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STATE OF OKLAHOMA
2nd Session of the 58th Legislature (2022)
HOUSE BILL 3048 By: Bush
AS INTRODUCED
An Act relating to medical price transparency;
amending 63 O.S. 2021, Section 1-725.3, which relates
to health care provider price transparency; creating
penalties; providing for the allocation of penalties ;
amending 63 O.S. 2021, Section 1-725.4, which relates
to health care facility price transparency; creating
penalties; providing for the allocation of penalties;
and providing an effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 63 O.S. 2021, Section 1-725.3, is
amended to read as follows :
Section 1-725.3 A. A health care provider shall make available
to the public, in a single do cument, either electronically o r by
posting conspicuously on the provider 's website if one exists, the
health care prices for at least the twenty most commo n health care
services the health care prov ider provides. If the health care
provider, in the norma l course of his or her practice , regularly
provides fewer than twenty health care services, the health care
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provider shall make available the health care pr ices for the health
care services the provi der most commonly provides.
B. The health care provider shall identify the services by:
1. A Current Procedural Terminology code or other coding system
commonly used by the health care provider and accepted as a national
standard for billing; and
2. A plain English description.
C. The health care provider shall update the document as
frequently as the health care provider deems appropriate, but at
least annually.
D. A health care provider not in complia nce with the
Transparency in Health Care Prices Ac t shall be assessed a penalty
in the following amounts:
1. One Thousand Dollars ($1,000.00) per month for health care
providers with ten or fewer licensed health care profession als; or
2. Ten Dollars ($10.00) for each licensed health care
professional per month for health care providers wit h more than ten
licensed health care professionals. This penalty shall not exceed
Ten Thousand Dollars ($10,000.00) per month.
E. Penalties shall be collected by the State Department of
Health and deposited into the Health Carrier Access Payment
Revolving Fund pursuant to Section 7202 of Title 36 of the Oklahoma
Statutes.
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SECTION 2. AMENDATORY 63 O.S. 2021, Section 1-725.4, is
amended to read as foll ows:
Section 1-725.4 A. A health care facilit y shall make available
to the public, in a single document, either electronica lly or by
posting conspicuously on its website if one exists, the health care
prices for at least:
1. The twenty most used diagnosis -related group codes or other
codes for inpatient health care services per specia lty service line
used by the health care f acility for billing; and
2. The twenty most used outpatient CPT codes or health care
services procedure codes per specialty service line used for
billing.
B. A health care facility shall include with the health c are
prices provided pursuant to subsection A of this section a plain
English description of the services for which the health ca re prices
are provided.
C. The health care facility shall update the document as
frequently as it deems appropriate, but at lea st annually.
D. A health care facility not in compliance with the
Transparency in Health Care Prices Act shall be assessed a penalty
in the following amounts:
1. Three Hundred Dollars ($300.00) per day for a facility with
thirty or fewer beds; or
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2. Ten Dollars ($10.00) for each bed per day for facilit ies
with more than thirty beds. This penalty shall not exceed Five
Thousand Five Hundred Dollars ($5,500.00) per day.
E. Penalties shall be collected by the State Department of
Health and deposited into the Health Carrier Access Payment
Revolving Fund pursuant to Section 7202 of Title 36 of the Oklahoma
Statutes.
SECTION 3. This act shall become effective November 1, 2022.
58-2-8866 KN 12/08/21