Author: Alicia Emerson
Last saved by: Gina Delaney
Company: Senate

STATE OF OKLAHOMA

1st Session of the 52nd Legislature (2009)

SENATE BILL 921	By:	Sparks

AS INTRODUCED

An Act relating to health insurance; defining terms; requiring changes in certain contracts to be agreed to in writing by both parties before becoming effective; requiring the Insurance Commissioner to enforce certain provisions; providing for codification; and providing an effective date.

BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1.     NEW LAW     A new section of law to be codified in the Oklahoma Statutes as Section 6585 of Title 36, unless there is created a duplication in numbering, reads as follows:
A.  For purposes of this section:
1.  “Health care provider” means any person, firm, corporation or other legal entity that is licensed, certified or otherwise authorized by the laws of this state to provide health care services, procedures or supplies in the ordinary course of business or practice of a profession; and
2.  “Insurer” means any insurance company, not-for-profit hospital service and medical indemnity plan, health insurance service organization, preferred provider organization or other entity offering health insurance policies, contracts or benefits in this state.
B.  When a change occurs in any terms and conditions, policies, procedures, or rules of the insurer as referenced by a contract and such change results in a negative fiscal impact or a material change to administration of the agreement, both the insurer and the health care provider shall agree to the change in writing before such change becomes effective.
C.  The Insurance Commissioner shall enforce the provisions of this section and shall promulgate rules, if necessary, to implement the provisions of this section.
SECTION 2.     NEW LAW     A new section of law to be codified in the Oklahoma Statutes as Section 1304.1 of Title 74, unless there is created a duplication in numbering, reads as follows:
A.  For purposes of this section, “health care provider” means any person, firm, corporation or other legal entity that is licensed, certified or otherwise authorized by the laws of this state to provide health care services, procedures or supplies in the ordinary course of business or practice of a profession.
B.  When a change occurs in any terms and conditions, policies, procedures, or rules of the State and Education Employees Group Insurance Plan as referenced by a contract and such change results in a negative fiscal impact or material change to administration of the agreement, both the State and Education Employees Group Insurance Plan and the health care provider shall agree to the change in writing before such change becomes effective.
C.  The Insurance Commissioner shall enforce the provisions of this section and shall promulgate rules, if necessary, to implement the provisions of this section.
SECTION 3.  This act shall become effective November 1, 2009.

52-1-1162	ARE	1/15/2009 10:56:58 AM

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