This bill amends Section 7301 of Title 36 of the Oklahoma Statutes, which pertains to dental insurance claims and the relationship between dental plans and dentists. The bill modifies the definition of "covered services" by changing the term from "reimbursable" to "reimbursed" and clarifies that these services are provided without regard to contractual limitations on subscriber benefits, such as deductibles or waiting periods. Additionally, it defines "dental plan" and "health benefit plan" to ensure clarity in the types of insurance policies covered under this law.

Furthermore, the bill mandates that health benefit plans or dental plans must establish and maintain appeal procedures for claims denied due to lack of medical necessity. It requires that any denial of benefits must be communicated in writing, including the identifier and license number of the dentist who made the determination, along with their contact information. This ensures transparency and accountability in the claims process, allowing dentists and subscribers to understand the basis for any denials. The act is set to take effect on November 1, 2026.