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40 | 43 | | An Act relating to health care; creating the Oklahoma |
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41 | 44 | | Medical Education Protection Ac t; defining terms; |
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42 | 45 | | requiring certain contracted entities to preserve and |
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43 | 46 | | protect reimbursement programs for care of Medicaid |
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44 | 47 | | patients at a certain level; prohibiting certain |
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45 | 48 | | contracted entities from taking actions that reduce |
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46 | 49 | | the number of Medicaid patient s cared for by certain |
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47 | 50 | | entities; providing for contract termination in |
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48 | 51 | | certain circumstances; providing for reimbursement in |
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49 | 52 | | certain cases of contract termination; providing for |
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50 | 53 | | codification; and declaring an emergency . |
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55 | 58 | | |
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56 | 59 | | BE IT ENACTED BY THE PEO PLE OF THE STATE OF OKLAHOMA: |
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57 | 60 | | SECTION 1. NEW LAW A new section of law to be codified |
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58 | 61 | | in the Oklahoma Statutes as Section 3229 of Title 63, unless there |
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59 | 62 | | is created a duplication in numbering, reads as follows: |
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60 | 63 | | This act shall be known and may be cited as the "Oklahoma |
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61 | 64 | | Medical Education Protection Act ". |
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62 | 65 | | SECTION 2. NEW LAW A new section of law to be codified |
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63 | 66 | | in the Oklahoma Statutes as Section 3230 of Title 63, unless there |
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64 | 67 | | is created a duplication in numbering, r eads as follows: |
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92 | 96 | | 1. "Contracted entity" means any entity entering into a |
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93 | 97 | | contract with the state or one of its constituent agencies for the |
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94 | 98 | | management of Medicaid patients under a managed care cont ract; |
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95 | 99 | | 2. "Enhanced reimbursement payment program" means any program |
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96 | 100 | | directly or indirectly funded by or through the state or any of its |
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97 | 101 | | agencies, including but not limited to the Oklahoma Health Care |
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98 | 102 | | Authority, or any agency or department of the federal g overnment, |
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99 | 103 | | including but not limited to the Centers for Medicare and Medicaid |
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100 | 104 | | Services (CMS), for the treatment of Medicaid patients by the health |
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104 | 108 | | 3. "Medical Education" means any training program operated by |
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105 | 109 | | the Oklahoma State University Center for Health Sciences or the |
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106 | 110 | | University of Oklahoma Health Sciences Center for the training of |
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107 | 111 | | health care professionals or health care workers; |
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108 | 112 | | 4. "Supplemental Payment Program " means any program directly or |
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109 | 113 | | indirectly funded by or through the state or any of its agencies , |
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110 | 114 | | including but not limited to the Oklahoma Health Care Authority, or |
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111 | 115 | | any agency or department of the federal government, including but |
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112 | 116 | | not limited to the Centers for Medicare and Medicaid Services (CMS), |
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113 | 117 | | for the training of health care professionals or health care |
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114 | 118 | | workers; and |
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141 | 146 | | 5. "Teaching hospital", "affiliated hospital", or "hospital |
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142 | 147 | | partner" means any hospital utilized by the Oklahoma State |
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143 | 148 | | University Center for Health Sciences or the University of Oklahoma |
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144 | 149 | | Health Sciences Center for the training of health care professionals |
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145 | 150 | | or health care workers. |
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146 | 151 | | SECTION 3. NEW LAW A new section of law to be codified |
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147 | 152 | | in the Oklahoma Statutes as Section 3231 of Title 63, unless there |
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148 | 153 | | is created a duplication in numbering, reads as follows: |
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149 | 154 | | A. When entering into contract ual arrangements with any entity |
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150 | 155 | | for the management of Me dicaid patients, the state or any agency |
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151 | 156 | | thereof, the Oklahoma Health Care Authority, or any subsequent state |
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152 | 157 | | entity with the authority to reimburse providers for the treatment |
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153 | 158 | | of Medicaid patients shall preserve and protect the supplemental |
