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SB1817
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Oklahoma Senate Bill SB1817

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Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB1817 Compare Versions

Only one version of the bill is available at this time.

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1
2	2
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4	4		Req. No. 3151 Page 1 1
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53	53		STATE OF OKLAHOMA
54	54
55	55		2nd Session of the 59th Legislature (2024)
56	56
57	57		SENATE BILL 1817 By: Dahm
58	58
59	59
60	60
61	61
62	62
63	63		AS INTRODUCED
64	64
65	65		An Act relating to hospitals; defining terms;
66	66		requiring facilities to make public certain file and
67	67		list; stating requirements for list of standard
68	68		charges; requiring certain digital publication of
69	69		specified information; requiring certain online
70	70		display of list; stipulating requirements related to
71	71		accessibility and formatting of list; requiring
72	72		development of certain formatting template; requiring
73	73		annual update of list; stating requirements for list
74	74		of standard charges and selection of shoppable
75	75		services; requiring list to include certain
76	76		information; directing certain display and
77	77		availability of list; requiring facility to submit
78	78		certain updates to the State Department of Health;
79	79		requiring certain compliance monitoring by the
80	80		Department; directing certain actions for
81	81		noncompliance; requiring the Department to create and
82	82		update certain list of violations; making certain
83	83		information subject to public disclosure; stipulating
84	84		certain licensing consideration; defining materia l
85	85		violation; requiring issuance of cert ain notice upon
86	86		certain determination; specifying certain
87	87		requirements for correcti ve action plans; directing
88	88		imposition of certain administrative penalties;
89	89		establishing minimum penalties; requiring certain
90	90		considerations by the Department; repealing 63 O.S.
91	91		2021, Sections 1-725.1, 1-725.2, 1-725.3, 1-725.4,
92	92		and 1-725.5, which relate to the Transparency in
93	93		Health Care Prices Act ; providing for codification;
94	94		and providing an effective date .
95	95
96	96
97	97
98	98
99	99		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
100	100
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151	151		SECTION 1. NEW LAW A new section of law to be codified
152	152		in the Oklahoma Statutes as Section 1-725.11 of Title 63, unless
153	153		there is created a duplication in numbering, reads as follows:
154	154		As used in this act:
155	155		1. “Ancillary service” means a facility item or service that a
156	156		facility customarily provides as part of a shoppable service;
157	157		2. “Chargemaster” means the list of all facility items or
158	158		services maintained by a facility for which the facility has
159	159		established a charge ;
160	160		3. “De-identified maximum negotiated charge ” means the highest
161	161		charge that a facility has negotiated with all third -party payors
162	162		for a facility item or se rvice;
163	163		4. “De-identified minimum negotiated charge ” means the lowest
164	164		charge that a facility has negotiated with all third -party payors
165	165		for a facility item or service ;
166	166		5. “Department” means the State Depar tment of Health;
167	167		6. “Discounted cash pric e” means the charge that applies to an
168	168		individual who pays cash, or a cash equivalent, for a facility item
169	169		or service;
170	170		7. “Facility” means a hospital licensed under Section 1-702 of
171	171		Title 63 of the Oklahoma Statutes ;
172	172		8. “Facility items or services ” means all items and services,
173	173		including individual items and services and service packages, that
174	174		may be provided by a facility to a pati ent in connection with an
175	175
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226	226		inpatient admission or an outpatient department visit, as
227	227		applicable, for which the facility has es tablished a standard
228	228		charge, including:
229	229		a. supplies and procedures ,
230	230		b. room and board,
231	231		c. use of the facility and other areas, the charges for
232	232		which are generally referred to as facility fees ,
233	233		d. services of physicians and non -physician
234	234		practitioners, employed by the facility, the charges
235	235		for which are generally referred to as professional
236	236		charges, and
237	237		e. any other item or service for which a facility has
238	238		established a standard charge ;
239	239		9. “Gross charge” means the charge for a facility item or
240	240		service that is reflected on a facility’s chargemaster, absent any
241	241		discounts;
242	242		10. “Machine-readable format” means a digital representation of
243	243		information in a file that can be imported or read into a computer
244	244		system for further processing. The term includes Extensible Markup
245	245		Language (.XML), JavaScript Object Notation (.JSON), and Comma-
246	246		Separated Values (.CSV) formats;
247	247		11. “Payor-specific negotiated charge ” means the charge that a
248	248		facility has negotiated with a third -party payor for a facility item
249	249		or service;
250	250
251	251
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301	301		12. “Service package” means an aggregation of individual
302	302		facility items or services into a single service with a single
303	303		charge;
304	304		13. “Shoppable service” means a service that may be scheduled
305	305		by a health care consumer in advance ;
306	306		14. “Standard charge” means the regular rate established by the
307	307		facility for a facility item or service provided to a specific group
308	308		of paying patients. The term includes all of the following, as
309	309		defined under this section:
310	310		a. the gross charge,
311	311		b. the payor-specific negotiated charge ,
312	312		c. the de-identified minimum negotiated charge ,
313	313		d. the de-identified maximum negoti ated charge, and
314	314		e. the discounted cash price ; and
315	315		15. “Third-party payor” means an entity that is, by statute,
316	316		contract, or agreement, legally responsible for payment of a claim
317	317		for a facility item or service.
