HB2160 HFLR 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 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 2160 By: Roe COMMITTEE SUBSTITUTE An Act relating to the Oklahoma State University Medical Authority; amending 63 O.S. 2021, Section 3275, which relates to members; modifying qualifications; adding members; removing obsolete language; authorizing v irtual meetings under certain conditions; amending 63 O.S. 2021, Section 327 6, which relates to powers and duties of the Authority; modifying and adding powers and duties; removing certain prohibition; amending 63 O.S. 2021, Section 3283, which relates to revenue bonds; specifying allowed payment sources for bonds ; amending 63 O.S. 2021, Section 3290, which relates to the Oklahoma State University Medical Trust; increasing certain asset limit for purpose of certain deter mination; authorizing virtual meetings under certain conditions; repealing 63 O.S. 2021, Sections 3287 a nd 3291, which relate to the Oklahoma State University Medical Authority; exempting the Authority from the Public Competitive Bidding Act of 1974 ; defining term; repealing 63 O.S. 2021 , Sections 3287 and 3291 ; providing for codification; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 3275, is amended to read as follows: HB2160 HFLR 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 Section 3275. A. There is hereby created the Oklahoma State University Medical Authority, an agenc y of the State of Oklahoma, a body corporate and politic, with powers of government and with the authority to exercise the rights, privileges a nd functions as specified in the Oklahoma State University Medical Authority Act. The Oklahoma State University Medical Authority is covered by the Governmental Tort Claims Act. B. The Authority shall consist of seven (7) eight (8) members as follows: 1. One member shall be appointed by the Governor, with the advice and consent of the Senate; 2. One member shall be appointed by the President Pro Tempore of the Oklahoma State Senate; 3. One member shall be appointed by the Speaker of the Oklahoma House of Representatives; 4. One member shall be the Chief Executive Officer of the Oklahoma Health Care Authority, or a designee; 5. One member shall be the President of the Oklahoma State University Center for Health Sciences; 6. One member to shall be appointed by the President o f Oklahoma State University who shall be the Chief Exe cutive Officer of any entity, other than the Oklahoma State University Medical Trust, with whom the Oklahoma State University College of Osteopathic Medicine has entered into an Academic Affiliation HB2160 HFLR 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 Agreement to serve as the primary site of practice and te aching hospital for medical residen cy programs, or a designee; and 7. One member shall be a member of the Board of Regen ts for the Oklahoma Agricultural and Mechanical Col leges, or their designee, as selected by the Chair of the Board of Regents; and 8. One member shall be the Chief Execu tive Officer of the Oklahoma State University Medical Authority who shall be an ex officio, nonvoting member. C. All appointed members shall be appointed by June 1, 2 006. Of the members of the Authority initially appoin ted, the member appointed by the President Pro Tempore of the Senate shall serve a term of three (3) years; the member appointed by the Speaker of the House of Representatives shall serve a term of two (2) years; and the member appointed by the Governor sh all serve a term of one (1) year. Successors Members shall be appointed for terms of three (3) years. D. Each member of the Authority, prior to appointment, shall be a resident of the state and a qual ified elector. E. Members shall be removable only for cause by the appointing authority. Any vacancy occurring on the Authority shall be filled by the original appointing authority. F. The members of the Authority shall serve without compensation but may be reimbursed for all actual and necessary travel expenses incurred in performance of t heir duties in HB2160 HFLR Page 4 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 accordance with the provisions of the State Travel Reimbursement Act. G. All members of the Authority and administrative personnel of the Authority shall be subject to the provisions of the Oklahoma Ethics Commission Rules, Chapter 62 Appen dix of Title 74 of the Oklahoma Statutes. H. A quorum of the Authority sha ll be four (4) voting members. The Authority shall elect a chair and vice chair from among its members. The chair must be an appointed member of the Authority. I. The Authority shall be exempt from the Oklahoma Central Purchasing Act but shall be sub ject to the purchasing policies of Oklahoma State University Center for Health Sciences and sha ll be subject to the Oklahoma Open Meeting Act and the Oklahoma Open Records Act, except as otherwise provided by this act. Any information submitted to or comp iled by the Authority except for budgetary information related to appropriations or the appropriations process with respect to the marketing plans, financial statements, trade secrets , research concepts, methods or products, or any other proprietary inform ation of the Authority, persons, firms, associations, partnerships, agencies, corporations, institutions of higher education, nonprofit research inst itutions or other entities shall b e confidential, except to the extent that the person or entity which prov ided the information or which is the subject of the information consents to disclosure. Execut ive HB2160 HFLR Page 5 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 sessions may be held to discuss such materials if deemed necessary by the Authority. J. The Authority may hold meetings by videoconference where each member of the public body is visible and audible to each other and the public through a v ideo monitor at the designated meeting site and online website, sub ject to the following : 1. Each public meeting held by videoconference shall be recorded either by