reglab/housing_qa huggingface dataset:
36 OK Stat § 36-6060.8 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.8. Prostate cancer screening coverage.

|A. Any health benefit plan that is offered, issued or renewed in this state on or after January 1, 2000, that provides coverage to men forty (40) years of age or older in this state shall offer coverage for annual screening for the early detection of prostate cancer in men over the age of fifty (50) years and in men over the age of forty (40) years who are in high-risk categories. The coverage shall not be subject to policy deductibles. The coverage shall not exceed the actual cost of the prostate cancer screening up to a maximum of Sixty-five Dollars ($65.00) per screening. |B. The benefit required to be provided by subsection A of this section shall in no way diminish or limit diagnostic benefits otherwise allowable under a health benefit plan.C. The prostate cancer screening coverage shall be offered as follows:1. The screening shall be performed by a qualified medical professional including, but not limited to, a urologist, internist, general practitioner, doctor of osteopathy, nurse practitioner, or physician assistant;2. The screening shall consist, at a minimum, of the following tests:a.a prostate-specific antigen blood test, andb.a digital rectal examination;3. At least one screening per year shall be covered for any man fifty (50) years of age or older; and4. At least one screening per year shall be covered for any man from forty (40) to fifty (50) years of age who is at increased risk of developing prostate cancer as determined by a physician.D. As used in this section, “health benefit plan” means any plan or arrangement as defined in subsection C of Section 6060.4 of this title.Added by Laws 1999, c. 137, § 1, eff. Nov. 1, 1999. Amended by Laws 2003, c. 464, § 8, eff. July 1, 2003; Laws 2010, c. 222, § 38, eff. Nov. 1, 2010.NOTE: Editorially renumbered from Title 36, § 6060.7 to avoid a duplication in numbering.
36 OK Stat § 36-6060.8a (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.8a. Colorectal cancer coverage.

|A. Any health benefit plan, including the State and Education Employees Group Health Insurance Plan, that is offered, issued or renewed in this state on or after January 1, 2002, which provides medical and surgical benefits, shall offer coverage for colorectal cancer examinations and laboratory tests for cancer for any nonsymptomatic covered individual, in accordance with standard, accepted published medical practice guidelines for colorectal cancer screening, who is: |1. At least fifty (50) years of age; or2. Less than fifty (50) years of age and at high risk for colorectal cancer according to the standard, accepted published medical practice guidelines.B. The coverage provided for by this section shall be subject to the same annual deductibles, co-payments or coinsurance limits as established for other covered benefits under the health plan.C. To minimize costs for nonsymptomatic screening, third-party reimbursement may be at the existing Medicaid rate which shall be payment in full.D. As used in this section, “health benefit plan” means any plan or arrangement as defined in subsection C of Section 6060.4 of this title; provided, however, the provisions of this section shall not apply to policies or certificates issued to individuals or to groups with fifty (50) or fewer employees, or to plans offered under the state Medicaid program.Added by Laws 2001, c. 409, § 1, eff. Nov. 1, 2001. Amended by Laws 2010, c. 222, § 39, eff. Nov. 1, 2010.
36 OK Stat § 36-6060.9 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.9. Coverage for wigs or other scalp prostheses.