318	318		SECTION 2. NEW LAW A new section of law to be codified
319	319		in the Oklahoma Statutes as Section 1-725.12 of Title 63, unless
320	320		there is created a duplication in numbering, reads as follows:
321	321		Notwithstanding any other law, a facility shall make public:
322	322		1. A digital file in a machine -readable format that contains a
323	323		list of all standard charges fo r all facility items or services as
324	324		described by Section 3 of this act; and
325	325
326	326
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376	376		2. A consumer-friendly list of standard c harges for a limited
377	377		set of shoppable services as provided in Section 4 of this act.
378	378		SECTION 3. NEW LAW A new section of law to be codified
379	379		in the Oklahoma Statutes as Section 1-725.13 of Title 63, unless
380	380		there is created a duplicat ion in numbering, reads as follows:
381	381		A. A facility shall:
382	382		1. Maintain a list of all standard charges for all facility
383	383		items or services in accordance with this section; and
384	384		2. Ensure the list required under paragraph 1 of this
385	385		subsection is available at all times to the public, including by
386	386		posting the list electronically in the manner pro vided by this
387	387		section.
388	388		B. The standard charges contained in the list required to be
389	389		maintained by a facility under subsection A of this section shall
390	390		reflect the standard charges applicable to that locati on of the
391	391		facility, regardless of wheth er the facility operates in more than
392	392		one location or operates under the same license as another facility.
393	393		C. The list required under subsection A of this section shall
394	394		include the following items, as applicable:
395	395		1. A description of each facility item or service pro vided by
396	396		the facility;
397	397		2. The following charges for each individual facility item or
398	398		service when provided in either an inpatient setting or an
399	399		outpatient department se tting, as applicable:
400	400
401	401
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451	451		a. the gross charge,
452	452		b. the de-identified minimum neg otiated charge,
453	453		c. the de-identified maximum negotiated charge ,
454	454		d. the discounted cash price , and
455	455		e. the payor-specific negotiated charge, listed by the
456	456		name of the third-party payor and plan associated with
457	457		the charge and displayed in a manner that clearly
458	458		associates the charge with each third -party payor and
459	459		plan; and
460	460		3. Any code used by the facility for purposes of accounting or
461	461		billing for the facility item or service, including the Current
462	462		Procedural Terminology (CPT) code, the Healthcare Common Proce dure
463	463		Coding System (HCPCS) code, the Diagnosis Related Group (DRG) code,
464	464		the National Drug Code (NDC), or other common identifier.
465	465		D. The information contained in the list required under
466	466		subsection A of this section shall be published in a single digital
467	467		file that is in a machine -readable format.
468	468		E. The list required under subsection A of this section shall
469	469		be displayed in a prominent location on the home page of the
470	470		facility’s publicly accessible Internet website or accessible by
471	471		selecting a dedicated li nk that is prominently displayed on the home
472	472		page of the facility’s publicly accessible Internet website. If the
473	473		facility operates multiple locations and maintains a single Interne t
474	474		website, the list required under subsection A of this section shall
475	475
476	476
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526	526		be posted for each location the facility operates in a manner that
527	527		clearly associates the list with the applicable location of the
528	528		facility.
