Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB548 Compare Versions

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29-HOUSE OF REPRESENTATIVES - FLOOR VERSION
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31-STATE OF OKLAHOMA
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33-1st Session of the 58th Legislature (2021)
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3528 ENGROSSED SENATE
3629 BILL NO. 548 By: Daniels, Newhouse, David,
3730 Bergstrom, Bullard, Jett
3831 and Hamilton of the Senate
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4033 and
4134
4235 Townley of the House
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4740 [ healthcare expenses - debt to credit bureaus -
4841 codification - effective date ]
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5346 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
5447 SECTION 1. NEW LAW A new section of law to be codified
5548 in the Oklahoma Statutes as Section 6980 of Title 36, unless there
5649 is created a duplication in numbering, reads as follows:
5750 A. No medical service or care entity, nor their agent, shall
5851 report a healthcare expense debt to a credit bureau or pursue
5952 involuntary collection activities or any other adverse financial
6053 action, except if the entity or agent can demonstrate that the
6154 individual liable for the medical debt was presented with and agreed
6255 to a good faith estimate of the total cost of all healthcare
6356 services to be provided prior to agreeing to receive the services .
57+1. The total cost shall include all services performed by t he
58+medical service or care entity and its staff, as well as any
59+authorized services provided by a contractor, affiliat e or any other
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91-1. The total cost shall include all services performed by the
92-medical service or care entity and its staff, as well as any
93-authorized services provided by a contractor, affiliate or any other
9486 third party who provided services in the facility, and the total
9587 cost to be billed shall include out-of-network providers.
9688 2. The total cost of service shall be presented to the
9789 individual liable for the medical debt separately from all other
9890 forms, information and paperwork. It shall be written in a readable
9991 font, plain language and shall be prominently and conspicuously
10092 displayed on the first page of the document in which it is
10193 contained.
10294 B. 1. In cases in which the patient must receiv e emergency
10395 care deemed necessary by the health care provider and the individual
10496 liable for the medical debt is not able to receive a good faith
10597 estimate of healthcare services before vital emergency medical
10698 services are rendered, no medical service or hea lth care entity
10799 shall charge the individual liable for the medical debt who is not a
108100 member of a health benefit plan offered by a health carrier, more
109101 than one hundred sixty-five percent (165%) of the Medicare rate.
110102 2. In cases in which the patient must receive emergen cy care as
111103 deemed necessary by the health care provider and the individual who
112104 is liable for the medical debt is an enrollee of a health benefit
113105 plan offered by a health carrier, the medical service provider or
114106 health care entity providers shall not charge more than the
107+enrollee’s health benefit plan ’s in-network rate for the emergency
108+services rendered.
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142-enrollee’s health benefit pla n’s in-network rate for the emergency
143-services rendered.
144135 C. Failure to comply with the provisions of this act shall be
145136 grounds for dismissal of any collection suit or garnishment
146137 proceeding and may be asserted as an affirmative de fense to any such
147138 action.
148139 D. For purposes of this section, “medical service or care
149140 entity” shall include, but not be limited to, a medical care
150141 corporation, health care corporation, hospital service association,
151142 medical service corpor ation, health care m aintenance organization,
152143 not-for-profit hospital, insurer, insurance c ompany or any other
153144 third-party payer of medical expenses.
154145 SECTION 2. This act shall become effective November 1, 2021.
146+Passed the Senate the 10th day of March, 2021.
155147
156-COMMITTEE REPORT BY: COMMITTEE ON STATES RIGHTS, dated 04/07/2021 -
157-DO PASS.
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150+ Presiding Officer of the Senate
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153+Passed the House of Representatives the ____ day of __________,
154+2021.
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158+ Presiding Officer of the House
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