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STATE OF OKLAHOMA
2nd Session of the 59th Legislature (2024)
COMMITTEE SUBSTITUTE
FOR
SENATE BILL 1915 By: Standridge
COMMITTEE SUBSTITUTE
An Act relating to prescription drug reimbursement;
defining term; directing payment of certain co payment
by insured under certain circumstances; requ iring
certain health benefit plans to include certain
provisions in plans to be issued or renewed ;
providing for codification; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE O F THE STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 3634.7 of Title 36, unless there
is created a duplication in numb ering, reads as follows:
A. As used in this section, “health benefit plan” shall have
the same meaning as defined p ursuant to Section 6060.4 of T itle 36
of the Oklahoma Statutes.
B. For any health benefit plan which covers prescription drug
reimbursement and is issued or renewed on or after the effective
date of this act, a patient shall only be responsible for the
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payment of the applicable copayment amount listed in the patient’s
policy when the prescription drug claim satisfies the f ollowing:
1. The reimbursemen t rate for the claim does not cover the
entire cost of the drug and any dispensing fees incurred; and
2. There is one insurer pr oviding sole reimbursement for the
claim.
C. For any health benefit plan which covers prescription drug
reimbursement and is issued or renewed on or after the effective
date of this act, when a copayment at the point of sale is the only
source of payment for the prescription drug, the copayment shall
include the cost of the prescr iption drug plus an average cost of
dispensing as recognized by the pharmaceutical industry.
SECTION 2. This act shall become effective November 1, 2024.
59-2-3474 RD 2/13/2024 3:09:13 PM