|A. Any health benefit plan, including the State and Education Employees Group Health Insurance Plan, that is offered, issued, or renewed in this state on or after January 1, 2001, that provides medical and surgical benefits with respect to the treatment of cancer and other conditions treated by chemotherapy or radiation therapy shall provide coverage for wigs or other scalp prostheses necessary for the comfort and dignity of the covered person. |B. The coverage provided for by this section shall be subject to the same annual deductibles, copayments, or coinsurance limits as established for all other covered benefits under the health benefit plan not to exceed One Hundred Fifty Dollars ($150.00) annually.C. A health benefit plan shall provide notice to each insured or enrollee under the plan regarding the coverage required by this section in the evidence of coverage of the plan and shall provide additional written notice of the coverage to the insured or enrollee as follows:1. In the next mailing made by the plan to the insured or enrolled employee;2. As part of any yearly informational packet sent to the enrollee; or3. Not later than December 1, 2000;whichever is earlier.D. As used in this act, "health benefit plan" means any plan or arrangement as defined in subsection C of Section 6060.4 of this title. However, this section shall not apply to policies or certificates issued to individuals or groups with fifty (50) or fewer employees or plans offered under the State Medicaid Program.E. The Insurance Commissioner shall promulgate any rules necessary to implement the provisions of this section.Added by Laws 2000, c. 171, § 4, eff. July 1, 2000. Amended by Laws 2010, c. 222, § 40, eff. Nov. 1, 2010.
36 OK Stat § 36-6060.9a (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.9a. Anti-cancer medication coverage.

|A. 1. Any health benefit plan that provides coverage and benefits for cancer treatment shall provide coverage of prescribed orally administered anticancer medications on a basis no less favorable than intravenously administered or injected cancer medications. |2. Coverage of orally administered anticancer medication shall not be subject to any prior authorization, dollar limit, copayment, deductible, or other out-of-pocket expense that does not apply to intravenously administered or injected cancer medication, regardless of formulation or benefit category determination by the company administering the health benefit plan.3. A health benefit plan shall not reclassify or increase any type of cost-sharing to the covered person for anticancer medications in order to achieve compliance with this section. Any change in health insurance coverage that otherwise increases an out-of-pocket expense to anticancer medications shall also be applied to the majority of comparable medical or pharmaceutical benefits covered by the health benefit plan.4. A health benefit plan that limits the total amount paid by a covered person through all cost-sharing requirements to no more than One Hundred Dollars ($100.00) per filled prescription for any orally administered anticancer medication shall be considered in compliance with this section. For purposes of this paragraph, "cost-sharing requirements" shall include copayments, coinsurance, deductibles, and any other amounts paid by the covered person for that prescription.B. As used in this section:1. "Anticancer medications" means medications used to kill or slow the growth of cancer cells;2. "Covered person" means a policyholder, subscriber, enrollee, or other individual enrolled in or insured by a health benefit plan for health insurance coverage; and3. "Health benefit plan" means any plan or arrangement as defined in subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes.Added by Laws 2013, c. 115, § 1, eff. Nov. 1, 2013.
36 OK Stat § 36-6060.9b (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.9b. Cancer therapy coverage – Standard for proton radiation therapy.

|A. A health benefit plan, as defined in subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes, that provides coverage for cancer therapy shall be prohibited from holding proton radiation therapy to a higher standard of clinical evidence for medical policy benefit coverage decisions than the health plan requires for coverage of any other radiation therapy treatment. |B. Nothing in this section shall be construed to mandate the coverage of proton radiation therapy by a health benefit plan.Added by Laws 2015, c. 74, § 1, eff. Nov. 1, 2015.
36 OK Stat § 36-6060.9c (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.9c. Anti-abuse-formulated opioids - Study of effectiveness

|The College of Pharmacy at Southwestern Oklahoma State University shall analyze the effectiveness of the anti-abuse properties of anti-abuse-formulated opioids. In addition, the College of Pharmacy shall analyze the discrepancies between insurance coverage for the anti-abuse-formulated prescription opioids and coverage for prescription opioids without abuse-deterrent properties. Such information shall be submitted in a report to the President Pro Tempore of the Senate and the Speaker of the House of Representatives on or before December 31, 2016. |Added by Laws 2016, c. 381, § 1, eff. Nov. 1, 2016.
36 OK Stat § 36-6060.9d (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.9d. Prescription eyedrop refills.

