Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB1264 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	ENGR. H. A. to ENGR. S. B. NO. 1264 Page 1 1
	3	+	SB1264 HFLR Page 1
	4	+	BOLD FACE denotes Committee Amendments. 1
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28		-	ENGROSSED HOUSE AMENDME NT
29		-	TO
30		-	ENGROSSED SENATE BILL NO . 1264 By: Stanley of the Senate
	29	+	HOUSE OF REPRESENTATIVES - FLOOR VERSION
	30	+
	31	+	STATE OF OKLAHOMA
	32	+
	33	+	2nd Session of the 59th Legislature (2024)
	34	+
	35	+	COMMITTEE SUBSTITUTE
	36	+	FOR ENGROSSED
	37	+	SENATE BILL NO. 1264 By: Stanley of the Senate
31	38
32	39		and
33	40
34		-	Miller of the House
	41	+	Miller and Provenzano of
	42	+	the House
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36	44
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38	46
	47	+	COMMITTEE SUBSTITUTE
39	48
40		-	[ health insurance - coverage - exclusions -
41		-	codification - effective date ]
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50		-	AUTHOR: Add the following House Coauthors: Provenzano, Munson,
51		-	Townley, Baker, and West (Tammy)
52		-
53		-
54		-	AMENDMENT NO. 1. Strike the title, enacting clause, and entire bill
55		-	and insert:
56		-
57		-
58		-
59		-
60		-	"[ health insurance - genetic testing - cancer
61		-	imaging - coverage – exclusions – codification -
62		-	effective date ]
	49	+	[ health insurance - genetic testing - cancer imaging
	50	+	- coverage – exclusions – codification - effective
	51	+	date ]
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67	56		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
	57	+	SECTION 1. NEW LAW A new section of law to be codified
	58	+	in the Oklahoma Statutes as Section 6060.5b of Title 36, un less
	59	+	there is created a duplication in numbering, reads as follows:
	60	+	A. For the purposes of this section:
	61	+	1. “Clinical utility” means clinical utility as defined
	62	+	pursuant to Section 6060.5a of Title 36 of the Oklahoma Statutes;
	63	+	2. “Evidence-based cancer imaging” means appropriate
	64	+	preventative screening and imagi ng supported by evidence;
68	65
69		-	ENGR. H. A. to ENGR. S. B. NO. 1264 Page 2 1
	66	+	SB1264 HFLR Page 2
	67	+	BOLD FACE denotes Committee Amendments. 1
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94		-	SECTION 1. NEW LAW A new section of law to be codified
95		-	in the Oklahoma Statutes as Section 6060.5b of Title 36, un less
96		-	there is created a duplication in numbering, reads as follo ws:
97		-	A. For the purposes of this section:
98		-	1. “Clinical utility” means clinical utility as defined
99		-	pursuant to Section 6060.5a of Title 36 of the Oklahoma Statutes;
100		-	2. “Evidence-based cancer imaging” means appropriate
101		-	preventative screening and imagi ng supported by evidence;
102	92		3. “Genetic testing for an inherited mutation ” means multi-gene
103	93		testing for an inherited mutation associated with an increased risk
104	94		of cancer;
105	95		4. “Health benefit plan” means a health benefit plan as defined
106	96		pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and
107	97		5. “Health care provider ” means any physician, hospital, or
108	98		other entity or person that is l icensed or otherwise authorized in
109	99		this state to furnish health care services.
110	100		B. Any health benefit plan includin g the Oklahoma Employees
111	101		Insurance Plan that is o ffered, issued, or renewed in this state on
112	102		or after the effective date of this act shall pr ovide coverage for:
113	103		1. Clinical genetic testing for an inherited gene mutation for
114	104		individuals with a personal or family history of cancer when such
115	105		test provides clinical utility and when orde red or recommended by a
116	106		health care provider in accordance with medical and scientific
117	107		evidence including, but not lim ited to:
	108	+	a. the most recent version of the National Compreh ensive
	109	+	Cancer Network (NCCN) clinical practice
	110	+	recommendations that are level 2 a or higher,
	111	+	b. Centers for Medicare and Medicaid Services nat ional
	112	+	coverage determinations or Medicare administrative
	113	+	contractor local coverage determinations, or
	114	+	c. nationally recognized clinical practice guidelines;
	115	+	and
118	116
119		-	ENGR. H. A. to ENGR. S. B. NO. 1264 Page 3 1
	117	+	SB1264 HFLR Page 3
	118	+	BOLD FACE denotes Committee Amendments. 1
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144		-	a. the most recent version of the National Compreh ensive
145		-	Cancer Network (NCCN) clinical practice
146		-	recommendations that are level 2 a or higher,
147		-	b. Centers for Medicare and Medicaid Services nat ional
148		-	coverage determinations or Medicare administrative
149		-	contractor local coverage determinations, or
150		-	c. nationally recognized clinical practice guidelines;
151		-	and
152	143		2. Evidence-based cancer imaging for individuals with an
153	144		increased risk of cancer when such te st provides clinical utility
154	145		and when ordered or recomme nded by a health care provider in
155	146		accordance with the most recent version of the NCCN clinical
156	147		practice recommendations that are level 2a or higher, or in
157	148		accordance with other nationally recognized c linical practice
158	149		guidelines.
