Healthcare (Insurance)

signed · Oklahoma · Senate May 29, 2025

SB 109: 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.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for genetic testing and cancer imaging without cost-sharing, expanding patient access to preventive care per medical guidelines.95% confidence

Sub-Topics Insurance Primary Care

in committee · Oklahoma · House Feb 4, 2025

HB 1334: Public retirement systems; insurance benefits; monthly premium amount; effective date.

HB 1334 modifies how Oklahoma public retirement systems pay for health insurance premiums for retired non-education employees. It sets a new monthly contribution limit of $105 or $210 (depending on the retirement system) toward health insurance premiums, whichever is less than the actual premium cost. This applies to retirees from the Oklahoma Public Employees Retirement System, Law Enforcement Retirement System, and Uniform Retirement System for Justices and Judges who are receiving benefits. The change affects retirees who continue health coverage after retirement, requiring them to cover any premium costs exceeding the system's contribution. The bill replaces previous payment structures and takes effect on the bill's effective date.

Topics ✗ HealthcareOpposes HealthcareBill caps retirement systems' health insurance premium contributions ($105/$210 max), restricting coverage for retirees by requiring them to cover costs exceeding this limit.92% confidence

Sub-Topics Insurance

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signed · Oklahoma · House May 29, 2025

HB 1808: Health insurance; creating the Ensuring Transparency in Prescription Drugs Prior Authorization Act; determination; consultation; prior authorization; effective date.

HB 1808, now law in Oklahoma, reforms health insurance prior authorization and step-therapy rules to improve patient access to medications. It requires insurers to grant exceptions to step-therapy protocols (where patients must try cheaper drugs first) if a medication is contraindicated, ineffective based on medical history, or causes harm - covering specific scenarios like prior adverse reactions or stability on a current treatment. The bill mandates insurers respond to urgent prior authorization requests within 24 hours and non-urgent requests within 2 business days, with requests deemed approved if deadlines are missed. It also ensures continuity of coverage for stable treatments when switching plans (90-day protection) and requires insurers to cover at least one readily available asthma controller medication per class without prior authorization.

Topics ✓ HealthcareSupports HealthcareMandates insurers to grant exceptions for patient access to medications, improving access as stated in summary.90% confidence

Sub-Topics Insurance Prescription Drugs

signed · Oklahoma · Senate May 29, 2025

SB 176: Health benefit plans; requiring coverage for certain prescription. Effective date.

SB 176 requires health insurance plans to cover certain prescription drugs that were previously not included in standard coverage. It directly affects health insurance providers and policyholders by mandating this specific coverage for eligible medications. The key provision is a new requirement for all health benefit plans to include these designated prescriptions without prior authorization or excessive cost-sharing. The law became effective on May 29, 2025, after the Governor did not sign it.

Topics ✓ HealthcareSupports HealthcareMandates coverage for previously excluded prescription drugs, expanding insurance coverage and improving patient access without prior authorization or excessive cost-sharing.95% confidence

Sub-Topics Insurance Prescription Drugs

in committee · Oklahoma · Senate Mar 10, 2026

SB 1047: Health insurance; requiring reimbursement for certain health care services. Effective date.

The provided context does not include the bill text or specific provisions of SB 1047. Without details on which health care services require reimbursement, the reimbursement mechanisms, or the affected entities (e.g., insurers, providers, patients), a factual summary cannot be created. The bill's title mentions "reimbursement for certain health care services" but lacks concrete policy details in the available information. For an accurate summary, the full bill text or a detailed legislative summary would be required.

Topics ✓ HealthcareSupports HealthcareBill requires reimbursement for certain health care services, implying expanded coverage and improved access. Title indicates support for healthcare access without specific details to confirm.70% confidence

Sub-Topics Insurance

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in committee · Oklahoma · Senate Feb 4, 2025

SB 771: Advertising; prohibiting certain direct-to-consumer advertising by pharmaceutical companies; creating felony offense. Effective date. Emergency.

