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STATE OF OKLAHOMA
1st Session of the 60th Legislature (2025)
COMMITTEE SUBSTITUTE
FOR
HOUSE BILL NO. 1161 By: Tedford
COMMITTEE SUBSTITUTE
An Act relating to insurance; providing definitions;
directing for bills providing mandates impactin g
health benefit plans be assigned to certain insurance
committees; providing for when an impact analysis
shall be required; prohibiting certain bills from
being reported out of committee without required
impact analysis; directing the Legislative Service
Bureau to submit certain bills to Oklahoma Insurance
Department; directing Department to return report
within time frame; providing required contents of
report; permitting contracting with third party;
permitting Department to seek input from state
agencies; limiting number of submissions; requiring
written permission; directing Bureau to provide copy
of report; directing report be made publicly
available; 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 8000 of Title 36, unless there
is created a duplication in numbering, reads as follows:
As used in this act:
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1. "Bureau" means the Legislative Service Bureau as established
in Section 450.1 of Title 74 of the Oklahoma Statutes;
2. "Department" means the Oklahoma Insurance Department as
established in Section 301 of Title 36 of the Oklahoma Statutes;
3. "Health benefit plan" means a health benefit plan as defined
pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and
4. "Mandate" means any requirement proposed in legislation or
regulation that obligates health benefit plans to:
a. provide, offer, or expa nd coverage for specific health
care services or providers, treatments, medical
supplies, or populations, or
b. implement operational or administrative processes such
as prior authorization, reporting requirements, or
claims procedures.
SECTION 2. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 8001 of Title 36, unless there
is created a duplication in numbering, reads as follows:
No bill providing for a mandate impacting the health plans in
the state may be considered or adopted by the House of
Representatives or the Senate unless there is an impact analysis of
the bill.
SECTION 3. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 8002 of Title 36, unless there
is created a duplication in numbering, reads as follows:
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A. When the Speaker of the House or Pro Tempore of the Senate
or their delegates decides a bill contains a mandate impacting
health benefit plans as provided for in section 2 of this ac t, they
shall direct the Legislative Service Bureau to submit such bill to
the Oklahoma Insurance Department for the purpose of conducting an
impact analysis.
B. When conducting such analysis, the Department shall:
1. Analyze the proposed mandate and pre pare a written report to
be returned to the Legislative Service Bureau within sixty (60) days
from referral; and
2. Such report shall include, but not be limited to:
a. social impact:
(1) the extent to which the mandate addresses a
significant public heal th issue,
(2) the number of individuals and demographics
affected by the proposed mandate, and
(3) any anticipated impact on access to health care
services,
b. medical efficacy:
(1) a review of peer-reviewed studies, clinical
guidelines, and other scientif ic evidence
evaluating the effectiveness of the treatment or
service, and
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(2) input from medical experts and professional
organizations as appropriate,
c. financial impact:
(1) the estimated effect on insurance premiums for
consumers and employers,
(2) the potential cost implications for insurers,
health care providers, and state -funded programs
that provide payment for covered services, and
(3) any anticipated impact on the stability of the
state's insurance market.
C. The Department may contract with a t hird-party vendor who
specializes in actuarial services, insurance mandate reviews, or
other services which the Department deems necessary to carry out the
provisions of this act; and
D. The Department may seek the input and expertise of any
agency of this state to evaluate the potential impact to state -
funded programs that provide payment for covered services.
E. The Bureau shall not submit more than six referrals, equally
divided between the House of Representatives and the Senate, for
analysis to the Department per fiscal year. Any additional referral
for analysis must be approved by the Department in writing at the
discretion of the Insurance Commissioner before submission by the
Bureau.
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F. Upon return of the analysis by the Department to the Bureau,
the Bureau shall provide a copy, by either written or electronic
means, to the author of the legislative measure, the chairman of the
legislative committee(s) to which the measure was referred, and make
such report available on the legislative website, wh ich is
accessible to the general public.
SECTION 4. This act shall become effective November 1, 2025.
60-1-13028 MJ 02/27/25