Transcript Highlights:

• That subject is pharmacy benefit managers.
• It would require claims to be paid within 30 calendar days of the PBM receiving the claim.
• managers shall be awarded to a settled lawsuit.
• PBMs claim they save money. Let me repeat that.
• PBMs claim they save money, but over the last 10 years they've increased their worth...

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy

Summary: The Senate Business and Insurance Committee met to consider several bills, with the chair emphasizing pharmacy benefit managers (PBMs) and the impact on local and rural pharmacies. Before taking up the bills, the committee announced that Senate Bills 1620 and 1625 would be laid over. The committee also adopted an amendment to Senate Bill 1673 to exempt certain state-funded flexible benefit plans, and then passed the bill, which creates the Prosthetic Access and Accountability Act of 2026 and requires health plans that already cover prosthetic benefits to administer them without disability-based discrimination. The committee then passed several PBM-related measures. Senate Bill 1500 requires PBMs to reimburse rural pharmacies within 30 calendar days. Senate Bill 1447 adds safeguards to the Oklahoma Employee Insurance Plan by restricting PBM contracts, including disfavoring PBMs involved in recent lawsuits or those affiliated with insurers, retail pharmacy chains, specialty pharmacies, mail-order pharmacies, or drug manufacturers. Senate Bill 1646 strengthens utilization review standards for mental health and substance use disorder treatment, and Senate Bill 2007 prohibits PBMs from reducing reimbursement after a successful appeal and adds administrative fees when they fail to make required adjustments. The committee also passed Senate Bill 1275, which requires upfront disclosure of all fees for short-term rental bookings such as Airbnb and VRBO, with only tax added at checkout. Finally, the committee passed Senate Bill 2074 after extensive debate; it would require fairer and more transparent PBM reimbursement using a Medicaid-based methodology and a professional dispensing fee, with supporters arguing it would help independent and community pharmacies and opponents raising concerns about consumer costs and legal issues. All bills considered in the meeting were reported out with favorable votes, and the meeting adjourned after the chair noted one more meeting would be held the following week.

Transcript Highlights:

• That subject is pharmacy benefit managers.
• It would require claims to be paid within 30 calendar days of the PBM... Receiving the claim.
• Referential favorable treatment to bidders whose pharmacy benefit managers do not own health insurance
• PBMs claim they save money. Let me repeat that.
• If PBMs claim they save money but yet drug costs and premiums keep rising.

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy

Transcript Highlights:

• We show you registered as an auto claims specialist.
• Auto claims specialists are licensed in over 26 states.
• The average difference on total loss claims was $3,800.
• We looked at 1,200 claims files, and we found that...
• on total loss claims.

Bills: HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• I mean, is it the upper management?
• Then there's the adjudication of the claims.
• This will address claims effectively.
• , it cannot be done. ...to add multiple claims, we have to do each claim unless they agree.
• all of the customer service aspects that we manage.

Bills: HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• We need to amend the budget resolution in order to account for the claims bill that is before us today
• </c> $73,000 to accommodate uh the claims $73,000 to accommodate uh the claims bill<00:01:12.640><c>
• This is the annual claims bill. The part about the exoneration claim is the biggest chunk of this.
• I think it was a day or two before the claims hearing last year.
• So, uh, we the claims hearing last year.

Bills: SF3446, HF3247

Keywords: claims against the state, settlement, appropriations, exoneration, corrections claims, claims, state appropriation, corrections, community service, 1183, house

Transcript Highlights:

• not just typical construction project management.
• Are these project manager kind of assistant roles where we're training them in?
• We have some project managers that have, um, you know, out west.
• So most of y'all are project managers.
• </c> uh so most of y'all are project managers uh so most of y'all are project managers do<00:08:17.199

Keywords: Meeting Start 00:00:00 Status of Hiring Four Project Managers within Facilities & Support Services in HB6 from the 24RS 00:02:01 Attendance Roll Call 00:09:32, 958, all

