1| STATE OF OKLAHOMA | | | 2| 2nd Session of the 60th Legislature (2026) | | | 3|COMMITTEE SUBSTITUTE | |FOR | 4|SENATE BILL NO. 1625 By: Frix of the Senate | | | 5| and | | | 6| Tedford of the House | | | 7| | | | 8| | | | 9| COMMITTEE SUBSTITUTE | | | 10| An Act relating to insurance; defining terms; | | providing certain circumstances to require impact | 11| analysis; prohibiting certain bills from being | | reported out of committee without certain impact | 12| analysis; directing the Legislative Service Bureau to | | submit certain bills to Insurance Department; | 13| directing Department to return report within certain | | time frame; requiring certain contents of certain | 14| report; allowing Department to contract with third | | party for certain purpose; allowing Department to | 15| seek certain input and advice; limiting number of | | submissions; requiring written permission to | 16| establish report on certain bills; directing Bureau | | to provide certain copy of report; requiring public | 17| access to certain report; providing for codification; | | and providing an effective date. | 18| | | | 19| | | | 20|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | | | 21| SECTION 1. NEW LAW A new section of law to be codified | | | 22|in the Oklahoma Statutes as Section 8000 of Title 36, unless there | | | 23|is created a duplication in numbering, reads as follows: | | | 24| As used in this act: | | | Req. No. 3675 Page 1 ___________________________________________________________________________
1| 1. "Bureau" means the Legislative Service Bureau as established | | | 2|in Section 450.1 of Title 74 of the Oklahoma Statutes; | | | 3| 2. "Department" means the Insurance Department as established | | | 4|in Section 301 of Title 36 of the Oklahoma Statutes; | | | 5| 3. "Health benefit plan" means a health benefit plan as defined | | | 6|pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and | | | 7| 4. "Mandate" means any requirement proposed in legislation or | | | 8|regulation that obligates health benefit plans to: | | | 9| a. provide, offer, or expand coverage for specific | | | 10| health care services or providers, treatments, medical | | | 11| supplies, or populations, or | | | 12| b. implement operational or administrative processes | | | 13| such as prior authorization, reporting requirements, | | | 14| or claims procedures. | | | 15| SECTION 2. NEW LAW A new section of law to be codified | | | 16|in the Oklahoma Statutes as Section 8001 of Title 36, unless there | | | 17|is created a duplication in numbering, reads as follows: | | | 18| No bill providing for a mandate impacting the health plans in | | | 19|the state shall be considered or adopted by the Senate or the House | | | 20|of Representatives unless there is an impact analysis of the bill. | | | 21| SECTION 3. NEW LAW A new section of law to be codified | | | 22|in the Oklahoma Statutes as Section 8002 of Title 36, unless there | | | 23|is created a duplication in numbering, reads as follows: | | | 24| | | | Req. No. 3675 Page 2 ___________________________________________________________________________
1| A. When the President Pro Tempore of the Senate or Speaker of | | | 2|the House of Representatives or his or her delegates decide a bill | | | 3|contains a mandate impacting health benefit plans as provided for in | | | 4|Section 2 of this act, they shall direct the Legislative Service | | | 5|Bureau to submit such bill to the Insurance Department for the | | | 6|purpose of conducting an impact analysis. | | | 7| B. 1. When conducting such analysis, the Department shall | | | 8|analyze the proposed mandate and prepare a written report to be | | | 9|returned to the Legislative Service Bureau within sixty (60) days | | | 10|from referral. | | | 11| 2. Such report shall include, but not be limited to: | | | 12| a. social impact: | | | 13| (1) the extent to which the mandate addresses a | | | 14| significant public health issue, | | | 15| (2) the number of individuals and demographics | | | 16| affected by the proposed mandate, and | | | 17| (3) any anticipated impact on access to health care | | | 18| services, | | | 19| b. medical efficacy: | | | 20| (1) a review of peer-reviewed studies, clinical | | | 21| guidelines, and other scientific evidence | | | 22| evaluating the effectiveness of the treatment or | | | 23| service, and | | | 24| | | | Req. No. 3675 Page 3 ___________________________________________________________________________
1| (2) input from medical experts and professional | | | 2| organizations as appropriate, and | | | 3| c. financial impact: | | | 4| (1) the estimated effect on insurance premiums for | | | 5| consumers and employers, | | | 6| (2) the potential cost implications for insurers, | | | 7| health care providers, and state-funded programs | | | 8| that provide payment for covered services, and | | | 9| (3) any anticipated impact on the stability of the | | | 10| state's insurance market. | | | 11| C. The Department may contract with a third-party vendor who | | | 12|specializes in actuarial services, insurance mandate reviews, or | | | 13|other services that the Department deems necessary to carry out the | | | 14|provisions of this act. | | | 15| D. The Department may seek the input and expertise of any | | | 16|agency of this state to evaluate the potential impact to | | | 17|state-funded programs that provide payment for covered services. | | | 18| E. The Bureau shall not submit more than six (6) referrals, | | | 19|equally divided between the Senate and the House of Representatives, | | | 20|for analysis to the Department per fiscal year. Any additional | | | 21|referral for analysis shall be approved by the Department in writing | | | 22|at the discretion of the Insurance Commissioner before submission by | | | 23|the Bureau. | | | 24| | | | Req. No. 3675 Page 4 ___________________________________________________________________________
1| F. Upon return of the analysis by the Department to the Bureau, | | | 2|the Bureau shall provide a copy, by either written or electronic | | | 3|means, to the author of the legislative measure and the chairs of | | | 4|the legislative committees to which the measure was referred, and | | | 5|make such report available on the legislative website, which is | | | 6|accessible to the general public. | | | 7| SECTION 4. This act shall become effective November 1, 2026. | | | 8| | | | 9| 60-2-3675 CAD 2/24/2026 5:21:52 PM | | | 10| | | | 11| | | | 12| | | | 13| | | | 14| | | | 15| | | | 16| | | | 17| | | | 18| | | | 19| | | | 20| | | | 21| | | | 22| | | | 23| | | | 24| | | | Req. No. 3675 Page 5