SB 202 — Medicaid; modifying eligibility requirements for self-funded or self-insured health care plan to participate in certain premium assistance program. Emergency.
Last action — SCs named GCCA
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✓Introduced
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✓In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill has passed the Senate. Introduced February 03, 2025. It now moves to the second chamber.
Signed by Governor Kevin Stitt (Republican) on May 05, 2025.
Next likely step: consideration and a floor vote in the House.
Prognosis
Where this bill stands today.
Odds of enactment
ModerateHow often bills like it became law.
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Passed Senate
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 5 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
185 added · 196 removedPlain-language change summary
The latest version of Bill SB 202 has added language that emphasizes assistance for individuals without health care coverage and support for small businesses struggling to offer health benefits. It aims to lower the number of uninsured people and help businesses afford health insurance for their employees. This change is significant because it responds to the ongoing issue of many Oklahomans lacking access to necessary health care options, which can impact overall public health and economic stability.
HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 1st Session of the 60th Legislature (2025) ENGROSSED SENATE BILL NO.
Daniels of the Senate and Hill of the House 85 An Act relating to the state Medicaid program;
Recognizing that many Oklahomans do not have health care benefits or health care coverage, that many small businesses cannot SB202afford HFLRto Pageprovide 1health BOLDcare FACEbenefits denotesto Committeetheir Amendments.employees, and that, under federal law, barriers exist to providing Medicaid benefits to the uninsured, the Legislature hereby establishes provisions to ENGR.
affordS. to provide health care benefits to their employees, and that, under federal law, barriers exist to providing Medicaid benefits to the uninsured, the Legislature hereby establishes provisions to lower the number of uninsured, assist businesses in their ability to afford health care benefits and coverage for their employees, and eliminate barriers to providing health coverage to eligible enrollees under federal law.
B.
NO.
202 Page 1 lower the number of uninsured, assist businesses in their ability to afford health care benefits and coverage for their employees, and eliminate barriers to providing health coverage to eligible enrollees under federal law.
reform the Oklahoma state Medicaid Program program to promote personal responsibility for health care services and appropriate utilization of health care benefits through the use of public-private cost sharing, SB202c. HFLR Page 2 BOLD FACE denotes Committee Amendments.
c.enable small employers, and/or employed, uninsured adults with or without children to purchase employer- sponsored, state-approved private, or state-sponsored health care coverage through a state premium ENGR.
enableS. small employers, and/or employed, uninsured adults with or without children to purchase employer- sponsored, state-approved private, or state-sponsored health care coverage through a state premium assistance payment plan.
B.
NO.
202 Page 2 assistance payment plan.
SB202(1) HFLRinclude Pagefor-profit 3employers BOLDwith FACEtwo denoteshundred Committeefifty Amendments.employees or less up to any level supported by existing funding resources, and ENGR.
(1)S. include for-profit employers with two hundred fifty employees or less up to any level supported by existing funding resources, and (2) include not-for-profit employers with five hundred employees or less up to any level supported by existing funding resources.
B.
NO.
202 Page 3 (2) include not-for-profit employers with five hundred employees or less up to any level supported by existing funding resources.
The Authority is authorized to seek from the Centers for Medicare and Medicaid Services any waivers or amendments to existing waivers necessary to accomplish an extension of the premium assistance program to include qualified employees whose family income does not exceed two hundred fifty percent (250%) of the SB202federal HFLRpoverty Pagelevel, 4subject BOLDto FACEthe denoteslimit Committeeof Amendments.federal financial participation.
federalENGR. poverty level, subject to the limit of federal financial participation.
G.S.
B.
NO.
202 Page 4 G.
The Authority shall establish a procedure for verifying an applicant’s individual income by utilizing available Oklahoma Tax SB202Commission HFLRrecords, Pagenew 5hire BOLDreport FACEdata denotescollected Committeeby Amendments.the Oklahoma Employment Security Commission, and child support payment data ENGR.
CommissionS. records, new hire report data collected by the Oklahoma Employment Security Commission, and child support payment data collected by the Department of Human Services in accordance with federal and state law.
B.
NO.
202 Page 5 collected by the Department of Human Services in accordance with federal and state law.
the plan is utilized by an employer that was participating in the premium assistance program as of May 1, 2024, or SB202b. HFLR Page 6 BOLD FACE denotes Committee Amendments.
b.
2.ENGR.
S.