159	150		C. Coverage under this sec tion shall not be subject to any
160	151		annual deductibles, copayments, or coinsurance limits as established
161	152		for all covered benefits under the h ealth benefit plan.
162	153		D. If application of this section would r esult in health
163	154		savings account ineligibility under Sect ion 223 of the federal
164	155		Internal Revenue Code, as amended, the provisions of this section
165	156		shall only apply to health savings accounts with qualified high
166	157		deductible health plans with respect to the ded uctible of such a
167	158		plan after the enrollee has satisfied the minimum deductible.
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194	159		Provided, however, the provisions of this section shall apply to
195	160		items or services that are preventive care pursu ant to Section
196	161		223(c)(2)(C) of the federal Internal Revenue Co de, as amended,
197	162		regardless of whether the minimum deduct ible has been satisfied.
198		-	SECTION 2. This act shall become effective November 1, 2024. "
199		-	Passed the House of Representatives the 17th day of April, 2024.
	163	+	SECTION 2. This act shall become effective November 1, 2024.
200	164
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204		-
205		-	Presiding Officer of the House of
206		-	Representatives
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208		-
209		-	Passed the Senate the ____ day of _______ ___, 2024.
210		-
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215		-	Presiding Officer of the Senate
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217		-
218		-	ENGR. S. B. NO. 1264 Page 1 1
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243		-	ENGROSSED SENATE
244		-	BILL NO. 1264 By: Stanley of the Senate
245		-
246		-	and
247		-
248		-	Miller of the House
249		-
250		-
251		-
252		-
253		-	[ health insurance - coverage - exclusions -
254		-	codification - effective date ]
255		-
256		-
257		-
258		-
259		-	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
260		-	SECTION 3. NEW LAW A new section of law to be codified
261		-	in the Oklahoma Statutes as Section 6060.5b of Title 36, unless
262		-	there is created a duplication in numbering, reads as follows:
263		-	A. For the purposes of this section:
264		-	1. “Clinical utility” means clinical utility as defined
265		-	pursuant to Section 6060.5a of Title 36 of the Oklahoma Statutes;
266		-	2. “Evidence-based cancer imaging ” means appropriate
267		-	preventative screening and imagi ng supported by evidence;
268		-	3. “Genetic testing for an inherited mutation ” means multi-gene
269		-	testing for an inherited mutation associated with an increased risk
270		-	of cancer;
271		-	4. “Health benefit plan” means a health benefit plan as defined
272		-	pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and
273		-
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299		-	5. “Health care provider ” means any physician, hospital, or
300		-	other entity or person that is licensed or otherwise authorized in
301		-	this state to furnish health care services.
302		-	B. Any health benefit plan includin g the Oklahoma Employees
303		-	Insurance Plan that is offered, issued, or renewed in this stat e on
304		-	or after the effective date of this act shall provide coverage for:
305		-	1. Clinical genetic testing for an inherited gene mutation for
306		-	individuals with a personal or family history of cancer when such
307		-	test provides clinical utility and when ordered or re commended by a
308		-	health care provider in accordance with medical and scientific
309		-	evidence including, but not limited to:
310		-	a. the most recent version of the National Compreh ensive
311		-	Cancer Network (NCCN) clinical practice
312		-	recommendations that are level 2a or high er,
313		-	b. Centers for Medicare and Medicaid Services national
314		-	coverage determinations or Medicare administrative
315		-	contractor local coverage determinations, and
316		-	c. nationally recognized clinical practice guidelines;
317		-	and
318		-	2. Evidence-based cancer imaging for ind ividuals with an
319		-	increased risk of cancer when such test provides clinical utility
320		-	and when ordered or recommended by a health care provider in
321		-	accordance with the most recent version of the NCCN clinical
322		-	practice recommendations that are level 2a or highe r, or in
323		-
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349		-	accordance with other nationally recognized clinical practice
350		-	guidelines.
351		-	C. Coverage under this section shall not be subject to any
352		-	annual deductibles, copayments, or coinsurance limits as established
353		-	for all covered benefits under the health be nefit plan.
354		-	D. If application of this section would result in health
355		-	savings account ineligibility under Section 223 of the federal
356		-	Internal Revenue Code, as amended, the provisions of this section
357		-	shall only apply to health savings accounts with qualifie d high
358		-	deductible health plans with respect to the deductible of such a
359		-	plan after the enrollee has satisfied the minimum deductible.
360		-	Provided, however, the provisions of this section shall apply to
361		-	items or services that are preventive care pursuant to S ection
362		-	223(c)(2)(C) of the federal Internal Revenue Code, as amended,
363		-	regardless of whether the minimum deductible has been satisfied.
364		-	SECTION 4. This act shall become effective November 1, 2024.
365		-
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391		-	Passed the Senate the 14th day of March, 2024.
392		-
393		-
394		-
395		-	Presiding Officer of the Senate
396		-
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398		-	Passed the House of Representatives the ____ day of __________,
399		-	2024.
400		-
401		-
402		-
403		-	Presiding Officer of the House
404		-	of Representatives
405		-
406		-
	165	+	COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS AND BUDGET, dated
	166	+	04/11/2024 - DO PASS, As Amended and Coauthored.