529	529		F. The list required under subsection A of this section shall:
530	530		1. Be available:
531	531		a. free of charge,
532	532		b. without having to establish a user account or
533	533		password,
534	534		c. without having to submit personal identifying
535	535		information, and
536	536		d. without having to overcome any other impediment,
537	537		including entering a co de to access the list;
538	538		2. Be accessible to a common commercial operator of an Internet
539	539		search engine to the extent necessary for the search engine to index
540	540		the list and display the list as a result in response to a search
541	541		query of a user of the search eng ine;
542	542		3. Be formatted in a manner prescribed by the State Department
543	543		of Health;
544	544		4. Be digitally searchable; and
545	545		5. Use the following naming convention specified by the Centers
546	546		for Medicare and Medicaid Services :
547	547		“<ein>_<facility-name>_standardcharges.[js onxmlcsv]”.
548	548		G. In prescribing the format of the list under paragraph 3 of
549	549		subsection F of this section, the Department shall:
550	550
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601	601		1. Develop a template that each facility shall use in
602	602		formatting the list; and
603	603		2. In developing the template under paragraph 1 of this
604	604		subsection:
605	605		a. consider any applicable federal guidelines for
606	606		formatting similar lists required by federal law or
607	607		rule and ensure that the design of the template
608	608		enables health care researchers to compare the charges
609	609		contained in the lists maintain ed by each facility,
610	610		and
611	611		b. design the template to be substantially similar to the
612	612		template used by the Centers for Medicare and Medicaid
613	613		Services for purposes similar to those of this act, if
614	614		the Department determines that designing the template
615	615		in that manner serves the purposes of subparagraph a
616	616		of this paragraph and that the Department benefits
617	617		from developing and requiring that s ubstantially
618	618		similar design.
619	619		H. The facility shall update the list required under subsection
620	620		A of this section at least once each year. The facility shall
621	621		clearly indicate the date on which the list was most recently
622	622		updated, either on the list or in a manner that is clearly
623	623		associated with the list.
624	624
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675	675		SECTION 4. NEW LAW A new section of law to be codifie d
676	676		in the Oklahoma Statutes as Section 1-725.14 of Title 63, unless
677	677		there is created a duplication in numbering, reads as follows:
678	678		A. Except as provided by subsection C of this section, a
679	679		facility shall maintain and make publicly available a list of the
680	680		standard charges described by subparagraphs b through e of paragraph
681	681		2 of subsection C of Section 3 of this act for each of at least
682	682		three hundred shoppable services provided by the facility. The
683	683		facility may select the shoppable services to be included in the
684	684		list, except that the list shall include:
685	685		1. The seventy services specified as shoppable services by the
686	686		Centers for Medicare and Medicaid Services; or
687	687		2. If the facility does not provide all of the shoppable
688	688		services described by paragraph 1 of this subsection, as many of
689	689		those shoppable services the facility does provide.
690	690		B. In selecting a shoppable service for purposes of inclusion
691	691		in the list required under subsection A of this section, a facility
692	692		shall:
693	693		1. Consider how frequently the facility p rovides the service
694	694		and the facility’s billing rate for that service; and
695	695		2. Prioritize the selection of services that are among t he
696	696		services most frequently provided by the facility.
697	697		C. If a facility does not provide three hundred shoppable
698	698		services, the facility shall maintain a list of the total number of
699	699
700	700
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729	729		5
730	730		6
731	731		7
732	732		8
733	733		9
734	734		10
735	735		11
736	736		12
737	737		13
738	738		14
739	739		15
740	740		16
741	741		17
742	742		18
743	743		19
744	744		20
745	745		21
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747	747		23
748	748		24
749	749
750	750		shoppable services that the facility provides in a manner that
751	751		otherwise complies with the requirements of subsection A of this
752	752		section.