B.
NO.
202 Page 6 2.
The self-funded or self-insured health care plan meets actuarial standards for the premium assistance program as determined by the Authority and the employer submits an attestation to the SB202Insurance HFLRDepartment Pageor 7the BOLDOffice FACEof denotesthe CommitteeAttorney Amendments.General, as applicable, that the self-funded or self-insured health care plan meets such actuarial standards;
Insuranceand DepartmentENGR. or the Office of the Attorney General, as applicable, that the self-funded or self-insured health care plan meets such actuarial standards;
andS. 6.
B.
Show all 49 changed lines (9 more)
NO.
202 Page 7 6.
COMMITTEEPassed REPORTthe BY:Senate the 12th day of March, 2025.
OVERSIGHTPresiding COMMITTEEOfficer ONof COMMERCEthe ANDSenate ECONOMICPassed DEVELOPMENT,the datedHouse -of 04/17/2025Representatives –the DO____ PASS.day of __________, 2025.
SB202Presiding HFLROfficer Pageof 8the BOLDHouse FACEof denotesRepresentatives CommitteeENGR. Amendments.
S.
B.
NO.
202 Page 8
Show all 49 changed rows (9 more)
View plain text versions (5)
- Engrossed View text Current pdf
- Floor (House) View text pdf
- Floor (Senate) View text pdf
- Amended Amended And Engrossed pdf
- Introduced View text pdf
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
This bill modifies the eligibility requirements for self-funded or self-insured health care plans to participate in the premium assistance program under the Oklahoma Medicaid Program.
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56 O.S. 2021, Section 1010.1
A self-funded or self-insured health care plan as a participating health care plan shall be eligible to participate in the premium assistance program created under this section if:→ An employer participating in the premium assistance program created under this section as of May 1, 2024, may utilize a self-funded or self-insured health care plan as a participating health care plan shall be eligible to participate in the premium assistance program created under this section if:This change allows employers currently in the premium assistance program to apply self-funded or self-insured health care plans for eligibility.
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56 O.S. 2021, Section 1010.1
1. The self-funded or self-insured health care plan meets at least one of the following conditions:→ The self-funded or self-insured health care plan meets at least one of the following conditions:This adjustment clarifies that the conditions for self-funded or self-insured health care plan eligibility remain consistent.
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56 O.S. 2021, Section 1010.1
2. The self-funded or self-insured health care plan is:→ The self-funded or self-insured health care plan is:This maintains the requirements for the characteristics needed for plans to be eligible for participation.
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56 O.S. 2021, Section 1010.1
3. The self-funded or self-insured health care plan covers all essential health benefits as required by the Authority and all other health benefits required under applicable federal laws;→ The self-funded or self-insured health care plan covers all essential health benefits as required by the Authority and all other health benefits required under applicable federal laws;This confirms that plans must include essential health benefits to qualify.
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56 O.S. 2021, Section 1010.1
4. The self-funded or self-insured health care plan otherwise complies with all applicable federal laws including, but not limited to, the Employee Retirement Income Security Act of 1974 (ERISA);→ The self-funded or self-insured health care plan otherwise complies with all applicable federal laws including, but not limited to, the Employee Retirement Income Security Act of 1974 (ERISA);This emphasizes compliance with federal laws as a prerequisite for participation.
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56 O.S. 2021, Section 1010.1
5. The self-funded or self-insured health care plan assesses a monthly premium on members and maintains a rate schedule for provider employer reimbursement;→ The self-funded or self-insured health care plan assesses a monthly premium on members and maintains a rate schedule for provider employer reimbursement;This ensures that there is a premium assessment and reimbursement structure for participating plans.
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56 O.S. 2021, Section 1010.1
6. The self-funded or self-insured health care plan meets actuarial standards for the premium assistance program as determined by the Authority and the employer submits an attestation to the Insurance Department or the Office of the Attorney General, as applicable, that the self-funded or self-insured health care plan meets such actuarial standards; and→ The self-funded or self-insured health care plan meets actuarial standards for the premium assistance program as determined by the Authority and the employer submits an attestation to the Insurance Department or the Office of the Attorney General, as applicable, that the self-funded or self-insured health care plan meets such actuarial standards; andThis mandates that plans meet specific actuarial standards to qualify for the program.
