Req. No. 2382 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 STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) SENATE BILL 1269 By: Burns AS INTRODUCED An Act relating to hospitals; defining term; creating the Rural Hospital Replacement Grant Program; directing development of application pr ocess and scoring criteria; specifying certain selection criteria; limiting use of funds; restricting location of new hospital; creating the Rural Hospital Replacement Revolving Fund; specifying type of fund and source of monies; providing for expenditure of funds; authorizing promulgation of rules; prov iding for codification; provid ing 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 l aw to be codified in the Oklahoma Statutes as Section 3241.21 of Title 63, unless there is created a duplication in numbering, reads as follows: A. As used in this section, “qualifying rural hospital ” means a hospital that is: 1. Licensed by the State Department of Health; 2. Located in a county of this state that has: a. a population of not greater than fifty thousand (50,000) as reported in the most recent Federal Decennial Census published by the United State Census Bureau, and Req. No. 2382 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. a poverty rate of not less than nineteen percent (19%) as reported in the most recent Federal Decennial Census published by the United State Census Bureau; and 3. Is in a hazardous, unsafe, or derelict condition such that renovation would be significantly more costly than demolition and construction of a new hospital. B. There is hereby created the Rural Hospital Replacement Grant Program. The grant program shall be administered by the State Department of Health for the purpose of providing fu nding to support the construction of new hospitals to replace qualifying ru ral hospitals. C. The Rural Hospital Replacement Grant Program shall be available to qualifying rural hospitals. The Department shall develop an application process and a scoring criter ia for evaluating applicants. Awardees shall be selected based upon the severity of the qualifying rural hospital’s condition, availability of matching funds for the project, and such other criteria as may be established by the Department. D. The governing entity of a qualifying rural hospital that receives a grant under this section may only use grant funds fo r costs directly related to demolition and constru ction of a new hospital. The governing entity shall locate the new hosp ital as close as possible to the qualifying rural hospital. In no event Req. No. 2382 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 shall the new hospital be located more than twenty (20) miles away from the qualifying rural h ospital. E. There is hereby created in the State Treasury a revolving fund for the State Department of Health to be designated the “Rural Hospital Replacement Revolving Fund ”. The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of all monies received by the Department from legislative appropriations provided for the purpose of administering grants under this section. All monies accruing to the credit of the fund are hereby appropriated and may be budgeted and expended by the Department for the purpose provided for in this subsection. Expenditures from the fund shall be made upon warrants issued by the State Treasurer against claims filed as prescribed by law with the Director of the Office of Management and Enterprise Services for approval and payment. F. The State Commissioner of Health may promul gate rules as necessary to implement this section. SECTION 2. This act shall become effective July 1, 2024. SECTION 3. It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof th is act shall take effect and be in full force from and after its passage and approval. 59-2-2382 DC 12/8/2023 4:17:00 PM