Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB378 Compare Versions

Version 1 (Old)

Version 2 (New)

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3	28
4		-	An Act
5		-	ENROLLED SENATE
	29	+	HOUSE OF REPRESENTATIVES - FLOOR VERSION
	30	+
	31	+	STATE OF OKLAHOMA
	32	+
	33	+	1st Session of the 58th Legislature (2021)
	34	+
	35	+	ENGROSSED SENATE
6	36		BILL NO. 378 By: Rosino, Stanley and
7	37		Hamilton of the Senate
8	38
9	39		and
10	40
11		-	Bush, Martinez, Townley,
12		-	Munson and Lepak of the
13		-	House
	41	+	Bush, Martinez, Townley and
	42	+	Munson of the House
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18	47		An Act relating to organ donation and anatomical
19	48		gifts; creating Everett ’s Law; providing short title;
20	49		defining terms; specifying applicability of act;
21	50		prohibiting certain acts by covered entity; allowing
22	51		covered entity to take disability into account under
23	52		certain conditions; prohibiting covered entity from
24	53		considering certain factor under specified condition;
25	54		requiring covered entity to make certain
26	55		modifications to policies, practices or procedures;
27	56		requiring covered entity to ensure certain
28	57		protections related to medical services; construing
29	58		act; requiring certain compliance with federal law;
30	59		providing for certain civil action; requiring court
31	60		to give certain priority and expedited review;
32	61		authorizing court to grant certain relief; providing
33	62		intent; defining terms; prohibiting certain actions
34	63		by health carrier; specifying that certain amendment
35	64		to collective bargaining agreement does not
36	65		constitute termination; construing act; providing for
37	66		codification; and providing an effective date .
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42		-	SUBJECT: Organ donation and anatomical gifts
43		-
44	71		BE IT ENACTED BY THE PEOP LE OF THE STATE OF OKLAHOMA:
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47		-	ENR. S. B. NO. 378 Page 2
48	99		SECTION 1. NEW LAW A new section of law to be codified
49	100		in the Oklahoma Statutes as Section 2200.28 of Title 63, unless
50	101		there is created a duplication in numbering, reads as follows:
51		-
52	102		This act shall be known and may be cited as “Everett’s Law”.
53		-
54	103		SECTION 2. NEW LAW A new section of law to be codified
55	104		in the Oklahoma Statutes as Section 2200.29 of Title 63, unless
56	105		there is created a duplication in numbering, reads as follows:
57		-
58	106		As used in this act:
59		-
60	107		1. “Anatomical gift” means a donation of all or part of a human
61	108		body to take effect after the donor ’s death for the purpose of
62	109		transplantation or transfusion ;
63		-
64	110		2. “Auxiliary aids or services ” means an aid or service that is
65	111		used to provide info rmation to an individual with a cognitive,
66	112		developmental, intellectual, neurological or physical disability and
67	113		is available in a format or manner that allows the individual to
68	114		better understand the information. An auxiliary aid or service may
69	115		include:
70		-
71	116		a. qualified interpreters or other effective methods of
72	117		making aurally delivered materials available to
73	118		persons with hearing impairments ,
74		-
75	119		b. qualified readers, taped texts, texts in accessible
76	120		electronic format or other effective methods of making
77	121		visually delivered materials available to persons with
78	122		visual impairments,
79	123
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80	150		c. supported decision-making services, including:
81		-
82	151		(1) the use of a support individual to communicate
83	152		information to the individual with a disability,
84	153		ascertain the wishes of the individua l, or assist
85	154		the individual in making decisions ,
86		-
87	155		(2) the disclosure of information to a legal
88	156		guardian, authorized representative or another
89	157		individual designated by the individual with a
90		-
91		-	ENR. S. B. NO. 378 Page 3
92	158		disability for such purpose, as long as the
93	159		disclosure is consistent wit h state and federal
94	160		law including the Health Insurance Portability
95	161		and Accountability Act of 1996, 42 U.S.C. 1320d
96	162		et seq. and any regulations promulgated by the
97	163		United States Department of Health and Human
98	164		Services to implement the act ,
99		-
100	165		(3) if an individual has a court-appointed guardian
101	166		or other individual responsible for making
102	167		medical decisions on behalf of the individual,
103	168		any measures used to ensure that the individual
