SB1259 HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 58th Legislature (2022) COMMITTEE SUBSTITUTE FOR ENGROSSED SENATE BILL NO. 1259 By: Garvin of the Senate and Roe of the House COMMITTEE SUBSTITUTE An Act relating to hospital visitation ; amending 63 O.S. 2021, Section 1-706a, which relates to t he No Patient Left Alone Act; providing for applicability of act to certain minor patients; mod ifying provisions related to right of adult patients; prescribing standard related to presence of visi tors; authorizing hospitals to enact policies related to visitation hours; providing for policies related to end-of-life; modifying provisions related to actions against hospitals; authorizing civil actions; prescribing remedies; providing for affirmative defense to actions; prescribing statute of limitation; authorizing recovery of costs and attorney fees; providing for codification; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STAT E OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1-706a, is amended to read as follows: SB1259 HFLR Page 2 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Section 1-706a. A. This section shall be known and may be cited as the "No Patient Left Alone Act". B. Subject to the provisi ons of subsections D and E and F of this section, each minor who is admitted to a hospital l icensed pursuant to Section 1 -702 of Title 63 of the Oklahoma Statutes this title including a minor patient has the right to have a parent, guardian or person standin g in loco parentis who shall have the ability to be physically present while the minor patient is receiving hospital care. C. Subject to the provisions of subsections D and E and F of this section, each adult who is admitted to a hospital licensed pursuant to Section 1-702 of Title 63 of the Oklahoma Statutes this title including a patient hospitalized with COVID -19 has the right to designate a spouse, or at least one family member or caregiver who shall have the ability to be physically present while the ad ult patient is receiving hospital care. D. Subject to the provisions of subsections E and F of this section and in addition to the rights specified in subsection B or C of this section, each minor or adult who is admitted for labor and delivery to a hospital licensed pursuant to Section 1-702 of this title has the right to have a midwife, doula, or birth coach who shall have the ability to be present while the patient is receiving hospital care. SB1259 HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 E. A hospital may establish visitation policies that limit or restrict visitation when: 1. The presence of visitors would be medically or therapeutically contraindicated in the best clinical judgment of health care professionals; however, a diagnosis of COVID-19 alone shall not constitute a medical or therapeutic cause for visitation rights to be removed; 2. The presence of visitors would interfere with the care of or rights of any patient; 3. Visitors are engaging in disruptive, threatening or violent behavior toward any staff member, patient or other visitor; or 4. Visitors are noncompliant with hospital policy. E. F. A hospital may require visitors to wear personal protective equipment, provided that any such required equipment shall be provided by the h ospital. A hospital may require visitors to comply with reasonable safety protocols and rules of conduct. The hospital may revoke visitation rights for failure to comply with this section. F. G. A hospital may enact policies establishing reasonable visitation hours; provided, the policies allow for a compassionate exemption process for twenty-four-hour visitation in end-of-life scenarios. H. Nothing in this section shall be construed to require a hospital to allow a visit or to enter an operating room, isolation SB1259 HFLR Page 4 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 room, isolation unit, behavioral health setting or other typically restricted area or to remain present during the administration of emergency care in critical situations . Nothing in this section shall be construed to require a hospital to allo w a visitor access beyond the rooms, units or wards in which the patient the visitor i s visiting is receiving care or beyond general common areas in the hospital. G. I. The rights specified in this sect ion may not be terminated, suspended or waived by the ho spital, the State Department of Health or any governmental entity, notwithstanding declarations of emergency declared by the Governor or the Legislature. No hospital licensed pursuant to Section 1 -702 of Title 63 of the Oklahoma Statutes this title shall require a patient to waive the rights specified in this section. H. J. Each hospital licensed pursuant to Section 1-702 of Title 63 of the Oklahoma Statutes this title shall post on its website informational materials developed by the State Department of Health explaining the rights specified in this section . The State Department of Health shall develop such informational materials and make the materials available to hospitals for this purpose. I. K. Unless expressly required by federal law or regulation, the State Department of Health or any other state agency shall not take any action against a hospital for: SB1259 HFLR Page 5 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1. Giving a visitor individual access to a hospital -controlled property or location; 2. Failing to protect or otherwi se ensure the safety or comfort of a visitor given access to a hospital-controlled property or location; 3. Failing to follow the guidelines of the Centers for Disease Control and Prevention or other federal guidelines that req uire or recommend restrictin g visitor access all reasonable facility safety protocols and rules of conduct ; or 4. The acts or omissions of any visitor who is given access to a hospital-controlled property or location. SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-706b of Title 63, unless there is created a duplicati on in numbering, reads as follows: A midwife, doula, or birth coach who is performing services under a contract directly with a patient admitted for labor and delivery to a hospital l icensed pursuant to Section 1-702 of Title 63 of the Oklahoma Statutes shall not be subject to the same required policies of an employee or contractor of the hospital. SECTION 3. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1 -706c of Title 63, unless there is created a duplication in numbering, reads as follows: SB1259 HFLR Page 6 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 A. Where a complaint has been made against a hospital for violating the No Patient Left Alone Act, a complainant may bring a civil action against the hospital for: 1. Injunctive relief to prevent the hospital from further violations of this section; 2. Statutory damages in the amount of Two Thousand Five Hundred Dollars ($2,500.00); and 3. Costs and attorney fees. B. A court may not award relief under this sect ion in response to a violation of the No Patient Left Alone Act if the defen dant demonstrates that the defendant previously paid the full amount of statutory damages in a previous action for that particular incident which violated the No Patient Left Alone Act, or if the defendant demonstrates that the defen dant previously settled a civil action for the same incident that violated the No Patient Left Alone Act. C. A person may bring an action under the No Patient Left Alone Act not later than one (1) year after the date of the violations of the No Patient Left Alone Act. D. A defendant of an action under this section shall be entitled to costs and attorney fees as the court may find appropriate for any unmerited claims. SECTION 4. It being immediately necessary fo r the preservation of the public peace, health or safety, an emergency is hereby SB1259 HFLR Page 7 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 declared to exist, by reason whereof this act shall take effect and be in full force from and after its passage and approva l. COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 04/13/2022 - DO PASS, As Amended.