House Bill No. 2049 aims to enhance Medicaid parity by ensuring that mental health and substance use disorder services are adequately covered under Medicaid managed care plans in Oklahoma. The bill mandates that the Oklahoma Health Care Authority (OHCA) requires compliance from insurers and managed care plans with both federal and state laws regarding these services. It stipulates that contracts with these plans must include regular parity compliance analyses and necessitate that any changes to nonquantitative treatment limitations, such as prior authorization requirements, 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.