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56 O.S. 2021, Section 1010.1
7. The Authority receives the necessary federal approval for self-funded or self-insured health care plans to participate in the premium assistance program.→ The Authority receives the necessary federal approval for self-funded or self-insured health care plans to participate in the premium assistance program.This confirms that federal approval is a requirement for these plans' participation.
Amendments
2 amendmentsClick Show changes on an amendment above to see how it modifies the bill.
Action History
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SCs named GCCA
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Conference granted, naming Conference Committee on Commerce and Economic Development Oversight
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HAs rejected, conference requested
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HAs read
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Conferees unable to agree
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CCR read
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Coauthored by Representative Sneed
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Conference granted, naming Conference Committee on Commerce and Economic Development Oversight
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SCs named GCCA
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HAs rejected, conference requested
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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 and Emergency passed: Ayes: 78 Nays: 6
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Title stricken
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Amended
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General Order
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CR; Do Pass Commerce and Economic Development Oversight Committee
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Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance
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Referred to Insurance
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Second Reading referred to Commerce and Economic Development 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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Emergency passed: Ayes: 43 Nays: 0
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Measure passed: Ayes: 42 Nays: 1
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General Order, Considered
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Placed on General Order
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Coauthored by Representative Hill (principal House author)
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Emergency added
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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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Authored by Senator Daniels
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First Reading
Sponsors
- Julie Daniels · Primary
- Brian Hill · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 0 co-sponsors · 149 not signed on · 7 voted No
Sponsors (2)
- Julie Daniels Republican
- Brian Hill 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 | 61 | 6 | 0 | 12 |
| Democrat | 12 | 0 | 0 | 2 |
| Unaffiliated | 5 | 0 | 0 | 1 |
| Total | 78 | 6 | 0 | 15 |
| % of votes cast | 79% | 6% | 0% | 15% |
How each member voted (99)
| Member | Party | Vote |
|---|---|---|
| Alonso-Sandoval | — | Yea |
| Bennett | — | Yea |
| Pittman | — | Yea |
| Mr. Speaker | — | Yea |
| VACANCY: | — | Not Voting |
| Crosswhite Hader | — | Yea |
| Andy Fugate | Democrat | Yea |
| Annie Menz | Democrat | Yea |
| Cyndi Munson | Democrat | Not Voting |
| Ellen Pogemiller | Democrat | Yea |
| Ellyn Hefner | Democrat | Yea |
| Jacob Rosecrants | Democrat | Yea |
| Jared Deck | Democrat | Yea |
| John Waldron | Democrat | Yea |
| Melissa Provenzano | Democrat | Yea |
| Meloyde Blancett | Democrat | Yea |
| Michelle McCane | Democrat | Yea |
| Mickey Dollens | Democrat | Yea |
| Suzanne Schreiber | Democrat | Yea |
| Trish Ranson | Democrat | Not Voting |
| Anthony Moore | Republican | Yea |
| Bob Ed Culver | Republican | Yea |
| Brad Boles | Republican | Yea |
| Brian Hill | Republican | Yea |
| Carl Newton | Republican | Not Voting |
| Chad Caldwell | Republican | Yea |
| Chris Banning | Republican | Yea |
| Chris Kannady | Republican | Not Voting |
| Chris Sneed | Republican | Yea |
| Chuck Hall | Republican | Yea |
| Clay Staires | Republican | Yea |
| Cody Maynard | Republican | Nay |
| Collin Duel | Republican | Yea |
| Cynthia Roe | Republican | Yea |
| Daniel Pae | Republican | Not Voting |
| 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 |
