BillTrack50 logo
Free Signup Login
Bill

Bill > HB4453

OK HB4453

OK HB4453
Health insurance; Oklahoma Health Care Cost Transparency Board; All Payer Claims Database; Oklahoma Insurance Department; annual primary care spending; report; effective date.

summary

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

Introduced Session

Potential new amendment
2026 Regular Session

Bill Summary

An Act relating to health insurance; creating the Oklahoma Health Care Cost Transparency Board; providing purpose for the Board; directing Board to oversee operation and reporting of the All Payer Claims Database; providing membership of Board; directing for members to serve staggered terms; clarifying members shall serve without compensation but may receive travel reimbursement; directing Board to meet at least quarterly; permitting Board to create technical working groups; directing the Department to establish and maintain an All Payer Claims Database; directing to the Database to collect and analyze health care costs, utilization, and spending data; directing the Database to include certain data; directing for collected data to be used for certain purposes; granting Insurance Department rule-making authority; permitting publication of deidentified, aggregated data; directing the Oklahoma Health Care Authority to maintain and update state primary care spend methodology and definitions; directing all regulated commercial health insurers measure annual primary care spending; directing commercial health insurers to submit annual reports; directing commercial health insurers to achieve minimum percentage of total medical spending devoted to primary care by certain date; directing the Board to establish benchmarks; directing the Insurance Department to compile annual analyses of primary care spending levels; granting the Insurance Commissioner exclusive authority to determine and implement enforcement mechanisms and incentives; granting certain authority related to benchmark goals to the Commissioner; allowing Board to make advisory recommendations to Commissioner; directing the Insurance Department to coordinate with the Oklahoma Health Care Authority and other agencies; directing Board to prepare an annual report; directing for report to be published to Insurance Department website; providing for codification; and providing an effective date.

AI Summary

This bill establishes the Oklahoma Health Care Cost Transparency Board within the Oklahoma Insurance Department to oversee an All Payer Claims Database (APCD), which will collect and analyze health care costs, utilization, and spending data from all types of insurers, including commercial health insurers, Medicaid (administered by the Oklahoma Health Care Authority or OHCA), and Medicare. The Board, composed of various stakeholders including state officials, insurer representatives, employers, providers, and consumer advocates, will be responsible for measuring statewide health care cost growth and primary care investment trends, ensuring consistent evaluation of total health expenditures, and fostering transparency. Commercial health insurers will be required to measure their annual primary care spending using a methodology standardized by the OHCA and submit reports, with a mandate to dedicate at least 11% of their total medical spending to primary care by January 1, 2030, with interim benchmarks set by the Board. The Insurance Commissioner will have the exclusive authority to implement enforcement mechanisms, such as corrective action plans and penalties for noncompliance, as well as incentive programs for insurers demonstrating strong primary care investment. The Board will also prepare an annual report detailing cost trends, primary care spending, and policy recommendations, which will be published on the Insurance Department's website.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

House Commerce & Economic Development Oversight Hearing (10:30:00 2/24/2026 Room 450) (on 02/24/2026)

bill text

bill summary

Loading...

bill summary

Loading...
Loading...