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 requires Medicaid managed care plans to comply with both federal and state regulations regarding these services. It stipulates that contracts with these plans must include provisions for regular compliance analyses of nonquantitative treatment limitations, ensuring that any changes to these limitations are also subject to thorough analysis. Additionally, the bill calls for the review and compilation of compliance analyses from all managed care and Children's Health Insurance Programs (CHIP) to address any noncompliance issues.

Furthermore, the bill establishes a standardized process for the Oklahoma Health Care Authority to receive and resolve parity complaints, ensuring transparency by requiring the publication of various reports, including financial analyses and audits related to managed care contracts. The Authority is also tasked with making public any parity analyses submitted to the Centers for Medicare and Medicaid Services within thirty days of submission. This legislation is set to take effect on November 1, 2025.