OK HB1119

Amends the Oklahoma Right to Shop Act to make shared savings incentive programs mandatory for insurance carriers, changing "may offer" to "shall offer" these programs that reward enrollees for choosing lower-cost health care providers

Requires incentives to be calculated as a percentage of the difference between the average allowed amount and the actual amount paid, with a minimum incentive of 25% of the savings generated

Adds new definition for "average allowed amount" (mean of all allowed amounts for comparable services) and removes the Insurance Commissioner's authority to exempt services with less than $50 price variation

Allows enrollees to use out-of-network providers who agree to accept less than the average allowed amount, with enrollees paying only in-network cost-sharing amounts

Changes incentive payments from cash, deposit, or credit options to credit only toward annual in-network deductible and out-of-pocket limits, effective November 1, 2025