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 515 By: Frix
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6 AS INTRODUCED
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7 An Act relating to health insurance; authorizing
7 health care provider to accept certain payments;
8 requiring application of certain charge to deductible
8 and maximum out-of-pocket expense; requiring health
9 benefit plan to establish certain procedure and
9 identify necessary documentation; requiring certain
10 information to be accessible on certain website;
10 prohibiting waiver of certain requirements; providing
11 for codification; and providing an effective date.
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13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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14 SECTION 1. NEW LAW A new section of law to be codified
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15 in the Oklahoma Statutes as Section 6046 of Title 36, unless there
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16 is created a duplication in numbering, reads as follows:
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17 A. A health care provider shall accept directly from an
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18 enrollee full payment for a health care service in lieu of
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19 submitting a claim to the enrollee's health benefit plan. A health
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20 care provider's discounted cash price for services rendered shall be
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21 considered full payment for purposes of this section.
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22 B. An enrollee's health benefit plan shall apply the charge for
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23 a health care service for which a health care provider accepts a
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24 payment described in subsection A of this section from an enrollee
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Req. No. 560 Page 1
1 toward the enrollee's deductible and annual maximum out-of-pocket
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2 expense if the service is a medically necessary covered service
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3 under the plan. Payments for uncovered services shall be ineligible
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4 for application toward an enrollee's deductible and annual maximum
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5 out-of-pocket expense.
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6 C. The enrollee's health benefit plan shall:
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7 1. Establish a procedure by which an enrollee may claim credit
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8 for any expense under subsection B of this section; and
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9 2. Identify documentation necessary to support a claim for a
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10 credit under subsection B of this section.
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11 D. Information about the procedure and documentation described
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12 in subsection C of this section shall be readily accessible to the
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13 enrollee on the health benefit plan's website.
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14 E. The requirements of this section shall not be waived,
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15 voided, or nullified by contract.
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16 SECTION 2. This act shall become effective November 1, 2025.
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18 60-1-560 CAD 1/19/2025 5:37:52 AM
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Req. No. 560 Page 2Every fact on this page links to its source, starting with the official bill record.