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Enacted

Oklahoma enacts the Uniform Health Care Decisions Act of 2026 to update rules for medical directives, agents, and default surrogates

Original title: Advance health care directives; creating the Uniform Health Care Decisions Act of 2026; establishing requirements for certain health care directives; effective date.

Last action · May 12, 2026: Approved by Governor 05/11/2026

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

Oklahoma establishes the Uniform Health Care Decisions Act of 2026, setting new rules for creating s, appointing health care agents, determining patient , and authorizing s starting July 1, 2027.

Why it matters

Residents gain standardized rules for who makes medical decisions on their behalf if they lose , including specific procedures for advance mental health directives and default family surrogates.

Background
  • Advance health care directives allow individuals to state their preferences for medical treatment and designate agents to make health care decisions if they become incapacitated. context
  • The Uniform Law Commission periodically drafts model legislation, such as the Uniform Health Care Decisions Act, to promote consistency across state laws. context

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Patients

Patients gain standardized procedures to create advance directives, designate health care agents, and outline specific treatment, nutrition, and mental health preferences.

Directly affected

Health Care Professionals

Health care professionals must follow statutory protocols for documenting capacity findings, honoring surrogate decisions, and managing conscience-based refusals.

Directly affected

Default Surrogates

Family members and other eligible individuals acting as default surrogates must meet statutory eligibility criteria and fiduciary duties when making medical decisions for incapacitated patients.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is an advance health care directive under the new law?
It is a power of attorney for health care, a health care instruction, or both, and includes advance mental health care directives.
Who can act as a default surrogate if a patient lacks capacity and has no appointed agent?
An eligible family member or designated individual from a prioritized statutory list, starting with individuals identified by the patient, followed by spouses, adult children, parents, cohabitants, and other specified categories.
When does the Uniform Health Care Decisions Act of 2026 take effect?
The act becomes effective on July 1, 2027.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Current status: Signed into law.

Procedural history

28 actions
  1. May 12, 2026HouseEnrolled
    Approved by Governor 05/11/2026
  2. May 6, 2026House
    Sent to Governor
  3. May 6, 2026Senate
    Enrolled measure signed, returned to House
  4. May 6, 2026House
    Enrolled, signed, to Senate
  5. May 6, 2026HouseCommittee
    Referred for enrollment
  6. May 6, 2026HouseFloor
    Fourth Reading, Measure passed: Ayes: 77 Nays: 3
Show 22 earlier actions
  1. May 6, 2026HouseFloor
    SA's read, adopted
  2. May 5, 2026House
    SA's received
  3. May 5, 2026Senate
    Engrossed to House
  4. May 5, 2026SenateCommittee
    Referred for engrossment
  5. May 5, 2026SenateFloor
    Measure passed: Ayes: 47 Nays: 0
  6. May 5, 2026Senate
    General Order, Amended
  7. Apr 13, 2026Senate
    Placed on General Order
  8. Apr 8, 2026SenateFloor
    Reported Do Pass, amended by committee substitute Health and Human Services committee; CR filed
  9. Apr 1, 2025SenateCommittee
    Second Reading referred to Health and Human Services
  10. Mar 27, 2025SenateIntroduced
    First Reading
  11. Mar 27, 2025House
    Engrossed, signed, to Senate
  12. Mar 26, 2025HouseCommittee
    Referred for engrossment
  13. Mar 26, 2025HouseFloor
    Third Reading, Measure passed: Ayes: 87 Nays: 6
  14. Mar 26, 2025House
    Amended by floor substitute
  15. Mar 26, 2025House
    General Order
  16. Feb 27, 2025House
    Authored by Senator Rosino (principal Senate author)
  17. Feb 27, 2025HouseFloor
    CR; Do Pass Judiciary and Public Safety Oversight Committee
  18. Feb 6, 2025HouseFloor
    Policy recommendation to the Judiciary and Public Safety Oversight committee; Do Pass Civil Judiciary
  19. Feb 4, 2025HouseCommittee
    Referred to Civil Judiciary
  20. Feb 4, 2025HouseCommittee
    Second Reading referred to Judiciary and Public Safety Oversight
  21. Feb 3, 2025House
    Authored by Representative Roe
  22. Feb 3, 2025HouseIntroduced
    First Reading

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift99% confidence

Comprehensive Overhaul of Medical Directives

The act entirely replaces both the Oklahoma Advance Directive Act and the Oklahoma Health Care Agent Act with a unified statute based on the Uniform Law Commission recommendations.

Connected Entities

Department of Human Services, State Department of Health, State Board of Osteopathic Examiners and 4 more
OrganizationDepartment of Human Services“Maintains investigative findings regarding abuse or exploitation”Map →
OrganizationState Department of Health“Maintains investigative findings regarding abuse or exploitation”Map →
OrganizationState Board of Osteopathic Examiners“Authorizes physicians under state law”Map →
PersonRosino“Senate sponsor of HB 1687”Map →
OrganizationUniform Law Commission“Proposed the uniform act on which the legislation is based”Map →
PersonRoe“House sponsor of HB 1687”Map →
OrganizationState Board of Medical Licensure and Supervision“Authorizes physicians under state law”Map →

Sources

Open source document

www.oklegislature.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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