104	169		is included in decisions involving the
105	170		individual’s health care and that medical
106	171		decisions are in accordance with the individual ’s
107	172		own expressed interests , or
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109	200		(4) any other aid or service that is used to provide
110	201		information in a format that is easily
111	202		understandable and accessible to individuals with
112	203		cognitive, neurological, developmental or
113	204		intellectual disabilities, including assistive
114	205		communication technology ;
115		-
116	206		3. “Covered entity” means:
117		-
118	207		a. any licensed provider of health care services
119	208		including licensed health care practitioners,
120	209		hospitals, nursing facilities, laboratories,
121	210		intermediate care facilities, psychiatric residential
122	211		treatment facilities, institutions for individuals
123	212		with intellectual or developmental disabilities and
124	213		prison health centers , or
125		-
126	214		b. any entity responsible for matching anatomical gift
127	215		donors to potential recipients ;
128		-
129	216		4. “Disability” has the meaning stated in the Americans with
130	217		Disabilities Act of 1990, as amended by the ADA Amendments Act of
131	218		2008, 42 U.S.C. § 12102 ;
132		-
133		-
134		-	ENR. S. B. NO. 378 Page 4
135	219		5. “Organ transplant” means the transplantation or transfusion
136	220		of a part of a human body into the bo dy of another for the purpose
137	221		of treating or curing a medical condition ; and
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139	249		6. “Qualified recipient” means an individual who has a
140	250		disability and meets the essential eligibility requirements for the
141	251		receipt of an anatomical gift with or without any of th e following:
142		-
143	252		a. individuals or entities available to support and
144	253		assist the individual with an anatomical gift or
145	254		transplantation,
146		-
147	255		b. auxiliary aids or services , or
148		-
149	256		c. reasonable modifications to the policies, practices or
150	257		procedures of a covered entity in cluding modifications
151	258		to allow for either or both of the following:
152		-
153	259		(1) communication with one or more individuals or
154	260		entities available to support or assist with the
155	261		recipient’s care and medication after surgery or
156	262		transplantation, or
157		-
158	263		(2) consideration of support networks available to
159	264		the individual including family, friends and home
160	265		and community-based services including home and
161	266		community-based services funded through Medicaid,
162	267		Medicare, another health plan in which the
163	268		individual is enrolled or any prog ram or source
164	269		of funding available to the individual, when
165	270		determining whether the individual is able to
166	271		comply with post-transplant medical requirements.
167	272
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168	299		SECTION 3. NEW LAW A new section of law to be codified
169	300		in the Oklahoma Statut es as Section 2200.30 of Title 63, unless
170	301		there is created a duplication in numbering, reads as follows:
171		-
172	302		A. The provisions of this section shall apply to all stages of
173	303		the organ transplant process.
174		-
175	304		B. A covered entity shall not, solely on the basis of an
176	305		individual’s disability:
177		-
178		-	ENR. S. B. NO. 378 Page 5
179		-
180	306		1. Consider the individual ineligible to receive an anatomical
181	307		gift or organ transplant ;
182		-
183	308		2. Deny medical services or other services related to organ
184	309		transplantation including diagnostic services, evaluation, surgery,
185	310		counseling, post-operative treatment and services ;
186		-
187	311		3. Refuse to refer the individual to a transplant center or
188	312		other related specialist for the purpose of being evaluated for or
189	313		receiving an organ transplant ;
190		-
191	314		4. Refuse to place a qualified recipient on an organ tra nsplant
192	315		waiting list;
193		-
194	316		5. Place a qualified recipient on an organ transplant waiting
195	317		list at a lower priority position than the position at which the
196	318		individual would have been placed if the individual did not have a
197	319		disability; or
198		-
199	320		6. Refuse to accept health insurance coverage for any procedure
200	321		associated with being evaluated for or receiving an anatomical gift
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201	349		or organ transplant including post -transplantation and post -
202	350		transfusion care.
