The proposed legislation establishes the Oklahoma Health Care Cost Transparency Board, which will oversee the All Payer Claims Database (APCD) to measure health care cost growth and primary care investment trends across various insurance types, including commercial, Medicaid, and Medicare. The Board will consist of fourteen members, including representatives from the Insurance Department, the Oklahoma Health Care Authority, and various health care sectors, who will serve staggered terms without compensation but may receive travel reimbursements. The Board is tasked with meeting quarterly, creating technical working groups, and preparing an annual report on health care costs and primary care spending.

Additionally, the bill mandates the Insurance Department to maintain the APCD, which will collect and analyze health care cost data from all payer types. Commercial health insurers are required to measure their annual primary care spending and submit reports, aiming for a minimum of 11% of total medical spending to be devoted to primary care by January 1, 2030. The Insurance Commissioner will have exclusive authority to enforce compliance and implement incentive programs, while the Board will provide advisory recommendations. The act is set to take effect on November 1, 2026.