Bill > HB1683

This bill amends Oklahoma law to add new regulations for vision insurance providers and vision care, expanding existing provisions to include insurers alongside prepaid vision plans. The bill prohibits insurers and prepaid vision plans from setting service fees below reimbursement rates, mandates that providers cannot charge enrollees more than their usual rates for non-covered services, and requires reimbursements to be at usual and customary rates disclosed before contract acceptance. The legislation specifically bars insurers and vision plans from using extrapolation during provider audits, meaning any payment adjustments must be based on actual overpayments or underpayments. Additionally, the bill prevents insurers and vision plans from incentivizing patients to use vision care services at facilities owned partially or wholly by the insurer or plan, and requires disclosure if such a facility is affiliated. The bill also mandates that any entity selling or negotiating vision plans must have an approved certificate of authority, and uniquely stipulates that insurers must comply with these regulations even if they are otherwise exempt from other insurance laws as a charitable or benevolent corporation. The act is set to become effective on July 1, 2025, with an emergency clause indicating immediate implementation upon passage.

Budget and Finance, Business and Industry

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb1683&Session=2600