Oklahoma 2025 Regular Session

Oklahoma House Bill HB1161 Compare Versions

Version 1 (Old)

Version 2 (New)

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29		-	HOUSE OF REPRESENTATIVES - FLOOR VERSION
30		-
31	28		STATE OF OKLAHOMA
32	29
33	30		1st Session of the 60th Legislature (2025)
34	31
35		-	COMMITTEE SUBSTITUTE
36		-	FOR
37		-	HOUSE BILL NO. 1161 By: Tedford of the House
38		-
39		-	and
40		-
41		-	Frix of the Senate
	32	+	HOUSE BILL 1161 By: Tedford
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47		-	~~COMMITTEE SUBSTITUTE~~
	38	+	AS INTRODUCED
48	39
49	40		An Act relating to insurance; providing definitions;
50	41		directing for bills providing mandates impacting
51	42		health benefit plans be assigned t o certain insurance
52	43		committees; providing for when an impact analysis
53	44		shall be required; prohibiting certain bills from
54	45		being reported out of committee without required
55	46		impact analysis; directing the Legislative Service
56	47		Bureau to submit certain bills to Ok lahoma Insurance
57	48		Department; directing Department to return report
58	49		within time frame; providing required contents of
59	50		report; permitting contracting with third party;
60	51		permitting Department to seek input from state
61		-	agencies; limiting number of submissions; requiring
	52	+	agencies; permitting submission of certain
	53	+	amendments; limiting number of submissions; requiring
62	54		written permission; directing Bureau to provide copy
63	55		of report; directing report be made publicly
64	56		available; providing for codification; and providing
65	57		an effective date.
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	62	+	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
	63	+	SECTION 1. NEW LAW A new section of law to be codified
	64	+	in the Oklahoma Statutes as Section 8000 of Title 36, unless there
	65	+	is created a duplication in numbering, reads as follows:
	66	+	As used in this act:
	67	+	1. "Bureau" means the Legislative Service Bureau as established
	68	+	in Section 450.1 of Title 74 of the Oklahoma Statutes;
70	69
71		-	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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73		-	HB1161 HFLR Page 2
74		-	BOLD FACE denotes Committee Amendments. 1
	70	+	Req. No. 11438 Page 2 1
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99		-	SECTION 1. NEW LAW A new section of law to be codified
100		-	in the Oklahoma Statutes as Section 8000 of Title 36, unless there
101		-	is created a duplication in numbering, reads as follows:
102		-	As used in this act:
103		-	1. "Bureau" means the Legislative Service Bureau as established
104		-	in Section 450.1 of Title 74 of the Oklahoma Statutes;
105	95		2. "Department" means the Oklahoma Insurance Department as
106	96		established in Section 301 of Title 36 of the Oklahoma Statutes;
107	97		3. "Health benefit plan" means a health benefit plan as defined
108	98		pursuant to Section 606 0.4 of Title 36 of the Oklahoma Statutes; and
109	99		4. "Mandate" means any requirement proposed in legislation or
110	100		regulation that obligates health benefit plans to:
111	101		a. provide, offer, or expand coverage for specific health
112	102		care services or providers, treatments, medical
113	103		supplies, or populations , or
114	104		b. implement operational or administrative processes such
115	105		as prior authorization, reporting requirements, or
116	106		claims procedures.
117	107		SECTION 2. NEW LAW A new section of law to be codified
118	108		in the Oklahoma Statutes as Section 8001 of Title 36, unless there
119	109		is created a duplication in numbering, reads as follows:
120		-	No bill providing for a mandate impacting the health plans in
121		-	the state may be considered or adopted by the House of
	110	+	A. When a bill providing for a mandate impacting health benefit
	111	+	plans in this state is introduced, it shall be assigned to the
	112	+	respective Senate or House of Representatives standing committee or
	113	+	subcommittee that is primarily responsible for the consideration of
	114	+	insurance legislation.
	115	+	B. If a majority of the total me mbership of such committee is
	116	+	opposed to the bill or should such bill not rece ive a hearing in
	117	+	such committee, no impact analysis as provided for in this section
	118	+	shall be necessary, and the bill shall not be reported out by the
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123		-	HB1161 HFLR Page 3
124		-	BOLD FACE denotes Committee Amendments. 1
	120	+	Req. No. 11438 Page 3 1
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149		-	Representatives or the Senate unless there is an impact analysis of
150		-	the bill.
	145	+	committee and shall not be a dopted or considered by the House of
	146	+	Representatives or the Senate. If a majority of the committee
	147	+	wishes to consider the bill further and votes in favor of an impact
	148	+	analysis of the bill, an impact analysis shall be required as
	149	+	provided in Section 3 of t his act.
	150	+	C. Except as otherwise provided by subsections B and D of
	151	+	Section 3 of this act, no bill providing for a mandate impacting the
	152	+	health plans in this state may be reported out of the committee to
	153	+	which it is assigned or may be considered or adopted by the House of
	154	+	Representatives or the Senate unless an impact analysis of the bill
	155	+	is requested in accordance with Section 3 of this act.
151	156		SECTION 3. NEW LAW A new section of law to be codified