Summary: The Budget Review Subcommittee on Personnel, Public Retirement, and Finance, and Administrative Cabinet met for an informational update, with the new chair noting the committee does not vote on issues and is mainly reviewing implementation of budgeted items. The main presentation came from Scott Baker of the Finance Cabinet’s Office of Facility Development and Efficiency, who explained how the office has shifted experienced staff to lead Department of Parks projects and hired new staff to be trained into project management roles. He said the office is managing 146 ongoing parks projects and has moved from weekly to biweekly meetings as work has progressed. Baker said the budgeted staffing changes were intended to speed project delivery while maintaining expertise, since state project management also requires knowledge of procurement law and other Commonwealth-specific rules. He described the workload as heavy, with 15 project managers handling 1,149 active projects, including one western Kentucky manager overseeing 127 projects, and said the office is trying to add more staff and create new positions to improve recruiting. Members asked about staffing levels and workload, and Baker said the office is not overstaffed but is competing with a strong construction industry for talent. Committee members praised the office’s work on parks projects, noting campground and infrastructure needs at places like Lake Barkley and emphasizing prudent use of the large capital budgets approved in recent years. No votes were taken because the subcommittee lacked a quorum, as some members were in other committee meetings. The chair said the committee would continue to meet during session and interim periods and adjourned the meeting after the update.

Bills: SB1246, SB1510, SB1979, SB1929, SB1930, SB1976, HCR1019, SB1459, SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: environmental permitting, Oklahoma, Department of Environmental Quality, public participation, regulatory framework, administered applications, energy, wind energy, financial assurance, property restoration, environmental regulation, mining, blasting, residential protection, buffer zone, Department of Mines, public utilities, electric transmission lines, landowner rights, payment regulations

Bills: SB1246, SB1510, SB1979, SB1929, SB1930, SB1976, HCR1019, SB1459, SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: environmental permitting, Oklahoma, Department of Environmental Quality, public participation, regulatory framework, administered applications, energy, wind energy, financial assurance, property restoration, environmental regulation, mining, blasting, residential protection, buffer zone, Department of Mines, public utilities, electric transmission lines, landowner rights, payment regulations

Summary: The Senate convened with a quorum, offered the invocation, and recognized the Doctor of the Day and Nurse of the Day. Members also welcomed guests in the gallery, including supporters of a prosthetic coverage bill. The chamber then took up HCR 1019, which designates the planned turnpike corridor from I-44 to I-40 as the Toby Keith Expressway in honor of the late Oklahoma country music star. The resolution was read, discussed in celebratory terms, and adopted by voice vote. The Senate also acted on Senate Bill 202 by rejecting House amendments and requesting Senate conferees to be named later. Senate Bill 1459, which extends the sunset date for the Oklahoma Abstractors Board to 2031, was explained by its author, advanced, and then passed on third reading by a roll call vote of 41-6. The Senate then approved the emergency clause for the bill, making it effective immediately. During announcements, members noted an upcoming legislative drive for the OIE fair project, a Business and Insurance Committee meeting, and recognized the agenda clerk for a birthday. The Senate then adjourned until Monday, March 2 at 1:30 p.m. when the clerk’s desk is clear.

Transcript Highlights:

• that doesn't like what I have to say here today can audit me every day with every single one of my claims
• Right now, there's no limit, so they could audit me tens of thousands of claims.
• prosthetics and directs the Agency for Health Care Administration to seek federal approval and update managed
• It also bars insurers and HMOs from denying claims when such devices are needed to restore or maintain

Bills: S0326, S0598, S0632, S0786, S1110, S1256, S1380, S1588, S7042, S7044

Keywords: curators, estates, court appointment, fiduciary duty, bond requirements, removal, surrogate, funeral homes, cemetery law, cremation, embalmer, funeral director, preneed contract, preneed funeral, human remains, unclaimed cremated remains, disposition of remains, hospice, palliative care, end-of-life care

