Health insurance; definitions; genetic testing; cancer imaging; terms; exclusions; effective date.
Impact
If enacted, HB3677 will impact all health benefit plans offered, issued, or renewed in Oklahoma after its effective date. This will include the Oklahoma Employees Insurance Plan, ensuring that state employees also receive these vital health service coverages. Notably, the bill prohibits any annual deductibles, copayments, or coinsurance limits on these specific benefits, making essential health services more accessible to individuals in need of genetic testing and cancer imaging.
Summary
House Bill 3677 aims to mandate coverage for certain genetic testing and cancer imaging under health benefit plans in Oklahoma. This legislation specifically targets coverage for clinical genetic testing for inherited gene mutations among individuals with a personal or family history of cancer, as well as evidence-based cancer imaging for those at an increased risk of cancer. The guidelines for these services are aligned with the National Comprehensive Cancer Network (NCCN) clinical practice guidelines, ensuring that the coverage is based on up-to-date evidence and best practices in cancer care.
Contention
The bill may incite discussions around healthcare costs and the potential financial implications for health insurers as well as the state. Proponents may argue that this coverage is essential for early detection and prevention of cancer, ultimately saving lives and reducing long-term healthcare costs. However, opponents may raise questions about the sustainability of such comprehensive coverage mandates in the face of rising insurance premiums and potential conflicts with existing health savings accounts that have eligibility requirements tied to deductibles.
Health insurance; definitions; treatment of diabetes; Insurance Department and the State Department of Health to purchase insulin at discounted prices; program that allows Oklahomans to purchase discounted insulin; codification; effective date.