203		-
204	351		C. Notwithstanding subsection B of this section, a covered
205	352		entity may take an individual ’s disability into account when making
206	353		treatment or coverage recommendations or decisions, solely to the
207	354		extent that the disability has been found by a physician or surgeon,
208	355		following an individualized evaluation of the individual, to b e
209	356		medically significant to the receipt of the anatomical gift.
210		-
211	357		D. If an individual has the necessary support system to assist
212	358		the individual in complying with post -transplant medical
213	359		requirements, a covered entity shall not consider the individual ’s
214	360		inability to independently comply with post -transplant medical
215	361		requirements to be medically significant for the purposes of
216	362		subsection C of this section.
217		-
218	363		E. A covered entity shall make reasonable modifications to its
219	364		policies, practices or procedures to allow individuals with
220	365		disabilities access to transplantation -related services including
221		-
222		-	ENR. S. B. NO. 378 Page 6
223	366		diagnostic services, surgery, coverage, post -operative treatment and
224	367		counseling, unless the entity can demonstrate that making such
225	368		modifications would fundamentally alter t he nature of such services.
226		-
227	369		F. A covered entity shall take steps necessary to ensure that
228	370		an individual with a disability is not denied medical services or
229	371		other services related to organ transplantation including diagnostic
230	372		services, surgery, post -operative treatment or counseling, due to
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231	400		the absence of auxiliary aids or services, unless the covered entity
232	401		demonstrates that taking the steps would fundamentally alter the
233	402		nature of the medical services or other services related to organ
234	403		transplantation or w ould result in an undue burden for the covered
235	404		entity.
236		-
237	405		G. Nothing in this section shall be construed to require a
238	406		covered entity to make a referral or recommendation for or perform a
239	407		medically inappropriate organ transplant.
240		-
241	408		H. A covered entity shall oth erwise comply with the
242	409		requirements of Titles II and III of the Americans with Disabilities
243	410		Act of 1990, as amended by the ADA Amendments Act of 2008.
244		-
245	411		SECTION 4. NEW LAW A new section of law to be codified
246	412		in the Oklahoma Statutes a s Section 2200.31 of Title 63, unless
247	413		there is created a duplication in numbering, reads as follows:
248		-
249	414		A. Whenever it appears that a covered entity has violated or is
250	415		in violation of any of the provisions of this act, the affected
251	416		individual may commence a civil action for injunctive and other
252	417		equitable relief against the covered entity for purposes of
253	418		enforcing compliance with this act. The action may be brought in
254	419		the district court for the county where the affected individual
255	420		resides or resided or was de nied the organ transplant or referral.
256		-
257	421		B. In an action brought under this act, the court shall give
258	422		priority on its docket and expedited review, and may grant
259	423		injunctive or other equitable relief including:
260	424
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261	451		1. Requiring auxiliary aids or services to be m ade available
262	452		for a qualified recipient ;
263		-
264		-
265		-	ENR. S. B. NO. 378 Page 7
266	453		2. Requiring the modification of a policy, practice or
267	454		procedure of a covered entity ; or
268		-
269	455		3. Requiring facilities be made readily accessible to and
270	456		usable by a qualified recipient.
271		-
272	457		C. Nothing in this act is intended to limit or replace
273	458		available remedies under the Americans with Disabilities Act or any
274	459		other applicable law.
275		-
276	460		D. This act does not create a right to compensatory or punitive
277	461		damages against a covered entity.