753	753		D. The list required under subsection A or C of this section,
754	754		as applicable, shall:
755	755		1. Include:
756	756		a. a plain-language description of each shoppable service
757	757		included on the list ,
758	758		b. the payor-specific negotiated charge that applies to
759	759		each shoppable service included on the list and any
760	760		ancillary service, listed by the name of the third-
761	761		party payor and plan associated with the charge and
762	762		displayed in a manner that clearly associates the
763	763		charge with the third -party payor and plan ,
764	764		c. the discounted cash price that applies to each
765	765		shoppable service included on the list and any
766	766		ancillary service or, if the fac ility does not offer a
767	767		discounted cash price for one or more of the shoppable
768	768		or ancillary services on the list, the gross charge
769	769		for the shoppable service or ancillary service, as
770	770		applicable,
771	771		d. the de-identified minimum negotiated charge that
772	772		applies to each shoppable service included on the list
773	773		and any ancillary service ,
774	774
775	775
776	776		Req. No. 3151 Page 11 1
777	777		2
778	778		3
779	779		4
780	780		5
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782	782		7
783	783		8
784	784		9
785	785		10
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787	787		12
788	788		13
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790	790		15
791	791		16
792	792		17
793	793		18
794	794		19
795	795		20
796	796		21
797	797		22
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799	799		24
800	800		1
801	801		2
802	802		3
803	803		4
804	804		5
805	805		6
806	806		7
807	807		8
808	808		9
809	809		10
810	810		11
811	811		12
812	812		13
813	813		14
814	814		15
815	815		16
816	816		17
817	817		18
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820	820		21
821	821		22
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824	824
825	825		e. the de-identified maximum negot iated charge that
826	826		applies to each shoppable service included on the list
827	827		and any ancillary service , and
828	828		f. any code used by the facility for purposes o f
829	829		accounting or billing for each shopp able service
830	830		included on the list and any ancillary serv ice,
831	831		including the Current Procedural Terminology (CPT)
832	832		code, the Healthcare Common Procedure Coding System
833	833		(HCPCS) code, the Diagnosis Related Group (DRG) code,
834	834		the National Drug Code (NDC), or other common
835	835		identifier; and
836	836		2. If applicable:
837	837		a. state each location at which the facility provides the
838	838		shoppable service and whether the standard charges
839	839		included in the list apply at that location to the
840	840		provision of that shoppable service in an inpatient
841	841		setting, an outpatient department setting, or in both
842	842		of those settings, as applicable , and
843	843		b. indicate if one or more of the shoppable services
844	844		specified by the Centers for Medicare and Medicaid
845	845		Services is not provided by the facility.
846	846		E. The list required under subsection A or C of this section,
847	847		as applicable, shall be:
848	848
849	849
850	850		Req. No. 3151 Page 12 1
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852	852		3
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854	854		5
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874	874		1
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878	878		5
879	879		6
880	880		7
881	881		8
882	882		9
883	883		10
884	884		11
885	885		12
886	886		13
887	887		14
888	888		15
889	889		16
890	890		17
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898	898
899	899		1. Displayed in the manner prescribed by subsection E of
900	900		Section 3 of this act for the list required under that section;
901	901		2. Available:
902	902		a. free of charge,
903	903		b. without having to register o r establish a user account
904	904		or password,
905	905		c. without having to submit personal identifying
906	906		information, and
907	907		d. without having to overcome any other impediment,
908	908		including entering a co de to access the lis t;
909	909		3. Searchable by service description, billing code, and payor;
910	910		4. Updated in the manner prescribed by subsection H of Section
911	911		3 of this act for the list required under that section;
912	912		5. Accessible to a common commercial operator of an Internet
913	913		search engine to the ext ent necessary for the search engine to index
914	914		the list and display the list as a result in response to a search
915	915		query of a user of the search engine; and
916	916		6. Formatted in a manner that is consistent with the format
917	917		prescribed by the State Department of Health under paragraph 3 of
918	918		subsection F of Section 3 of this act .
919	919		SECTION 5. NEW LAW A new section of law to be codified
920	920		in the Oklahoma Statutes as Section 1-725.15 of Title 63, unless
921	921		there is created a duplication in numbering, reads as follows:
922	922
923	923
924	924		Req. No. 3151 Page 13 1
925	925		2
926	926		3
927	927		4
928	928		5
929	929		6
930	930		7
931	931		8
932	932		9
933	933		10
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972	972
973	973		Each time a facility upd ates a list as required under subsection
974	974		H of Section 3 of this act and paragraph 4 of subsection E of
975	975		Section 4 of this act , the facility shall submit the updated list to
976	976		the State Department of Health. The Department shall prescribe the
977	977		form in which the updated list shall be submitted to the Department.
978	978		SECTION 6. NEW LAW A new section of law to be codified
979	979		in the Oklahoma Statutes as Section 1-725.16 of Title 63, unless
980	980		there is created a duplication in numbering, reads as follo ws:
981	981		A. The State Department of Health shall monitor each facility ’s
982	982		compliance with the requirements of this act using any of the
983	983		following methods:
984	984		1. Evaluating complaints made by persons to the Department
985	985		regarding noncompliance with this act;
986	986		2. Reviewing any analysis prepared regarding noncompliance with
987	987		this act;
988	988		3. Auditing the Internet websites of facilities for compliance
989	989		with this act; and
990	990		4. Confirming that each facil ity submitted the lists required
991	991		under Section 5 of this act.
