{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6060.5","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6060.5","heading":"Oklahoma Breast Cancer Patient Protection Act","body":"A. This section shall be known and may be cited as the\n\n\"Oklahoma Breast Cancer Patient Protection Act\".\n\nB. Any health benefit plan that is offered, issued or renewed\n\nin this state on or after January 1, 1998, that provides medical and\n\nsurgical benefits with respect to the treatment of breast cancer and\n\nother breast conditions shall ensure that coverage is provided for\n\nnot less than forty-eight (48) hours of inpatient care following a\n\nmastectomy and not less than twenty-four (24) hours of inpatient\n\ncare following a lymph node dissection for the treatment of breast\n\ncancer.\n\nC. Nothing in this section shall be construed as requiring the\n\nprovision of inpatient coverage where the attending physician in\n\nconsultation with the patient determines that a shorter period of\n\nhospital stay is appropriate.\n\nD. Any plan subject to subsection B of this section shall also\n\nprovide coverage for reconstructive breast surgery performed as a\n\nresult of a partial or total mastectomy. Because breasts are a\n\npaired organ, any such reconstructive breast surgery shall include\n\ncoverage for all stages of reconstructive breast surgery performed\n\non a nondiseased breast to establish symmetry with a diseased breast\n\nwhen reconstructive surgery on the diseased breast is performed,\n\nprovided that the reconstructive surgery and any adjustments made to\n\nthe nondiseased breast must occur within twenty-four (24) months of\n\nreconstruction of the diseased breast.\n\nE. In implementing the requirements of this section, a health\n\nbenefit plan may not modify the terms and conditions of coverage\n\nbased on the determination by an enrollee to request less than the\n\nminimum coverage required pursuant to subsections B and D of this\n\nsection.\n\nF. A health benefit plan shall provide notice to each insured\n\nor enrollee under the plan regarding the coverage required by this\n\nsection in the evidence of coverage of the plan, and shall provide\n\nadditional written notice of the coverage to the insured or enrollee\n\nas follows:\n\n1. In the next mailing made by the plan to the employee;\n\n2. As part of any yearly informational packet sent to the\n\nenrollee; or\n\n3. Not later than December 1, 1997;\n\nwhichever is earlier.\n\nG. As used in this act, \"health benefit plan\" means any plan or\n\narrangement as defined in subsection C of Section 6060.4 of this\n\ntitle.\n\nH. The Insurance Commissioner shall promulgate any rules\n\nnecessary to implement the provisions of this section.","path":["OK Code","Title 36"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os36.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"df1445e65d3fa41e05028ed68ffb2e85f4d10a9dfb855f46badded4bb718a6ce","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-6060.4b","next":"us-ok/okla.-stat.-tit.-36-36-6060.51"},"notice":"GroundRules: Original legal text. Not legal advice."}