Summary: The Banking and Insurance Committee met with a quorum present and temporarily postponed SB 7042 on legal tender and SB 1380 before taking up the remaining agenda. The committee first reported favorably C.S. for SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and what oversight applies. It then reported favorably SB 1256, which standardizes PBM pharmacy audits by requiring uniform audit standards, scope, frequency, penalties, and due process protections for pharmacies; testimony from pharmacists emphasized concerns about conflicts of interest, excessive audits, and disproportionate penalties, while preserving fraud investigations. The committee also reported favorably C.S. for SB 598 on funeral and cemetery services after adopting an amendment that removed provisions on civil damages caps and phasing out direct disposers; the bill updates licensure and contract rules and addresses unclaimed remains. SB 632, which sets insurance requirements for transportation network companies during the period after a ride is accepted but before pickup, was reported favorably despite opposition from an attorney who argued the existing coverage framework should not be reduced. C.S. for SB 786, creating a nonjudicial process to close out undisputed trusts and discharge trustees, was also reported favorably. The committee then took up SB 1110, a major bill expanding Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including activity limbs, and requiring annual reporting. After adopting an amendment clarifying eligible recipients, the committee heard extensive emotional testimony from amputees, parents, and advocates describing the medical, developmental, and financial importance of prosthetic coverage, and members spoke in strong support before the bill was reported favorably. Later, the committee considered SB 1588, which implements last session’s legal tender law by refining definitions, narrowing custodian provisions, eliminating unnecessary examination requirements, and repealing the sunset clause; members raised questions about verification and anti-money-laundering concerns, but the bill was reported favorably. Finally, the committee approved SPB 7044 as a committee bill to expand public records exemptions to records relating to newly regulated custodians of gold and silver. The meeting concluded with senators recording additional affirmative votes on selected bills and adjourning.

Transcript Highlights:

• It authorizes L&I to hire additional claims managers to reach an average caseload of 141 claims per claims
• manager, and that's from a consultant hired by JLARC in the JLARC report.
• And this would provide for allotment of medical claims manager positions to reduce caseload and therefore
• And this would provide for allotment of medical claims manager positions to reduce caseload and therefore
• Being able to demonstrate how we manage our funds is, I think, a benefit to all of us.

Bills: SB6197, SB6158, SB6302, SB5437, SB6117, SB5852, SB5847, SB6067, SB6152, SB6136

Keywords: SB 6197, plumbing contractor, plumber, contractor licensing, licensing enforcement, infractions, administrative penalties, license suspension, certificate suspension, endorsement suspension, registration suspension, Department of Labor and Industries, advisory board of plumbers, penalty schedule, repeat violations, workplace standards, construction trades, professional licensing, Washington state, factory built housing

Summary: The Labor and Commerce Committee heard public testimony and took executive action on several labor, employment, workers’ compensation, and construction-related bills. Early in the meeting, the committee heard Senate Bill 6158 on factory-built housing and commercial structures, which would direct L&I to consider additional national consensus standards and allow approved qualified inspection agencies to conduct inspections. The sponsor said the bill is intended to make modular housing inspections more efficient and cost-effective, especially for units built outside Washington. L&I testified in support with a requested effective date of January 1, 2027 and noted an agreed amendment with utilities. The committee later returned to the bill after executive session, but no final action was taken in the portion provided before the transcript shifted to other business. The committee also heard Senate Bill 6197 on plumbing contractor requirements, which would separate repeat-violation penalties for residential and nonresidential plumbing work and allow suspension after five infractions in five years for nonresidential work. Supporters, including mechanical contractors, union plumbers, and a commercial plumber, said repeat violators treat fines as a cost of doing business and that stronger enforcement is needed to protect safety and fair competition. Opponents, including contractor associations and several plumbing contractors, argued the bill is too punitive, does not adequately distinguish between construction and service plumbing, and could harm legitimate businesses; L&I said it needed an effective date of January 1, 2027 if the bill passed. The committee also heard Senate Bill 6302 on misclassification in the finishing trades on public works projects, which would limit the use of independent contractors on covered finishing work. Labor groups supported it as a response to worker misclassification and lost wages and benefits, while contractor groups opposed it as a de facto ban on independent contractors that would raise costs and reduce flexibility, especially for small and rural businesses. In executive session, the committee adopted a proposed substitute for Senate Bill 5437 on noncompetition covenants and advanced it to Rules, with some Republican opposition. It also advanced Senate Bill 6117 on PERC jurisdiction over labor relations if federal coverage changes, after rejecting an amendment that would have narrowed the bill further. Senate Bill 5852 on immigrant worker protections advanced after the committee rejected an amendment to remove the private right of action. Senate Bill 5847 on workers’ compensation medical care and treatment also advanced after the committee rejected amendments to remove penalty provisions and to add claims manager positions, then adopted the latter amendment and sent the bill to Ways and Means. Senate Bill 6067 on workers’ compensation health care benefits advanced to Ways and Means, while Senate Bills 6152 and 6136 advanced to Rules. The committee then returned to public hearing and heard testimony on SB 6302, with the sponsor saying the bill is meant to address misclassification in a narrow set of finishing trades and that he is open to further discussion and amendments.

