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Bill > HB1979
OK HB1979
OK HB1979Vision care services; contracts; reimbursements; discoveries; civil actions; fines; enforcements; emergency.
summary
Introduced
02/06/2023
02/06/2023
In Committee
04/11/2023
04/11/2023
Crossed Over
03/09/2023
03/09/2023
Passed
05/30/2024
05/30/2024
Dead
Vetoed
05/29/2024
05/29/2024
Veto Overridden
05/30/2024
05/30/2024
Introduced Session
2023 Regular Session
Bill Summary
An Act relating to vision care; defining terms; establishing requirements for agreements between certain vision care insurers and providers; setting reimbursement standards; prohibiting vision care plans from offering certain provisions to insureds; providing standards for contract negotiation; establishing requirements for changes to certain agreements between insurers and providers; prohibiting vision care plans from limiting services or materials offered by vision care providers; requiring vision care plans to register for and maintain certificate of authority with Insurance Department; establishing application requirements; establishing financial surety provisions; requiring vision care plans to issue coverage policies to insureds; establishing reporting requirements; prescribing revocation and suspension processes for certificates of authority; requiring filing of certain advertising materials with the Department; establishing authority of Department with regard to vision care plans; directing rule promulgation; amending 36 O.S. 2021, Sections 1202 and 1204, which relate to unfair practices and frauds; modifying definition; modifying provisions to be considered an unfair practice by a vision care plan; and declaring an emergency. SUBJECT: Vision care
AI Summary
This bill:
Establishes new requirements for agreements between vision care insurers and providers, including prohibiting insurers from requiring providers to offer services at fees limited by the insurer unless those services are covered by the plan. It also sets standards for reimbursement rates, restricts the use of extrapolation in audits, and prohibits insurers from incentivizing patients to receive care at insurer-owned entities.
The bill creates a registration and certification process for prepaid vision plan organizations, requiring them to maintain minimum financial reserves and a deposit with the Insurance Commissioner. It also sets standards for policy issuance, reporting, and oversight of these plans.
The bill amends existing laws to include prepaid vision plan organizations and insurers within the definition of "person" under the Insurance Code and to prohibit these entities from requiring providers to participate in all of the insurer's prepaid vision plans as a condition of participation in one plan.
The bill includes an emergency clause to make it effective immediately upon passage and approval.
Committee Categories
Business and Industry, Labor and Employment
Sponsors (9)
John Haste (R)*,
Kyle Hilbert (R)*,
Steve Bashore (R),
Scott Fetgatter (R),
Ronny Johns (R),
Mark Lawson (R),
Brenda Stanley (R),
Darrell Weaver (R),
Josh West (R),
Last Action
Filed with Secretary of State (on 05/30/2024)
Official Document
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