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OK SB2129

OK SB2129
Health insurance; creating the Employer Health Plan Transparency Act; prohibiting health plans from entering certain contracts; prohibiting certain contract provisions. Effective date.


summary

Introduced
02/02/2026
In Committee
02/03/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An Act relating to health insurance; creating the Employer Health Plan Transparency Act; providing short title; defining terms; prohibiting certain health plan from entering into certain contract; prohibiting certain contract provisions from limiting or denying certain information; prohibiting certain contracts from containing certain provisions; prohibiting certain contracts from prohibiting or penalizing certain health plans in certain situations; requiring certain contracts in violation of certain provisions to be void; requiring certain insurer or provider to provide certain information consistent with certain Health Insurance Portability and Accountability Act of 1996 (HIPAA) requirements; requiring certain health plan to comply with certain HIPAA requirements; construing provisions; requiring certain claims to be made in accordance with certain regulations; requiring certain information to be unmodified; requiring certain notices to be in certain formats; requiring certain disclosures by certain issuers or providers; requiring itemization of certain costs; requiring certain supports; requiring submission of certain annual declaration; requiring certain submission in certain situations; allowing Insurance Commissioner to asses certain civil penalties; allowing Commissioner to issue certain orders; allowing certain action against license in certain situations; prohibiting certain issuer or provider from retaliating against certain persons; requiring Commissioner to promulgate rules and regulations; providing for noncodification; providing for codification; and providing an effective date.

AI Summary

This bill, known as the Employer Health Plan Transparency Act, aims to increase transparency and access to information for regulated health plans, which include group health plans and public employee health plans. It prohibits health plans from entering into contracts with health insurance issuers or covered service providers (entities that provide healthcare services) unless these contracts grant the health plan access to all claims and encounter data, along with supporting documentation, within fifteen days of a request. The bill also prevents contracts from unreasonably limiting the volume of information accessible for audits, restricting the disclosure of payment arrangements and fees, or preventing the public disclosure of de-identified or aggregate data. Furthermore, it voids any contract that violates these provisions and requires that all claims and payment information be provided in formats consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), a federal law that sets standards for protecting sensitive patient health information. The bill also mandates that health insurance issuers and covered service providers submit annual declarations of compliance, allows the Insurance Commissioner to impose civil penalties and issue orders for violations, and prohibits retaliation against those who report violations.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Second Reading referred to Business and Insurance (on 02/03/2026)

bill text


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