OK
Oklahoma Senate Bill SB574

Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB574 Compare Versions

OldNewDifferences
1+
2+
3+ENGR. H. A. to ENGR. S. B. NO. 574 Page 1 1
4+2
5+3
6+4
7+5
8+6
9+7
10+8
11+9
12+10
13+11
14+12
15+13
16+14
17+15
18+16
19+17
20+18
21+19
22+20
23+21
24+22
25+23
26+24
27+
28+ENGROSSED HOUSE AMENDME NT
29+ TO
30+ENGROSSED SENATE BILL NO . 574 By: McCortney of the Senate
31+
32+ and
33+
34+ McEntire of the House
35+
36+
37+[ health information - Oklahoma State Health
38+Information Network and Exchange (OKSHINE) -
39+repealers - codification -
40+ emergency ]
141
242
343
444
5-An Act
6-ENROLLED SENATE
7-BILL NO. 574 By: McCortney of the Senate
45+AUTHOR: Add the following House Coauthor: Roe
846
9- and
47+AMENDMENT NO. 1. Delete the stricken title, enacting clause and
48+entire bill and replace with:
1049
11- McEntire and Roe of the
12-House
13-
14-
15-
16-
17-An Act relating to health information; defining
50+"An Act relating to health information; defining
1851 terms; imposing certain duties on Oklahoma Health
1952 Care Authority; designating purposes of Oklahoma
2053 State Health Information Network and Exchange
2154 (OKSHINE); providing certain protections for
2255 participation in OKSHINE; specifying ownership of
2356 certain property; providing for and limiting
2457 disclosure of certain health i nformation; directing
2558 promulgation of rules; repealing Section 1, Chapter
2659 258, O.S.L. 2016 (62 O.S. Supp. 2020, Section
2760 34.201), which relates to Health Information
2861 Technology Advisory Board; repealing 63 O.S. 2011,
2962 Section 1-131, which relates to Health I nformation
3063 Infrastructure Advisory Board; repealing 63 O.S.
3164 2011, Section 1-132, as amended by Section 1, Chapter
3265 157, O.S.L. 2015 (63 O.S. Supp. 2020, Section 1 -132),
3366 which relates to Oklahoma Health Information Exchange
3467 Trust; providing for codification; and declaring an
3568 emergency.
3669
3770
3871
39-
40-SUBJECT: Health information
72+ENGR. H. A. to ENGR. S. B. NO. 574 Page 2 1
73+2
74+3
75+4
76+5
77+6
78+7
79+8
80+9
81+10
82+11
83+12
84+13
85+14
86+15
87+16
88+17
89+18
90+19
91+20
92+21
93+22
94+23
95+24
4196
4297 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
43-
4498 SECTION 1. NEW LAW A new section of law to be codified
4599 in the Oklahoma Statutes as Section 1 -133 of Title 63, unless there
46100 is created a duplication in numbering, reads as follows:
47-
48-
49-ENR. S. B. NO. 574 Page 2
50101 A. As used in this section:
51-
52102 1. "Health information exchange" means the electronic movement
53103 of health-related information among organizations according to
54104 nationally recognized standards for purposes including, but not
55105 limited to, payment, treatment and administration ;
56-
57106 2. "Health information exchange organization " means an entity
58107 whose primary business activity is health information exchange; and
59-
60108 3. "Oklahoma State Health I nformation Network and Exchange" or
61109 "OKSHINE" means a health information exchange organization charged
62110 with facilitating the exchange of health information to and from
63111 authorized individuals and health care organizations in this state
64112 and shall serve as the state-designated entity for health
65113 information exchange.
