Oklahoma legislation · 2026 Regular Session
Oklahoma HB3928: Vision insurance; reimbursements; Medicare or Medicaid; non-Medicare reimbursements; charges; services; ophthalmic materials; nonaffiliated labs or frame vendors; effective date.
Status: In committee, February 11, 2026
What the bill says
An Act relating to vision insurance; amending Section 2, Chapter 360, O.S.L. 2024 (36 O.S. Supp. 2025, Section 6973), which relates to reimbursements, charges, and pricing related to vision insurance; modifying citation; requiring reimbursement of licensed optometric physicians for covered services be not less than sixtieth percentile of usual charge for same services; prohibiting increases in reimbursement being offset by decrease for ophthalmic materials; providing exception for uniform application of changes…
From the introduced text, January 15, 2026:
An Act relating to vision insurance; amending Section 2, Chapter 360, O.S.L. 2024 (36 O.S. Supp. 2025, Section 6973), which relates to reimbursements, charges, and pricing related to vision insurance; modifying citation; requiring reimbursement of licensed optometric physicians for covered services be not less than sixtieth percentile of usual charge for same services; prohibiting increases in reimbursement being offset by decrease for ophthalmic materials; providing exception for uniform application of changes; prohibiting reduction in reimbursements to providers for using nonaffiliated labs or frame vendors if credentialing standards are met; requiring disclosure of certain reimbursements; providing for codification; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY Section 2, Chapter 360, O.S.L. 2024 (36 O.S. Supp. 2025, Section 6973), is amended to read as follows: Section 6973. A. No agreement between an insurer or prepaid vision plan and a vision care provider may require that a provider provide services or materials at a fee limited or set by the insurer or prepaid vision plan, unless the services or materials are Req. No. 15930 Page reim bursed as covered services or covered materials under the contract. B. A provider shall not charge more for services and materials that are not covered services or materials to an enrollee of a prepaid vision plan …