1| SENATE FLOOR VERSION | | March 6, 2025 | 2| AS AMENDED | | | 3|SENATE BILL NO. 1096 By: Frix and Coleman of the | | Senate | 4| | | and | 5| | | Tedford of the House | 6| | | | 7| | | | 8| | | | 9| An Act relating to health benefit plan legislation; | | defining terms; requiring assignment of certain | 10| legislation to certain committees; requiring analysis | | of certain legislation by the Insurance Department | 11| following certain majority vote; prohibiting | | advancement of certain legislation; directing | 12| furnishing of report; specifying report contents; | | allowing Department to contract with certain third | 13| parties for report production; providing for | | exceptions to act; limiting amount of reports to be | 14| conducted; requiring transmission and publication of | | report; providing for codification; and providing an | 15| effective date. | | | 16| | | | 17| | | | 18|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | | | 19| SECTION 1. NEW LAW A new section of law to be codified | | | 20|in the Oklahoma Statutes as Section 6013 of Title 36, unless there | | | 21|is created a duplication in numbering, reads as follows: | | | 22| A. For the purposes of this act: | | | 23| 1. "Bureau" means the Legislative Service Bureau; | | | 24| 2. "Department" means the Insurance Department; | | | arsid14243061 SENATE FLOOR VERSION - SB1096 SFLR Page 1 ___________________________________________________________________________
1| 3. "Health benefit plan" means a health benefit plan as defined | | | 2|pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; | | | 3| 4. "Legislative actuary" means the person who, or firm or | | | 4|entity that, enters into a contract with the Legislative Service | | | 5|Bureau pursuant to Section 452.15 of Title 74 of the Oklahoma | | | 6|Statutes to provide the actuarial services and other duties provided | | | 7|for in this act; and | | | 8| 5. "Mandate" means any bill or joint resolution introduced or | | | 9|amended by a member or a committee of the Legislature that: | | | 10| a. provides, offers, or expands coverage for specific | | | 11| health care services or providers, treatments, medical | | | 12| supplies, or populations, or | | | 13| b. implements operational or administrative processes | | | 14| such as prior authorization, reporting requirements, | | | 15| or claims procedures related to providing, offering, | | | 16| or expanding coverage as set forth in subparagraph a | | | 17| of this paragraph. | | | 18| B. When a bill providing for a mandate impacting any health | | | 19|benefit plan in this state is introduced, it shall be assigned to | | | 20|the respective Senate or House of Representatives standing committee | | | 21|or subcommittee that is primarily responsible for the consideration | | | 22|of insurance legislation. | | | 23| C. If a majority of the committee votes in favor of an impact | | | 24|analysis of the bill, an analysis shall be required as provided in | | | arsid14243061 SENATE FLOOR VERSION - SB1096 SFLR Page 2 ___________________________________________________________________________
1|this act. If a majority of the total membership of such committee | | | 2|is opposed to the bill or should such bill not receive a hearing in | | | 3|such committee, no impact analysis shall be necessary. | | | 4| D. Except as otherwise provided by subsections B and D of | | | 5|Section 2 of this act, no bill providing for a mandate impacting any | | | 6|health benefit plan in this state may be reported out of the | | | 7|committee to which it is assigned or may be considered or adopted by | | | 8|the House of Representatives or the Senate unless an impact analysis | | | 9|of the bill is requested in accordance with Section 2 of this act. | | | 10| SECTION 2. NEW LAW A new section of law to be codified | | | 11|in the Oklahoma Statutes as Section 6014 of Title 36, unless there | | | 12|is created a duplication in numbering, reads as follows: | | | 13| A. When a committee of the Legislature votes to submit a bill | | | 14|providing for a mandate impacting any health benefit plan in this | | | 15|state for an impact analysis as provided for in Section 1 of this | | | 16|act, the Legislative Service Bureau shall submit the bill to the | | | 17|Insurance Department for the purposes of conducting an impact | | | 18|analysis. | | | 19| B. 1. When conducting such impact analysis, the Department | | | 20|shall analyze the proposed mandate and prepare a written report to | | | 21|be returned to the Legislative Service Bureau within sixty (60) days | | | 22|from referral. | | | 23| 2. Such report shall include, but not be limited to: | | | 24| a. social impact, including: | | | arsid14243061 SENATE FLOOR VERSION - SB1096 SFLR Page 3 ___________________________________________________________________________
1| (1) the extent to which the mandate addresses a | | | 2| significant public health issue, | | | 3| (2) the number of individuals and demographics | | | 4| affected by the proposed mandate, and | | | 5| (3) any anticipated impact on access to health care | | | 6| services, | | | 7| b. medical efficacy, including: | | | 8| (1) a review of peer-reviewed studies, clinical | | | 9| guidelines, and other scientific evidence | | | 10| evaluating the effectiveness of the treatment or | | | 11| service, and | | | 12| (2) input from medical experts and professional | | | 13| organizations as appropriate, and | | | 14| c. financial impact, including: | | | 15| (1) the estimated effect on insurance premiums for | | | 16| consumers and employers, | | | 17| (2) the potential cost implications for insurers, | | | 18| health care providers, and state-funded programs | | | 19| that provide payment for covered services, and | | | 20| (3) any anticipated impact on the stability of the | | | 21| state's insurance market. | | | 22| 3. The Department may contract with a third-party vendor who | | | 23|specializes in actuarial services, insurance mandate reviews, or | | | 24| | | | arsid14243061 SENATE FLOOR VERSION - SB1096 SFLR Page 4 ___________________________________________________________________________
1|other services as deemed necessary by the Department to implement | | | 2|the provisions of this act. | | | 3| 4. The Department may seek the input and expertise of any | | | 4|agency of this state to evaluate the potential impact to | | | 5|state-funded programs that provide payment for covered services. | | | 6| C. Any amendment, conference committee report, or other | | | 7|legislative proposal to a bill providing for a mandate impacting | | | 8|health benefit plans in this state, which has not been submitted by | | | 9|the Bureau for analysis following a majority vote of the committee | | | 10|to which the bill is assigned, may, following written request of the | | | 11|chair of the committee to which the bill is assigned or the Majority | | | 12|Floor Leader of the respective chamber of the Legislature, be | | | 13|submitted by the Bureau to the Department for review. | | | 14| D. The Bureau shall not submit more than five (5) referrals for | | | 15|analysis to the Department per fiscal year. Any additional referral | | | 16|for analysis must be approved by the Department in writing at the | | | 17|discretion of the Insurance Commissioner before submission by the | | | 18|Bureau. | | | 19| E. Upon return of the analysis by the Department, the Bureau | | | 20|shall provide a copy by electronic means to the author of the | | | 21|legislative measure, and to the chair of the legislative | | | 22|committee(s) to which the measure is assigned. The applicable | | | 23|legislative staff shall make such report available on the | | | 24|legislative website. | | | arsid14243061 SENATE FLOOR VERSION - SB1096 SFLR Page 5 ___________________________________________________________________________
1| SECTION 3. This act shall become effective November 1, 2025. | | | 2|COMMITTEE REPORT BY: COMMITTEE ON BUSINESS AND INSURANCE | |March 6, 2025 - DO PASS AS AMENDED | 3| | | | 4| | | | 5| | | | 6| | | | 7| | | | 8| | | | 9| | | | 10| | | | 11| | | | 12| | | | 13| | | | 14| | | | 15| | | | 16| | | | 17| | | | 18| | | | 19| | | | 20| | | | 21| | | | 22| | | | 23| | | | 24| | | | arsid14243061 SENATE FLOOR VERSION - SB1096 SFLR Page 6