66-
67114 B. The Oklahoma Health Care Authority (OHCA) shall establish a
68115 health information exchange certification with input from
69116 stakeholders. Such certification shall be required in order for a
70117 health information exchange organization to qualify as an Oklahoma
71118 Statewide Health Information Exchange (OKHIE). Until such time as
72119 the health information exchange certification is established by
73120 OHCA, an OKHIE shall mean either OKSHINE or a health information
121+
122+ENGR. H. A. to ENGR. S. B. NO. 574 Page 3 1
123+2
124+3
125+4
126+5
127+6
128+7
129+8
130+9
131+10
132+11
133+12
134+13
135+14
136+15
137+16
138+17
139+18
140+19
141+20
142+21
143+22
144+23
145+24
146+
74147 exchange organization that was previously certifie d by the Oklahoma
75148 Health Information Exchange Trust.
76-
77149 C. The Oklahoma State Health Information Network and Exchange
78150 (OKSHINE) shall be organized for the purpose of improving the health
79151 of residents of this state by:
80-
81152 1. Promoting efficient and effective communication among
82153 multiple health care providers including, but not limited to,
83154 hospitals, physicians, payers, employers, pharmacies, laboratories ,
84155 and other health care entities or health information exchange
85156 networks and organizations;
86-
87157 2. Creating efficiencies in health care costs by eliminating
88158 redundancy in data capture and storage and reducing administrative,
89159 billing, and data collection costs;
90-
91160 3. Creating the ability to monitor community health status; and
92-
93-ENR. S. B. NO. 574 Page 3
94-
95161 4. Providing reliable information to hea lth care consumers and
96162 purchasers regarding the quality of health care.
97-
98163 D. 1. A person who participates in the services or information
99164 provided by OKSHINE or an OKHIE shall not be liable in any action
100165 for damages or costs of any nature that result solely from the
101166 person’s use or failure to use either an OKHIE or OKSHINE
102167 information or data that was entered or retrieved under relevant
103168 state or federal privacy laws, rules, regulations or policies
104169 including, but not limited to, the Health Insurance Portabili ty and
105170 Accountability Act of 1996.
106171
172+ENGR. H. A. to ENGR. S. B. NO. 574 Page 4 1
173+2
174+3
175+4
176+5
177+6
178+7
179+8
180+9
181+10
182+11
183+12
184+13
185+14
186+15
187+16
188+17
189+18
190+19
191+20
192+21
193+22
194+23
195+24
196+
107197 2. A person shall not be subject to antitrust or unfair
108198 competition liability based on participation in OKSHINE or an OKHIE
109199 as long as the participation provides an essential governmental
110200 function for the public health a nd safety and enjoys state action
111201 immunity.
112-
113202 3. Participating in an OKHIE shall qualify as meeting any
114203 requirement to send data to OKSHINE.
115-
116204 E. 1. A person who provides information and data to OKSHINE
117205 retains a property right in the information or data, b ut grants to
118206 the other participants or subscribers a nonexclusive license to
119207 retrieve and use that information or data under relevant state or
120208 federal privacy laws, rules, regulations or policies including, but
121209 not limited to, the Health Insurance Portabil ity and Accountability
122210 Act of 1996.
123-
124211 2. All processes or software developed , designed, or purchased
125212 by OKSHINE shall remain the property of OKSHINE subject to use by
126213 participants or subscribers.
127-
128214 F. Patient-specific protected health information shall only be
129215 disclosed in accordance with the patient’s authorization or in
130216 compliance with relevant state or federal privacy laws, rules,
131217 regulations or policies including, but not limited to, the Health
132218 Insurance Portability and Accountability Act of 1996.
133-
134219 G. The Oklahoma Health Care Authority Board shall promulgate
135220 rules to implement the provisions of this section.
136221
137-ENR. S. B. NO. 574 Page 4
222+ENGR. H. A. to ENGR. S. B. NO. 574 Page 5 1
223+2
224+3
225+4
226+5
227+6
228+7
229+8
230+9
231+10
232+11
233+12
234+13
235+14
236+15
237+16
238+17
239+18
240+19
241+20
242+21
243+22
244+23
245+24
138246
139247 SECTION 2. REPEALER Section 1, Chapter 258, O.S.L. 2016
140248 (62 O.S. Supp. 2020, Section 34.201), is hereby repealed.
141-
142249 SECTION 3. REPEALER 63 O.S. 2011, Section 1 -131, is
143250 hereby repealed.
144-
145251 SECTION 4. REPEALER 63 O.S. 2011, Section 1 -132, as
146252 amended by Section 1, Chapter 157, O.S.L. 2015 (63 O.S. Supp. 2020,
147253 Section 1-132), is hereby repea led.
148-
149254 SECTION 5. It being immediately necessary for the preservation
150255 of the public peace, health or safety, an emergency is hereby
151256 declared to exist, by reason whereof this act shall take effect and
152-be in full force from and after its passage and approval.
