Oklahoma 2022 Regular Session

Oklahoma House Bill HB3048 Compare Versions

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2828 STATE OF OKLAHOMA
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3030 2nd Session of the 58th Legislature (2022)
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3232 HOUSE BILL 3048 By: Bush
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3838 AS INTRODUCED
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4040 An Act relating to medical price transparency;
4141 amending 63 O.S. 2021, Section 1-725.3, which relates
4242 to health care provider price transparency; creating
4343 penalties; providing for the allocation of penalties ;
4444 amending 63 O.S. 2021, Section 1-725.4, which relates
4545 to health care facility price transparency; creating
4646 penalties; providing for the allocation of penalties;
4747 and providing an effective date.
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5454 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
5555 SECTION 1. AMENDATORY 63 O.S. 2021, Section 1-725.3, is
5656 amended to read as follows :
5757 Section 1-725.3 A. A health care provider shall make available
5858 to the public, in a single do cument, either electronically o r by
5959 posting conspicuously on the provider 's website if one exists, the
6060 health care prices for at least the twenty most commo n health care
6161 services the health care prov ider provides. If the health care
6262 provider, in the norma l course of his or her practice , regularly
6363 provides fewer than twenty health care services, the health care
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9090 provider shall make available the health care pr ices for the health
9191 care services the provi der most commonly provides.
9292 B. The health care provider shall identify the services by:
9393 1. A Current Procedural Terminology code or other coding system
9494 commonly used by the health care provider and accepted as a national
9595 standard for billing; and
9696 2. A plain English description.
9797 C. The health care provider shall update the document as
9898 frequently as the health care provider deems appropriate, but at
9999 least annually.
100100 D. A health care provider not in complia nce with the
101101 Transparency in Health Care Prices Ac t shall be assessed a penalty
102102 in the following amounts:
103103 1. One Thousand Dollars ($1,000.00) per month for health care
104104 providers with ten or fewer licensed health care profession als; or
105105 2. Ten Dollars ($10.00) for each licensed health care
106106 professional per month for health care providers wit h more than ten
107107 licensed health care professionals. This penalty shall not exceed
108108 Ten Thousand Dollars ($10,000.00) per month.
109109 E. Penalties shall be collected by the State Department of
110110 Health and deposited into the Health Carrier Access Payment
111111 Revolving Fund pursuant to Section 7202 of Title 36 of the Oklahoma
112112 Statutes.
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139139 SECTION 2. AMENDATORY 63 O.S. 2021, Section 1-725.4, is
140140 amended to read as foll ows:
141141 Section 1-725.4 A. A health care facilit y shall make available
142142 to the public, in a single document, either electronica lly or by
143143 posting conspicuously on its website if one exists, the health care
144144 prices for at least:
145145 1. The twenty most used diagnosis -related group codes or other
146146 codes for inpatient health care services per specia lty service line
147147 used by the health care f acility for billing; and
148148 2. The twenty most used outpatient CPT codes or health care
149149 services procedure codes per specialty service line used for
150150 billing.
151151 B. A health care facility shall include with the health c are
152152 prices provided pursuant to subsection A of this section a plain
153153 English description of the services for which the health ca re prices
154154 are provided.
155155 C. The health care facility shall update the document as
156156 frequently as it deems appropriate, but at lea st annually.
157157 D. A health care facility not in compliance with the
158158 Transparency in Health Care Prices Act shall be assessed a penalty
159159 in the following amounts:
160160 1. Three Hundred Dollars ($300.00) per day for a facility with
161161 thirty or fewer beds; or
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188188 2. Ten Dollars ($10.00) for each bed per day for facilit ies
189189 with more than thirty beds. This penalty shall not exceed Five
190190 Thousand Five Hundred Dollars ($5,500.00) per day.
191191 E. Penalties shall be collected by the State Department of
192192 Health and deposited into the Health Carrier Access Payment
193193 Revolving Fund pursuant to Section 7202 of Title 36 of the Oklahoma
194194 Statutes.
195195 SECTION 3. This act shall become effective November 1, 2022.
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197197 58-2-8866 KN 12/08/21