SB 771 prohibits Oklahoma pharmaceutical companies from advertising prescription drugs directly to consumers through any medium (TV, digital, print, social media, etc.). Violating this ban would be a felony punishable by up to $500,000 in fines or five years in prison per offense. The bill includes exceptions for doctor-patient educational materials, public health campaigns, clinical trial promotions, and insurance coverage information - provided they don’t promote specific drugs. It takes effect July 1, 2025, and aims to align Oklahoma with global norms that restrict such advertising.

Topics ✗ HealthcareOpposes HealthcareRestricts pharmaceutical direct-to-consumer advertising, a healthcare industry practice, aligning with 'oppose' as it limits marketing influencing healthcare decisions.90% confidence

Sub-Topics Insurance Public Health

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passed both · Oklahoma · House May 22, 2025

HB 1683: Vision insurance; noncovered services or materials; prohibitions; effective date; emergency.

HB 1683 requires most health benefit plans in Oklahoma to cover contraceptive drugs (like pills, patches, or rings) without prior authorization. Specifically, plans must cover a three-month supply when a member first gets the drug, and a six-month supply for each subsequent refill - limiting members to one six-month supply per six-month period. The law excludes coverage for drugs intended to terminate existing pregnancies and allows smaller prescriptions if medically necessary. It applies to all plans offered, issued, or renewed on or after November 1, 2025, and does not affect vision insurance coverage (the title appears to contain an error).

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for contraceptives without prior authorization, expanding access to reproductive healthcare services under health benefit plans.95% confidence

Sub-Topics Insurance

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vetoed · Oklahoma · House May 29, 2025

HB 1389: Mammography screening; coverage for low-dose mammography screening; examinations; definition; effective date.

This bill requires Oklahoma health insurance plans to cover low-dose mammography screenings for breast cancer without cost-sharing (such as deductibles or copays). It mandates coverage once every five years for women aged 35-39 and annually for women 40 and older. The law also requires coverage for necessary diagnostic and supplemental breast exams, including those for high-risk cases like dense breast tissue. The policy takes effect November 1, 2025.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for mammograms without cost-sharing, expanding access to preventive breast cancer screening for specific age groups and high-risk cases.95% confidence

Sub-Topics Insurance

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in committee · Oklahoma · Senate Feb 10, 2025

SB 736: Income tax; creating the Health Care Sharing Ministry Tax Parity Act; stating certain deduction and procedures; requiring Oklahoma Tax Commission to create forms and guidelines. Effective date.

SB 736 creates the "Health Care Sharing Ministry Tax Parity Act," allowing Oklahoma residents who are active members of qualifying health care sharing ministries (HCSMs) to deduct their contributions from their state income tax starting in 2026. It directly affects Oklahoma residents who have been active HCSM members for at least one month during the tax year, treating their contributions like health insurance premiums for tax purposes. The bill requires the Oklahoma Tax Commission to develop forms for claiming the deduction, prohibits taxing reimbursements from HCSMs, and mandates annual reporting on the program's impact.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax deduction for HCSM contributions, reducing taxable income for qualifying residents - provides tax relief per SUPPORT indicators.90% confidence ✓ HealthcareSupports HealthcareAllows tax deductions for health care sharing ministry contributions, treating them like insurance premiums to expand coverage options for residents.95% confidence

Sub-Topics Income Tax Insurance

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in committee · Oklahoma · House Feb 4, 2025

HB 2270: Health insurance; terms; coverage of certain genetic testing and cancer imaging; terms of coverage; exclusions; effective date.

HB 2270 requires Oklahoma health insurance plans (including the Oklahoma Employees Insurance Plan) to cover two specific services without deductibles or copays: 1) Genetic testing for inherited cancer mutations when ordered by a provider following evidence-based guidelines (like NCCN Category 2A+ recommendations), for individuals with personal or family cancer history; 2) Evidence-based cancer imaging for high-risk individuals, also based on current medical guidelines. This applies to all plans renewed or issued on or after November 1, 2025, directly affecting patients seeking these preventive cancer services and insurers offering coverage in Oklahoma.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for genetic testing and cancer imaging without cost-sharing, expanding patient access to preventive care as per evidence-based guidelines.95% confidence

Sub-Topics Insurance

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