|A. Any health benefit plan issued or renewed on or after November 1, 2017, that provides coverage for prescription eyedrops shall not deny coverage for a refill of a prescription if: |1. For a thirty-day supply, the amount of time has passed after which a patient should have used seventy percent (70%) of the dosage units of the drug according to a practitioner's instructions, or twenty-one (21) days from:a.the original date the prescription was distributed to the insured, orb.the date the most recent refill was distributed to the insured;2. The prescribing practitioner indicates on the original prescription that additional quantities are needed;3. The refill requested by the insured does not exceed the number of additional quantities needed; and4. The prescription eyedrops prescribed by the practitioner are a covered benefit under the policy or contract to the insured.B. As used in this section, "health benefit plan" means any plan or arrangement as defined in subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes.Added by Laws 2017, c. 15, § 1, eff. Nov. 1, 2017.
36 OK Stat § 36-6060.10 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.10. Definitions.

|As used in this act: |1. "Base period" means the period of coverage pursuant to the issuance or renewal of a health benefit plan that is required to provide benefits pursuant to the provisions of Section 6060.11 of this title;2. "Health benefit plan" means any plan or arrangement as defined in subsection C of Section 6060.4 of this title;3. "Insurer" means any entity providing an accident and health insurance policy in this state including, but not limited to, a licensed insurance company, a not-for-profit hospital service and medical indemnity corporation, a fraternal benefit society, a multiple employer welfare arrangement or any other entity subject to regulation by the Insurance Commissioner;4. "Mental health and substance use disorder" means any condition or disorder involving a mental health condition or substance use disorder listed under any of the diagnostic categories in the mental disorders section of the most recent edition of the International Classification of Disease or in the mental disorders section of the most recent version of the Diagnostic and Statistical Manual of Mental Disorders; and5. "Mental health and substance use disorder benefits" means benefits covering items or services for mental health conditions or substance use disorders, as defined under the terms of the health benefit plan and in accordance with applicable federal and state law. Any condition defined by the plan as a mental health condition or not a mental health condition shall be consistent with the definition of that condition included in generally recognized independent standards of current medical practice, including but not limited to the most recent version of the Diagnostic and Statistical Manual of Mental Disorders or the most recent edition of the International Classification of Disease.Added by Laws 1999, c. 153, § 1, eff. Jan. 1, 2000. Amended by Laws 2010, c. 222, § 41, eff. Nov. 1, 2010; Laws 2020, c. 75, § 1, eff. Nov. 1, 2020.
36 OK Stat § 36-6060.10A (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.10A. Health benefit plan.

|A. 1. No health benefit plan shall deny coverage, refuse to issue or renew, cancel or otherwise terminate, restrict or exclude any person from any health benefit plan issued or renewed on or after November 1, 2010, on the basis of the applicant’s or insured’s status as a victim of domestic abuse as defined in Section 60.1 of Title 22 of the Oklahoma Statutes. |2. No health benefit plan shall deny a claim on the basis of the insured’s status as a victim of domestic violence.3. Domestic abuse shall not be considered to be a preexisting condition.B. As used in this section, “health benefit plan” means individual or group coverage, a not-for-profit hospital or medical service or indemnity plan, a prepaid health plan, a health maintenance organization plan, a preferred provider organization plan, the State and Education Employees Group Health Insurance Plan, any program funded under Title XIX of the Social Security Act or such other publicly funded program, and coverage provided by a Multiple Employer Welfare Arrangement (MEWA) or employee self-insured plan except as exempt under federal ERISA provisions.C. In order to comply with the provisions of this section, the acts constituting the domestic abuse shall be reported to a law enforcement agency setting forth the relevant facts.Added by Laws 2010, c. 385, § 1, eff. Nov. 1, 2010.
36 OK Stat § 36-6060.12 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.12. Exempted plans - Calculation of increase in premium cost.