257+be in full force from and after its passa ge and approval."
258+Passed the House of Representatives the 22nd day of April, 2021.
153259
154260
155-ENR. S. B. NO. 574 Page 5
156-Passed the Senate the 19th day of May, 2021.
261+
262+
263+
264+Presiding Officer of the House of
265+ Representatives
266+
267+
268+Passed the Senate the ____ day of __________, 2021.
269+
270+
157271
158272
159273
160274 Presiding Officer of the Senate
161275
162276
163-Passed the House of Representatives the 22nd day of April, 2021.
277+ENGROSSED SENATE
278+BILL NO. 574 By: McCortney of the Senate
279+
280+ and
281+
282+ McEntire of the House
283+
284+
285+[ health information - Oklahoma State Health
286+Information Network and Exchange (OKSHINE) -
287+repealers - codification -
288+ emergency ]
289+
290+
291+
292+
293+BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOM A:
294+SECTION 6. NEW LAW A new section of law to be codified
295+in the Oklahoma Statutes as Section 1 -133 of Title 63, unless there
296+is created a duplication in numbering, reads as follows:
297+A. As used in this section:
298+1. “Agency” has the same meaning as provided by Section 840 -1.3
299+of Title 74 of the Oklahoma Statutes;
300+2. “Health information exchange” means the electronic movement
301+of health-related information among organizations according to
302+nationally recognized standards for treatment purposes;
303+3. “Health information technology” means technology that allows
304+comprehensive management of medical information and its secure
305+exchange between health care consumers and providers for treatment
306+purposes; and
307+4. “Oklahoma State Health Informatio n Network and Exchange” or
308+“OKSHINE” means a unit of the Oklahoma Health Care Authority charged
309+
310+ENGR. S. B. NO. 574 Page 2 1
311+2
312+3
313+4
314+5
315+6
316+7
317+8
318+9
319+10
320+11
321+12
322+13
323+14
324+15
325+16
326+17
327+18
328+19
329+20
330+21
331+22
332+23
333+24
334+
335+with facilitating the exchange of health information to and from
336+authorized individuals and healthcare organizations in this state.
337+OKSHINE shall be comprised of a digital platform used for the
338+exchange of health information including, but not limited to,
339+software and data tools.
340+B. The Oklahoma State Health Information Network and Exchange
341+(OKSHINE) shall serve as the official health information exchange
342+for this state. OKSHINE shall be organized for the purpose of
343+improving the health of residents of this state by:
344+1. Promoting efficient and effective communication among
345+multiple health care providers including, but not limited to,
346+hospitals, physicians, pay ers, employers, pharmacies, laboratories ,
347+and other health care entities or health information exchange
348+networks and organizations;
349+2. Creating efficiencies in health care costs by eliminating
350+redundancy in data capture and storage and reducing administra tive,
351+billing, and data collection costs;
352+3. Creating the ability to monitor community health status; and
353+4. Providing reliable information to health care consumers and
354+purchasers regarding the quality of health care.
355+C. The Oklahoma Health Care Authori ty shall:
356+1. Coordinate the health information technology initiatives of
357+the state with relevant state agencies, nonprofit corporations and
358+institutions of higher education;
359+
360+ENGR. S. B. NO. 574 Page 3 1
361+2
362+3
363+4
364+5
365+6
366+7
367+8
368+9
369+10
370+11
371+12
372+13
373+14
374+15
375+16
376+17
377+18
378+19
379+20
380+21
381+22
382+23
383+24
384+
385+2. Assure the effective coordination and collaboration of
386+health information tec hnology planning, development, implementation
387+and financing;
388+3. Review and approve all health information technology -related
389+grant applications of state agencies before submission to funding
390+entities;
391+4. Accept, receive, retain, disburse and administer a ny state
392+or federal funds specifically appropriated for health information
393+technology; and
394+5. Establish reasonable fees for the use of the Oklahoma State
395+Health Information Network and Exchange (OKSHINE) to fund the
396+operational costs of OKSHINE. Fees est ablished under this paragraph
397+shall be set with the input and guidance of the users of OKSHINE,
398+stakeholders and other interested parties. Fees established under
399+this paragraph shall not exceed the total cost of operating OKSHINE,
400+not including staffing c osts for OKSHINE.
