Overview
Oklahoma operates a volunteer all-payer claims database. Approximately 1 million people’s claims are in this database, accounting for about 25% of Oklahoma’s total population. The legislature also introduced legislation to promote price transparency and cost containment in recent terms, including protection against surprise billing and a Right to Shop program that would require insurance carriers to establish for all health care plans a program in which enrollees are directly incentivized to shop for lower-cost participating health care providers or health care entities for comparable health care services. Incentives may include cash payments, gift cards or credits or reductions of premiums, copayments, cost-sharing or deductibles.
In the insurance market, Oklahoma uses the federally facilitated marketplace. Blue Cross Blue Shield of Oklahoma was the only carrier offering plans on the state’s exchange until 2018. Since then, more plans have joined the exchange, effectively decreasing the rates of BCBS. To provide additional insurance alternatives in Oklahoma, the legislature also enacted the Health Care Choice Act to allow the state to enter into compacts with other states so that health plans domiciled in those states could be sold to Oklahoma residents without having to obtain an Oklahoma certificate of authority.
Oklahoma was awarded a CMS State Innovation Model grant in 2014, which authorized the Oklahoma State Department of Health’s Center for Health Innovation and Effectiveness to utilize multi-payer value-based payment models to improve healthcare quality and bend the cost curve. In recent terms, the state legislature also proposed a public option bill that would authorize the Oklahoma Health Care Authority to implement a Medicaid Buy-In program in the state.
See below for an overview of existing Oklahoma state mandates. Click on citation tab for detailed information of specific statutes (click link to download statute text).
State Action
Latest Legislative Session: 2/6/2023 - 5/26/2023 (2023-2024 term). *Current session bill updates are ongoing. Check back weekly for updates.
SB 1227 – Oklahoma
Introduced: 2020 Status: Inactive / Dead
Telemedicine; directing the State Department of Health to enter into certain agreement. Effective date. SB 1227 updates statutory references and directs the State Department of Health to enter into agreements with the Oklahoma Office of …
SB 13 (see companion bill HB 1713) – Oklahoma
Introduced: 2023 Status: In Process
prohibits any pharmaceutical drug plan or pharmacy benefits manager from refusing to approve, pay, or authorize the dispensation of a white bagged drug to a patient solely because the drug is a white bagged drug. …
SB 1323 – Oklahoma
Introduced: 2022 Status: Enacted
State Medicaid program; authorizing certain recognition of self-funded or self-insured health care plan; allowing participation in certain premium assistance program. SB 1323 provides that a self-funded or self-insured health care plan may be recognized by …
SB 1324 – Oklahoma
Introduced: 2022 Status: Inactive / Dead
Pharmacy benefits managers; requiring publication of data; establishing regulations and compliance measures. SB 1324 modifies prohibitions to PBM contracts between pharmacy benefits managers and pharmacists or pharmacies for participation in retail pharmacy networks. The measure …
SB 1348 – Oklahoma
Introduced: 2018 Status: Inactive / Dead
ESTABLISHING CERTAIN FILING REQUIREMENT RELATING TO INSURANCE AND BENEFITS: Requires that any network provider facility or physician contract that is amended (by mutual written consent of duly authorized representatives of the Office of Management and …
HB 1157 – Oklahoma
Introduced: 2019 Status: Enacted
An Act relating to health care; creating the Oklahoma Medicaid Reform Act; providing for noncodification; and providing an effective date.
HB 2191 – Oklahoma
Introduced: 2019 Status: Enacted
HB2191, as introduced, requires the disclosure of insurers’ corporate governance structures, policies, and practices to the Insurance Commissioner. HB2191 establishes an annual deadline of June 1 to submit to the Commissioner a Corporate Governance Annual …
HB 2632 – Oklahoma
Introduced: 2019 Status: Enacted
[Enforcement suspended pending litigation] An Act relating to insurance; creating the Patient’s Right to Pharmacy Choice Act; declaring purpose; defining terms; providing for compliance standards for retail pharmacy networks; providing for review of retail pharmacy …
Okla. Stat. tit. 15, § 219A. Noncompetition agreements: Unlawful Contracts – Oklahoma
Introduced: Status: Enacted
Prohibits noncompete contracts except those written to protect the sale of goodwill of a business, dissolution of a partnership or those that prohibit only the direct solicitation of established customers of the former employer.
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Okla. Stat. tit. 15, § 777.4. Maximum permitted price or rate for sale, rent, or lease of goods, services, dwelling units, or storage space–Application of section: Emergency Price Stabilization Act – Oklahoma
Introduced: Status: Enacted
Prohibits price gouging in emergency situations.
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Pharmaceutical Care Management Association (PCMA) v. Mulready – Oklahoma
District Court: District Court of Western District of Oklahoma Status: Decided
The 2019 Oklahoma law, Patient’s Right to Pharmacy Choice Act, targets PBM conflict of interest by prohibiting higher reimbursement rates for PBM-owned pharmacies and bans …
In re: Suboxone Antitrust Litigation (State of Wisconsin, et al. v. Indivior Inc, et al.) – Alabama, Alaska, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Utah, Virginia, Washington, West Virginia, Wisconsin
District Court: E.D. Pennsylvania Status: Pending
In September 2016, 35 state attorneys general and the District of Columbia brought a multi-district case against pharmaceutical manufacturer Indivior, MonoSol RX et al., alleging …
In Re: Generic Pharmaceuticals Pricing Antitrust Litigation – Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin
District Court: Eastern District of Pennsylvania Status: Pending
Plaintiffs are attorney generals from 48 states, Puerto Rico, and the District of Columbia, as well as classes of private plaintiffs that filed an antitrust …
Additional Resources
STATE BUDGET
Oklahoma’s fiscal year begins on July 1 and ends on June 30 in the following year. Oklahoma enacts its annual budget during the regular legislative session. View the current budget information here.
KEY RESOURCES
- Oklahoma State Legislature
- Oklahoma Office of the Attorney General
- Oklahoma Insurance Department
- OK2SHARE