Bill > HB4329

This bill modifies the definition of "covered services" within Oklahoma's dental insurance laws, specifically concerning dental plans offered by health benefit plans. Previously, "covered services" were defined as services reimbursable under a subscriber agreement, subject to limitations like deductibles or waiting periods. This bill amends the definition to mean services reimbursed under the subscriber agreement, *regardless* of these contractual limitations on subscriber benefits. The bill also clarifies that a dentist cannot be required to provide services at a fee set by the health benefit plan unless those services are actually covered under the patient's agreement, and it establishes appeal procedures for denied claims based on lack of medical necessity, requiring that such denials be made by a licensed dentist and that specific identifying information be provided in written communications about the denial. This act is set to become effective on November 1, 2026.

Budget and Finance

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb4329&Session=2600