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OK SB1243
Bill
Status
2/1/2016
Primary Sponsor
Jason Smalley
Click for details
AI Summary
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Requires health insurance plans, policies, and HMOs providing prescription drug coverage to allow any licensed pharmacy or pharmacist to participate as a network provider if they agree to the insurer's terms, requirements, and reimbursement rates
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Prohibits insurers from preventing beneficiaries from selecting any participating licensed pharmacy or pharmacist to fill prescriptions
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Bars insurers from imposing different copayments, fees, or conditions on beneficiaries based on which participating pharmacy they choose, including higher copays or reduced reimbursements that would influence pharmacy selection
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Exempts self-insured plans governed by ERISA from these open pharmacy network requirements
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Applies to all policies issued or renewed after November 1, 2016, with any conflicting contract provisions rendered void
Legislative Description
Health insurance; any willing provider; pharmacies. Effective date.
Last Action
Second Reading referred to Insurance
2/2/2016