SB 2074 Oklahoma Senate · 2026 Regular Session

Pharmacy benefit managers; prohibiting PBM from refusing to accept documentation; requiring information to be included in appeal. Effective date.

SB 2074 requires pharmacy benefit managers (PBMs) to accept all documentation from pharmacies when challenging reimbursement amounts and include specific details in appeal requests. If an appeal is approved, PBMs must adjust payments within 14 days and provide claim-level details. The bill applies to all PBMs working with Oklahoma pharmacies and covers disputes over reimbursement rates for prescription drugs. It aims to streamline the appeals process and prevent delays in payments to pharmacies.
Bill status vetoed 4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
Senate Passage
Mar 2026
House Passage
Apr 2026
Vetoed
Apr 2026
Introduced Feb 2, 2026 Vetoed Apr 22, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

Floor (House) Floor (Senate) · 2 edits
MINOR
The bill was transitioned from the House version to the Senate version, which involved significant reformatting of the text and the addition of a new provision defining 'Pharmacy benefits management' to explicitly include managing a retail network of pharmacies. This change broadens the scope of the definition to clarify that entities managing their own pharmacy networks fall under the bill's regulatory framework.
Scope change
The bill's scope was expanded by adding a specific activity (managing a retail network) to the definition of 'Pharmacy benefits management', thereby potentially including more entities under the bill's rules.
DEFINITION

Added a new clause (c) to the definition of 'Pharmacy benefits management' to explicitly include 'manages its own retail network of pharmacies'.

TECHNICAL

Reformatted the entire document to reflect the Senate Floor Version, including updating headers, page numbers, and adjusting line breaks and indentation throughout the text.

Floor votes · Senate Mar 26, 2026 · House Apr 15, 2026

How they voted

353
Passed · 12 other
Total votes 50
Mar 26, 2026
D Democratic9
8 Yea 1 Nay
88% Yea
R Republican41
27 Yea 2 Nay 12
65% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
29
Key actions
6
Committee
6
Apr 22, 2026
Vetoed
Vetoed 04/22/2026
upper
Apr 15, 2026
Committee
Referred for enrollment
upper
Apr 15, 2026
Lower · Passed
Third Reading, Measure passed: Ayes: 87 Nays: 7
lower
Apr 14, 2026
Lower · Passed
CR; Do Pass Health and Human Services Oversight Committee
lower
Apr 8, 2026
Lower · Passed
Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
lower
Mar 31, 2026
Committee
Referred to Public Health
lower
Mar 30, 2026
Introduced
First Reading
lower
Mar 30, 2026
Upper · Passed
Engrossed to House
upper
Mar 26, 2026
Committee
Referred for engrossment
upper
Mar 26, 2026
Upper · Passed
Measure passed: Ayes: 34 Nays: 3
upper
Feb 26, 2026
Upper · Passed
Reported Do Pass Business and Insurance committee; CR filed
upper
Feb 2, 2026
Introduced
First Reading
upper
2 primary · 0 co-sponsors

Sponsors