992	992		B. If the Department determines that a facility is not in
993	993		compliance with a pro vision of this act, the Department shall take
994	994		the following actions:
995	995
996	996
997	997		Req. No. 3151 Page 14 1
998	998		2
999	999		3
1000	1000		4
1001	1001		5
1002	1002		6
1003	1003		7
1004	1004		8
1005	1005		9
1006	1006		10
1007	1007		11
1008	1008		12
1009	1009		13
1010	1010		14
1011	1011		15
1012	1012		16
1013	1013		17
1014	1014		18
1015	1015		19
1016	1016		20
1017	1017		21
1018	1018		22
1019	1019		23
1020	1020		24
1021	1021		1
1022	1022		2
1023	1023		3
1024	1024		4
1025	1025		5
1026	1026		6
1027	1027		7
1028	1028		8
1029	1029		9
1030	1030		10
1031	1031		11
1032	1032		12
1033	1033		13
1034	1034		14
1035	1035		15
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1045	1045
1046	1046		1. Provide a written notice to the facility that clearly
1047	1047		explains the manner in which the facility is not in compliance with
1048	1048		this act;
1049	1049		2. Request a corrective action plan from the facility if the
1050	1050		facility has materially violated a provision of this act, as
1051	1051		determined under Section 7 of this act; and
1052	1052		3. Impose an administrative penalty as determined in Section 8
1053	1053		of this act on the facility and publicize the penalty on the
1054	1054		Department’s Internet website if the facility fails to:
1055	1055		a. respond to the Department’s request to submit a
1056	1056		corrective action plan , or
1057	1057		b. comply with the requirements of a corrective action
1058	1058		plan submitted to the Department.
1059	1059		C. Beginning not later than ninety (90) days after the date of
1060	1060		the enactment of this act, the Department shall create and maintain
1061	1061		a publicly available list on i ts website of hospitals that have been
1062	1062		found to have violated the hospital price transparency rule, that
1063	1063		have been issued an administrative penalty or sent a warning notice,
1064	1064		a request for a corrective action plan, or any other written
1065	1065		communication from th e Department. Such penalties, notices, and
1066	1066		communications shall be subject to public disclosure under 5 U.S.C. ,
1067	1067		Section 552, notwithstanding any exemptions or exclusions to the
1068	1068		contrary, in full without redaction. Such list shall be updated at
1069	1069		least every thirty (30) days thereafter.
1070	1070
1071	1071
1072	1072		Req. No. 3151 Page 15 1
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1096	1096		1
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1100	1100		5
1101	1101		6
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1103	1103		8
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1120	1120
1121	1121		D. Notwithstanding any provision of law to t he contrary, in
1122	1122		considering an application for renewal of a hospital ’s license or
1123	1123		certification, the Department shall consider whether the hospital is
1124	1124		or has been in compliance wit h hospital price transparency laws.
1125	1125		SECTION 7. NEW LAW A new section of law to be codified
1126	1126		in the Oklahoma Statutes as Section 1-725.17 of Title 63, unless
1127	1127		there is created a duplication in numbering, reads as follows:
1128	1128		A. A facility materially violates this act if the facility
1129	1129		fails to:
1130	1130		1. Comply with the requirements of Section 2 of this act; or
1131	1131		2. Publicize the facility ’s standard charges in the form and
1132	1132		manner required by Sections 3 and 4 of this act.
1133	1133		B. If the State Department of Health determines that a facility
1134	1134		has materially violated this act, the Department shall issue a
1135	1135		notice of material violation to the facility and request that the
1136	1136		facility submit a corrective action plan. The notice shall indicate
1137	1137		the form and manner in which the corrective action plan shall be
1138	1138		submitted to the Department, and clearly state the date by whic h the
1139	1139		facility shall submit the plan.
1140	1140		C. A facility that receives a notice under subsection B of this
1141	1141		section shall:
1142	1142		1. Submit a corrective actio n plan in the form and manner , and
1143	1143		by the specified date, prescribed by the notice of violation; and
1144	1144
1145	1145
1146	1146		Req. No. 3151 Page 16 1
1147	1147		2
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1150	1150		5
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1170	1170		1
1171	1171		2
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1194	1194
1195	1195		2. As soon as practicable after submission of a corrective
1196	1196		action plan to the Department, act to comply with the plan.
