OK SB1626

Prohibits health care contracts from containing anticompetitive provisions including all-or-nothing clauses, anti-steering clauses, anti-tiering clauses, gag clauses, and most-favored-nations clauses between health insurers and providers

Violations constitute unfair or deceptive acts under Oklahoma law, enforceable by the Attorney General with authority to seek injunctive relief, civil and criminal penalties, disgorgement, or restitution

Insurance Commissioner must approve or deny waiver requests within 60 days for contracts containing prohibited provisions, only if the provision improves consumer welfare and cannot be achieved through less restrictive means

Commissioner may impose administrative penalties up to $5,000 per day on health insurers for each day a non-waived prohibited contract remains in effect, and may deny the sale of health insurance plans with violating contracts

Effective November 1, 2026; does not limit network design, cost or quality initiatives such as accountable care organizations, exclusive provider organizations, or pay-for-performance programs