Okla. Stat. tit. 36, § 36-6060.5b: Clinical genetic testing coverage

A. For the purposes of this section:

1. “Clinical utility” means clinical utility as defined

pursuant to Section 6060.5a of Title 36 of the Oklahoma Statutes;

2. “Evidence-based cancer imaging” means appropriate

preventative screening and imaging supported by evidence;

3. “Genetic testing for an inherited mutation” means multi-gene

testing for an inherited mutation associated with an increased risk

of cancer;

4. “Health benefit plan” means a health benefit plan as defined

pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; and

5. “Health care provider” means any physician, hospital, or

other entity or person that is licensed or otherwise authorized in

this state to furnish health care services.

B. Any health benefit plan including the Oklahoma Employees

Insurance Plan that is offered, issued, or renewed in this state on

or after the effective date of this act shall provide coverage for:

1. Clinical genetic testing for an inherited gene mutation for

individuals with a personal or family history of cancer when such

test provides clinical utility and when ordered or recommended by a

health care provider in accordance with medical and scientific

evidence including, but not limited to:

a. the most recent version of the National Comprehensive

Cancer Network (NCCN) clinical practice

recommendations that are Category 2A or higher,

b. Centers for Medicare and Medicaid Services national

coverage determinations or Medicare administrative

contractor local coverage determinations, or

c. nationally recognized clinical practice guidelines;

and

2. Evidence-based cancer imaging for individuals with an

increased risk of cancer when such test provides clinical utility

and when ordered or recommended by a health care provider in

accordance with the most recent version of the NCCN clinical

practice recommendations that are Category 2A or higher, or in

accordance with other nationally recognized clinical practice

guidelines.

C. Coverage under this section shall not be subject to any

annual deductibles, copayments, or coinsurance limits as established

for all covered benefits under the health benefit plan.

D. If application of this section would result in health

savings account ineligibility under Section 223 of the Internal

Revenue Code of 1986, as amended, the provisions of this section

shall only apply to health savings accounts with qualified high

deductible health plans with respect to the deductible of such a

plan after the enrollee has satisfied the minimum deductible.

Provided, however, the provisions of this section shall apply to

items or services that are preventive care pursuant to Section

223(c)(2)(C) of the Internal Revenue Code of 1986, as amended,

regardless of whether the minimum deductible has been satisfied.