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SB 1306

Prescription drugs; prohibiting insurer from modifying coverage under certain conditions; providing civil penalty; promulgating rules. Effective date.

2026 Regular Session Introduced by Carri Hicks

Oklahoma bill SB 1306 restricts insurers from changing prescription drug coverage under certain conditions and imposes civil penalties for violations.

Second Reading referred to Health and Human Services
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Bill Summary · SB 1306

Legislative bill overview

SB 1306 prohibits health insurers from modifying prescription drug coverage under specified circumstances and establishes civil penalties for violations. The bill also directs relevant state agencies to promulgate rules implementing these protections.

Why is this important

Prescription drug coverage changes can significantly impact patients' access to medications and out-of-pocket costs. This bill aims to provide stability in coverage terms, preventing mid-year or unexpected modifications that could disrupt treatment plans or increase patient expenses without notice.

Potential points of contention

  • Scope ambiguity: The bill's language regarding "certain conditions" is vague without seeing the full text—it's unclear which specific modifications are prohibited (mid-year changes, formulary adjustments, prior authorization additions, etc.)
  • Insurance industry concerns: Insurers may argue restrictions limit their ability to manage costs, negotiate drug prices, or respond to market changes, potentially raising premiums
  • Implementation details: The requirement for agencies to promulgate rules creates regulatory uncertainty about enforcement standards, timelines, and what constitutes violations triggering civil penalties

Compiled from official sources — confirm details with the bill’s official record.

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