In the 2017-2018 legislative term, Oklahoma passed the Health Care Choice Act, which allows the state to enter into compacts with other states (approved by the legislature) so that health plans domiciled in those states could be sold to Oklahoma residents without having to obtain an Oklahoma certificate of authority. Blue Cross Blue Shield of Oklahoma was the only carrier offering plans on the exchange in 2017 and continues to be the only carrier on the exchange in 2018. The Oklahoma legislation is intended to provide additional insurance alternatives in Oklahoma. The bill cannot, however, require insurers in other states to offer their plans for sale in Oklahoma, and it’s unclear whether insurers in other states would be willing or able to establish provider networks in Oklahoma. The legislature continued to introduce bills to promote price transparency and cost containment in the 2018 session, but most failed to pass.    

In previous legislative sessions, Oklahoma introduced but did not pass a bill that would have promoted price transparency in the state. In addition, the Oklahoma State Department of Health’s Center for Health Innovation and Effectiveness is spearheading efforts to improve healthcare quality and reign in cost growth. Oklahoma was awarded a CMS State Innovation Model grant in December 2014, which aims to utilize multi-payer value-based payment models to bend the cost curve. 

The state has a volunteer all-payer claims database.  Approximately 1 million people’s claims histories are in this database, which accounts for about 25% of Oklahoma’s total population. 

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare. We currently cover bills from the 2017-2018 legislative term and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.

*Note: 2019 legislative session updates are currently in progress. Check back weekly for updates. 

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Additional Resources


Oklahoma’s current legislative session runs from 2/4/2019 – 5/31/2019. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.


Oklahoma’s fiscal year begins on July 1 and ends on June 30 in the following year. Oklahoma enacted its FY 2018 Budget during the regular legislative session. To view Oklahoma’s FY 2018 Budget, click here.