Bill No. 2049 aims to enhance Medicaid parity by ensuring comprehensive coverage for mental health and substance use disorders in Oklahoma. The bill mandates that the Oklahoma Health Care Authority (OHCA) requires Medicaid managed care plans to comply with both federal and state laws regarding mental health and substance use disorder services. It stipulates that contracts with these plans must include regular compliance analyses for nonquantitative treatment limitations and necessitate that any changes to these limitations undergo a parity 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 OHCA is tasked with developing a standardized process for handling parity complaints and is required to publicly disclose various reports, including surveys, financial analyses, and audits related to parity compliance. The bill also mandates the public release of any parity analysis or reports 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.