Oklahoma Senate Bill SB468

Oklahoma 2022 Regular Session

• Introduced: 2/1/21
• Refer: 2/2/21

Caption

Health insurance; prohibiting a health insurer from modifying coverage of prescription drug in certain circumstances; providing for civil penalty. Effective date.

Impact

The enactment of SB468 is expected to positively impact patients relying on specific prescription medications, as it aims to prevent insurers from imposing restrictions that could lead to increased costs or reduced availability of these drugs. By establishing these protections, the bill emphasizes the importance of access to essential health services and may decrease the associated financial burdens for patients who need ongoing prescriptions.

Summary

Senate Bill 468 aims to protect consumers by prohibiting health insurers from modifying coverage of prescription drugs under certain circumstances. Specifically, it prevents insurers from altering coverage for a drug that has previously been preauthorized or listed on the insurer's formulary if the insured has already received the drug and it continues to be prescribed by a healthcare practitioner. This bill seeks to ensure that patients have consistent access to necessary medications without facing unexpected changes in their insurance benefits.

Contention

Despite its supportive aim, SB468 could face contention related to how it might limit insurers' ability to manage drug formularies and appropriateness of drug coverage. Critics may argue that such restrictions could hinder insurers' flexibility in negotiating costs and managing overall healthcare expenses. Supporters, however, emphasize the need for patient protection and the necessity of ensuring consistent coverage for life-saving medications.