Oklahoma 2024 Regular Session

Oklahoma House Bill HB1963 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1
2	2
3		-	ENGR. H. B. NO. 1963 Page 1 1
	3	+	HB1963 HFLR Page 1
	4	+	BOLD FACE denotes Committee Amendments. 1
4	5		2
5	6		3
6	7		4
7	8		5
8	9		6
9	10		7
10	11		8
11	12		9
12	13		10
13	14		11
14	15		12
15	16		13
16	17		14
17	18		15
18	19		16
19	20		17
20	21		18
21	22		19
22	23		20
23	24		21
24	25		22
25	26		23
26	27		24
27	28
28		-	ENGROSSED HOUSE
29		-	BILL NO. 1963 By: Newton of the House
	29	+	HOUSE OF REPRESENTATIVES - FLOOR VERSION
	30	+
	31	+	STATE OF OKLAHOMA
	32	+
	33	+	1st Session of the 59th Legislature (2023)
	34	+
	35	+	HOUSE BILL 1963 By: Newton of the House
30	36
31	37		and
32	38
33	39		Jech of the Senate
34	40
35	41
36	42
37	43
38	44
	45	+	AS INTRODUCED
39	46
40	47		An Act relating to telemedicine; providing
41	48		definitions; providing health care coverage for
42	49		certain telemedicine visits when the health care
43	50		provider is outside of Oklahoma; providing
44	51		requirements; authorizing the practice of medicine by
45	52		physicians outside of Oklahoma by telemedicine in
46	53		certain situations; providing for codification; and
47	54		providing an effective date.
48	55
49	56
50	57
51	58
52	59
53	60
54	61		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
55	62		SECTION 1. NEW LAW A new section of law to be codified
56	63		in the Oklahoma Statutes as Sec tion 6805 of Title 36, unless there
57	64		is created a duplication in numbering, reads as follows:
58	65		As used in this act:
59	66		1. "Entity" means any institution, place, building or agency,
60	67		public or private, whether organized for profit or not, primarily
61	68		engaged in the maintenance and operation of facilities for the
62		-	diagnosis, treatment or care of patients to obtain medical care,
63		-	surgical care, obstetrical care, or nursing care for illness,
64		-	disease, injury, infirmity, or deformity ;
65	69
66		-	ENGR. H. B. NO. 1963 Page 2 1
	70	+	HB1963 HFLR Page 2
	71	+	BOLD FACE denotes Committee Amendments. 1
67	72		2
68	73		3
69	74		4
70	75		5
71	76		6
72	77		7
73	78		8
74	79		9
75	80		10
76	81		11
77	82		12
78	83		13
79	84		14
80	85		15
81	86		16
82	87		17
83	88		18
84	89		19
85	90		20
86	91		21
87	92		22
88	93		23
89	94		24
90	95
	96	+	diagnosis, treatment or care of patients to obtain medical care,
	97	+	surgical care, obstetrical care, or nursing care for illness,
	98	+	disease, injury, infirmity, or deformity ;
91	99		2. "Gross patient revenue " means the total charges at a
92	100		hospital's full established rates for the provision of patient care
93	101		services and includes charges related to hospital-based physician
94	102		professional services ;
95	103		3. a. "Health benefits plan" means any plan or arrangement
96	104		that:
97	105		(1) provides benefits for medical or surgical
98	106		expenses incurred as a result of a health
99	107		condition, accident or illnes s, and
100	108		(2) is offered by any insurance company, group
101	109		hospital service corporation or health
102	110		maintenance organiza tion that delivers or issues
103	111		for delivery an individual, group, blanket or
104	112		franchise insurance policy or insurance
105	113		agreement, a group hospital service contract or
106	114		an evidence of coverage, or, to the extent
107	115		permitted by the Employee Retirement Income
108	116		Security Act of 1974, 29 U.S.C., Section 1001 et
109	117		seq., by a multiple employer welfare arrangement
110	118		as defined in Section 3 of the Employee
111	119		Retirement Income Security Act of 1 974, or any
112		-	other analogous benefit arrangement, whether the
113		-	payment is fixed or by indem nity,
114		-	b. Health benefits plan shall not include:
115	120
116		-	ENGR. H. B. NO. 1963 Page 3 1
	121	+	HB1963 HFLR Page 3
	122	+	BOLD FACE denotes Committee Amendments. 1
117	123		2
118	124		3
119	125		4
120	126		5
121	127		6
122	128		7
123	129		8
124	130		9
125	131		10
126	132		11
127	133		12
128	134		13
129	135		14
130	136		15
131	137		16
132	138		17
133	139		18
134	140		19
135	141		20
136	142		21
137	143		22
138	144		23
139	145		24
140	146
	147	+	other analogous benefit arrangement, whether the
	148	+	payment is fixed or by indem nity,
	149	+	b. Health benefits plan shall not include:
141	150		(1) a plan that provides coverage:
142	151		(a) only for a specified disease or diseases or
143	152		under an individual limited benefit policy,
144	153		(b) only for accidental death or dismemb erment,
145	154		(c) only for dental or visi on care,
146	155		(d) for a hospital confinement inde mnity policy,
147	156		(e) for disability income insurance or a
148	157		combination of accident -only and disability
149	158		income insurance, or
150	159		(f) as a supplement to liability insurance,
151	160		(2) a Medicare supplemental policy as define d by
152	161		Section 1882(g)(1) of the Social Security A ct (42
153	162		U.S.C., Section 1395ss),
154	163		(3) workers' compensation insurance coverage,
155	164		(4) medical payment insura nce issued as part of a
156	165		motor vehicle insurance policy,
157	166		(5) a long-term care policy including a nursing home
158	167		fixed indemnity policy, unless a determinat ion is
159	168		made that the policy provides benefit coverage so
160	169		comprehensive that the policy meets the
161	170		definition of a health benefits plan, or
162		-	(6) short-term health insurance issued on a
