94 | | - | 1. “Contraceptive drugs” means all drugs approved by the United |
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95 | | - | States Food and Drug Administration that are used to prevent |
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96 | | - | pregnancy, including, but not limited to, hormonal drugs |
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97 | | - | administered orally, transdermally , and intravaginally, but excludes |
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98 | | - | medications that could be used to terminate an existing pregnancy ; |
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99 | | - | and |
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100 | | - | 2. “Health benefit plan” means a health benefit plan as defined |
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101 | | - | pursuant to Section 6060.4 of Titl e 36 of the Oklahoma Statutes. |
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106 | | - | 1. A three-month supply of a contraceptive drug at once the |
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107 | | - | first time the enrollee obtains the drug; and |
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108 | | - | 2. A twelve-month supply of the contraceptive drug at once each |
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109 | | - | subsequent time that the enrollee obtains the sam e drug, regardless |
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110 | | - | of whether the enrollee was enrolled i n the health benefit plan the |
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111 | | - | first time that the enrollee obta ined the drug. |
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112 | | - | An enrollee may obtain only one twelve -month supply of a covered |
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113 | | - | prescription drug during each twelve -month period. |
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114 | | - | C. Nothing in this section shall be construed to prohibit an |
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115 | | - | enrollee of a health benefit plan from requesting a smaller sup ply |
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116 | | - | or to prohibit a prescribing provider from prescribing a smaller |
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117 | | - | |
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118 | | - | ENGR. H. A. to ENGR. S. B. NO. 1742 Page 3 1 |
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143 | | - | supply if such a prescription is supported by clinical utility and |
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144 | | - | medical appropriateness. |
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145 | | - | D. Nothing in this section shal l be construed to require |
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146 | | - | coverage under a health benefit plan for any contraceptive drug that |
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147 | | - | is not intended for regular or routine use. |
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148 | | - | SECTION 2. This act shall become effective November 1, 2024." |
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149 | | - | Passed the House of Representatives the 23rd day of April, 2024. |
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155 | | - | Presiding Officer of the House of |
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156 | | - | Representatives |
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158 | | - | |
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159 | | - | Passed the Senate the ____ day of _______ ___, 2024. |
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165 | | - | Presiding Officer of the Senate |
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168 | | - | ENGR. S. B. NO. 1742 Page 1 1 |
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193 | | - | ENGROSSED SENATE |
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194 | | - | BILL NO. 1742 By: Dossett of the Senate |
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195 | | - | |
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196 | | - | and |
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198 | | - | Roe of the House |
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199 | | - | |
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202 | | - | |
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203 | | - | [ health benefit plans - reimbursement - |
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204 | | - | prescriptions - coverage - codification - effective |
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205 | | - | date ] |
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211 | | - | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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212 | | - | SECTION 3. NEW LAW A new section of law to be codified |
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213 | | - | in the Oklahoma Statutes as Section 6060.3b of Title 36, unless |
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214 | | - | there is created a duplication in numbering, reads as follows: |
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215 | | - | A. As used in this section: |
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216 | | - | 1. “Contraceptive drugs” means all drugs approved by the United |
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217 | | - | States Food and Drug Administration that are used to prevent |
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218 | | - | pregnancy, including, but not limited to, ho rmonal drugs |
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219 | | - | administered orally, transdermally , and intravaginally; and |
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220 | | - | 2. “Health benefit plan” means a health benefit plan as defined |
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221 | | - | pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes. |
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222 | | - | B. Any health benefit plan that is offered, issued, or renewed |
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223 | | - | on and after the effective date of this act that offers coverage for |
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224 | | - | contraceptive drugs shall provide c overage for an enrollee to |
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225 | | - | obtain: |
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226 | | - | |
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252 | 97 | | 1. A three-month supply of a contraceptive drug at once the |
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253 | 98 | | first time the enrollee obtains the dru g; and |
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254 | 99 | | 2. A twelve-month supply of the contraceptive drug at once each |
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255 | 100 | | subsequent time that the enrollee obtains the sam e drug, regardless |
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256 | 101 | | of whether the enrollee was enrolled in the health benefit plan the |
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257 | 102 | | first time that the enrollee obtained the drug. |
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258 | 103 | | An enrollee may obtain only one twelve -month supply of a covered |
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259 | 104 | | prescription drug during each twelve -month period. |
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260 | 105 | | C. Nothing in this section shall be construed to prohibit an |
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261 | 106 | | enrollee of a health benefit plan from requesting a smaller supply |
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262 | 107 | | or to prohibit a prescribing provider from prescribing a smaller |
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263 | 108 | | supply if such a prescription is supported by clinical utility and |
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264 | 109 | | medical appropriateness. |
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265 | 110 | | D. Nothing in this section shall be construed to require |
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266 | 111 | | coverage under a health benefit plan for any contrac eptive drug that |
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267 | 112 | | is not intended for regular or routine use. |
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