278		-
279	462		SECTION 5. NEW LAW A new section of law to be codified
280	463		in the Oklahoma Statutes as Section 2200.32 of Title 63, unless
281	464		there is created a duplication in numbering, reads as follows:
282		-
283	465		A. For purposes of this section:
284		-
285	466		1. “Covered person” means a policyholder, subscriber, enrol lee,
286	467		member or individual covered by a health benefit plan ;
287		-
288	468		2. “Health benefit plan” means a policy, contract, certificate,
289	469		or agreement entered into, offered or issued by a health carrier to
290	470		provide, deliver, arrange for, pay for or reimburse any of the costs
291	471		of health care services. Health benefit plan shall not include a
292	472		plan providing coverage for excepted benefits and short term
293	473		policies that have a term of less than twelve (12) months; and
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294	500
295	501		3. “Health carrier” means an entity subject to the insuranc e
296	502		laws and regulations of this state, or subject to the jurisdiction
297	503		of the Insurance Commissioner, that contracts or offers to contract
298	504		to provide, deliver, arrange for, pay fo r or reimburse any of the
299	505		costs of health care services including through a hea lth benefit
300	506		plan as defined in this section, and shall include a sickness and
301	507		accident insurance company, a health maintenance organization, a
302	508		preferred provider organization or any similar entity, or any other
303	509		entity providing a plan of health insurance o r health benefits.
304		-
305	510		B. A health carrier that provides coverage for anatomical
306	511		gifts, organ transplants or related treatment and services shall
307	512		not:
308		-
309		-	ENR. S. B. NO. 378 Page 8
310		-
311	513		1. Deny coverage to a covered person solely on the basis of the
312	514		person’s disability;
313		-
314	515		2. Deny to a patient eligibility, or continued eligibility, to
315	516		enroll or to renew coverage under the terms of the health benefit
316	517		plan, solely for the purpose of avoiding the requirements of this
317	518		section;
318		-
319	519		3. Penalize or otherwise reduce or limit the reimbursement of
320	520		an attending provider, or provide monetary or nonmonetary incentives
321	521		to an attending provider, to induce such provider to provide care to
322	522		an insured or enrollee in a manner inconsistent with this section ;
323	523		or
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325	551		4. Reduce or limit coverage benefits to a patient for the
326	552		medical services or other services related to organ transplantation
327	553		performed pursuant to this section as determined in consultation
328	554		with the attending physician and patient.
329		-
330	555		C. In the case of a health benefit plan maintained pursuant to
331	556		one or more collective bargaining agreements between employee
332	557		representatives and one or more employers, any plan amendment made
333	558		pursuant to a collective bargaining agreement relating to the plan
334	559		which amends the plan solely to conform to any requirement imposed
335	560		pursuant to this section shall not be treated as a termination of
336	561		the collective bargaining agreement.
337		-
338	562		D. Nothing in this section shall be construed to require a
339	563		health carrier to provide coverage for a medically inappropriate
340	564		organ transplant.
341		-
342	565		E. The Insurance Commissioner shall promulgate rules to
343	566		implement the provisions of this section.
344		-
345	567		SECTION 6. This act shall become effective November 1, 2021.
346	568
347		-
348		-	ENR. S. B. NO. 378 Page 9
349		-	Passed the Senate the 10th day of March, 2021.
350		-
351		-
352		-
353		-	Presiding Officer of the Senate
354		-
355		-
356		-	Passed the House of Representatives the 13th day of April, 2021.
357		-
358		-
359		-
360		-	Presiding Officer of the House
361		-	of Representatives
362		-
363		-	OFFICE OF THE GOVERNOR
364		-	Received by the Office of the Governor this _______ _____________
365		-	day of _________________ __, 20_______, at ______ _ o'clock _______ M.
366		-	By: _______________________________ __
367		-	Approved by the Governor of the State of Oklahoma this _____ ____
368		-	day of _________________ __, 20_______, at _______ o'clock _______ M.
369		-
370		-	_________________________________
371		-	Governor of the State of Oklahoma
372		-
373		-
374		-	OFFICE OF THE SECRETARY OF STATE
375		-	Received by the Office of the Secretary of State this _______ ___
376		-	day of __________________, 20 _______, at _______ o'clock _______ M.
377		-	By: _______________________________ __
	569	+	COMMITTEE REPORT BY: COMMITTEE ON INSURANCE, dated 04/01/2021 - DO
	570	+	PASS.