written , electronic, or other means; 2. The meeting notice and agenda prepared in advance of the meeting, as required by law, shall indica te at least one videoconferencing location and shal l state the location, address, and telephone number of each available vid eoconference site and provide the online website address to view the meeting ; and 3. The meeting agenda prepared in advance of the meeting, as required by law, shall indicate which m embers of the Authority will appear by video conference and which members will be present at the designated meeting site. SECTION 2. AMENDATORY 63 O.S. 2021, Section 3276, is amended to read as follows: Section 3276. A. On and after July 1, 2006, the The Authority shall have the power and duty to: 1. Adopt bylaws and promulgate rules for the regulation of its affairs and the conduct of its business; 2. Adopt an official seal; HB2160 HFLR Page 6 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 3. Maintain an office at a location to be determine d by the Authority; 4. Sue and be sued, subject to the provisions of The Governmental Tort Claims Act; 5. Enter into cooperative agreements with th e Board of Regents for the Oklahoma Agricultural and Mechanical Colleges for educational programs, professi onal staffing, research and other medical activities; 6. Make and enter into all contracts necessary or incidental to the performance of its duties and the execution of its powers pursuant to the Oklahoma State University Medical Authority Act; 7. Purchase or lease equipment, furniture, materials and supplies, and incur such other expenses as may be necessary to maintain and operate hospitals or clin ics, or to discharge its duties and responsibilities or to make any of its powers effective; 8. Acquire by purchase, lease, gift, or by any other manner, and to maintain, use and operate or to contract for the maintenance, use and operation of or lease of any and all property of any kind, real, personal, or mixed or any interest therein unless otherwise provided by the Oklahoma State University Medical Authority Act; 9. Appoint such officers, agents and employees, including but not limited to attorneys, a s it deems necessary and to prescribe their duties and to fix their compensation; HB2160 HFLR Page 7 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 10. Accept grants from t he United States of America, or from any corporation or agency created or designed by the United States of America, and, in connection with any grant , to enter into such agreements as the United States of America or such corporation or agency may require; 11. Make and issue bonds and to pledge revenues of the Authority subject to the Oklahoma Bond Oversight and Reform Act. Nothing in the Oklahoma Stat e University Medical Authority Act shall authorize the issuance of any bonds of the Authority payable other than from revenues of the Authority. Funds appropriated to the Authority shall not be used for issuance of bonds. Authority revenue bonds issued u nder the provisions of this act shall not at any time be deemed to constitute a debt of the state or of any political subdivision thereof or a pledge of the faith and credit of the state or of any political subdivision, but such bonds shall be payable solely from the funds herein provided. Such revenue bonds shall contain on the face thereof a statement to the effect that neither the state nor the Authority shall be obligated to pa y the same or the interest thereon except from the revenues of the project or projects for which they are issued and that neither the faith and credit nor the taxing power of the stat e or any political subdivision thereof is pledged, or may hereafter be pl edged, to the payment of the principal of or the interest on such bonds. Th e maximum amount of outstanding bonds at any time shall not exceed HB2160 HFLR Page 8 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 Fifty Million Dollars ($50,000,000.00) unless a greater amount is expressly approved by the Legislature by a concurrent r esolution adopted prior to commencing any action in anticipation of issuance of revenue bonds of the Oklahoma State University Medical Authority for the greater amount; 12. Provide for complete financial audits on all accounts of the Oklahoma State Univer sity Medical Authority and to authorize periodic audits by an indepe ndent external auditing agency. Such audits shall be performed annually in a format approved by the State Auditor and Inspector, and all such audits shall be submitted to the State Auditor and Inspector for review. Such audits shall be made in accordance with generally accepted auditing standards and government auditing standards. Financial statements shall be prepared in accordance with generally accepted accounting principles. In addi tion to said audits, whenever the State Auditor and Inspector deems i t appropriate, and at least once each five (5) years, or upon receipt of a request to do so from the Gover nor, the Attorney General, the President Pro Tempore of the Oklahoma State Senate, the Speaker o f the Oklahoma House of Representatives or the Authority, the State Auditor an d Inspector shall conduct a special audit of the Authority; 13. Engage in long-term planning for the operation and management of the Authority; HB2160 HFLR Page 9 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 14. Establish petty cash funds and provid e for appropriate accounting procedures and controls; 15. Contract with national manufacturers and distributors of drugs and medical supplies when app ropriate to carry out the purposes of this act; 16. Provide funding to other entities for purposes related to public health, teaching, re search, and the purposes of the Oklahoma State University Medical Authority Act when provided funding for such purposes by the Legislature; 17. Do all other things necessary and proper to implement the provisions of the Oklahoma State University Medical Authority A ct; 17. 