Health insurance; requiring coverage of certain genetic testing and cancer imaging; providing exclusions. Effective date.
SB 109 requires Oklahoma health insurance plans to cover genetic testing for inherited cancer risks and evidence-based cancer imaging for individuals with a personal or family history of cancer or increased cancer risk. This coverage must be provided without patient cost-sharing (such as deductibles or copays) when ordered by a healthcare provider following current medical guidelines, including those from the National Comprehensive Cancer Network. The law applies to all health benefit plans offered in Oklahoma starting November 1, 2025, ensuring these preventive services are accessible without financial barriers. It does not affect health savings account eligibility for non-preventive services but guarantees coverage for preventive care under federal guidelines.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
May 2025
House Passage
May 2025
Signed into Law
May 2025
Introduced Feb 3, 2025
Signed May 29, 2025
Maddy AI version diff · 5 comparisons
What changed between versions
Floor (House)
→
Floor (Senate)
·
3 edits
MINOR
The bill was amended to reflect its progression from the House to the Senate floor, resulting in significant formatting and structural changes. The most substantive addition is a new definition for 'Genetic testing for an inherited mutation,' clarifying that it applies to multi-gene tests associated with increased cancer risk. Additionally, the Senate version includes a specific provision ensuring coverage applies to preventive care items regardless of whether the patient has met their annual deductible.
Scope change
The bill's scope was slightly expanded by adding a specific definition for multi-gene genetic testing and clarifying that preventive care coverage is not subject to deductible requirements.
DEFINITION
Added a specific definition for 'Genetic testing for an inherited mutation' to clarify it covers multi-gene tests linked to increased cancer risk.
REQUIREMENT
Added a provision stating that coverage for preventive care items applies even if the enrollee has not yet satisfied the plan's minimum deductible.
TECHNICAL
Changed the document title and header from 'House of Representatives' to 'Senate Floor Version' and updated the list of co-sponsors to reflect Senate leadership.
Floor votes · Senate Mar 18, 2025 · House Apr 30, 2025
How they voted
36–8
Passed · 5 other
Total votes 49
Mar 18, 2025
D
Democratic9
100% Yea
R
Republican40
67% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
44
Key actions
11
Committee
7
Amendments
1
May 22, 2025
Committee
Referred for enrollment
upper
May 22, 2025
Lower · Passed
Fourth Reading, Measure passed: Ayes: 68 Nays: 20
lower
May 22, 2025
Lower · Passed
CCR adopted
lower
May 21, 2025
Upper · Passed
Measure passed, to House: Ayes: 35 Nays: 11
upper
May 21, 2025
Upper · Passed
CCR adopted
upper
May 1, 2025
Amended
HAs rejected, conference requested
upper
May 1, 2025
Lower · Passed
Engrossed, signed, to Senate
lower
Apr 30, 2025
Committee
Referred for engrossment
lower
Apr 30, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 63 Nays: 27
lower
Apr 16, 2025
Lower · Passed
CR; Do Pass, as amended, Appropriations and Budget Committee
lower
Apr 8, 2025
Lower · Passed
Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee
lower
Apr 2, 2025
Committee
Referred to Appropriations and Budget Health Subcommittee
lower
Mar 24, 2025
Introduced
First Reading
lower
Mar 24, 2025
Upper · Passed
Engrossed to House
upper
Mar 18, 2025
Committee
Referred for engrossment
upper
Mar 18, 2025
Upper · Passed
Measure passed: Ayes: 35 Nays: 8
upper
Feb 20, 2025
Upper · Passed
Reported Do Pass Business and Insurance committee; CR filed
upper
Feb 3, 2025
Introduced
First Reading
upper
2 primary · 0 co-sponsors
Sponsors
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