An Act
ENROLLED HOUSE
BILL NO. 3556 By: Kendrix, Maynard and Stark
of the House
and
Howard of the Senate
An Act relating to public health and safety; amending
63 O.S. 2021, Section 1-133, as amended by Section 2,
Chapter 250, O.S.L. 2022 (63 O.S. Supp. 2023, Section
1-133), which relates to state-designated entity for
health information exchange ; modifying mandatory
language; and providing an effective date.
SUBJECT: Public health and safety
BE IT ENACTED BY THE PEOPLE OF THE ST ATE OF OKLAHOMA:
SECTION 1. AMENDATORY 63 O.S. 2021, Section 1-133, as
amended by Section 2, Chapter 250, O.S. L. 2022 (63 O.S. Supp. 202 3,
Section 1-133), is amended to read as follows:
Section 1-133. A. As used in this section:
1. "Health information exchange" means the electronic movement
of health-related information among organizations according to
nationally recognized standards for purpos es including, but not
limited to, payment, treatment, and administration; and
2. "Health information exchange organization" means an entity
whose primary business activity is health information exchange and
which is governed by its stakeholders.
B. The State of Oklahoma:
ENR. H. B. NO. 3556 Page 2
1. Shall designate a health information exchange organization
as the state-designated entity for health information exchange;
2. Shall establish a transition plan to ensure continued
operation of the health informati on exchange; and
3. May temporarily serve as t he state-designated entity as part
of the transition plan described in paragraph 2 of this subsection.
C. Beginning July 1, 2023, all health care providers as defined
by the rules promulgated by the Oklahoma Health Care Authority Board
and who are licensed by and located in this state shall may report
data to and utilize the state-designated entity. The Office of the
State Coordinator for Health Information Excha nge may, as provided
by rules promulgated by the Board, allow exemptions from the
requirement provided by this subsection on the basis of financial
hardship, size, or technological capability of a health care
provider or such other bases as may be provided by rules promulgated
by the Board.
D. 1. A person who participates in the services or informati on
provided by the state-designated entity shall not be liable in any
action for damages or costs of any nature that result solely from
the person's use or failure to use information or data from the
state-designated entity that was entered or retrieved under relevant
state or federal privacy laws, rules, regulations, or policies
including, but not limited to, the Health Insurance Portability and
Accountability Act of 1996.
2. A person shall not be subject to antitrust or unfair
competition liability based on participation with the state-
designated entity as long as the participation provides an essential
governmental function for the public health and safety and enjoys
state action immunity.
E. A person who provides informat ion and data to the state-
designated entity retains a property right in the information or
data, but grants to the other participants or subscribers a
nonexclusive license to retrieve and use that information or data
under relevant state or federal privacy laws, rules, regulations, or
policies including, but not limited to, the Health Insurance
Portability and Accountability Act of 1996.
F. Patient-specific protected health information shall only be
disclosed in compliance with relevant state or federal privacy laws, ENR. H. B. NO. 3556 Page 3
rules, regulations, or policies including, but not limited to, the
Health Insurance Portability and Accountability Act of 1996.
G. The Oklahoma Health Care Authority Board shall promulgate
rules to implement the provisions of this section.
SECTION 2. This act shall become effective November 1, 2024.
ENR. H. B. NO. 3556 Page 4
Passed the House of Representatives the 7th day of March, 2024.
Presiding Officer of the House
of Representatives
Passed the Senate the 25th day of April, 2024.
Presiding Officer of the Senate
OFFICE OF THE GOVERNOR
Received by the Office of the Governor this ____________________
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________
Approved by the Governor of the State of Oklahoma this _____ ____
day of ___________________, 20_______, at _______ o'clock _______ M.
_________________________________
Governor of the State of Oklahoma
OFFICE OF THE SECRETARY OF STATE
Received by the Office of the Secretary of State this __________
day of ___________________, 20_______, at _______ o'cl ock _______ M.
By: _________________________________