18. Waive, by such means as the Authority deems appropriate, the exemption from federal income ta xation of interest on the Authority's bonds provided by the Internal Revenue Code of 1986, as amended, or any other federal statute providing a similar exemption; 18. 19. Arrange for guaranties or insurance of its bonds by the federal government or by any private insurer, and to pay any premiums therefor; and 19. 20. Make a declaration of n ecessity as provided in Section 3273 of this title. The Authority may, in its exclusive judgment, make a declaration of necessity when such a declaration is deemed necessary to effectuate the purposes of the Oklahoma State University Medical Authority Act . HB2160 HFLR Page 10 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 B. The Oklahoma State University Medical Authority shall be subject to the Oklahoma Budget Law of 1947. C. The Authority shall prepare monthly a "budget vs. versus actual" report which shows by budget activity the monthly and year- to-date revenues and expendi tures compared to budgeted revenues and expenditures. Such report shall b e submitted to the Office of Management and Enterprise Services and to the Directors of t he House of Representatives Fiscal Division and the Senate Fiscal Division. D. The Authority shall be subject to the professional risk management program provided for in Section 85.58A of Title 74 of the Oklahoma Statutes. SECTION 3. AMENDATORY 63 O.S. 2021, Section 3283, is amended to read as follows: Section 3283. Revenue bonds of the Oklahoma State University Medical Authority issued pursuant to the provisions of the Oklahoma State University Medical Authority sh all not constitute a debt of the state or of any political subdivision thereof, or a pledge of the full faith and credit o f the state, or of any political subdivision thereof, but such bonds shall be payable solely from the funds provided therefor from the Authority's revenues or appropriated by the Legislature. The forms of the bonds so issued shall contain on the face ther eof a statement to the effect that neither the state nor the Authority shall be obligated to pay the same or the interest thereon except from the re venues of the HB2160 HFLR Page 11 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 Authority pledged to the payment of such bonds and that neither the faith and credit nor the t axing power of the state or any political subdivision thereof is pledged, or may hereafter be pledged, to the payment of the principal of or interes t on such bonds. The bonds so issued shall be exempt from taxation by the State of Oklahoma and any political subdivision thereof, including the income therefrom, and any gain from the sale thereof. SECTION 4. AMENDATORY 63 O.S. 2021, Section 3290, is amended to read as follows: Section 3290. A. The State of Oklahoma expressly approves t he creation of a public trust to be named the "Oklahoma State University Medical Trust ", of which the State of Oklahoma shall be the beneficiary, provided such approval shall be contingent upon satisfaction of the following conditions: 1. Finalizing of the declaration Declaration of trust Trust; 2. Adoption of the declaration Declaration of trust Trust by an official action of the trustees of the Trust; 3. Submission of the Trust for acceptance of the beneficial interest and approval as required by Section 177 of Title 60 of the Oklahoma Statutes; and 4. The approved declaration of trust shall: a. clearly state that the princ ipal purpose of the Oklahoma State University Medical Trust is to effectuate the purposes of the Oklahoma State HB2160 HFLR Page 12 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 University Medical Authority as established in the Oklahoma State University Medical Authority Act, b. except as otherwise provided by law, prov ide that the title to real property held by the Oklahoma State University Medical Authority shall not be transferred, conveyed, or assigned to the Oklahoma State Unive rsity Medical Trust without the express consent of the Legislature as the governing entit y of the beneficiary pursuant to Section 176 of Title 60 of the Oklahoma Statutes, c. provide that any indebtedness incurred by the Oklahoma State University Medical T rust or the trustees of the Trust shall not be secured with or create a lien upon real property to which title is held by the Oklahoma State University Medical Authority and shall not involve the bonding capacity of the Oklahoma State University Medical Au thority, d. provide that the trust estate of the Oklahoma State University Medical Trust shall not include fee simple title to real property owned by the Oklahoma State University Medical Authority, e. clearly state that the creation of the Oklahoma State University Medical Trust shall not in any way reduce, limit or interfere with the power g ranted to the HB2160 HFLR Page 13 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 Oklahoma State University Medical Authority in the Oklahoma State University Medical Authority Act, f. provide that any lease or contractual agreement involving use of the real property to which title is held by the Oklahoma State University Medical Authority and any improvements thereto shall contain a provision and covenants requiring the proper maintenance and upkeep of the real property and improvements, g. provide that the trustees of the Oklahoma State University Medical Trust shall be t he acting members of the Oklahoma State University Medical Authority as provided in the Oklahoma State University Medical Authority Act, and h. provide that the truste es of the Oklahoma State University Medical Trust shall have the duty to submit an annual report to the Governor, the President Pro Tempore of the Senate and the Speaker of the House of Representatives. The report shall be submitted by January 1 of each year and shall include an account of all operations, actions of the Trust, account of all revenue received and disbursed by the Trust for the previous fiscal year. The report shall also provide a complete accounting of how the Trust meets its primary HB2160 HFLR Page 14 