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OklahomaSB 1443Oklahoma 2026 Regular SessionSenate

Health benefit plans; requiring certain health benefit plans to consider certain factors when determining payments for services. Effective date.

Sponsored By: Julie Daniels (Republican)

Signed by Governor

Senate Committee

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Insurers must honor your anesthesia risk rating

Beginning Nov 1, 2026, state-regulated health plans in Oklahoma must use your treating clinician’s judgment on physical status and on how urgent or complex your care is when deciding anesthesia needs and payment. Plans must also pay extra base units for higher-risk cases: ASA III = 1 unit, ASA IV = 2 units, ASA V = 3 units. The law sets the units, but insurers still set the dollar value per unit.

Medicaid managed-care plans are excluded

Beginning Nov 1, 2026, plans that cover Medicaid members under the Ensuring Access to Medicaid Act are not covered by these anesthesia rules. If you get Medicaid through a contracted plan, your plan keeps its current anesthesia payment rules. The new risk and urgency payment rules do not apply to that plan.

Sponsors & Cosponsors

Sponsor

  • Julie Daniels

    Republican • Senate

Cosponsors

  • Chad Caldwell

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 158 • No: 24

House vote • 5/5/2026

THIRD READING

Yes: 68 • No: 17

House vote • 4/14/2026

DO PASS

Yes: 15 • No: 0

House vote • 4/14/2026

DO PASS

Yes: 15 • No: 0

House vote • 4/7/2026

DO PASS

Yes: 6 • No: 0

House vote • 4/7/2026

DO PASS

Yes: 6 • No: 0

Senate vote • 3/16/2026

THIRD READING

Yes: 38 • No: 7

Senate vote • 2/12/2026

Committee vote: Business & Insurance

Yes: 10 • No: 0

Actions Timeline

  1. Approved by Governor 05/07/2026

    5/11/2026Senate

  2. Sent to Governor

    5/5/2026Senate

  3. Signed, returned to Senate

    5/5/2026House

  4. Enrolled, to House

    5/5/2026Senate

  5. Referred for enrollment

    5/5/2026Senate

  6. Signed, returned to Senate

    5/5/2026House

  7. Third Reading, Measure passed: Ayes: 68 Nays: 17

    5/5/2026House

  8. General Order

    5/5/2026House

  9. CR; Do Pass Commerce and Economic Development Oversight Committee

    4/20/2026House

  10. Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance

    4/7/2026House

  11. Referred to Insurance

    3/30/2026House

  12. Second Reading referred to Commerce and Economic Development Oversight

    3/30/2026House

  13. First Reading

    3/17/2026House

  14. Engrossed to House

    3/17/2026Senate

  15. Referred for engrossment

    3/16/2026Senate

  16. Measure passed: Ayes: 38 Nays: 7

    3/16/2026Senate

  17. General Order, Amended

    3/16/2026Senate

  18. Placed on General Order

    2/17/2026Senate

  19. Reported Do Pass, amended by committee substitute Business and Insurance committee; CR filed

    2/12/2026Senate

  20. Coauthored by Representative Caldwell (Chad) (principal House author)

    2/3/2026Senate

  21. Second Reading referred to Business and Insurance

    2/3/2026Senate

  22. Authored by Senator Daniels

    2/2/2026Senate

  23. First Reading

    2/2/2026Senate

Bill Text

  • Enrolled (final version)

    5/5/2026

    PDF

  • Floor (House)

    4/20/2026

    PDF

  • House Committee Report

    4/20/2026

    PDF

  • House Policy Committee Report

    4/7/2026

    PDF

  • Engrossed

    3/17/2026

    PDF

  • Floor (Senate)

    2/16/2026

    PDF

  • Committee Substitute

    2/12/2026

    PDF

  • Senate Committee Report

    2/12/2026

    PDF

  • Introduced

    1/7/2026

    PDF

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