OK HB2437

Establishes the Health Carrier Access Payment Revolving Fund within the State Treasury for the Oklahoma Health Care Authority to fund the state's Medicaid program and maximize federal matching funds.

Requires all health carriers (including insurers, HMOs, third-party administrators, self-insured plans, and MEWAs) to pay 1% access payments on claims paid for health and medical services to Oklahoma residents from July 1, 2010 through January 1, 2015.

Excludes from "claims paid" calculation: administrative expenses, limited benefit insurance, non-resident services, Medicare/Medicaid claims, and retiree health plans separate from employee plans.

Mandates monthly access payment reporting and payment to the Insurance Commissioner within 30 days of each month (or annually for small group third-party administrators within 60 days of plan year close).

Authorizes the Insurance Commissioner to refuse renewal, suspend, or revoke health carrier certificates of authority and assess civil penalties for failure to pay access payments; collected funds shall not be used for state employee wages or general administrative expenses.