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STATE OF OKLAHOMA
2nd Session of the 59th Legislature (2024)
SENATE BILL 1373 By: Murdock
AS INTRODUCED
An Act relating to health and dental insuran ce;
defining term; requiring coverage of
temporomandibular joint treatment; specif ying terms
of coverage; prohibiting insurers from making certain
coverage determinations; providing for codification;
and providing an effective date .
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA :
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 6060.6a of Title 36, unless
there is created a duplication in numb ering, reads as follows:
A. For the purposes of this section, “health benefit plan”
means a health benefit plan as define d pursuant to Section 6060.4 of
Title 36 of the Oklahoma Statutes .
B. Any health benefit plan or health plan which provides
coverage for only dental care that is offered, issued, or renewed in
this state on or afte r the effective date of this act shall pro vide
coverage for diagnostic, ther apeutic, and surgical procedures
related to the temporomandibular joint (TMJ) and associated
musculature and neurological conditions. The coverage provided in
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this section shall be subject to the same annual deductibles,
copayments, or coinsurance limits as established for all cover ed
benefits under the respective plan.
C. 1. Insurers offering only dental coverage to an insured may
limit benefits in such coverage to dental servic es related to
treatment of temporomandibul ar joint disorders.
2. No insurer offering medical coverage only may define al l
temporomandibular joint disorders as purely dental in nature, and no
insurer offering dental coverage only may define all
temporomandibular joint disorders as purely medical i n nature.
SECTION 2. This act shall become effective November 1, 20 24.
59-2-2332 RD 12/15/2023 11:38:31 AM