Two Oklahoma bills – SB 1500 and SB 2074 – passed out of the Senate on March 26 and will be sent to the House for further consideration. Although aimed at commercial health plans, the bills lack a clear workers’ compensation carve‑out and would establish a NADAC‑based reimbursement floor, minimum dispensing fees, and a shortened 30‑day payment timeframe – all of which conflict with Oklahoma’s existing workers’ compensation fee schedule and 45‑day payment standard.

As written, these provisions will create compliance conflicts for PBMs and WC insurers administering claims under current state rules and may interfere with a carrier’s ability to retrospectively deny dispensed medications based on medical necessity or causal relationship. Stakeholders are encouraged to engage legislators to seek clarification or amendments that preserve the integrity of Oklahoma’s workers’ compensation pharmacy framework.