APA WF 26-07 Nonpayment for Certain Gender Transition Procedures

These policy changes are currently in effect as emergency rules and are being proposed as permanent rules.

The proposed revisions implement Senate Bill 904, now codified at Section 1-800 of Title 63 of the Oklahoma Statutes. The revisions provide that OHCA does not reimburse for or provide coverage of gender transition procedures, as defined by Section 1-800 of Title 63, regardless of whether the procedure is provided to a minor or an adult.

The statutory definition excludes behavioral health services or mental health counseling; medications used to treat depression or anxiety; certain medications used to treat precocious or delayed puberty; certain services related to disorders of sex development; treatment of complications; and emergency treatment. The law became effective upon passage and approval pursuant to its emergency clause.

Please view the draft regulatory text here and submit feedback via the comment box.

Please view the rule impact statement here.

Proposed Policy Timeline

Circulation Date: 10/01/2026
Comment Due Date: 11/02/2026
Public Hearing: 11/02/2026
Board Meeting: 12/09/2026
Requested Effective Date: 09/01/2027