Bill Text For SB1625 - Proposed Committee Substitute

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