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 function of effectuating the purposes of the Oklahoma State University Medical Authority, as e stablished in the Oklahoma State University Medical Authority Act. B. The Oklahoma State University Medical Trust shall require any agreements which it enters into wi th any entity pursuant to Section 22 3292 of this act title for the operations of facilities leased by the Oklahoma State University Medical Authority to the Trust to include, but not be limited to: 1. The inclusion of all the members of the Trust, except the Chief Executive Officer of the Oklahoma Health Care Authority, as five of the six members repre senting the State of Oklahoma in a governing committee, and the sixth member of the governing committee representing the State of Oklahoma to be designated by the President of Oklahoma State University; 2. Binding arbitration shall not be required by such agreements for resolving issues under consideration by the governing committee; and 3. Major decisions shall be resolved by the governing committee, and approval of any major dec ision by the governing committee must include the approval of a majority of the state appointees and the approval of a majority of the private entity appointees to the governing committee. Major decisions shall include: a. approval of the operating and ca pital budgets, HB2160 HFLR Page 15 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 b. sale or disposition of assets over Two Five Hundred Fifty Thousand Dollars ($250,000.00) ($500,000.00), c. the termination or transfer or material addition or material diminution of medical services at the Oklahoma State University Medica l Center related to and part of a teaching program of the Oklahoma State University Center for Health Sciences, and d. other major decisions as may be agreed upon b y the Trust and the private entity. C. To the extent it is determin ed by legislative enactm ent that the Trust has expended funds in contravention of its mission as set forth in this section, the Trust shall remit, upon thirty (30) days' written notice from the Oklahoma State University Medical Authority, such sum or sums to the Oklahoma State Un iversity Medical Authority. D. In the event the Trust enters into a joint v enture or acquires an interest in a not-for-profit entity to effectuate the administration of the mission of the Trust, that entity shall not be subject to the Oklahoma Open Meetin g Act and the Oklahoma Open Records Act. Any information submitted to or co mpiled by the Trust with respect to marketing plans, financial statements, trade secrets, research concepts, methods or products or any other proprietary information submitted to o r compiled by the Trust, persons, firms, associations, partnerships, agencie s, corporations, institutions of higher education, nonprofit research institutions or HB2160 HFLR Page 16 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 other entities shall be confidential, except to the extent that the person or entity which provided such information or which is the subject of such information consents to disclosure. Executive sessions may be held to discuss such materials if deemed neces sary by the Trust. The provisions of this subsection shall not appl y to budgetary information related to appropriations or the appropriations process. E. The Trust may hold meetings by videoconference where each member of the public body is visible and audible to each other and the public through a video monito r at the designated meeting site and online website, subject to the following: 1. Each public meeting held by v ideoconference shall be recorded either by written, electronic, or other means; 2. The meeting notice and agenda prepared in advance of the meeting, as required by law, shall in dicate at least one videoconferencing location and shall state the location, ad dress, and telephone number of each available videoconference site and provide the online website address to view the meeting ; and 3. The meeting agenda prepared in advance of the meeting, as required by law, shall indicate which members of the Authority w ill appear by video conference and which will be present at the designated meeting site. HB2160 HFLR Page 17 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 SECTION 5. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 103.9 of Title 61, unless there is created a duplication in numbering, reads as follows: A. The Oklahoma State University Medical Authority and the Oklahoma State University Medical Trust shall be, to the extent not already authorized by law, exempt from the Public Competitive Bidding Act of 1974 for the purposes of the constructing of clinical facilities in furtherance of the purposes authorized by the Oklahoma State University Medical Authority Act. B. As used in this section, "clinical facilities" means any facility where the majority of the ac tivity occurring is the delivery of direct patient care services either in person or via telehealth technology . SECTION 6. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 3294 of Title 63, unless there is created a duplication in numbering, reads as follows: A. The Oklahoma State University Medical Authority and the Oklahoma State University Medical Trust shall be, to the extent not already authorized by law, exempt from the Public Competitive Bidding Act of 1974 for the purposes of the constructing of clinical facilities in furtherance of the purposes authorized by the Oklahoma State University Medical Authority Act. B. As used in this section, "clinical facilities" means any facility where the majority of the ac tivity occurring is the HB2160 HFLR Page 18 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 delivery of direct patient care services either in person or via telehealth technology. SECTION 7. REPEALER 63 O.S. 2021, Sections 3287 and 3291, are hereby repealed. SECTION 8. This act shall become effective November 1, 2023. COMMITTEE REPORT BY: COMMITTEE ON HIGHER EDUCATION AND CAREER TECH, dated 02/28/2023 - DO PASS, As Amended.