| Eddy Dempsey | Republican | Yea |
| Emily Gise | Republican | Yea |
| Eric Roberts | Republican | Yea |
| Erick Harris | Republican | Yea |
| Gabe Woolley | Republican | Nay |
| George Burns | Republican | Not Voting |
| Gerrid Kendrix | Republican | Yea |
| Jack Stewart | Republican | Yea |
| Jason Blair | Republican | Not Voting |
| Jay Steagall | Republican | Nay |
| Jim Grego | Republican | Yea |
| Jim Olsen | Republican | Yea |
| Jim Shaw | Republican | Nay |
| John George | Republican | Yea |
| John Kane | Republican | Yea |
| John Pfeiffer | Republican | Yea |
| Jonathan Wilk | Republican | Yea |
| Josh Cantrell | Republican | Yea |
| Josh West | Republican | Not Voting |
| Judd Strom | Republican | Yea |
| Justin Humphrey | Republican | Yea |
| Ken Luttrell | Republican | Yea |
| Kenton Patzkowsky | Republican | Yea |
| Kevin West | Republican | Yea |
| 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 | Not Voting |
| Molly Jenkins | Republican | Nay |
| Neil Hays | Republican | Yea |
| Nick Archer | Republican | Not Voting |
| Nicole Miller | Republican | Yea |
| Preston Stinson | Republican | Not Voting |
| Rande Worthen | Republican | Yea |
| Rick West | 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 | Not Voting |
| Stacy Jo Adams | Republican | Yea |
| Stan May | Republican | Yea |
| Steve Bashore | Republican | Yea |
| T.J. Marti | Republican | Not Voting |
| 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 | 13 | 0 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Democrat | 2 | 0 | 0 | 0 |
| Total | 16 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (16)
| Member | Party | Vote |
|---|---|---|
| Alonso-Sandoval | — | Yea |
| Annie Menz | Democrat | Yea |
| Meloyde Blancett | Democrat | Yea |
| Brian Hill | Republican | Yea |
| Chris Banning | Republican | Yea |
| Chris Sneed | Republican | Yea |
| Chuck Hall | Republican | Yea |
| George Burns | Republican | Yea |
| Jonathan Wilk | Republican | Yea |
| Mark Tedford | Republican | Yea |
| Mike Lay | Republican | Yea |
| Nicole Miller | Republican | Yea |
| Ronny Johns | Republican | Yea |
| Stacy Jo Adams | Republican | Yea |
| Tammy Townley | Republican | Yea |
| Tom Gann | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 5 | 0 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Democrat | 1 | 0 | 0 | 0 |
| Total | 7 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Bennett | — | Yea |
| Ellyn Hefner | Democrat | Yea |
| Chris Sneed | Republican | Yea |
| Josh West | Republican | Yea |
| Mark Tedford | Republican | Yea |
| Stacy Jo Adams | Republican | Yea |
| T.J. Marti | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 35 | 0 | 0 | 4 |
| Democrat | 7 | 1 | 0 | 0 |
| Total | 42 | 1 | 0 | 4 |
| % of votes cast | 89% | 2% | 0% | 9% |
How each member voted (47)
| Member | Party | Vote |
|---|---|---|
| Carri Hicks | Democrat | Nay |
| 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 | Yea |
| Christi Gillespie | Republican | Not Voting |
| 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 | Yea |
| George Burns | Republican | Yea |
| Grant Green | Republican | Not Voting |
| Jack Stewart | Republican | Yea |
| Jerry Alvord | Republican | Yea |
| John Haste | Republican | Yea |
| Jonathan Wingard | Republican | Yea |
| Julie Daniels | Republican | Yea |
| Julie McIntosh | Republican | Yea |
| Kelly Hines | Republican | Yea |
| Kendal Sacchieri | Republican | Yea |
| Kristen Thompson | Republican | Yea |
| Lisa Standridge | Republican | Yea |
| Lonnie Paxton | Republican | Not Voting |
| 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 | Not Voting |
| Tom Woods | Republican | Yea |
| Warren Hamilton | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 8 | 0 | 0 | 0 |
| Democrat | 3 | 0 | 0 | 0 |
| Unaffiliated | 0 | 0 | 0 | 1 |
| Total | 11 | 0 | 0 | 1 |
| % of votes cast | 92% | 0% | 0% | 8% |
How each member voted (12)
| Member | Party | Vote |
|---|---|---|
| AMD CA1 - ADOPTED | — | Not Voting |
| Carri Hicks | Democrat | Yea |
| Jo Anna Dossett | Democrat | Yea |
| Nikki Nice | Democrat | Yea |
| Adam Pugh | Republican | Yea |
| Bill Coleman | Republican | Yea |
| Brenda Stanley | Republican | Yea |
| John Haste | Republican | Yea |
| Julie Daniels | Republican | Yea |
| Julie McIntosh | Republican | Yea |
| Kristen Thompson | Republican | Yea |
| Lisa Standridge | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SB 202?
- SB 202 is sponsored by Julie Daniels (Republican) and Brian Hill (Republican).
- What is the current status of SB 202?
- This bill has passed the Senate. Introduced February 03, 2025. It now moves to the second chamber.
- Where can I track SB 202?
- Track SB 202 free on One Click Politics — get push/email alerts when it moves.
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