House Bill No. 2049 aims to enhance Medicaid parity by ensuring comprehensive coverage for mental health and substance use disorders. The bill mandates that the Oklahoma Health Care Authority oversee compliance with federal and state laws regarding these services within Medicaid managed care plans. It requires contracts with these plans to include regular parity compliance analyses and to conduct reviews whenever changes are made to nonquantitative treatment limitations, such as prior authorization requirements. Additionally, the bill establishes a standardized process for reviewing and addressing noncompliance, as well as for handling complaints related to parity.

Furthermore, the Oklahoma Health Care Authority is tasked with making various reports public, including surveys, financial analyses, and audits related to managed care contracts and parity compliance. This transparency aims to ensure accountability and improve access to mental health and substance use disorder services for Medicaid beneficiaries. The bill is set to take effect on November 1, 2025.