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
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2 1st Session of the 60th Legislature (2025)
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3 SENATE BILL 1096 By: Frix
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7 AS INTRODUCED
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8 An Act relating to health benefit plan legislation;
8 defining terms; requiring assignment of certain
9 legislation to certain committees; requiring analysis
9 of certain legislation by the Insurance Department
10 following certain majority vote; prohibiting
10 advancement of certain legislation; directing
11 furnishing of report; specifying report contents;
11 allowing Department to contract with certain third
12 parties for report production; providing for
12 exceptions to act; limiting amount of reports to be
13 conducted; requiring transmission and publication of
13 report; providing for codification; and providing an
14 effective date.
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18 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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19 SECTION 1. NEW LAW A new section of law to be codified
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20 in the Oklahoma Statutes as Section 6013 of Title 36, unless there
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21 is created a duplication in numbering, reads as follows:
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22 A. For the purposes of this act:
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23 1. "Bureau" means the Legislative Service Bureau;
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24 2. "Department" means the Insurance Department;
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1 3. "Health benefit plan" means a health benefit plan as defined
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2 pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes;
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3 4. "Legislative actuary" means the person who, or firm or
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4 entity that, enters into a contract with the Legislative Service
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5 Bureau pursuant to Section 452.15 of Title 74 of the Oklahoma
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6 Statutes to provide the actuarial services and other duties provided
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7 for in this act; and
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8 5. "Mandate" means any bill or joint resolution introduced or
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9 amended by a member or a committee of the Legislature that:
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10 a. provides, offers, or expands coverage for specific
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11 health care services or providers, treatments, medical
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12 supplies, or populations, or
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13 b. implements operational or administrative processes
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14 such as prior authorization, reporting requirements,
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15 or claims procedures.
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16 B. When a bill providing for a mandate impacting any health
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17 benefit plan in this state is introduced, it shall be assigned to
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18 the respective Senate or House of Representatives standing committee
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19 or subcommittee that is primarily responsible for the consideration
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20 of insurance legislation.
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21 C. If a majority of the committee votes in favor of an impact
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22 analysis of the bill, an analysis shall be required as provided in
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23 this act. If a majority of the total membership of such committee
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1 is opposed to the bill or should such bill not receive a hearing in
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2 such committee, no impact analysis shall be necessary.
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3 D. Except as otherwise provided by subsections B and D of
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4 Section 2 of this act, no bill providing for a mandate impacting any
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5 health benefit plan in this state may be reported out of the
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6 committee to which it is assigned or may be considered or adopted by
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7 the House of Representatives or the Senate unless an impact analysis
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8 of the bill is requested in accordance with Section 2 of this act.
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9 SECTION 2. NEW LAW A new section of law to be codified
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10 in the Oklahoma Statutes as Section 6014 of Title 36, unless there
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11 is created a duplication in numbering, reads as follows:
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12 A. When a committee of the Legislature votes to submit a bill
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13 providing for a mandate impacting any health benefit plan in this
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14 state for an impact analysis as provided for in Section 1 of this
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15 act, the Legislative Service Bureau shall submit the bill to the
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16 Insurance Department for the purposes of conducting an impact
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17 analysis.
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18 B. 1. When conducting such impact analysis, the Department
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19 shall analyze the proposed mandate and prepare a written report to
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20 be returned to the Legislative Service Bureau within sixty (60) days
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21 from referral.
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22 2. Such report shall include, but not be limited to:
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23 a. social impact, including:
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1 (1) the extent to which the mandate addresses a
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2 significant public health issue,
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3 (2) the number of individuals and demographics
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4 affected by the proposed mandate, and
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5 (3) any anticipated impact on access to health care
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6 services,
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7 b. medical efficacy, including:
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8 (1) a review of peer-reviewed studies, clinical
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9 guidelines, and other scientific evidence
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10 evaluating the effectiveness of the treatment or
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11 service, and
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12 (2) input from medical experts and professional
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13 organizations as appropriate, and
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14 c. financial impact, including:
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15 (1) the estimated effect on insurance premiums for
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16 consumers and employers,
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17 (2) the potential cost implications for insurers,
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18 health care providers, and state-funded programs
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19 that provide payment for covered services, and
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20 (3) any anticipated impact on the stability of the
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21 state's insurance market.
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22 3. The Department may contract with a third-party vendor who
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23 specializes in actuarial services, insurance mandate reviews, or
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1 other services as deemed necessary by the Department to implement
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2 the provisions of this act.
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3 4. The Department may seek the input and expertise of any
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4 agency of this state to evaluate the potential impact to state-
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5 funded programs that provide payment for covered services.
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6 C. Any amendment, conference committee report, or other
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7 legislative proposal to a bill providing for a mandate impacting
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8 health benefit plans in this state, which has not been submitted by
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9 the Bureau for analysis following a majority vote of the committee
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10 to which the bill is assigned, may, following written request of the
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11 chair of the committee to which the bill is assigned or the Majority
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12 Floor Leader of the respective chamber of the Legislature, be
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13 submitted by the Bureau to the Department for review.
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14 D. The Bureau shall not submit more than five (5) referrals for
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15 analysis to the Department per fiscal year. Any additional referral
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16 for analysis must be approved by the Department in writing at the
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17 discretion of the Insurance Commissioner before submission by the
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18 Bureau.
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19 E. Upon return of the analysis by the Department, the Bureau
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20 shall provide a copy by electronic means to the author of the
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21 legislative measure, and to the chair of the legislative
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22 committee(s) to which the measure is assigned. The applicable
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23 legislative staff shall make such report available on the
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24 legislative website.
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1 SECTION 3. This act shall become effective November 1, 2025.
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Req. No. 856 Page 6Every fact on this page links to its source, starting with the official bill record.