|1. A health benefit plan that, at the end of its base period, experiences a greater than two percent (2%) increase in premium costs pursuant to providing benefits for treatment of mental health and substance use disorders shall be exempt from the provisions of Section 6060.11 of this title. |2. To calculate base-period-premium costs, the health benefit plan shall subtract from premium costs incurred during the base period, both the premium costs incurred during the period immediately preceding the base period and any premium cost increases attributable to factors unrelated to benefits for treatment of mental health and substance use disorders.3.a.To claim the exemption provided for in paragraph 1 of this section a health benefit plan shall provide to the Insurance Commissioner a written request signed by an actuary stating the reasons and actuarial assumptions upon which the request is based.b.The Commissioner shall verify the information provided and shall approve or disapprove the request within thirty (30) days of receipt.c.If, upon investigation, the Commissioner finds that any statement of fact in the request is found to be knowingly false, the health benefit plan may be subject to suspension or loss of license or any other penalty as determined by the Commissioner with regard to health maintenance organizations.Added by Laws 1999, c. 153, § 3, eff. Jan. 1, 2000. Amended by Laws 2020, c. 75, § 3, eff. Nov. 1, 2020; Laws 2021, c. 478, § 29, emerg. eff. May 12, 2021.
36 OK Stat § 36-6060.13 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.13. Incremental impact on premium costs - Analysis and report by Commissioner.

|A. The Insurance Commissioner shall analyze any direct incremental impact on premium costs pursuant to the requirements of Section 6060.11 of this title. The Commissioner shall submit a report of all preliminary data and findings to the Governor, the President Pro Tempore of the Senate and the Speaker of the House of Representatives by May 1, 2000, with subsequent updates submitted by November 1, 2000; May 1, 2001; November 1, 2001; May 1, 2002, and November 1, 2002. |B. 1. The Commissioner shall submit a final report to the Governor, the President Pro Tempore of the Senate and the Speaker of the House of Representatives by December 1, 2002, which shall include, but not be limited to, the collection and analysis of data provided by health benefit plans including, but not limited to:a.a determination of the average premium increase directly attributable to providing benefits for treatment of mental health and substance use disorders pursuant to the provisions of Section 6060.11 of this title by health benefit plans in this state incurred during the first year of implementation of Section 6060.10 et seq. of this title, and any additional premium increases incurred during the second and third year of implementation,b.information on the number of claims filed and the total amount expended on those claims for benefits for treatment of mental health and substance use disorders,c.information on the utilization of services listed in subsection C of Section 6060.11 of this title, andd.actuarial assumptions used in determining premium costs for providing the required benefits.2. The final report shall also include, to the extent possible, an analysis of any other direct or indirect benefit of requiring benefits for treatment of mental health and substance use disorders.C. 1. All health benefit plans shall provide the data required by this subsection in such form and at such time as the Commissioner shall prescribe.2. The Commissioner shall compile and report the data provided by the health benefit plans in such a way as to keep individual plan information confidential, unless the plan gives explicit permission to release such identifiable information.D. If the report required by subsection A of this section shows that the cumulative average premium increase incurred during the first three (3) years of implementation of Section 6060.10 et seq. of this title that is directly attributable to the provision of benefits for treatment of mental health and substance use disorders is greater than six percent (6%), the requirements of Section 2 of this act shall terminate May 1, 2003, and any agreement, contract or policy issued after May 1, 2003, shall not be required to provide benefits for treatment of mental health and substance use disorders.Added by Laws 1999, c. 153, § 4, eff. Jan. 1, 2000. Amended by Laws 2020, c. 75, § 4, eff. Nov. 1, 2020.
36 OK Stat § 36-6060.14 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.14. Short title.

|This act shall be known and may be cited as the "Health Savings Account Act". |Added by Laws 2005, c. 306, § 1, eff. Nov. 1, 2005.
36 OK Stat § 36-6060.16 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.16. Eligibility – Contributions - Exemptions.

