Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB1918 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	ENGR. S. B. NO. 1918 Page 1 1
	3	+	SENATE FLOOR VERSION - SB1918 SFLR Page 1
	4	+	(Bold face denotes Committee Amendments) 1
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28		-	ENGROSSED SENATE
29		-	BILL NO. 1918 By: Bullard and Jett of the
30		-	Senate
	29	+	SENATE FLOOR VERSION
	30	+	February 13, 2024
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32		-	and
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34		-	~~Sneed of the House~~
	33	+	SENATE BILL NO. 1918 By: Bullard and Jett
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40	39		An Act relating to health insurance claims; defining
41	40		terms; prohibiting health benefit plans from
42	41		disallowing direct payment for covered services;
43	42		requiring certain discounted prices to be deemed full
44	43		payment; providing direct payment be applied to
45	44		deductible and out-of-pocket expense subject to
46	45		certain procedures; d irecting publication of certain
47	46		procedures on certain website; prohibiting certain
48	47		contract terms; providing for codification; and
49	48		providing an effecti ve date.
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54	53		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
55	54		SECTION 1. NEW LAW A new section of law to be codified
56	55		in the Oklahoma Statutes as Section 6060.50 of Title 36, unless
57	56		there is created a duplication in numbering, reads as follows:
58	57		A. As used in this section:
59	58		1. “Health benefit plan” means a health benefit plan as defined
60	59		pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and
61	60		2. “Health care provider ” means any physician, dentist,
62	61		pharmacist, optometrist, ps ychologist, registered optician, licensed
63	62		professional counselor, physical therapist, chiropractor, hospital ,
	63	+	or other entity or person that is licensed or otherwise authorized
	64	+	in this state to furnish h ealth care services.
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65		-	ENGR. S. B. NO. 1918 Page 2 1
	66	+	SENATE FLOOR VERSION - SB1918 SFLR Page 2
	67	+	(Bold face denotes Committee Amendments) 1
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90		-	or other entity or person that is licensed or otherwise authorized
91		-	in this state to furnish health care services.
92	92		B. 1. No health benefit plan may prohibit a health care
93	93		provider from accepting directly from an enrollee f ull payment for a
94	94		health care service in lieu of submitting a claim to the enrollee ’s
95	95		health benefit plan.
96	96		2. For purposes of this subsection, the discounted cash price
97	97		for services rendered from a health care provider is considered full
98	98		payment.
99	99		C. Payment for a health care service made pursuant to
100	100		subsection B of this section shall be applied toward the enrollee ’s
101	101		deductible and annual maximum out -of-pocket expense if the service
102	102		is a medically necessary covered serv ice under the health plan.
103	103		D. 1. A health benefit plan that is offered, i ssued, or
104	104		renewed in this state shall e stablish a procedure for enrollees to
105	105		claim credit for any direct payment made for a covered health ca re
106	106		service under this section and identify any necessary documentation
107	107		to be submitted with a claim for credi t.
108	108		2. Information about the procedur e and necessary documentation
109	109		described in paragraph 1 of this subsection shall be readily
110	110		available to the enrollee on the health benefit plan ’s website.
111	111		E. No requirement of this section may be waived, v oided, or
112	112		nullified by contract.
113	113		SECTION 2. This act shall become effective November 1, 20 24.
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140		-	Passed the Senate the 4th day of March, 2024.
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144		-	Presiding Officer of the Senate
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147		-	Passed the House of Representatives the ____ day of __________,
148		-	2024.
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152		-	Presiding Officer of the House
153		-	of Representatives
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	114	+	COMMITTEE REPORT BY: COMMITTEE ON RETIREMENT AND INSURANCE
	115	+	February 13, 2024 - DO PASS