152	157		in the Oklahoma Statutes as Section 8002 of Title 36, unless there
153	158		is created a duplication in numbering, reads as follows:
154		-	A. When the Speaker of the House or Pro Tempore o f the Senate
155		-	or their delegates decides a bill con tains a mandate impacting
156		-	health benefit plans as provided for in section 2 of this act, they
157		-	shall direct the Legislative Service Bureau to submit such bill to
158		-	the Oklahoma Insurance Department for the purpose of conducting an
159		-	impact analysis.
	159	+	A. When a committee of the Legislature votes to submit a bill
	160	+	for an impact analysis as provided for in Section 2 of this act, the
	161	+	Legislative Service Bureau shall subm it such bill to the Oklahoma
	162	+	Insurance Department for the purposes of conducting an impact
	163	+	analysis.
160	164		B. When conducting such analysis, the Department shall:
161	165		1. Analyze the proposed mandate and prepare a written report to
162	166		be returned to the Legislative Se rvice Bureau within sixty (60) days
163	167		from referral; and
164	168		2. Such report shall include, but not be limited to:
165		-	a. social impact:
166		-	(1) the extent to which the mandate addresses a
167		-	significant public health issue,
168		-	(2) the number of individuals and demographics
169		-	affected by the proposed mandate, and
170		-	(3) any anticipated impact on access to health care
171		-	services,
172		-	b. medical efficacy:
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174		-	HB1161 HFLR Page 4
175		-	BOLD FACE denotes Committee Amendments. 1
	170	+	Req. No. 11438 Page 4 1
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	195	+	a. social impact:
	196	+	(1) the extent to which the mandate addresses a
	197	+	significant public health issue,
	198	+	(2) the number of individuals and demographics
	199	+	affected by the proposed mandate, and
	200	+	(3) any anticipated impact on access to health care
	201	+	services,
	202	+	b. medical efficacy:
200	203		(1) a review of peer-reviewed studies, clinical
201	204		guidelines, and other scientific evidence
202	205		evaluating the effectiveness of the treatment or
203	206		service, and
204	207		(2) input from medical experts and professional
205	208		organizations as appropriate,
206	209		c. financial impact:
207	210		(1) the estimated effect on insurance premiums for
208	211		consumers and employers,
209	212		(2) the potential cost implications for insurers,
210	213		health care providers, and state-funded programs
211	214		that provide payment for covered services, and
212	215		(3) any anticipated impact on the stability of the
213	216		state's insurance market.
214	217		C. The Department may contract with a third -party vendor who
215	218		specializes in actuarial services, i nsurance mandate reviews, or
216		-	other services which the Departme nt deems necessary to carry out the
217		-	provisions of this act; and
218		-	D. The Department may seek the input and expertise of any
219		-	agency of this state to evaluate the potential impact to state -
220		-	funded programs that provide payment for covered services.
221		-	E. The Bureau shall not submit more than six referrals, equa lly
222		-	divided between the House of Representatives and the Senate, for
223		-	analysis to the Department per fiscal year. Any additional referral
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225		-	HB1161 HFLR Page 5
226		-	BOLD FACE denotes Committee Amendments. 1
	220	+	Req. No. 11438 Page 5 1
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	245	+	other services which the Department deems necessa ry to carry out the
	246	+	provisions of this act; and
	247	+	D. The Department may seek the input and expertise of any
	248	+	agency of this state to evaluate the potential impact to state -
	249	+	funded programs that provide payment for covered services.
	250	+	E. Any amendment, conference committee report, or other
	251	+	legislative proposal to a bill providing for a mandate impacting
	252	+	health benefit plans in this state, which has not been submitted by
	253	+	the Bureau for analysis, may, upon written request of the Chairman
	254	+	of the committee having ju risdiction over such amendment or the
	255	+	Floor Leader of the respective chamber of the Legislature, have the
	256	+	Bureau submit such amendment, conference committee report, or other
	257	+	legislative proposal to the Department for review.
	258	+	F. The Bureau shall not submit more than five referrals for
	259	+	analysis to the Department per fiscal year. Any additional referral
251	260		for analysis must be approved by the Department in writing at the
252	261		discretion of the Insurance Commissioner before submission by the
253	262		Bureau.
254		-	F. Upon return of the analysis by the Department to the Bureau,
	263	+	G. Upon return of the analysis by the Department to the Bureau,
255	264		the Bureau shall provide a copy, by either written or electronic
256	265		means, to the author of the legislative measure, the chairman of the
257	266		legislative committee(s) to which the measure was referred, and make
258	267		such report available on the legislative website, which is
259	268		accessible to the general public.
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260	295		SECTION 4. This act shall become effective November 1, 2025.
261	296
262		-	COMMITTEE REPORT BY: COMMITTEE ON G OVERNMENT OVERSIGHT, dated
263		-	03/03/2025 – DO PASS, As Amended.
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	297	+	60-1-11438 MJ 01/08/25