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Oklahoma Legislature· HB 3259Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance

An act relating to health 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   2nd Session of the 60th Legislature (2026)

3 HOUSE BILL 3259            By: Lepak

4

5

6                            AS INTRODUCED

7   An Act relating to health insurance; providing

    definitions; prohibiting all-or-nothing, anti-

8   steering, gag, or most favored nation clauses in

    contracts between providers and general contracting

9   entities; prohibiting provider network contracts that

    include all-or-nothing, gag, or most favored nation

10  clauses; prohibiting providers from amending or

    renewing contracts with all-or-nothing, anti-

11  steering, gag, or most favored nation clauses;

    clarifying that all provider network contract all-or-

12  nothing, anti-steering, gag, or most favored nation

    clauses are void and unenforceable; directing that

13  general contracting entities should only encourage

    obtaining care services from particular providers if

14  the enrollee is the primary beneficiary; providing

    for codification; and providing an effective date.

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16

17

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

19  SECTION 1.      NEW LAW  A new section of law to be codified

20 in the Oklahoma Statutes as Section 6070 of Title 36, unless there

21 is created a duplication in numbering, reads as follows:

22  A. As used in this act:

23  1. "All-or-nothing clause" means a provision in a provider

24 network contract that requires a general contracting entity to:

    Req. No. 14014                                                  Page 1
1   a. include all members of a provider in a network plan,

2   or

3   b. enter into or maintain an additional contract with an

4   affiliate of a provider as a condition of entering

5   into a contract.

6   2. "Anti-steering clause" means a provision in a provider

7 network contract that restricts the ability of a general contracting

8 entity to encourage an enrollee to obtain a health care service from

9 a competitor of the provider, including offering incentives to

10 encourage enrollees to use specific providers;

11  3. "Gag clause" means a provision in a provider network

12 contract that restricts the ability of a general contracting entity

13 or provider to disclose:

14  a. price or quality information, including the allowed

15  amount, negotiated rates or discounts, fees for

16  services, or other claim-related financial obligations

17  included in the contract, to a governmental entity as

18  authorized by law or its contractors or agents, an

19  enrollee, a treating provider of an enrollee, a plan

20  sponsor, or potential eligible enrollees and plan

21  sponsors, or

22  b. out-of-pocket costs to an enrollee;

23  4. "General contracting entity" means a person who enters into

24 a direct contract with a provider for the delivery of health care

    Req. No. 14014                                                Page 2
1 services to covered individuals regardless of whether the person, in

2 the ordinary course of business, establishes a provider network for

3 access by another party; and

4   5. "Most favored nation clause" means a provision in a provider

5 network contract that:

6   a. prohibits or grants an option to prohibit:

7   (1) a provider from contracting with another general

8                   contracting entity to provide health care

9                   services at a lower rate, or

10  (2) a general contracting entity from contracting

11                  with another provider to provide health care

12                  services at a higher rate,

13  b. requires or grants an option to require:

14  (1) a provider to accept a lower rate for health care

15                  services if the provider agrees with another

16                  general contracting entity to accept a lower rate

17                  for the services, or

18  (2) a general contracting entity to pay a higher rate

19                  for health care services if the entity agrees

20                  with another provider to pay a higher rate for

21                  the services,

22  c. requires or grants an option to require termination or

23  renegotiation of an existing provider network contract

24  if:

    Req. No. 14014                                                Page 3
1   (1) a provider agrees with another general

2                   contracting entity to accept a lower rate for

3                   providing health care services, or

4   (2) a general contracting entity agrees with a

5                   provider to pay a higher rate for health care

6                   services, or

7   d. requires:

8   (1) a provider to disclose the provider's contractual

9                   reimbursement rates with other general

10                  contracting entities, or

11  (2) a general contracting entity to disclose the

12                  general contracting entity's contractual

13                  reimbursement rates with other providers.

14  B. A provider may not:

15  1. Offer to a general contracting entity a provider network

16 contract that includes an all-or-nothing, anti-steering, gag, or

17 most favored nation clause;

18  2. Enter into a provider network contract that includes an all-

19 or-nothing, gag, or most favored nation clause; or

20  3. Amend or renew an existing provider network contract

21 previously entered into with a general contracting entity so that

22 the contract as amended or renewed adds or retains an all-or-

23 nothing, anti-steering, gag, or most favored nation clause.

24

    Req. No. 14014                                                Page 4
1   C. Any provision in a provider network contract that is an all-

2 or-nothing, anti-steering, gag, or most favored nation clause is

3 void and unenforceable. The remaining provisions in the provider

4 network contract remain in effect and are enforceable.

5   D. A general contracting entity that encourages an enrollee to

6 obtain a health care service from a particular provider, including

7 offering incentives to encourage enrollees to use specific

8 providers, has a fiduciary duty to the enrollee to engage in that

9 conduct only for the primary benefit of the enrollee.

10  SECTION 2. This act shall become effective November 1, 2026.

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12  60-2-14014      MJ  11/19/25

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    Req. No. 14014                                            Page 5
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