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 2nd Session of the 60th Legislature (2026)
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3 SENATE BILL 1343 By: Stanley
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6 AS INTRODUCED
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7 An Act relating to optometric services; creating the
7 Vision Plan Contractual Requirements Act; providing
8 short title; defining terms; prohibiting certain
8 contracts from requiring certain services; requiring
9 certain written approval; prohibiting use of certain
9 agreement to constitute certain approval; prohibiting
10 certain changes without certain written consent;
10 requiring certain payment to be based on actual
11 overpayment or underpayment; requiring certain notice
11 of ownership to certain subscriber; providing for
12 codification; and providing an effective date.
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15 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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16 SECTION 1. NEW LAW A new section of law to be codified
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17 in the Oklahoma Statutes as Section 2668 of Title 36, unless there
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18 is created a duplication in numbering, reads as follows:
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19 A. This act shall be known and may be cited as the "Vision Plan
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20 Contractual Requirements Act".
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21 B. As used in this act:
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22 1. "Health maintenance organization" means an organization
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23 licensed in this state by the Insurance Commissioner pursuant to
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24 Section 6902 of Title 36 of the Oklahoma Statutes;
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1 2. "Insurer" means an insurance company licensed in this state
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2 by the Commissioner;
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3 3. "Nonprofit optometric service and indemnity corporations"
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4 means corporations organized pursuant to Sections 2601 through 2667
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5 of Title 36 of the Oklahoma Statutes;
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6 4. "Subscriber" means an individual who is enrolled in an
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7 individual or group vision plan as a principal subscriber and
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8 dependents who are entitled to vision services and material under
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9 the vision service plan solely because of their status as dependents
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10 of the principal subscriber;
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11 5. "Subscribership coverage" means any certificate or contract
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12 issued to a subscriber specifying the vision coverage to which the
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13 subscriber is entitled;
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14 6. "Vision plan organization" means any affiliate, subsidiary,
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15 agent, contractor, subcontractor, or other designee of a person or
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16 entity including, but not limited to, an insurer, health maintenance
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17 organization, or nonprofit optometric service and indemnity
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18 corporation that markets, sells, offers, issues, underwrites,
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19 administers, manages, conducts, operates, establishes fee schedules
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20 or reimbursement rates, adjudicates, pays claims for, or provides
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21 utilization management or prior authorization for, or exercises
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22 control over, one or more prepaid, discount, or reimbursement vision
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23 service plans;
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1 7. "Vision service plan" means a contractual arrangement where
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2 any vision plan organization pays for, reimburses, or discounts the
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3 cost of vision services whether offered on a stand-alone basis or as
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4 a part of, or as a rider to, any other health, welfare, or insurance
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5 coverage and regardless of the form of consideration including, but
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6 not limited, to premiums, subscription fees, administrative fees,
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7 capitation, or other renumeration; and
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8 8. "Vision services" means services or materials including, but
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9 not limited to, exams, eyeglasses, or contact lenses.
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10 C. No contract between a vision plan organization and an
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11 optometrist shall require an optometrist to provide services to
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12 subscribers at a fee set by the vision plan organization unless the
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13 services are covered vision services under the applicable vision
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14 service plan.
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15 D. All vision service plans offered by a vision plan
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16 organization shall require an optometrist's written approval.
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17 E. Vision plan organizations shall not:
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18 1. Utilize an optometrist's agreement to the contractual terms
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19 of one group agreement for vision services to constitute approval to
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20 another agreement to provide vision services;
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21 2. Change the terms, discounts, or reimbursement amounts during
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22 the term of the optometrist's agreement without written consent to
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23 an amendment of the agreement;
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1 3. Require or incentivize an optometrist to use certain vision
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2 services;
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3 4. Incentivize a subscriber to receive vision care services at
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4 an entity owned, in whole or in part, by such vision plan
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5 organization; or
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6 5. Use extrapolation to complete an audit of an optometrist.
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7 F. Any overpayment or underpayment due to an optometrist or any
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8 refund to a vision service plan shall be based on actual overpayment
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9 or underpayment and shall not be based on extrapolation.
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10 G. Any entity providing vision care services that has any
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11 ownership, in whole or in part, by a vision plan organization shall
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12 notify subscribers of such ownership.
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13 SECTION 2. This act shall become effective November 1, 2026.
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15 60-2-2422 CAD 12/30/2025 10:00:33 AM
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Req. No. 2422 Page 4Every fact on this page links to its source, starting with the official bill record.