All Roll Calls
Yes: 202 • No: 0
OklahomaSB 438Oklahoma 2026 Regular SessionSenate
Health insurance; methods of payments to providers; requiring notice of certain fee. Effective date.
Sponsored By: Bill Coleman (Republican)
Signed by Governor
Senate Committee
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Health providers get payment choices and notices
Beginning November 1, 2025, Oklahoma law sets payment protections for health care providers. Health plans issued, amended, or renewed on or after January 1, 2020, cannot require credit cards as the only payment method. When starting or changing credit-card or other non-ACH electronic payments, plans, insurers, contracted vendors, and health maintenance organizations must disclose fees. They must also explain available payment methods and how providers can choose a preferred or alternative method. When starting or changing ACH bank payments, these payors cannot charge solely for sending payment without the provider’s consent. Providers’ billing agents can charge reasonable fees for added services, such as transaction management, data management, and portal services. Contracts cannot waive these protections, and the Insurance Commissioner enforces violations. The law does not directly change household health coverage, benefits, or out-of-pocket costs.
Sponsors & Cosponsors
Sponsor
Bill Coleman
Republican • Senate
Cosponsors
Chris Sneed
Republican • House
Roll Call Votes
House vote • 4/28/2025
THIRD READING
Yes: 88 • No: 0
House vote • 4/17/2025
DO PASS
Yes: 16 • No: 0
House vote • 4/8/2025
DO PASS
Yes: 7 • No: 0
Senate vote • 3/12/2025
THIRD READING
Yes: 41 • No: 0
Senate vote • 3/12/2025
SENATE
Yes: 40 • No: 0
Senate vote • 2/27/2025
Committee vote: Business & Insurance
Yes: 10 • No: 0
Actions Timeline
Approved by Governor 05/03/2025
5/5/2025SenateSent to Governor
4/29/2025SenateSigned, returned to Senate
4/29/2025HouseEnrolled, to House
4/29/2025SenateReferred for enrollment
4/28/2025SenateSigned, returned to Senate
4/28/2025HouseThird Reading, Measure passed: Ayes: 88 Nays: 0
4/28/2025HouseGeneral Order
4/28/2025HouseCR; Do Pass Commerce and Economic Development Oversight Committee
4/17/2025HousePolicy recommendation to the Commerce and Economic Development Oversight committee; Do Pass Insurance
4/8/2025HouseReferred to Insurance
4/1/2025HouseSecond Reading referred to Commerce and Economic Development Oversight
4/1/2025HouseFirst Reading
3/13/2025HouseEngrossed to House
3/13/2025SenateReferred for engrossment
3/12/2025SenateMeasure passed: Ayes: 41 Nays: 0
3/12/2025SenateGeneral Order, Considered
3/12/2025SenateCoauthored by Representative Sneed (principal House author)
3/4/2025SenatePlaced on General Order
3/4/2025SenateReported Do Pass, amended by committee substitute Business and Insurance committee; CR filed
2/27/2025SenateSecond Reading referred to Business and Insurance
2/4/2025SenateAuthored by Senator Coleman
2/3/2025SenateFirst Reading
2/3/2025Senate
Bill Text
Enrolled (final version)
4/29/2025
Floor (House)
4/21/2025
House Committee Report
4/17/2025
House Policy Committee Report
4/8/2025
Engrossed
3/13/2025
Floor (Senate)
3/3/2025
Committee Substitute
2/27/2025
Senate Committee Report
2/27/2025
Introduced
1/7/2025
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