SENATE FLOOR VERSION - SB548 SFLR 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 SENATE FLOOR VERSION February 25, 2021 COMMITTEE SUBSTITUTE FOR SENATE BILL NO. 548 By: Daniels, Newhouse and David of the Senate and Sneed of the House [ healthcare expenses - debt to credit bureaus - codification - effective date ] BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 6980 of Title 36, unless there is created a duplicati on in numbering, reads as follows: A. No medical service or care entity , nor their agent, shall report a healthcare expense debt to a credit bureau or pursue collection activities or any other adverse financial action, except if the entity or agent can demonstrate that the person liable for the medical debt was presented with and agreed to a good faith estimate of the total cost of all healthcare services to be provided prior to agreeing to receive the services . SENATE FLOOR VERSION - SB548 SFLR 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 1. The total cost shall include all services performed by the medical service or care entity and its staff, as well as any authorized services provided by a contractor, affiliat e or any other third party who provided services in the facility, and the total cost to be billed shall include out-of-network providers. 2. The total cost of service shall be presented to the patient separately from all other forms, informatio n and paperwork. It shall be written in a readable font, plain language and shall be prominently and conspicuously displayed on the first page of the document in which it is contained. B. In cases in which the patient must receiv e emergency care and is not able to receive a good faith estimate of healthcare services before vital emergency medical serv ices are rendered, no medical service or hea lth care entity shall charge the person liable for the medical debt more than one hundre d fifty percent (150%) of the Medicare rates for the emergency services rendered. C. Failure to comply with the provisions of this act shall be grounds for dismissal of any collection suit or garnishment proceeding and may be asserted as an affirmative de fense to any such action. D. For purposes of this section, "medical service or care entity" shall include, but not be l imited to, a medical care corporation, health care corporation, hospital service association, medical service corporation, health care m aintenance organization, SENATE FLOOR VERSION - SB548 SFLR 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 not-for-profit hospital, insurer, insurance company or any other third-party payer of medical e xpenses. SECTION 2. This act shall become effective November 1, 2021. COMMITTEE REPORT BY: COMMITTEE ON BUSINESS, COMMERCE AND TOURISM February 25, 2021 - DO PASS AS AMENDED