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 2056 By: Stinson
4
5
6 AS INTRODUCED
7 An Act relating to dental insurance claims; amending
36 O.S. 2021, Section 7301, which relates to dental
8 plans; modifying definition; and providing an
effective date.
9
10
11 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
12 SECTION 1. AMENDATORY 36 O.S. 2021, Section 7301, is
13 amended to read as follows:
14 Section 7301. A. No contract between a dental plan of a health
15 benefit plan and a dentist for the provision of services to patients
16 may require that a dentist provide services to its subscribers at a
17 fee set by the health benefit plan unless the services are covered
18 services under the applicable subscriber agreement.
19 B. As used in this section:
20 1. "Covered services" means services reimbursable reimbursed
21 under the applicable subscriber agreement, subject notwithstanding,
22 and without regard to the contractual limitations on subscriber
23 benefits as may apply, including, for example, deductibles, waiting
24 period or frequency limitations;
Req. No. 11719 Page 1
1 2. "Dental plan" means and shall include any policy of
2 insurance which is issued by a health benefit plan which provides
3 for coverage of dental services not in connection with a medical
4 plan; and
5 3. "Health benefit plan" means any plan or arrangement as
6 defined in subsection C of Section 6060.4 of this title or any
7 dental service corporation authorized pursuant to Section 2671 of
8 this title.
9 C. A health benefit plan or dental plan shall establish and
10 maintain appeal procedures for any claim by a dentist or a
11 subscriber that is denied based on lack of medical necessity. Any
12 such denial shall be based upon a determination by a dentist who
13 holds a nonrestricted license in the United States. Any written
14 communication to a dentist that includes or pertains to a denial of
15 benefits for all or part of a claim on the basis of a lack of
16 medical necessity shall include the identifier and license number
17 together with state of issuance, and a contact telephone number of
18 the licensed dentist making the adverse determination. The dentist
19 who reviewed the claim shall only be contacted at the telephone
20 number provided in the written communication about the denial during
21 business hours.
22 SECTION 2. This act shall become effective November 1, 2025.
23
24 60-1-11719 TJ 01/12/25was
Req. No. 11719 Page 2Every fact on this page links to its source, starting with the official bill record.