Oklahoma 2023 Regular Session

Oklahoma House Bill HB1712 Compare Versions

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3		-	SENATE FLOOR VERSION - HB1712 SFLR Page 1
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	3	+	ENGR. H. B. NO. 1712 Page 1 1
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29		-	SENATE FLOOR VERSION
30		-	April 4, 2023
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33	28		ENGROSSED HOUSE
34	29		BILL NO. 1712 By: Marti and McDugle of the
35	30		House
36	31
37	32		and
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39	34		Garvin of the Senate
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45	42		An Act relating to health insurance; defining terms;
46	43		prohibiting insurers from refusing coverage to an
47	44		insured under certain c ircumstances; providing for an
48	45		insured to seek care from an out-of-network provider
49	46		under certain circumstances; requiring out-of-network
50	47		providers to be reimbursed for covered services at
51	48		the same rate as in-network providers; providing for
52	49		codification; and declaring an emergency.
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57	54		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKL AHOMA:
58	55		SECTION 1. NEW LAW A new se ction of law to be codified
59	56		in the Oklahoma Statutes as Section 6971 of Title 36, unless there
60	57		is created a duplication in numbering, reads as follows:
61	58		A. As used in this section:
62	59		1. "Durable medical equipment" means equipment as defined
63	60		pursuant to paragraph 2 of Section 375.2 of Title 59 of the Oklahoma
64	61		Statutes;
	62	+	2. "Health benefit plan" means a health benefit plan as def ined
	63	+	pursuant to subsection C of Section 6060.4 of Title 36 of the
	64	+	Oklahoma Statutes;
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66		-	SENATE FLOOR VERSION - HB1712 SFLR Page 2
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	66	+	ENGR. H. B. NO. 1712 Page 2 1
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92		-	2. "Health benefit plan" means a health benefit plan as defined
93		-	pursuant to subsection C of Section 6060.4 of Title 36 of the
94		-	Oklahoma Statutes;
95	91		3. "Health care provider" means a provider as defined pursuant
96	92		to Section 6571 of Title 36 of the Oklahoma Statutes ;
97	93		4. "Health maintenance organization" or "HMO" means a health
98	94		maintenance organization as defined pursuant to paragraph 12 of
99	95		Section 6902 of Title 36 of the Oklahoma Statutes; and
100	96		5. "Preferred provider organization" or "PPO" means a preferred
101	97		provider organization as defined pursuant to paragraph 8 of Section
102	98		6054 of Title 36 of the Oklahoma Statutes.
103	99		B. No health benefit plan , HMO, PPO, or other provider network
104	100		authorized to admini ster health care coverage in this state shall
105	101		refuse coverage to an insured for durable medical equipment and
106	102		supplies as prescribed by a health care provider, regardless of
107	103		whether they are in-network or out-of-network, unless there is an
108	104		Oklahoma-licensed in-network provider within a fifteen-mile radius
109	105		of the patient's five-digit ZIP code that can provide in-person
110	106		evaluation for medical equipment, supplies, and related services .
111	107		C. If a health care provider deems it necessary that an insured
112	108		receive covered medical equip ment or supplies within twenty-four
113	109		(24) hours, the insured shall not be subject to drop-shipped orders
114	110		and may seek such equipment and supplies from any health care
	111	+	provider who can provide the nec essary services and supplies within
	112	+	the requested timeframe.
	113	+	D. When an insured utilizes an out-of-network health care
	114	+	provider, as described in subsection B of this section, the out-of-
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	116	+	ENGR. H. B. NO. 1712 Page 3 1
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142		-	provider who can provide the nec essary services and supplies within
143		-	the requested timeframe.
144		-	D. When an insured utilizes an out-of-network health care
145		-	provider, as described in subsection B of this section, the out-of-
146	141		network provider shall be reimbursed at the same rate and benefit
147	142		level for the provided services as an in-network provider for t he
148	143		health benefit plan, HMO, PPO, or other provider network authorized
149	144		to administer health care coverage in this state.
150	145		SECTION 2. It being immediately necessary for the preservation
151	146		of the public peace, health or safety, an emergency is hereby
152	147		declared to exist, by reason whereof this act shall take effect and
153	148		be in full force from and after its passage and approval.
154		-	COMMITTEE REPORT BY: COMMITTEE ON RETIREMENT AND INSURANCE
155		-	April 4, 2023 - DO PASS
	149	+	Passed the House of Representatives the 20th day of March, 2023.
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	154	+	Presiding Officer of the House
	155	+	of Representatives
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	159	+	Passed the Senate the ___ day of __________, 2023.
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	164	+	Presiding Officer of the Senate
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