member voted (48)
| Member | Party | Vote |
|---|---|---|
| Carri Hicks | Democrat | Yea |
| Jo Anna Dossett | Democrat | Yea |
| Julia Kirt | Democrat | Yea |
| Mark Mann | Democrat | Yea |
| Mary B. Boren | Democrat | Nay |
| Michael Brooks | Democrat | Yea |
| Nikki Nice | Democrat | Nay |
| Regina Goodwin | Democrat | Nay |
| Ronald Stewart | Democrat | Yea |
| Aaron Reinhardt | Republican | Yea |
| Adam Pugh | Republican | Yea |
| Ally Seifried | Republican | Yea |
| Avery Frix | Republican | Yea |
| Bill Coleman | Republican | Yea |
| Brenda Stanley | Republican | Yea |
| Brent Howard | Republican | Not Voting |
| Brian Guthrie | Republican | Nay |
| Bryan Logan | Republican | Yea |
| Casey Murdock | Republican | Yea |
| Christi Gillespie | Republican | Yea |
| Dana Prieto | Republican | Nay |
| Darcy Jech | Republican | Yea |
| Dave Rader | Republican | Yea |
| David Bullard | Republican | Nay |
| District 24 | Republican | Yea |
| Dusty Deevers | Republican | Nay |
| George Burns | Republican | Nay |
| Grant Green | Republican | Yea |
| Jerry Alvord | Republican | Yea |
| John Haste | Republican | Yea |
| Jonathan Wingard | Republican | Yea |
| Julie Daniels | Republican | Yea |
| Julie McIntosh | Republican | Nay |
| Kelly Hines | Republican | Yea |
| Kendal Sacchieri | Republican | Nay |
| Kristen Thompson | Republican | Yea |
| Lisa Standridge | Republican | Nay |
| Lonnie Paxton | Republican | Yea |
| Micheal Bergstrom | Republican | Yea |
| Paul Rosino | Republican | Yea |
| Randy Grellner | Republican | Nay |
| Rob Hall | Republican | Yea |
| Roland Pederson | Republican | Yea |
| Shane Jett | Republican | Nay |
| Spencer Kern | Republican | Yea |
| Todd Gollihare | Republican | Yea |
| Tom Woods | Republican | Yea |
| Warren Hamilton | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 68 | 4 | 0 | 7 |
| Democrat | 10 | 2 | 0 | 5 |
| Unaffiliated | 2 | 1 | 0 | 1 |
| Total | 80 | 7 | 0 | 13 |
| % of votes cast | 80% | 7% | 0% | 13% |
How each member voted (100)
| Member | Party | Vote |
|---|---|---|
| Mr. Speaker | — | Yea |
| Alonso-Sandoval | — | Nay |
| VACANCY: | — | Not Voting |
| Crosswhite Hader | — | Yea |
| Aletia Timmons | Democrat | Not Voting |
| Amanda Clinton | Democrat | Yea |
| Andy Fugate | Democrat | Nay |
| Annie Menz | Democrat | Yea |
| Cyndi Munson | Democrat | Not Voting |
| Ellen Pogemiller | Democrat | Yea |
| Ellyn Hefner | Democrat | Yea |
| Jacob Rosecrants | Democrat | Not Voting |
| Jared Deck | Democrat | Not Voting |
| John Waldron | Democrat | Not Voting |
| Melissa Provenzano | Democrat | Yea |
| Meloyde Blancett | Democrat | Yea |
| Michelle McCane | Democrat | Yea |
| Mickey Dollens | Democrat | Nay |
| Ronald Stewart | Democrat | Yea |
| Suzanne Schreiber | Democrat | Yea |
| Trish Ranson | Democrat | Yea |
| Anthony Moore | Republican | Yea |
| Bob Ed Culver | Republican | Yea |
| Brad Boles | Republican | Yea |
| Brian Hill | Republican | Yea |
| Carl Newton | Republican | Yea |
| Chad Caldwell | Republican | Yea |
| Chris Banning | Republican | Yea |
| Chris Kannady | Republican | Not Voting |
| Chris Sneed | Republican | Yea |
| Clay Staires | Republican | Yea |
| Cody Maynard | Republican | Yea |
| Collin Duel | Republican | Yea |