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154 | 159 | | payment programs payable to the Oklahoma State University Center for |
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155 | 160 | | Health Sciences or the University of Oklahoma Health Sciences |
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156 | 161 | | Center, their teaching hospitals, affiliated hospitals, and hospital |
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157 | 162 | | partners. Such preservation and protection shall be prescribed at |
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158 | 163 | | the level of reimbursement to be no lower than the highest annual |
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159 | 164 | | aggregate payment within the three (3) years prior to the effective |
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160 | 165 | | date of this act. |
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161 | 166 | | B. When entering into contractual arrangements with any entity |
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162 | 167 | | for the management of Medicaid patients, th e state or any agency |
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163 | 168 | | thereof, the Oklahoma Health Care Authority, or any subsequent state |
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164 | 169 | | entity with the authority to reimburse providers for the treatment |
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191 | 197 | | of Medicaid patients shall preserve and protect the enhanced |
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192 | 198 | | reimbursement payment programs payabl e to the Oklahoma State |
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193 | 199 | | University Center for Health Sciences or the University of Oklahoma |
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194 | 200 | | Health Sciences Center, their teaching hospitals, affiliated |
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195 | 201 | | hospitals, and hospital partners. Such preservation and protection |
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196 | 202 | | shall be prescribed at the level of reimbursement to be no lower |
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197 | 203 | | than the highest annual aggregate payment within the three (3) years |
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198 | 204 | | prior to the effective date of this act. |
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199 | 205 | | SECTION 4. NEW LAW A new section of law to be codified |
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200 | 206 | | in the Oklahoma Statutes as Section 3232 of Title 63, unless there |
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201 | 207 | | is created a duplication in numbering, reads as follows: |
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202 | 208 | | A. When entering into contractual arrangements with any entity |
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203 | 209 | | for the management of Medicaid patients, the state or any agency |
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204 | 210 | | thereof, the Oklahoma Health Care Author ity, or any subsequent state |
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205 | 211 | | entity with the authority to reimburse providers for the treatment |
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206 | 212 | | of Medicaid patients shall preclude the contracted entity from |
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207 | 213 | | taking any action that would directly or indirectly reduce the |
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208 | 214 | | number of Medicaid patients treate d by the Oklahoma State University |
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209 | 215 | | Center for Health Sciences or the University of Oklahoma Health |
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210 | 216 | | Sciences Center, their teaching hospitals, affiliated hospitals, or |
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211 | 217 | | hospital partners. |
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212 | 218 | | B. Any action taken by any entity under contract with the state |
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213 | 219 | | or any agency thereof to manage Medicaid patients that directly or |
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214 | 220 | | indirectly reduces the number of Medicaid patients treated by the |
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241 | 248 | | Oklahoma State University Center for Health Sciences or the |
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242 | 249 | | University of Oklahoma Health Sciences Center, their teaching |
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243 | 250 | | hospitals, affiliated hospitals, or hospital partners shall |
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244 | 251 | | constitute cause for termination of the managed care contract. |
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245 | 252 | | C. Any contract entered into by the state or any agencies |
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246 | 253 | | thereof for the management of Medicaid patients shall provide for |
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247 | 254 | | the reimbursement by the contracted entity for any lost or decreased |
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248 | 255 | | revenues experienced by the Oklahoma State University Center for |
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249 | 256 | | Health Sciences or the University of Oklahoma Health Sciences |
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250 | 257 | | Center, their teaching hospitals, affiliated hospitals, or hospital |
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251 | 258 | | partners as a result of termination pursuant to subsection B of this |
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252 | 259 | | section. |
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253 | 260 | | SECTION 5. It being immediately necessary for the preservation |
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254 | 261 | | of the public peace, health or safety, an emergency is hereby |
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255 | 262 | | declared to exist, by reason whereof this act shall take effect and |
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256 | 263 | | be in full force from and after its passage and approval. |
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