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.
HB 1006 – Oklahoma
Introduced: 2021 Status: Enacted
An Act relating to health care; creating the Transparency in Health Care Prices Act; defining terms; requiring health care providers to make available the health care prices for certain health care services; providing for disclosure; …
HB 1013 – Oklahoma
Introduced: 2018 Status: Inactive / Dead
MODIFYING PROVISIONS RELATED TO THE NURSING PRACTICE ACT: The introduced measure will give full practice authority to advanced practice registered nurses and repeals the Formulary Advisory Council within the Nursing Practice Act.
HB 1019 – Oklahoma
Introduced: 2021 Status: Enacted
HB 1019 caps the amount that a covered person is required to pay for insulin not to exceed $30 for a 90-day supply.
HB 1053 – Oklahoma
Introduced: 2019 Status: Inactive / Dead
Insurance; creating the Out-of-Network Surprise Billing Transparency Act; instructing the Oklahoma Insurance Department to promulgate rules for implementation of program; effective date.
HB 1058 – Oklahoma
Introduced: 2019 Status: Inactive / Dead
Insurance; employee insurance benefits; HMO plans; effective date: HB1058, as introduced, removes the requirement that the Oklahoma Employees Insurance and Benefits Board contract with and offer HMO plans. The board would instead contract with one …
Okla. Stat. tit. 63, § 1-2703. Telemedicine grants–Rural assistance: Telemedicine – Oklahoma
Introduced: Status: Enacted
Contingent upon the provision of appropriated funds designated for Telemedicine Services Programs, the State Department of Health is authorized to award one or more competitive grants to public hospitals or health care facilities for programs …
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Okla. Stat. tit. 63, § 1-711. Survey and inventory of hospitals and health centers: Hospital Facilities – Oklahoma
Introduced: Status: Enacted
Directs the State Commissioner of Health to conduct a survey and inventory of all existing public and private hospitals, health centers, and related health facilities in the state to evaluate their collective ability to supply …
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Okla. Stat. tit. 63, § 1-713. Standards of United States Surgeon General to be followed–Reports: Hospital Facilities – Oklahoma
Introduced: Status: Enacted
The State Commissioner of Health, in making the survey and inventory of existing hospitals, health centers, community mental health facilities, and related health facilities, and in developing programs for the construction of public and other …
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Okla. Stat. tit. 63, § 1-713.1. Federally Qualified Health Centers–Compliance with federal law–Subject to Open Meeting Act–Investigation of and sanctions for noncompliance–Board member training and certification: Hospital Facilities – Oklahoma
Introduced: Status: Enacted
The Legislature finds that, as providers of health care to medically underserved populations, Federally Qualified Health Centers are extremely beneficial to the citizens of Oklahoma. In order to ensure that Federally Qualified Health Centers in …
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Okla. Stat. tit. 63, § 1-719. Bonds of counties, cities and towns: Hospital Facilities – Oklahoma
Introduced: Status: Enacted
Any county, city, or town is hereby authorized to issue bonds for constructing and equipping a hospital, community mental health facility, public health center, or related health facility, to be owned and operated by such …
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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