| Cynthia Roe | Republican | Yea |
| Daniel Pae | Republican | Yea |
| Danny Sterling | Republican | Yea |
| Danny Williams | Republican | Yea |
| David Hardin | Republican | Yea |
| David Smith | Republican | Yea |
| Dell Kerbs | Republican | Yea |
| Derrick Hildebrant | Republican | Yea |
| Dick Lowe | Republican | Yea |
| Dillon Travis | Republican | Yea |
| Eddy Dempsey | Republican | Not Voting |
| Emily Gise | Republican | Yea |
| Eric Roberts | Republican | Yea |
| Erick Harris | Republican | Yea |
| Gabe Woolley | Republican | Yea |
| Gerrid Kendrix | Republican | Yea |
| Jason Blair | Republican | Yea |
| Jay Steagall | Republican | Yea |
| Jim Grego | Republican | Yea |
| Jim Olsen | Republican | Yea |
| Jim Shaw | Republican | Yea |
| John George | Republican | Yea |
| John Kane | Republican | Yea |
| John Pfeiffer | Republican | Yea |
| Jonathan Wilk | Republican | Not Voting |
| Josh Cantrell | Republican | Not Voting |
| Josh West | Republican | Yea |
| Judd Strom | Republican | Yea |
| Justin Humphrey | Republican | Nay |
| Ken Luttrell | Republican | Not Voting |
| Kenton Patzkowsky | Republican | Yea |
| Kevin Norwood | Republican | Yea |
| Kevin West | Republican | Not Voting |
| Marilyn Stark | Republican | Yea |
| Mark Chapman | Republican | Yea |
| Mark Lawson | Republican | Yea |
| Mark Lepak | Republican | Yea |
| Mark Tedford | Republican | Not Voting |
| Max Wolfley | Republican | Yea |
| Mike Dobrinski | Republican | Yea |
| Mike Kelley | Republican | Yea |
| Mike Lay | Republican | Yea |
| Mike Osburn | Republican | Yea |
| Molly Jenkins | Republican | Nay |
| Neil Hays | Republican | Yea |
| Nick Archer | Republican | Yea |
| Nicole Miller | Republican | Yea |
| Preston Stinson | Republican | Yea |
| Rande Worthen | Republican | Yea |
| Rick West | Republican | Nay |
| Rob Hall | Republican | Yea |
| Robert Manger | Republican | Yea |
| Ronny Johns | Republican | Yea |
| Ross Ford | Republican | Yea |
| Rusty Cornwell | Republican | Yea |
| Ryan Eaves | Republican | Yea |
| Scott Fetgatter | Republican | Yea |
| Stacy Jo Adams | Republican | Yea |
| Stan May | Republican | Yea |
| Steve Bashore | Republican | Yea |
| T.J. Marti | Republican | Yea |
| Tammy Townley | Republican | Yea |
| Tammy West | Republican | Yea |
| Tim Turner | Republican | Yea |
| Tom Gann | Republican | Nay |
| Toni Hasenbeck | Republican | Yea |
| Trey Caldwell | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 9 | 0 | 0 | 0 |
| Democrat | 2 | 0 | 0 | 0 |
| Total | 11 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (11)
| Member | Party | Vote |
|---|---|---|
| Ellyn Hefner | Democrat | Yea |
| Trish Ranson | Democrat | Yea |
| Bob Ed Culver | Republican | Yea |
| Carl Newton | Republican | Yea |
| Cynthia Roe | Republican | Yea |
| Daniel Pae | Republican | Yea |
| Danny Williams | Republican | Yea |
| David Smith | Republican | Yea |
| Derrick Hildebrant | Republican | Yea |
| Josh Cantrell | Republican | Yea |
| Marilyn Stark | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 5 | 0 | 0 | 0 |
| Democrat | 1 | 0 | 0 | 0 |
| Total | 6 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (6)
| Member | Party | Vote |
|---|---|---|
| Ellen Pogemiller | Democrat | Yea |
