Bill
Bill > HB3928
OK HB3928
OK HB3928Vision insurance; reimbursements; Medicare or Medicaid; non-Medicare reimbursements; charges; services; ophthalmic materials; nonaffiliated labs or frame vendors; effective date.
summary
Introduced
02/02/2026
02/02/2026
In Committee
02/03/2026
02/03/2026
Crossed Over
Passed
Dead
Introduced Session
Potential new amendment
2026 Regular Session
Bill Summary
An Act relating to vision insurance; amending Section 2, Chapter 360, O.S.L. 2024 (36 O.S. Supp. 2025, Section 6973), which relates to reimbursements, charges, and pricing related to vision insurance; modifying citation; requiring reimbursement of licensed optometric physicians for covered services be not less than sixtieth percentile of usual charge for same services; prohibiting increases in reimbursement being offset by decrease for ophthalmic materials; providing exception for uniform application of changes; prohibiting reduction in reimbursements to providers for using nonaffiliated labs or frame vendors if credentialing standards are met; requiring disclosure of certain reimbursements; providing for codification; and providing an effective date.
AI Summary
This bill mandates that vision insurance providers, including health maintenance organizations (HMOs) and vision benefit managers, must reimburse licensed optometric physicians for covered services at a rate no less than the 60th percentile of their usual and customary charges in the same geographic area, as determined by a recognized independent data collector. It also prohibits vision plans from increasing reimbursements for services while simultaneously decreasing reimbursements for ophthalmic materials like frames and lenses, unless these changes are applied uniformly to all providers, including those affiliated with the plan. Furthermore, the bill prevents vision plans from reducing reimbursements to providers who use independent laboratories or frame vendors, provided these vendors meet credentialing standards. Finally, vision plans will be required to disclose their average reimbursement rates to both affiliated and independent providers for services and materials.
Committee Categories
Business and Industry
Sponsors (2)
Last Action
Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass, amended by committee substitute Insurance (on 02/11/2026)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
Loading...