All Roll Calls
Yes: 176 • No: 3
Sponsored By: Todd Gollihare (Republican)
Became Law
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6 provisions identified: 5 benefits, 0 costs, 1 mixed.
Beginning November 1, 2026, Oklahoma Employees Insurance Plan contracts must require adequate pharmacy access, including in rural areas. Networks must follow pharmacy choice and access rules set by contract. Pharmacy exclusions need documented access and cost reasons approved by the plan. Managers cannot steer members to affiliated pharmacies without written plan approval after submitting an impact analysis. Unaffiliated pharmacies cannot receive worse network terms or payment methods than affiliated pharmacies. The law does not guarantee any particular pharmacy stays in the network or set a distance standard.
Beginning November 1, 2026, pharmacy benefit managers must pass all rebates to the Oklahoma Employees Insurance Plan. Rebates include incentive payments, price protection payments, commissions, and similar payments—not just standard rebates. The definition excludes purchase discounts for drugs bought by specialty drug pharmacies. Fixed, separately listed administrative fees are also excluded from the pass-through rule. The plan can audit rebates and inspect manufacturer rebate contracts without redactions. The law does not say how these funds change members’ costs.
Beginning November 1, 2026, the Oklahoma Employees Insurance Plan has final say over its covered drug list. It also controls drug tiers, preferred status, exclusions, specialty labels, and rules for drug use. Pharmacy benefit managers can recommend changes but cannot change drug-list rules, add restrictions, or move drugs without written plan approval. The law does not require coverage of specific drugs or set members’ costs.
Beginning November 1, 2026, contracts must state that the Oklahoma Employees Insurance Plan owns all its plan-specific pharmacy operations data. This includes claims, prices, rebates, drug-list information, drug-use review results, and audit records held by managers, affiliates, or subcontractors. They must provide data and reports in the format the plan requires, using contract deadlines. Without contract deadlines, existing requested data is due within five business days; monthly files and reports are due within 30 days after month-end. Managers cannot withhold or delay data, and only a fixed administrative fee is allowed for access, extraction, interfaces, licensing, or delivery. Managers remain responsible for affiliate and subcontractor compliance.
Beginning November 1, 2026, the Oklahoma Employees Insurance Plan must receive broad audit rights over pharmacy managers, affiliates, and subcontractors. The plan can choose auditors to check contract compliance. Managers cannot block sharing contract terms, performance measures, audit results, or cost data with oversight bodies, auditors, actuaries, or lawyers. Shared contract terms remain subject to reasonable confidentiality. Managers must disclose affiliates and subcontractors before contract award, and new ones no fewer than 30 days after association. The law treats a 10% voting or ownership stake as control when defining these relationships. Managers must keep System and Organization Controls Type 2 certification throughout their contracts.
Beginning November 1, 2026, pharmacy benefit managers must offer pricing guarantees when the Oklahoma Employees Insurance Plan chooses them. Managers cannot block the plan from requiring or negotiating these guarantees for covered outpatient drugs. Options include National Average Drug Acquisition Cost plus a dispensing fee, maximum allowable cost pricing, or another plan-approved, verifiable benchmark. Contract guarantees must measure total net cost and access, not rebate volume. Total net cost includes plan spending and member payments, minus rebates and other payments required to reach the plan. Contracts must include clear remedies for failures, in the form of credits payable by the plan. The law sets no credit amounts or guaranteed member savings.
Todd Gollihare
Republican • Senate
David Bullard
Republican • Senate
George Burns
Republican • Senate
T.J. Marti
Republican • House
All Roll Calls
Yes: 176 • No: 3
House vote • 4/28/2026
THIRD READING
Yes: 87 • No: 0
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 • 3/26/2026
THIRD READING
Yes: 40 • No: 1 • Other: 1
Senate vote • 2/26/2026
Committee vote: Business & Insurance
Yes: 7 • No: 2
Becomes law without Governor's signature 05/06/2026
Sent to Governor
Signed, returned to Senate
Enrolled, to House
Referred for enrollment
Signed, returned to Senate
Third Reading, Measure passed: Ayes: 87 Nays: 0
General Order
CR; Do Pass Commerce and Economic Development Oversight Committee
Coauthored by Senator(s) Burns
Policy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance
Referred to Insurance
Second Reading referred to Commerce and Economic Development Oversight
First Reading
Engrossed to House
Referred for engrossment
Measure passed: Ayes: 40 Nays: 1
General Order, Amended by Floor Substitute
Coauthored by Senator Bullard
Coauthored by Representative Marti (principal House author)
Placed on General Order
Reported Do Pass Business and Insurance committee; CR filed
Second Reading referred to Business and Insurance
Authored by Senator Gollihare
First Reading
Enrolled (final version)
4/28/2026
Floor (House)
4/15/2026
House Committee Report
4/14/2026
House Policy Committee Report
4/7/2026
Engrossed
3/30/2026
Floor (Senate)
3/2/2026
Senate Committee Report
2/26/2026
Introduced
1/8/2026
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