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Bill

SB 1048

Shared savings incentive program; requiring insurance carriers to offer certain programs; modifying average allowed amounts; modifying incentive calculations. Effective date.

2026 Regular Session Introduced by Randy Grellner and 1 co-sponsor

Oklahoma mandates insurance carriers offer shared savings programs returning cost savings to policyholders when actual healthcare spending falls below projected amounts.

Coauthored by Senator Guthrie
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WeVote Research Nonpartisan
Bill Summary · SB 1048

Legislative bill overview

SB 1048 establishes a shared savings incentive program that requires insurance carriers operating in Oklahoma to offer programs allowing policyholders to benefit financially when actual healthcare costs fall below projected amounts. The bill modifies how "average allowed amounts" are calculated and adjusts the formula for computing incentive payments to participants.

Why is this important

This legislation attempts to align financial incentives between insurers and patients by rewarding consumers when healthcare spending is lower than expected, potentially encouraging cost-conscious medical decisions. The changes to calculation methodologies could significantly affect how much money is returned to policyholders and the administrative burden on insurance carriers.

Potential points of contention

  • Insurer compliance costs: Requiring carriers to establish and administer new incentive programs increases operational expenses, which insurers may pass to consumers through higher premiums
  • Defining "savings": The modified calculation methods for average allowed amounts could be contentious—different methodologies produce different results, favoring either insurers or consumers
  • Program accessibility: Questions remain about whether all policyholders benefit equally or if high-deductible, low-utilization plans capture disproportionate savings

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

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