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 2270 By: Miller
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6 AS INTRODUCED
7 An Act relating to health insurance; defining terms;
requiring coverage of certain genetic testing and
8 cancer imaging; specifying terms of coverage;
providing exclusions; providing for codification; and
9 providing an effective date.
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12 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
13 SECTION 1. NEW LAW A new section of law to be codified
14 in the Oklahoma Statutes as Section 6060.5b of Title 36, unless
15 there is created a duplication in numbering, reads as follows:
16 A. For the purposes of this section:
17 1. "Clinical utility" means clinical utility as defined
18 pursuant to Section 6060.5a of Title 36 of the Oklahoma Statutes;
19 2. "Evidence-based cancer imaging" means appropriate
20 preventative screening and imaging supported by evidence;
21 3. "Genetic testing for an inherited mutation" means multigene
22 testing for an inherited mutation associated with an increased risk
23 of cancer;
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1 4. "Health benefit plan" means a health benefit plan as defined
2 pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and
3 5. "Health care provider" means any physician, hospital, or
4 other entity or person that is licensed or otherwise authorized in
5 this state to furnish health care services.
6 B. Any health benefit plan including the Oklahoma Employees
7 Insurance Plan that is offered, issued, or renewed in this state on
8 or after the effective date of this act shall provide coverage for:
9 1. Clinical genetic testing for an inherited gene mutation for
10 individuals with a personal or family history of cancer when such
11 test provides clinical utility and when ordered or recommended by a
12 health care provider in accordance with medical and scientific
13 evidence including, but not limited to:
14 a. the most recent version of the National Comprehensive
15 Cancer Network (NCCN) clinical practice
16 recommendations that are Category 2A or higher,
17 b. Centers for Medicare and Medicaid Services national
18 coverage determinations or Medicare administrative
19 contractor local coverage determinations, or
20 c. nationally recognized clinical practice guidelines;
21 and
22 2. Evidence-based cancer imaging for individuals with an
23 increased risk of cancer when such test provides clinical utility
24 and when ordered or recommended by a health care provider in
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1 accordance with the most recent version of the NCCN clinical
2 practice recommendations that are Category 2A or higher, or in
3 accordance with other nationally recognized clinical practice
4 guidelines.
5 C. Coverage under this section shall not be subject to any
6 annual deductibles, copayments, or coinsurance limits as established
7 for all covered benefits under the health benefit plan.
8 D. If application of this section would result in health
9 savings account ineligibility under Section 223 of the Internal
10 Revenue Code of 1986, as amended, the provisions of this section
11 shall only apply to health savings accounts with qualified high
12 deductible health plans with respect to the deductible of such a
13 plan after the enrollee has satisfied the minimum deductible.
14 Provided, however, the provisions of this section shall apply to
15 items or services that are preventive care pursuant to Section
16 223(c)(2)(C) of the Internal Revenue Code of 1986, as amended,
17 regardless of whether the minimum deductible has been satisfied.
18 SECTION 2. This act shall become effective November 1, 2025.
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20 60-1-10929 TJ 12/28/24
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Req. No. 10929 Page 3Every fact on this page links to its source, starting with the official bill record.