| Carl Newton | Republican | Yea |
| Cynthia Roe | Republican | Yea |
| Danny Sterling | Republican | Yea |
| Kevin West | Republican | Yea |
| Marilyn Stark | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 36 | 0 | 0 | 3 |
| Democrat | 8 | 0 | 0 | 0 |
| Total | 44 | 0 | 0 | 3 |
| % of votes cast | 94% | 0% | 0% | 6% |
How each member voted (47)
| Member | Party | Vote |
|---|---|---|
| Carri Hicks | Democrat | Yea |
| Jo Anna Dossett | Democrat | Yea |
| Julia Kirt | Democrat | Yea |
| Mark Mann | Democrat | Yea |
| Mary B. Boren | Democrat | Yea |
| Michael Brooks | Democrat | Yea |
| Nikki Nice | Democrat | Yea |
| Regina Goodwin | Democrat | Yea |
| Aaron Reinhardt | Republican | Yea |
| Adam Pugh | Republican | Yea |
| Ally Seifried | Republican | Yea |
| Avery Frix | Republican | Yea |
| Bill Coleman | Republican | Yea |
| Brenda Stanley | Republican | Yea |
| Brent Howard | Republican | Yea |
| Brian Guthrie | Republican | Yea |
| Casey Murdock | Republican | Not Voting |
| Christi Gillespie | Republican | Yea |
| Chuck Hall | Republican | Yea |
| Dana Prieto | Republican | Yea |
| Darcy Jech | Republican | Yea |
| Dave Rader | Republican | Yea |
| David Bullard | Republican | Yea |
| District 24 | Republican | Yea |
| Dusty Deevers | Republican | Not Voting |
| George Burns | Republican | Yea |
| Grant Green | Republican | Yea |
| Jack Stewart | Republican | Yea |
| Jerry Alvord | Republican | Yea |
| John Haste | Republican | Yea |
| Jonathan Wingard | Republican | Yea |
| Julie Daniels | Republican | Not Voting |
| Julie McIntosh | Republican | Yea |
| Kelly Hines | Republican | Yea |
| Kendal Sacchieri | Republican | Yea |
| Kristen Thompson | Republican | Yea |
| Lisa Standridge | Republican | Yea |
| Lonnie Paxton | Republican | Yea |
| Micheal Bergstrom | Republican | Yea |
| Paul Rosino | Republican | Yea |
| Randy Grellner | Republican | Yea |
| Roland Pederson | Republican | Yea |
| Shane Jett | Republican | Yea |
| Spencer Kern | Republican | Yea |
| Todd Gollihare | Republican | Yea |
| Tom Woods | Republican | Yea |
| Warren Hamilton | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 9 | 0 | 0 | 0 |
| Democrat | 3 | 0 | 0 | 0 |
| Unaffiliated | 0 | 0 | 0 | 1 |
| Total | 12 | 0 | 0 | 1 |
| % of votes cast | 92% | 0% | 0% | 8% |
How each member voted (13)
| Member | Party | Vote |
|---|---|---|
| AMD SB423 CA1 - ADOPTED | — | Not Voting |
| Carri Hicks | Democrat | Yea |
| Jo Anna Dossett | Democrat | Yea |
| Nikki Nice | Democrat | Yea |
| Aaron Reinhardt | Republican | Yea |
| Adam Pugh | Republican | Yea |
| Bill Coleman | Republican | Yea |
| Brenda Stanley | Republican | Yea |
| John Haste | Republican | Yea |
| Julie McIntosh | Republican | Yea |
| Kristen Thompson | Republican | Yea |
| Lisa Standridge | Republican | Yea |
| Paul Rosino | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SB 423?
- SB 423 is sponsored by Dave Rader (Republican) and Chad Caldwell (Republican).
- What is the current status of SB 423?
- This bill has been sent to the executive. Introduced February 03, 2025. It awaits signature.
- Where can I track SB 423?
- Track SB 423 free on One Click Politics — get push/email alerts when it moves.
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