Roe Bill Strengthening Support After Pregnancy Loss Heads to Governor

Apr 29, 2026
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OKLAHOMA CITY – Senate Bill 1436, a measure aimed at improving communication and access to information for families experiencing pregnancy loss, passed the Oklahoma House of Representatives and now heads to the Governor’s desk.

House author Rep. Cynthia Roe, R-Lindsay, says the bill would provide that when a fetal death occurs in a hospital, or when a woman presents to a hospital for treatment of a miscarriage, the hospital must, prior to discharge, provide the woman or a designee with a standardized form explaining how to request a fetal death certificate or a certificate of birth resulting in stillbirth.

"Families facing pregnancy loss are walking through one of the most difficult moments of their lives, and they deserve clear, compassionate communication from the moment they receive care," Roe said. "This bill helps ensure they are informed about their options and supported as they navigate an incredibly personal experience."

The bill would also require hospital staff to verbally inform patients and families of their ability to request these documents.

The legislation directs the Oklahoma State Department of Health to develop and publish the form on its website, including clear instructions and contact information for the Division of Vital Records.

Roe said the measure creates consistency across hospitals and ensures no family leaves without knowing what resources are available to them.

"This is about making sure every family is treated with dignity and given the information they need during a time of grief," Roe said. "By standardizing this process, we are helping provide clarity and support when it matters most."

According to the March of Dimes 2025 Report Card, Oklahoma’s infant mortality rate is 7.1 deaths per 1,000 live births, and in 2023, 341 infants died before reaching their first birthday.

SB1436 passed the House with an 89-0 vote and now heads to the Governor's desk for final approval.