1 STATE OF OKLAHOMA
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2 2nd Session of the 59th Legislature (2024)
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3 SENATE BILL 1915 By: Standridge
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6 AS INTRODUCED
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7 An Act relating to prescription drug reimbursement;
7 defining term; directing payment of certain co-
8 payment by insured under certain circumstances;
8 requiring certain health benefit plans to include
9 certain provisions in plans to be issued or renewed;
9 providing for codification; and providing an
10 effective date.
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13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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14 SECTION 1. NEW LAW A new section of law to be codified
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15 in the Oklahoma Statutes as Section 3634.7 of Title 36, unless there
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16 is created a duplication in numbering, reads as follows:
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17 A. As used in this section, “health benefit plan” shall have
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18 the same meaning as defined pursuant to Section 6060.4 of Title 36
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19 of the Oklahoma Statues.
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20 B. For any health benefit plan which covers prescription drug
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21 reimbursement and is issued or renewed on or after the effective
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22 date of this act, a patient shall only be responsible for the
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23 payment of the applicable co-payment amount listed in the patient’s
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24 policy when the prescription drug claim satisfies the following:
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 1 1. The reimbursement rate for the claim does not cover the
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2 entire cost of the drug and any dispensing fees incurred; and
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3 2. There is one insurer providing sole reimbursement for the
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4 claim.
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5 C. For any health benefit plan which covers prescription drug
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6 reimbursement and is issued or renewed on or after the effective
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7 date of this act, all listed co-payments for prescription drug
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8 reimbursement shall include the cost of the prescription drug plus
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9 an average cost of dispensing as recognized by the pharmaceutical
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10 industry.
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11 SECTION 2. This act shall become effective November 1, 2024.
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13 59-2-2358 RD 1/18/2024 11:21:36 AM
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