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 1942 By: Thompson
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6 AS INTRODUCED
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7 An Act relating to dental insurance claims; amending
7 36 O.S. 2021, Section 7301, which relates to dental
8 plan fee regulation; modifying definition; and
8 providing an effective date.
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11 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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12 SECTION 1. AMENDATORY 36 O.S. 2021, Section 7301, is
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13 amended to read as follows:
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14 Section 7301. A. No contract between a dental plan of a health
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15 benefit plan and a dentist for the provision of services to patients
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16 may require that a dentist provide services to its subscribers at a
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17 fee set by the health benefit plan unless the services are covered
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18 services under the applicable subscriber agreement.
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19 B. As used in this section:
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20 1. "Covered services" means services reimbursable reimbursed
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21 under the applicable subscriber agreement, subject notwithstanding
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22 and without regard to the contractual limitations on subscriber
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23 benefits as may apply, including, for example, deductibles, waiting
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24 period or frequency limitations;
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Req. No. 3126 Page 1
1 2. "Dental plan" means and shall include any policy of
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2 insurance which is issued by a health benefit plan which provides
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3 for coverage of dental services not in connection with a medical
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4 plan; and
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5 3. "Health benefit plan" means any plan or arrangement as
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6 defined in subsection C of Section 6060.4 of this title or any
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7 dental service corporation authorized pursuant to Section 2671 of
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8 this title.
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9 C. A health benefit plan or dental plan shall establish and
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10 maintain appeal procedures for any claim by a dentist or a
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11 subscriber that is denied based on lack of medical necessity. Any
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12 such denial shall be based upon a determination by a dentist who
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13 holds a nonrestricted license in the United States. Any written
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14 communication to a dentist that includes or pertains to a denial of
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15 benefits for all or part of a claim on the basis of a lack of
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16 medical necessity shall include the identifier and license number
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17 together with state of issuance, and a contact telephone number of
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18 the licensed dentist making the adverse determination. The dentist
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19 who reviewed the claim shall only be contacted at the telephone
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20 number provided in the written communication about the denial during
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21 business hours.
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22 SECTION 2. This act shall become effective November 1, 2026.
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24 60-2-3126 CAD 1/15/2026 9:04:03 AM
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Req. No. 3126 Page 2Every fact on this page links to its source, starting with the official bill record.