Legislation Signed into Law
|Primary Focus||Identifies parameters for insurance-sponsored telemedicine programs, along with establishing reimbursement requirements and protocols for telehealth services.|
|Title/Description||The Oklahoma Telemedicine Act|
The amended law establishes basic requirements in terms of how state-licensed health plans and similar arrangements offer telemedicine services in Oklahoma. This includes parity in terms of how utilization management requirements are applied to telehealth when compared to non-telehealth services. The new provisions also require covered entities to report key aspects of their telehealth program including the number of participating providers, cost and cost savings associated with the utilization of telehealth services.
|Effective Date||January 1, 2022|
Adopted through SB 674; signed by the Governor on May 5, 2021
|Primary Focus||Implementing key aspects of the Federal Parity Law at the state level.|
|Title/Description||Mental health and substance use disorder parity compliance and reporting law|
November 1, 2020.
|Primary Focus||Compliance; Reporting|
|Title/Description||An Act relating to health insurance|
|Citation||O.S. §§ 6060-10 — 6060-13|
This law requires all in-state health plans to comply with the 2008 federal Mental Health Parity and Addiction Equity Act. Specific provisions include removing exclusion of small employers from the requirement to provide mental health/substance use disorder benefits, and prohibiting health benefit plans from imposing stricter non-quantitative limitations on mental health and substance use disorder benefits than physical benefits. The law also requires insurance companies that offer mental health or substance use disorder plans to submit annual reports demonstrating compliance with the 2008 Mental Health Parity and Addiction Equity Act, including an analysis for each non-quantitative treatment limitation in each classification of care consistent with the six-step process. Reporting will begin April 1, 2021 and the department will make reports public starting June 1, 2021. The bill also clarifies mental health and substance use disorders to refer to all conditions listed under appropriate diagnostic guides, expanding the definition beyond the previously used “serious mental illness.”
|Primary Focus||Mandated Benefit: Provider|
|Title/Description||Coverage of Autism Spectrum Disorders|
|Citation||Okla. Stat. 36 § 6060.21|
A health benefit plan and the Oklahoma Employees Health Insurance Plan must provide coverage for the screening, diagnosis and treatment of autism spectrum disorder in individuals less than nine (9) years of age, or if an individual is not diagnosed or treated until after three (3) years of age, coverage shall be provided for at least six (6) years, provided that the individual continually and consistently shows sufficient progress and improvement as determined by the health care provider. Additionally, no insurer can terminate coverage, or refuse to deliver, execute, issue, amend, adjust or renew coverage to an individual solely because the individual is diagnosed with or has received treatment for an autism spectrum disorder.
Enacted by OK. HB 2962.
|Primary Focus||Mandated Benefit: Provider & Parity|
|Title/Description||Insurance Plans to Include Treatment of Severe Mental Illness|
|Citation||Okla. Stat. 36 § 6060.11|
Any health benefit plan that is offered, issued, or renewed on or after the effective date of this act shall provide benefits for treatment of severe mental illness. Treatment limitations applicable to mental health or substance abuse disorder benefits shall be no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by the plan. There shall be no separate treatment limitations that are applicable only with respect to mental health or substance abuse disorder benefits.
|Notes||Amended by OK. SB 2054|
- Oklahoma Insurance Division