Req. No. 2788 Page 1 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
STATE OF OKLAHOMA
2nd Session of the 59th Legislature (2024)
SENATE BILL 1264 By: Stanley
AS INTRODUCED
An Act relating to health insurance; defining terms;
requiring coverage of certain genetic testing and
cancer imaging; specifying terms of coverage;
providing certain exclusions; providing for
codification; and providing an effective date .
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOM A:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 6060.5b of Title 36, unless
there is created a d uplication in numbering, reads as follows:
A. For the purposes of this sect ion:
1. “Evidence-based cancer imaging ” means evidence-based cancer
imaging modalities in accordance with the most recent version of the
National Comprehensive Cancer N etwork (NCCN) clinical practice
guidelines;
2. “Genetic testing for a n inherited mutation” means germline
multi-gene testing for an inher ited mutation associated with an
increased risk of cancer in accordance with NCCN clinical practice
guidelines;
Req. No. 2788 Page 2 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
3. “Health benefit plan” means a health benefit plan as defined
pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes ; and
4. “Health care provider” means any physician, hospital, or
other entity or person that is licensed or otherwise authorized in
this state to furnish health care services .
B. Any health benefit plan including the Oklahoma E mployees
Insurance Plan that is offered, issued, or renewed in this state on
or after the effective date of this act shall provide coverage for :
1. Clinical genetic testing for an inherited gene mutation for
individuals with a personal or family history of cancer that is
recommended by a health care provider ; and
2. Evidence-based cancer imaging for individuals with an
increased risk of cancer as recommended by the NCCN clinical
practice guidelines.
C. Coverage under this section shall not be subject to any
annual deductibles, copayments, or coi nsurance limits as established
for all covered benefits under the health be nefit plan.
D. If application of this act would resul t in health savings
account ineligibility under Section 223 of the federal Internal
Revenue Code, as amended, the provisions of this secti on shall only
apply to health savings a ccounts with qualified high deductible
health plans with respect to the deductible of such a plan after the
enrollee has satisfied the minimum de ductible. Provided, however,
the provisions of this section shall apply to items o r services that
Req. No. 2788 Page 3 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
are preventive care pursuant to Section 223(c)(2)( C) of the federal
Internal Revenue Code, as amended, regardless of whether the minimum
deductible has been satisfied.
SECTION 2. This act shall become effective November 1, 2024.
59-2-2788 RD 12/8/2023 12:13:23 PM