Policy Change Process


The Oklahoma Health Care Authority (OHCA) follows very specific procedures. OHCA is transparent in our process and invites public input to ensure informed decision making. The flowchart below outlines the paths that a proposed policy change may take from beginning to end, including opportunities for providing feedback. It provides only a summary of the process and should not be relied on as a legal document. 

We invite you to review proposed policy changes on our blog and offer your input. Any approved comments on a proposed policy change will be available for public view on the policy blog.

Note: Emergency rules do not require a notice of rulemaking intent (NRI) or a public hearing. Emergency rules bypass the Legislature and are reviewed directly by the Governor, who has 45 days to approve or disapprove the rule. Should an emergency rule not be approved by the Governor within the 45-day window, it is deemed disapproved. To be deemed an emergency rule, certain provisions must be met (see Oklahoma Statues Section 75).



 Policy Flowchart-01