SB1047

Oklahoma SB1047 mandates reimbursement for certain health care services and prohibits surprise billing by out-of-network providers.

Oklahoma SB1047, known as the Oklahoma Surprise Medical Billing Act, requires health insurance carriers to reimburse out-of-network providers for non-emergency services rendered at in-network facilities. It mandates that covered individuals incur no greater cost-sharing obligations than if services were provided by in-network entities. The act prohibits out-of-network providers from surprise billing for non-emergency care and sets a minimum benefit standard for reimbursement, calculated based on the eightieth percentile of in-network provider payments.