Oklahoma Code § 36-1416

Title 36. Insurance: State Innovation Waiver
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A.  There is hereby authorized the creation and submission of a
State Innovation Waiver for the purpose of creating Oklahoma health
insurance products that improve health and healthcare quality while
controlling costs.
B.  The State Innovation Waiver may include multiple waiver
submissions under federal waiver authorities, including:
1.  Waivers as provided in Section 1332 of the federal
Affordable Care Act for the purpose of waiving certain federal
insurance and tax regulations to create more state flexibility
within the health insurance market; and
2.  Waivers as provided in Section 1115 of the federal Social
Security Act for the purpose of participating in the Delivery System
Reform Incentive Payment Program or uncompensated care pools or both
the Delivery System Reform Incentive Payment Program and
uncompensated care pools with the aim of incentivizing providers
through payment for achieving better health outcomes.
C.  The State Innovation Waiver shall be created consistent with
the innovation design plan developed through the Oklahoma Health
Improvement Plan.  It shall be presented to the Oklahoma Legislature
along with a summary of comments received from public hearings and
shall include the identification of specific provisions of the
Affordable Care Act to be waived in the State of Oklahoma.
D.   Participating agencies, including but not limited to the
State Department of Health, the Oklahoma Health Care Authority, the
Department of Mental Health and Substance Abuse Services and the
Insurance Department, shall develop the State Innovation Waiver with
input from the private sector partners and various subject matter
experts and submit any and all necessary information for approval to
all relevant entities.
E.  The Insurance Department is hereby authorized to conduct
rate review for the individual and small group health insurance
market upon implementation of the State Innovation Waiver under
Section 1332 of the federal Affordable Care Act.

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