1 STATE OF OKLAHOMA
2 2nd Session of the 59th Legislature (2024)
3 SENATE BILL 1264 By: Stanley
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6 AS INTRODUCED
7 An Act relating to health insurance; defining terms;
requiring coverage of certain genetic testing and
8 cancer imaging; specifying terms of coverage;
providing certain exclusions; providing for
9 codification; and providing an effective date.
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12 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
13 SECTION 1. NEW LAW A new section of law to be codified
14 in the Oklahoma Statutes as Section 6060.5b of Title 36, unless
15 there is created a duplication in numbering, reads as follows:
16 A. For the purposes of this section:
17 1. “Evidence-based cancer imaging” means evidence-based cancer
18 imaging modalities in accordance with the most recent version of the
19 National Comprehensive Cancer Network (NCCN) clinical practice
20 guidelines;
21 2. “Genetic testing for an inherited mutation” means germline
22 multi-gene testing for an inherited mutation associated with an
23 increased risk of cancer in accordance with NCCN clinical practice
24 guidelines;
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1 3. “Health benefit plan” means a health benefit plan as defined
2 pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and
3 4. “Health care provider” means any physician, hospital, or
4 other entity or person that is licensed or otherwise authorized in
5 this state to furnish health care services.
6 B. Any health benefit plan including the Oklahoma Employees
7 Insurance Plan that is offered, issued, or renewed in this state on
8 or after the effective date of this act shall provide coverage for:
9 1. Clinical genetic testing for an inherited gene mutation for
10 individuals with a personal or family history of cancer that is
11 recommended by a health care provider; and
12 2. Evidence-based cancer imaging for individuals with an
13 increased risk of cancer as recommended by the NCCN clinical
14 practice guidelines.
15 C. Coverage under this section shall not be subject to any
16 annual deductibles, copayments, or coinsurance limits as established
17 for all covered benefits under the health benefit plan.
18 D. If application of this act would result in health savings
19 account ineligibility under Section 223 of the federal Internal
20 Revenue Code, as amended, the provisions of this section shall only
21 apply to health savings accounts with qualified high deductible
22 health plans with respect to the deductible of such a plan after the
23 enrollee has satisfied the minimum deductible. Provided, however,
24 the provisions of this section shall apply to items or services that
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1 are preventive care pursuant to Section 223(c)(2)(C) of the federal
2 Internal Revenue Code, as amended, regardless of whether the minimum
3 deductible has been satisfied.
4 SECTION 2. This act shall become effective November 1, 2024.
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6 59-2-2788 RD 12/8/2023 12:13:23 PM
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