What changed and why
The patient-side rules didn't move: still no fixed condition list (physician discretion governs), still $100 for two years ($20 with Medicaid/Medicare/SoonerCare), still telehealth-friendly, still generous possession and home-grow allowances. What changed is the physician side — unregistered doctors' recommendations stopped being accepted, closing the signature-mill pattern that drew regulatory fire for years.
For patients the practical check is simple: confirm your recommending physician is OMMA-registered before paying for an evaluation. Established telehealth services did the registration; the corner-cutting operations didn't, which was rather the point.
Renewals and the bigger Oklahoma picture
Renewal recommendations follow the same rule — if your previous doctor didn't register, you need one who did. Two-year cards mean many patients hit this at their first post-2026 renewal; plan a week of lead time rather than discovering it at expiration.
Context: Oklahoma's program remains among the country's most accessible (discretion-based, cheap with public insurance, telehealth throughout). SB 1066 trims the abuse pattern without touching patient eligibility — regulation aimed at supply-side hygiene, not access reduction.
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