ENGR. H. B. NO. 1321 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ENGROSSED HOUSE BILL NO. 1321 By: McCall of the House and Haste of the Senate An Act relating to emergency room services; creating the Rural Emergency Room Access to Care and Facilities Improvements Act; authorizing citation; providing legislative findings; creating the Rural Emergency Room Access to Care and Facilities Improvements Revolving Fund; assigning the Fund to the State Department of Health; establishing fund characteristics; authorizing and limiting the utilization of depos its; defining terms; authorizing the awarding of grants to certain hospitals; limiting amounts of awards based on provided criteria; limiting grant awards to certain balance; author izing the promulgation of rules; providing for noncodification; providing for codification; providing an effective date; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law not to be codified in the Oklahoma Statutes reads a s follows: A. This act shall be known and may be cited as the "Rural Emergency Room Access to Care and Facilities Improvements Act". ENGR. H. B. NO. 1321 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. The Legislature hereby finds that access to reliable, adequate, and available emergency room care throughout the state is beneficial to the state and its citizens and must be secured. SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-2740 of Title 63, unless there is created a duplication in numbering, rea ds as follows: A. There is hereby created in the State Treasury a revolving fund for the State Department of Health to be designated the "Rural Emergency Room Access to Care and Facilities Improvements Revolving Fund". The fund shall be a continuing fund , not subject to fiscal year limitations, and shall consist of all monies legally directed for deposit to the fund. All monies accruing to the credit of said fund are hereby approp riated and may be bud geted and expended by the State Department of Health for the purpose of providing grants to qualifying facilities in accordance with the provisions and limitations of subsections C and D of this section. Expenditures from said fund shall be made upon warrants issued by the State Treasurer against claims file d as prescribed by law with the Director of the Office of Management and Enter prise Services for approval and payment. B. As used in the Rural Emergency Room Access to Care and Facilities Improvements Act: 1. "Qualifying facilities " means a hospital located in a county with a population less than 50,000 as reported in the most recent ENGR. H. B. NO. 1321 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Federal Decennial Census published by the United States Census Bureau; and 2. "Qualified emergency room physician" means a board-certified emergency room physician. C. From any available, unencumbered balance in the Rural Emergency Room Access to Care and Facilities Improvements Revolving Fund, the State Departme nt of Health is authorized to award gra nts to qualifying hospitals as follows: 1. For qualifying hospitals staffing qualified emergency room physicians at least fifty percent (50%) of facility's operating hours, an annual grant amount shall not exceed One Million Dollars ($1,000,000.00); and 2. For qualifying hospitals staffing qualif ied emergency room physicians for less than fifty percent (50%) of facility operating hours, an annual grant amount shall not exceed Five Hundred Thousand Dollars ($500,000.00). D. No grant shall be awarded or paid under the provisions of this act that would exceed the available , unencumbered balance of the Rural Emergency Room Access to Care and Facilities Improvements Act. E. The State Depart ment of Health may promulgate rules as needed to implement the provisi ons of the Rural Emergency Room Access to Care and Facilities Improvements Act. SECTION 3. This act shall become effective July 1, 2023. ENGR. H. B. NO. 1321 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 4. It being immediately necessary for the preservation of the public peace, h ealth or safety, an emergency is hereby declared to exist, by reason whereo f this act shall take effect and be in full force from and after its passage and approval. Passed the House of Representatives the 22nd day of March, 2023. Presiding Officer of the House of Representatives Passed the Senate the ___ day of __________, 2023. Presiding Officer of the Senate