163		-	nonrenewable basis with a duration of six (6)
164		-	months or less;
165	171
166		-	ENGR. H. B. NO. 1963 Page 4 1
	172	+	HB1963 HFLR Page 4
	173	+	BOLD FACE denotes Committee Amendments. 1
167	174		2
168	175		3
169	176		4
170	177		5
171	178		6
172	179		7
173	180		8
174	181		9
175	182		10
176	183		11
177	184		12
178	185		13
179	186		14
180	187		15
181	188		16
182	189		17
183	190		18
184	191		19
185	192		20
186	193		21
187	194		22
188	195		23
189	196		24
190	197
	198	+	(6) short-term health insurance issued on a
	199	+	nonrenewable basis with a duration of six (6)
	200	+	months or less;
191	201		4. "Insured" means a person whose health is covered by an
192	202		insurance policy;
193	203		5. "Recommended physician " is the physician to whom a referral
194	204		is made;
195	205		6. "Refer" means an action by a referring physician, who is
196	206		licensed to practice medicine or osteopathy pursuant to the laws of
197	207		this state, to a recommended physician and the recommended physician
198	208		delivers medical or osteopathic care to an insured on the referring
199	209		order of a referring physician;
200	210		7. "Referring physician" is a physician who makes a referral;
201	211		and
202	212		8. "Telemedicine" means technology-enabled health and care
203	213		management and delivery systems that extend capacity and access,
204	214		which includes:
205	215		a. synchronous mechanisms, which may incl ude live
206	216		audiovisual interaction between a patient and a health
207	217		care professional or real-time provider to provider
208	218		consultation through live interactive audiovisual
209	219		means,
210	220		b. asynchronous mechanisms, which incl ude store and
211	221		forward transfers, online excha nge of health
212		-	information between a patient and a health care
213		-	professional and onli ne exchange of health information
214		-	between health care professionals, but shall not
215	222
216		-	ENGR. H. B. NO. 1963 Page 5 1
	223	+	HB1963 HFLR Page 5
	224	+	BOLD FACE denotes Committee Amendments. 1
217	225		2
218	226		3
219	227		4
220	228		5
221	229		6
222	230		7
223	231		8
224	232		9
225	233		10
226	234		11
227	235		12
228	236		13
229	237		14
230	238		15
231	239		16
232	240		17
233	241		18
234	242		19
235	243		20
236	244		21
237	245		22
238	246		23
239	247		24
240	248
	249	+	information between a patient and a health care
	250	+	professional and onli ne exchange of health information
	251	+	between health care professionals, but shall not
241	252		include the use of au tomated text messages or
242	253		automated mobile applications that serve as the sole
243	254		interaction between a patient and a health care
244	255		professional,
245	256		c. remote patient monitoring, and
246	257		d. other electronic means that support clinical health
247	258		care, professional consulta tion, patient and
248	259		professional health-related education, public healt h
249	260		and health administration.
250	261		SECTION 2. NEW LAW A new secti on of law to be codified
251	262		in the Oklahoma Statutes as Section 6806 of Title 36, unless there
252	263		is created a duplication in numberin g, reads as follows:
253	264		A. For the purpose of assuring telemedicine coverage with an
254	265		entity, physician, physician's assistant, advanced practice
255	266		registered nurse, registered nurse, or licensed practical nurse
256	267		outside of Oklahoma for treatment of Oklahoma patients at any
257	268		location with the State of Oklahoma, any health benefit plan that is
258	269		offered, issued, or renewed in this state by a n insurer shall
259	270		provide coverage of health care services provided through
260	271		telemedicine provided that:
261		-	1. The entity's gross patient revenue is equal to or greater
262		-	than One Billion Dollars ($1,000,000,000.00) ; and
263	272
264		-	ENGR. H. B. NO. 1963 Page 6 1
	273	+	HB1963 HFLR Page 6
	274	+	BOLD FACE denotes Committee Amendments. 1
265	275		2
266	276		3
267	277		4
268	278		5
269	279		6
270	280		7
271	281		8
272	282		9
273	283		10
274	284		11
275	285		12
276	286		13
277	287		14
278	288		15
279	289		16
280	290		17
281	291		18
282	292		19
283	293		20
284	294		21
285	295		22
286	296		23
287	297		24
288	298
	299	+	1. The entity's gross patient revenue is equal to or greater
	300	+	than One Billion Dollars ($1,000,000,000.00) ; and
289	301		2. An Oklahoma licensed physician referred the Oklahoma patient
290	302		to an entity or physician, physician 's assistant, or advanced
291	303		practice registered nurse outside of Oklahoma state lines.
292	304		B. If a recommended physician located outside of Oklahoma is
293	305		referred by an Oklahoma licensed physician to treat an Oklahoma
294	306		patient, the recommended physician shall be authorized to practice
295	307		medicine whether or not the recommended physici an is licensed by the
296	308		Oklahoma State Medical Board.
297	309		SECTION 3. This act shall become effective November 1, 2023.
298		-	Passed the House of Representatives the 6th day of March, 2023.
299	310
300		-
301		-
302		-
303		-	Presiding Officer of the House
304		-	of Representatives
305		-
306		-
307		-
308		-	Passed the Senate the ___ day of __________, 2023.
309		-
310		-
311		-
312		-
313		-	Presiding Officer of the Senate
314		-
315		-
	311	+	COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 02/16/2023 -
	312	+	DO PASS, As Coauthored.