OK HB4092

Designates the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) to oversee the 988 Mental Health Lifeline program, providing 24/7 crisis intervention and suicide prevention services statewide

Creates the 988 Trust Fund to finance the crisis system, funded through legislative appropriations, federal grants, gifts, and fund earnings, with money continuously appropriated and non-reverting across fiscal years

Establishes a behavioral health crisis system including 988 crisis call/text centers, mobile crisis teams with multidisciplinary behavioral health professionals, crisis stabilization facilities, and co-response partnerships with law enforcement

Requires maximizing federal funding through Medicaid reimbursement, CHIP, and federal grants, while directing the Oklahoma Insurance Department and Health Care Authority to verify insurer reimbursement for crisis services consistent with federal mental health parity requirements

Effective date: November 1, 2026