1197	1197		D. A corrective action plan submit ted to the Department shall:
1198	1198		1. Describe in detail the corrective action th e facility will
1199	1199		take to address any violation identified by the Department in the
1200	1200		notice provided under subsection B of this section ; and
1201	1201		2. Provide a date by which the facility w ill complete the
1202	1202		corrective action described by paragraph 1 of this subsection.
1203	1203		E. A corrective action plan is subject to review and approval
1204	1204		by the Department. After the Department reviews and approves a
1205	1205		facility’s corrective action plan, the Department shall monitor and
1206	1206		evaluate the facility ’s compliance with the plan.
1207	1207		F. A facility is considered to have fai led to respond to the
1208	1208		Department’s request to submit a corrective action plan if the
1209	1209		facility fails to submit a corrective action plan:
1210	1210		1. In the form and manner specified in the notice provided
1211	1211		under subsection B of this section ; or
1212	1212		2. By the date specified in the notice provided under
1213	1213		subsection B of this section .
1214	1214		G. A facility is considered to have failed to comply with a
1215	1215		corrective action plan if the facility fails to address a violation
1216	1216		within the specified period of time contained in the plan.
1217	1217
1218	1218
1219	1219		Req. No. 3151 Page 17 1
1220	1220		2
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1267	1267
1268	1268		SECTION 8. NEW LAW A new section of law to be codified
1269	1269		in the Oklahoma Statutes as Section 1-725.18 of Title 63, unless
1270	1270		there is created a duplication in numbering, reads as follows:
1271	1271		A. The State Department of Health shall impose an
1272	1272		administrative penalty on a facility in accordance with applicable
1273	1273		law and rules promulgated by the S tate Commissioner of Health if the
1274	1274		facility fails to:
1275	1275		1. Respond to the Department’s request to submit a corrective
1276	1276		action plan; or
1277	1277		2. Comply with the requirements of a corrective action plan
1278	1278		submitted to the Department.
1279	1279		B. The Department shall impose an administrative penalty on a
1280	1280		facility for a violation of each requirement of this act. The
1281	1281		Department shall set the penalty in an amount sufficient to ensure
1282	1282		compliance by facilities with the provisions of this act subject to
1283	1283		the limitations prescribed by subsection C of this section .
1284	1284		C. For a facility with one of the following total g ross
1285	1285		revenues as reported to the Centers for Medicare and Medicaid
1286	1286		Services or to another entity designated by the Commissioner through
1287	1287		rule in the year preceding the year in which a penalty is imposed,
1288	1288		the penalty imposed by the Department shall not be lower than:
1289	1289		1. In the case of thirty or fewer, Six Hundred Dollars
1290	1290		($600.00) for each day in which the hospital fails to comply with
1291	1291		such requirements;
1292	1292
1293	1293
1294	1294		Req. No. 3151 Page 18 1
1295	1295		2
1296	1296		3
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1342	1342
1343	1343		2. In the case of a hospital with a bed count that is greater
1344	1344		than thirty and equal to or fewer than five hundred fifty, Twenty
1345	1345		Dollars ($20.00) per bed for each day in which th e hospital fails to
1346	1346		comply with such requirements; or
1347	1347		3. In the case of a hospital with a bed count that is greater
1348	1348		than five hundred fifty, Eleven Thousand Dollars ( $11,000.00) for
1349	1349		each day in which the hospit al fails to comply with such
1350	1350		requirements.
1351	1351		D. Each day a violation continues is considered a separate
1352	1352		violation.
1353	1353		E. In determining the amount of the penalty, the Department
1354	1354		shall consider:
1355	1355		1. Previous violations by the facility ’s operator;
1356	1356		2. The seriousness of the v iolation;
1357	1357		3. The demonstrated good faith of the facility ’s operator; and
1358	1358		4. Any other matters as justice may require.
1359	1359		SECTION 9. REPEALER 63 O.S. 2021, Sections 1-725.1, 1-
1360	1360		725.2, 1-725.3, 1-725.4, and 1-725.5, are hereby repealed.
1361	1361		SECTION 10. This act shall become effective November 1, 2024.
1362	1362
1363	1363		59-2-3151 DC 1/17/2024 4:01:28 PM