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STATE OF OKLAHOMA
1st Session of the 59th Legislature (2023)
SENATE BILL 845 By: Dahm
AS INTRODUCED
An Act relating to high deductible health plans ;
directing plans to count certain self-paid claims
toward an insured’s deductible regardless of network
status; requiring a plan to notify its insureds about
certain payment option and establish procedures for
payment; directing Insurance Department to promulgate
rules; 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 6060.19 of Title 36, unless
there is created a duplication in numb ering, reads as follows:
A. 1. In the event that an insure d who has a high deductible
health plan self-pays a claim for a covered service , the paid claim
shall count towards the insured ’s deductible, whether the service is
performed by an in-network or out-of-network provider.
2. A high deductible health plan shall notify its insureds that
cash-pay may be lower than insurance-negotiated prices. The plan
shall provide a list of procedures directing the process for
insureds to make cash-payments for a covered service.
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B. The Insurance Department shall promulgate rules to
effectuate the provisions of this sectio n.
SECTION 2. This act shall become effective November 1, 2023.
59-1-1001 RD 1/19/2023 9:24:54 AM