Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB1400 Compare Versions

Version 1 (Old)

Version 2 (New)

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29		-	SENATE FLOOR VERSION
30		-	February 28, 2022
	28	+	STATE OF OKLAHOMA
31	29
	30	+	2nd Session of the 58th Legislature (2022)
32	31
33	32		COMMITTEE SUBSTITUTE
34	33		FOR
35		-	SENATE BILL ~~NO.~~ 1400 By: Haste
	34	+	SENATE BILL 1400 By: Haste
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	39	+
	40	+	COMMITTEE SUBSTITUTE
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41	42		An Act relating to health information; amending 63
42	43		O.S. 2021, Section 1-133, which relates to health
43	44		information exchange; adding and deleting
44	45		definitions; directing State of Oklahoma to serve as
45	46		or designate the state designated entity for health
46	47		information exchange; requiring health care entities
47	48		to report data to and utilize state designated
48	49		entity; providing exemption; eliminating certain
49	50		requirements of Oklahoma Health C are Authority;
50	51		removing certain provisions relating to Oklahoma
51	52		Statewide Health Information Exchange and Oklahoma
52	53		State Health Information Network and Exchange ;
53	54		modifying terminology ; providing an effective date;
54	55		and declaring an emergency .
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59	60		BE IT ENACTED BY THE PEOPLE OF T HE STATE OF OKLAHOMA:
60	61		SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -133, is
61	62		amended to read as follows:
62	63		Section 1-133. A. As used in this section:
63	64		1. “Health care entity” means:
64	65		a. a health plan that, either a s an individual or group,
65	66		provides for, or pays the cost of, medical care,
66		-	b. a health care provider that offers or renders medical
67		-	or health services, or
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	93	+	b. a health care provider that offers or renders medical
	94	+	or health services, or
95	95		c. any further individual or association defined as a
96	96		covered entity under 45 C.F.R., Section 160.103 ;
97	97		2. “Health information exchange ” means the electronic movement
98	98		of health-related information among organizations according to
99	99		nationally recognized standards for purpos es including, but not
100	100		limited to, payment, treatment, and administration; and
101	101		2. 3. “Health information exchange organization ” means an
102	102		entity whose primary business act ivity is health information
103	103		exchange; and
104	104		3. “Oklahoma State Health I nformation Network and Exchange” or
105	105		“OKSHINE” means a health information exchange organization charged
106	106		with facilitating the exchange of health information to and from
107	107		authorized individuals and health care organizations in this state
108	108		and.
109	109		B. The State of Oklahoma shall serve as or shall designate the
110	110		state-designated state designated entity for health information
111	111		exchange.
112	112		B. The Oklahoma Health Care Authority (OHCA) shall establish a
113	113		health information exchange certification with input from
114	114		stakeholders. Such certific ation shall be required in order for a
115	115		health information exchan ge organization to qu alify as an Oklahoma
116	116		Statewide Health Information Exchange (OKHIE). Until such time as
117		-	the health information exchange certification is established by
118		-	OHCA, an OKHIE shall mean either OKSHINE or a health informatio n
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	143	+	the health information exchange certification is established by
	144	+	OHCA, an OKHIE shall mean either OKSHINE or a health information
146	145		exchange organization that was previous ly certified by the Oklahoma
147	146		Health Information Exchange Trust.
148	147		C. The Oklahoma State Health Information Network and Exchange
149	148		(OKSHINE) shall be or ganized for the purpose of improving the health
150	149		of residents of this state by:
151	150		1. Promoting efficient and e ffective communication among
152	151		multiple health care providers including, but not limited to,
153	152		hospitals, physicians, payers, employers, pharmacies, lab oratories,
154	153		and other health care entities or health information exchange
155	154		networks and organizations;
156	155		2. Creating efficiencies in health care costs by eliminating
157	156		redundancy in data capture and storage and reducing administrative,
158	157		billing, and data collect ion costs;
159	158		3. Creating the ability to monitor community health status; and
160	159		4. Providing reliable information to health care consumers and
161	160		purchasers regarding the quality of health care.
162	161		C. Beginning July 1, 2023, a ll health care entities licensed by
163	162		and located in this state shall report data to and utilize the state
164	163		designated entity. The Oklahoma Health Care Authority may, as
165	164		provided by rules promulgated by the Oklahoma Health Care Authority
166	165		Board, allow exemptions from the requirement provided by this
167	166		subsection on the basis of financial hardship, size, or
168		-	technological capability of a health care entity or such other ba ses
169		-	as may be provided by rules promulgated by the Board.
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	193	+	technological capability of a health care entity or such other ba ses
	194	+	as may be provided by rules promulgated by the Board.
197	195		D. 1. A person who participates in the services or information
198	196		provided by OKSHINE or an OKHIE the state designated entity shall
199	197		not be liable in any action f or damages or costs of any nature that
200	198		result solely from the person’s use or failure to use either an
201	199		OKHIE or OKSHINE information or data from the state designated
202	200		entity that was entered or retrieved under relevant state or federal
203	201		privacy laws, rules, regulations, or policies including , but not
204	202		limited to, the Health Insurance Portability and Accountability Act
205	203		of 1996.
206	204		2. A person shall not be subject to antitrust or unfair
207	205		competition liability based on participation in OKSHINE or an OKHIE
208	206		with the state designated entity as long as the participation
209	207		provides an essential governmental function for the p ublic health
210	208		and safety and enjoys state action immunity.
211	209		3. Participating in an OKHIE shall qualify as meeting any
212	210		requirement to send data to OKSHIN E.
213	211		E. 1. A person who provides information and data to OKSHINE
214	212		the state designated entity retains a property right in the
215	213		information or data, but grants to the other participants or
216	214		subscribers a nonexclusive license to retrieve and use that
217	215		information or data under relevant state or federal privacy laws,
218		-	rules, regulations, or policies including , but not limited to, the
219		-	Health Insurance Portability and Accountability Act of 1996.
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	242	+	rules, regulations, or policies including , but not limited to, the
	243	+	Health Insurance Portability and Accountability Act of 1996.
247	244		2. All processes or software developed , designed, or purchased
248	245		by OKSHINE shall remain the property of OKSHINE subject to use by
249	246		participants or subscribers.
250	247		F. Patient-specific protected health information shall only be
251	248		disclosed in accordance with the patient’s authorization or in
252	249		compliance with relevant state or federal privacy laws, rules,
253	250		regulations, or policies including , but not limited to, the Health
254	251		Insurance Portability and Acco untability Act of 1996.
255	252		G. The Oklahoma Health Care Authority Board shall promulgate
256	253		rules to implement the provisions of this section.
257	254		SECTION 2. This act shall become effecti ve July 1, 2022.
258	255		SECTION 3. It being immediately necessary for the preservation
259	256		of the public peace, health or safety, an emergency is hereby
260	257		declared to exist, by reason whereof this act shall take effect and
261	258		be in full force from and aft er its passage and approval.
262		-	~~COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES~~
263		-	~~February~~ 28, 2022 ~~- DO PASS AS AMENDED~~
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	260	+	58-2-3569 DC 2/28/2022 4:34:32 PM