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Oklahoma Legislature· HB 1811Becomes law without Governor's signature 05/14/2025

An act relating to insurance, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1                   STATE OF OKLAHOMA

2            1st Session of the 60th Legislature (2025)

3 HOUSE BILL 1811               By: Newton

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7                   AS INTRODUCED

8   An Act relating to insurance; amending Section 10,

    Chapter 303, O.S.L. 2024 (36 O.S. Supp. 2024, Section

9   6570.9), which relates to treatment of chronic

    conditions and validity period for prior

10  authorization of inpatient and non-inpatient care;

    modifying timeframe; and providing an effective date.

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15 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:

16  SECTION 1.      AMENDATORY  Section 10, Chapter 303, O.S.L.

17 2024 (36 O.S. Supp. 2024, Section 6570.9), is amended to read as

18 follows:

19  Section 6570.9. A. If a prior authorization is required for a

20 health care service, other than for inpatient care, for the

21 treatment of a chronic condition of an enrollee, then the prior

22 authorization shall remain valid for at least six (6) months from

23 the date the health care provider receives the prior authorization

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    Req. No. 10619                                                  Page 1
1 approval, unless clinical criteria changes and notice of the change

2 in clinical criteria is provided as stipulated in this act.

3   B. If a prior authorization is required for inpatient acute

4 care for the treatment of a chronic condition of an enrollee, then

5 the prior authorization shall remain valid for at least fourteen

6 (14) calendar days from the date the health care provider receives

7 the prior authorization approval.

8   1. If an enrollee requires inpatient care beyond the length of

9 stay that was previously approved by the utilization review entity,

10 then the utilization review entity shall evaluate any prior

11 authorization requests for the continuation of inpatient care

12 according to the provisions of this act. A utilization review

13 entity shall not use any stricter criteria to determine medical

14 necessity and appropriateness of the continuation of inpatient care

15 as the utilization review entity used to evaluate the initial

16 request for authorization of inpatient care. A utilization review

17 entity shall review any relevant and pertinent literature or data

18 provided by the health care provider to determine the medical

19 necessity and appropriateness of the requested length of stay and/or

20 continuation of inpatient care. A prior authorization for the

21 continuation of inpatient care shall remain valid for a maximum of

22 fourteen (14) calendar days from the date the health care provider

23 receives the prior authorization approval.

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    Req. No. 10619                                                  Page 2
1   2. If a utilization review entity fails to respond to a health

2 care provider's timely prior authorization request for the

3 continuation of inpatient acute care before the termination of the

4 previously approved length of stay, then the health benefit plan

5 shall continue to compensate the health care provider at the

6 contracted rate for inpatient care provided until the utilization

7 review entity issues its determination on the prior authorization

8 request.

9   For the purposes of this section, a timely request for

10 continuation of inpatient care means a request that is submitted at

11 least seventy-two (72) twenty-four (24) hours prior to the

12 termination of the previously approved prior authorization and

13 includes all necessary information for the utilization review entity

14 to make a determination.

15  3. If a utilization review entity issues an adverse

16 determination to a health care provider's prior authorization

17 request for continuation of inpatient acute care and the health care

18 provider appeals the adverse determination according to the

19 provisions of this act, then the health benefit plan shall continue

20 to compensate the health care provider at the contracted rate for

21 inpatient care provided until the appeal has been finalized.

22  C. This section does not require a health benefit plan to cover

23 care, treatment, or services for a health condition that the terms

24 of coverage otherwise completely exclude from the policy's covered

    Req. No. 10619                                                 Page 3
1 benefits without regard for whether the care, treatment, or services

2 are medically necessary.

3   SECTION 2. This act shall become effective November 1, 2025.

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5   60-1-10619      MJ      12/16/24

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