401+D. 1. A person who participates in the services or information
402+provided by OKSHINE shall not be liable in any action for damages or
403+costs of any nature that result solely from the person’s use or
404+failure to use OKSHINE information or da ta that was entered or
405+retrieved under relevant state or federal privacy laws, rules,
406+regulations or policies including, but not limited to, the Health
407+Insurance Portability and Accountability Act of 1996.
408+
409+ENGR. S. B. NO. 574 Page 4 1
410+2
411+3
412+4
413+5
414+6
415+7
416+8
417+9
418+10
419+11
420+12
421+13
422+14
423+15
424+16
425+17
426+18
427+19
428+20
429+21
430+22
431+23
432+24
433+
434+2. A person shall not be subject to antitrust or unfair
435+competition liability based on participation in OKSHINE as long as
436+the participation provides an essential governmental function for
437+the public health and safety and enjoys state action immunity.
438+E. 1. A person who provides information and data to OKSHINE
439+retains a property right in the information or data, but grants to
440+the other participants or subscribers a nonexclusive license to
441+retrieve and use that information or data under relevant state or
442+federal privacy laws, rules, regulations or polici es including, but
443+not limited to, the Health Insurance Portability and Accountability
444+Act of 1996.
445+2. All processes or software developed, designed, or purchased
446+by the OKSHINE shall remain the property of the OKSHINE subject to
447+use by participants or sub scribers.
448+F. 1. Patient-specific protected health information shall only
449+be disclosed in accordance with the patient’s authorization or in
450+compliance with relevant state or federal privacy laws, rules,
451+regulations or policies including, but not limited t o, the Health
452+Insurance Portability and Accountability Act of 1996.
453+2. All identified or deidentified health information contained
454+in, stored in, submitted to, transferred by, or released from the
455+OKSHINE is not disclosable under applicable state or feder al law.
456+G. The Oklahoma Health Care Authority Board shall promulgate
457+rules to implement the provisions of this section.
458+
459+ENGR. S. B. NO. 574 Page 5 1
460+2
461+3
462+4
463+5
464+6
465+7
466+8
467+9
468+10
469+11
470+12
471+13
472+14
473+15
474+16
475+17
476+18
477+19
478+20
479+21
480+22
481+23
482+24
483+
484+SECTION 7. REPEALER Section 1, Chapter 258, O.S.L. 2016
485+(62 O.S. Supp. 2020, Section 34.201), is hereby repeale d.
486+SECTION 8. REPEALER 63 O.S. 2011, Section 1 -131, is
487+hereby repealed.
488+SECTION 9. REPEALER 63 O.S. 2011, Section 1 -132, as
489+amended by Section 1, Chapter 157, O.S.L. 2015 (63 O.S. Supp. 2020,
490+Section 1-132), is hereby repealed.
491+SECTION 10. It being immediately necessary for the preservation
492+of the public peace, health or safety, an emergency is hereby
493+declared to exist, by reason whereof this act shall take effect and
494+be in full force from and after its passage and approval.
495+Passed the Senate the 10th day of March, 2021.
496+
497+
498+
499+ Presiding Officer of the Senate
500+
501+
502+Passed the House of Representatives the ____ day of __________,
503+2021.
164504
165505
166506
167507 Presiding Officer of the House
168508 of Representatives
169509
170-OFFICE OF THE GOVERNOR
171-Received by the Office of the Governor this _______ _____________
172-day of _________________ __, 20_______, at _______ o'clock _______ M.
173-By: _______________________________ __
174-Approved by the Governor of the State of Oklahoma this _____ ____
175-day of ___________________, 20_______, at _______ o'clock _______ M.
176510
177- _________________________________
178- Governor of the State of Oklahoma
179-
180-
181-OFFICE OF THE SECRETARY OF STATE
182-Received by the Office of the Secretary of State this _______ ___
183-day of __________________, 20 _______, at _______ o'clock _______ M.
184-By: _______________________________ __