Transcript Highlights:

• We are going to threaten to penalize you for up to $11,000 per claim, per false claim, unless you come
• Or there's a small clerical error that's in the claim when it's submitted.
• It's like health insurance from the 70s, before there was managed care.
• their claim.
• This creates significant pressure on insured individuals to complete repairs and manage claims within

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• Sections 610, 611, and 612 outline the claims resolution process, including the authorization of court
• as a salaried employee of an insurer or managing general agent.
• Don Isaacson, welcome. without taking the examination to only adjust claims as a salaried employee of
• an insurer or managing general agent and specifies this adjuster license is valid and renewable only
• with a circumstance that has developed with respect to Arizona company-based adjusters who adjust claims

Bills: SB1181, SB1252, SB1254, SB1415

Keywords: certified public accountants, CPA certification, accounting regulations, professional standards, continuing education, assignment for benefit of creditors, ABC act, insolvency, creditor claims, debt liquidation, business wind-up, receivership, liquidation, secured creditors, unsecured creditors, proof of claim, voidable transactions, fraudulent transfer, wage claims, priority claims

Transcript Highlights:

• That credit score was related to claim severity.
• consumers file and the total cost of those claims.
• Those claims are pretty rare in auto; that's like 1 out of 5,000 paid or payable claims.
• Bill has a prohibition on claims data submission.
• Claims are being released and under what terms.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• It also creates a provision for cases in which a physician has fewer than five claims for...
• I lead clinical performance and quality at a large utilization management firm that supports health plans
• Performing Utilization Management Reviews is one of the primary classes that, to my understanding, the
• So this is really flying in the face of how managed care is supposed to control costs and produce efficiency
• , as you probably heard, and even a small increase, for whatever reason, can be very difficult to manage

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• Members, House Bill 3647 is an all-payer claims database.
• This would require participating members to share claims and payment data through the state HiE So that
• This just extends the tort claims protection.
• They have tort claims protection. The Questions. Are there any questions?

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• Members, House Bill 3647 is an all-payer claims database.
• This would require participating members to share claims and payment data through the state HIE so that
• This just extends the tort claims protection.
• If they're working for a state agency, they have tort claims protection. Yield for questions.

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Summary: The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded. House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0. Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.

Transcript Highlights:

• So constituents consistently reach out to our office to report extensive delays in processing claims,
• challenges navigating the application system and uncertainty around ...accessing claims, challenges
• Including our partners in the community, who are oftentimes assisting with these claims, we can ensure
• The increase in the backlogs led to significant delays in decisions and processing claims.
• These measures would help reduce the backlog and free up DUA resources to adjudicate claims.

Bills: H5188

Keywords: unemployment insurance, labor, access, special commission, equity in claims, 1212, all

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=Jvja9daCy9E, 2026-06-21T07:17:03+00:00, 2.2.24, Data collected via generic collector engine, MEET START 00:00 ROLL CALL 00:13 DISCUSSION WITH THE EDUCATION AND LABOR CABINET WORKER’S CLAIMS DIVISION, SHELBY LEWIS, LEGISLATIVE DIRECTOR, SCOTT WILHOIT, COMMISSIONER OF THE DEPT. OF WORKER’S CLAIMS, AND DALE HAMLIN, ASSISTANT GENERAL COUNSEL ON AN OVERVIEW OF WORKER’S CLAIMS, GENERAL STATISTICS, EMPLOYERS, BENEFITS DETERMINATIONS, FUNDING, AND 2023 APPROPRIATIONS 01:02 APPROVAL OF MINUTES 47:29, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• So it sounds like really a lot of it is just to manage their workload as well, so they can do better
• Yeah, that would be, that sort of goes along with that compliance and sort of, is that a manageable number

Bills: HB2947, HB2964, HB3143, HB3144, HB3342, HB3344, HB3519, HB3522, HB3530, HB3645, HB3647, HB3834, HB4300, HB4422, HB4423

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, medical records, patient rights, privacy, fees, healthcare access, legal claims, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, Medicaid

Bills: SB6178, SB5831

Keywords: SB6178, property insurance, insurance claims, assignment of benefits, AOB, post-loss assignment, post-loss benefits, homeowners insurance, policyholder, insured, restoration contractor, mitigation contractor, public adjuster, insurance commissioner, claims handling, consumer protection, void and unenforceable, Washington insurance code, chapter 48 RCW, civil penalty