Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB2011

Introduced
2/5/24  

Caption

Health benefit plans; prohibiting health benefit plan from requiring certain evidence. Effective date.

Impact

The legislation seeks to improve access to healthcare by reducing barriers within the credentialing and recredentialing processes. By limiting the criteria that health benefit plans can impose, the bill intends to ensure that a greater number of healthcare professionals can enter the market and provide necessary services to patients. Furthermore, it stipulates a timeline within which health benefit plans must process applications, thereby aiming to enhance the efficiency of provider enrollment.

Summary

Senate Bill 2011 focuses on regulating health benefit plans in Oklahoma, specifically addressing the credentialing process of healthcare providers. The bill prohibits health benefit plans from requiring certain evidence, such as malpractice liability insurance, as a condition for credentialing or recredentialing healthcare providers. This amendment aims to streamline the application process for physicians seeking to provide services under health benefit plans, making it less cumbersome and faster for providers to be credentialed and thus in-network for reimbursement.

Contention

Despite its intentions for streamlined healthcare access, SB2011 may generate contention among stakeholders. Proponents argue that the bill fosters inclusivity within the healthcare system by allowing more providers to practice without unnecessary delays or stringent requirements. However, opponents may express concerns regarding patient safety and quality of care, fearing that relaxing credentialing requirements could lead to a dilution of standards for healthcare providers. Additionally, the removal of malpractice insurance requirements might spark debates around accountability and protection for both patients and providers.

Companion Bills

No companion bills found.

Previously Filed As

OK SB442

Health benefit plan directories; directing plans to publish certain information in a publicly accessible manner; requiring reporting to Insurance Commissioner. Effective date.

OK HB1736

Step therapy protocol; defining terms; requiring health benefit plans to implement a new process; exceptions to protocol; information; effective date.

OK SB441

Health insurance; providing for preauthorization process; establishing processes for administration; prohibiting certain payment reduction to health benefit plans. Effective date.

OK SB769

Health insurance coverage; requiring health benefit plans to provide coverage for at home care for persons with certain conditions; specifying terms of coverage. Effective date.

OK SB585

Income tax; providing income tax exemption for beneficiary payments from certain military plans. Effective date.

OK SB879

Pharmacy benefits managers; requiring publication of data; establishing regulations and compliance measures. Effective date.

OK SB444

Mental health and substance use disorder benefits; requiring certain plans and Medicaid provide reimbursement for care pursuant to collaborative care model; allowing for denial in certain circumstances. Effective date.

OK SB143

Health insurance; requiring certain high deductible health plans to allow an insured to set aside funds for medical expenses subject to certain limitations. Effective date.

OK SB292

Sexually transmitted infections; requiring health benefit plans to cover cost of certain serological tests; modifying required frequency of syphilis testing. Effective date.

OK SB91

Education employee health insurance benefits; increasing opt out amount received by certain personnel; requiring certain documentation. Effective date. Emergency.

Similar Bills

OK SB1631

Insurance; requiring notice following certain credential application determination. Effective date.

IL SB1617

HEALTH CARE CREDENTIALING

IL HB2827

HEALTH CARE PROFESSIONAL DATA

TX SB1545

Relating to the establishment of an advisory committee to develop a process for the collection of information necessary to facilitate physician credentialing by Medicaid managed care organizations.

CA AB1041

Health care coverage: health care provider credentials.

IL SB2221

HEALTH CARE PROFESSIONAL DATA

OK HB3199

Public health and safety; peer review; health care professionals definition; effective date.

AZ SB1291

Health insurers; provider credentialing; claims