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OK SB1500
Bill
AI Summary
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Requires payors (including PBMs, insurers, and health plans) to pay clean pharmacy claims within 30 calendar days of receipt or adjudication, with late payments accruing 10% interest per 30 days
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Prohibits conditioning pharmacy payments on post-transaction reconciliation, manufacturer funding cycles, or internal settlements between program administrators
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Mandates payors provide itemized, claim-by-claim accounting with each payment, including amounts paid, fees applied, adjustments made, and program identification
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Prohibits payors from retroactively repricing claims after adjudication, bundling claims to obscure payment details, or shifting payment risk to pharmacies due to internal funding disputes
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Authorizes the Attorney General to levy civil fines of $100 to $10,000 per violation, with any contract terms waiving these protections deemed void; effective November 1, 2026
Legislative Description
Pharmacy benefit managers; prohibiting certain payments to be conditioned on provisions; prohibiting provider from bearing risks; requiring certain payments; establishing accounting requirements; authorizing Attorney General to levy fines. Effective date.
Last Action
Placed on General Order
3/3/2026