|A. The provisions of this act shall also apply to taxpayers who are not receiving preferred federal tax treatment for a health savings account pursuant to Section 223 of the Internal Revenue Code. |B. For taxable years beginning after 2005, a resident of Oklahoma or an employer shall be allowed to deposit contributions to a health savings account. The amount of deposit for each year shall not exceed the maximum contribution amount pursuant to Section 223 of the Internal Revenue Code.C. Except as provided in Section 6060.18 of this title, the following are exempt from taxation under the Oklahoma Income Tax Act:1. Principal contributed to and interest earned on a health savings account; and2. Money reimbursed to an eligible individual or an employee for qualified medical expenses.Added by Laws 2005, c. 306, § 3, eff. Nov. 1, 2005. Amended by Laws 2007, c. 269, § 2, emerg. eff. June 4, 2007.
36 OK Stat § 36-6060.17 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.17. Allowable expenditures.

|The trustee or custodian shall utilize the funds held in a health savings account solely for the following purposes: |1. To pay the qualified medical expenses of the eligible individual or their dependents; or2. To purchase a health coverage policy certificate, or contract, if the eligible individual:a.is receiving unemployment compensation,b.is exercising continuation privileges under federal law, orc.is purchasing a long-term care insurance contract; or3. To pay for health insurance other than a Medicare supplemental policy for those who are Medicare eligible.Added by Laws 2005, c. 306, § 4, eff. Nov. 1, 2005. Amended by Laws 2007, c. 269, § 3, emerg. eff. June 4, 2007.
36 OK Stat § 36-6060.18 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.18. Withdrawals – Taxation – Transfer of interest.

|A. Notwithstanding paragraphs C, D, E, and F of this section, an eligible individual may withdraw money from their health savings account for any purpose other than a purpose described in Section 6060.17 of this title. |B. If the eligible individual withdraws money for any purpose other than a purpose described in Section 6060.17 of this title, at any other time, all of the following shall apply:1. The amount of the withdrawal is income for the purposes of the Oklahoma Income Tax Act in the tax year of the withdrawal; and2. The tax imposed on the withdrawal which is includable in income shall be increased by ten percent (10%) of the amount which is so includable.C. The amount of disbursement of any assets of a health savings account pursuant to a filing for protection under Section 101 of Title 11 of the United States Code by an eligible individual or person for whose benefit the account was established is not considered a withdrawal for purposes of this section. The amount of a disbursement is not subject to taxation under the Oklahoma Income Tax Act and subsection B of this section does not apply.D. The transfer of an eligible individual's interest in a health savings account to an eligible individual's spouse or former spouse under a divorce or separation instrument shall not be considered a taxable transfer made by such eligible individual, notwithstanding any other provision of this title, and the interest shall, after the transfer, be treated as a health savings account with respect to which the spouse is the eligible individual.E. Upon the death of the eligible individual, the trustee or custodian shall distribute the principal and accumulated interest of the health savings account to the estate of the deceased.F. If an employee becomes employed with a different employer that participates in a health savings account program, the employee may transfer their health savings account to that new employer's trustee or custodian, or to an individually purchased account program.Added by Laws 2005, c. 306, § 5, eff. Nov. 1, 2005. Amended by Laws 2007, c. 269, § 4, emerg. eff. June 4, 2007.
36 OK Stat § 36-6060.20 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6060.20. Equal health coverage for autistic minors.

|A. All individual and group health insurance policies that provide medical and surgical benefits shall provide the same coverage and benefits to any individual under the age of eighteen (18) years who has been diagnosed with an autistic disorder as it would provide coverage and benefits to an individual under the age of eighteen (18) years who has not been diagnosed with an autistic disorder. |B. As used in this section, "autistic disorder" means a neurological disorder that is marked by severe impairment in social interaction, communication, and imaginative play, with onset during the first three (3) years of life and is included in a group of disorders known as autism spectrum disorders.Added by Laws 2010, c. 166, § 2, eff. Nov. 1, 2010. Amended by Laws 2016, c. 230, § 3, eff. Nov. 1, 2016.