Oklahoma § 74-1307 - Specifications - Limitations on benefits - Exceptions

Full text of Oklahoma Oklahoma Statutes § 74-1307 — Specifications - Limitations on benefits - Exceptions, with citation guidance and answers to common questions.

§ 74-1307. Specifications - Limitations on benefits - Exceptions

A. The specifications drawn by the Oklahoma Health Care

Authority for the health insurance plan shall provide for

comprehensive hospital medical and surgical benefits. The health

insurance plan may limit coverage for a particular illness, disease,

injury or condition; but, except for such limits, shall not exclude

or limit particular services or procedures that can be provided for

the diagnosis and treatment of an illness, disease, injury or

condition, so long as the services and procedures provided are of

sound efficacy, are medically necessary, and fall within the

licensed scope of practice of the practitioner providing same. The

health insurance plan may contract with providers for specific

services based on levels of outcomes defined by the Authority and

achieved by the provider. The health insurance plan may provide for

the application of deductibles and copayment or coinsurance

provisions that are based on contracts with providers for specific

services based on levels of outcomes or cost.

B. The life insurance plan shall include Accidental Death and

Dismemberment Benefits and additional optional life insurance

coverage.

Added by Laws 1967, c. 374, § 7, emerg. eff. May 23, 1967. Amended

by Laws 1970, c. 70, § 6, emerg. eff. March 17, 1970; Laws 1977, c.

261, § 6, emerg. eff. June 17, 1977; Laws 1982, c. 333, § 6, emerg.

eff. June 1, 1982; Laws 1990, c. 244, § 5, emerg. eff. May 21, 1990;

Laws 1991, c. 171, § 1, eff. July 1, 1991; Laws 2011, c. 326, § 1,

eff. Nov. 1, 2011; Laws 2012, c. 304, § 941; Laws 2015, c. 58, § 1,

eff. Nov. 1, 2015; Laws 2025, c. 379, § 5, eff. Nov. 1, 2025.

Frequently Asked Questions About Oklahoma § 74-1307

What does Oklahoma Statutes § 74-1307 cover?

Section 74-1307 ("Specifications - Limitations on benefits - Exceptions") is part of the Oklahoma Statutes, the codified statutory law of Oklahoma. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Oklahoma § 74-1307?

A common citation format is "Oklahoma Statutes § 74-1307" (Oklahoma). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Oklahoma law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Oklahoma official source linked on this page or consult a licensed Oklahoma attorney.

How does Oklahoma § 74-1307 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Oklahoma can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Oklahoma.