OK HB3489

Creates the Oklahoma Health Crisis Communication and Patient Rights Act, requiring mental health facilities to request patients identify approved contacts at intake and document authorization or refusal for family communication

Establishes a statewide temporary decision support process allowing family members or legal representatives to participate in treatment decisions when patients temporarily lack decision-making capacity, with support terminating immediately when capacity is regained

Prohibits mental health facilities from requesting patients sign medical, legal, or financial documents when experiencing impairment affecting decision-making capacity, and requires documented capacity assessments before obtaining informed consent for major treatment decisions

Requires facilities to notify approved contacts and provide clinical justification before transferring patients, with failures subject to administrative review by the Oklahoma Department of Mental Health and Substance Abuse Services

Directs the Department to promulgate rules, provide training, establish a reporting system for violations, and submit annual compliance reports to the Legislature; effective November 1, 2026