Oklahoma 1332 State Innovation Waiver
Announcements
- 10/1/2026: Oklahoma released Public Notice and the Draft 1332 Waiver Application. The State is accepting public comments during a 30-day period from October 1, 2026 to October 31, 2026. Public hearings will be held on October 13th and October 14th. A tribal consultation will be held on October 22nd.
Overview
Oklahoma is pursuing a Section 1332 State Innovation Waiver, which allows states to implement innovative approaches to providing residents with access to affordable, high-quality health insurance coverage. Oklahoma House Bill 1512 authorized the Insurance Commissioner to pursue this waiver and submit an application to the federal government on behalf of the State.
Through this waiver, Oklahoma is seeking federal approval to implement a reinsurance program designed to improve affordability and strengthen the individual health insurance market. The proposed reinsurance program will help reduce premiums in high-cost regions of the state with limited issuer participation to make coverage more affordable for Oklahomans.
Public Comment Period
Oklahoma released a Public Notice and the Draft 1332 Waiver Application for public comment on October 1, 2026. Comments received during the public comment period will be reviewed and considered before the State submits its final application to the federal government.
- Comments may be emailed to 1332waiver@oid.ok.gov by October 31, 2026.
- Comments may be mailed to the following address and must be received by October 31, 2026:
Oklahoma Insurance Department
Attn: State Based Exchange / 1332 Waiver
400 NE 50th Street, Oklahoma City, OK 73105
The State is hosting two public hearings to provide an overview of the waiver and receive comments from the public.
PUBLIC HEARING #1: Tuesday, October 13, 2026 at 2:00 PM CT
Virtual Attendance Option
- Pre-registration is required. Please register by 5:00 PM CT on Monday, October 12, 2026.
- Register and receive meeting information here.
In-Person Attendance Option
- No pre-registration is necessary. Those wishing to make public comment must sign in no later than 1:55 PM CT.
- Location: Oklahoma Health Care Authority (4345 N. Lincoln Blvd., Oklahoma City, OK 73105)
PUBLIC HEARING #2: Wednesday, October 14, 2026, at 11:00 AM CT
Virtual Attendance Option
- Pre-registration is required. Please register by 5:00 PM CT on Tuesday, October 13, 2026.
- Register and receive meeting information here.
In-Person Attendance Only
- No pre-registration is necessary. Those wishing to make public comment must sign in no later than 10:55 AM CT.
- Location: Oklahoma Health Care Authority (4345 N. Lincoln Blvd., Oklahoma City, OK 73105)
Individuals with disabilities requiring special accommodations, or individuals requiring language translation services, should contact the Oklahoma Insurance Department at 1332waiver@oid.ok.gov by 5:00 PM CT three business days before the respective hearing.
Tribal Comment Period
The State is hosting a hearing for members of Oklahoma’s Tribal Nations to provide an overview of the waiver and receive comments from the public.
TRIBAL HEARING: Thursday, October 22, 2026 at 10:00 AM CT
Virtual Attendance Option
- Pre-registration is required. Please register by 5:00 PM CT on Wednesday, October 21, 2026.
- Register and receive meeting information here.
In-Person Attendance Option
- No pre-registration is necessary. Those wishing to make public comment must sign in no later than 9:55 AM CT.
- Location: Oklahoma Health Care Authority (4345 N. Lincoln Blvd., Oklahoma City, OK 73105)
Individuals with disabilities requiring special accommodations, or individuals requiring language translation services, should contact the Oklahoma Insurance Department at 1332waiver@oid.ok.gov by 5:00 PM CT three business days before the respective hearing.
Timeline of the Waiver
- 10/1/2026: Oklahoma released Public Notice and the Draft 1332 Waiver Application and opened the public comment period from October 1, 2026 through October 31, 2026.
Documents & Resources
Previous 1332 Waiver Information
In 2017, Oklahoma pursued a 1332 Waiver to establish a reinsurance program intended to reduce individual market premiums. The State withdrew its application after federal approval was delayed beyond the agreed timeline. Below is information from the previous 1332 Waiver efforts.