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53	53	STATE OF OKLAHOMA
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55	55	1st Session of the 60th Legislature (2025)
56	56
57	57	SENATE BILL 1005 By: Stewart
58	58
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63	63	AS INTRODUCED
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65	65	An Act relating to hospitals; requiring hospitals to
66	66	implement certain policy; requiring hospital s to
67	67	provide certain itemized statemen t on request;
68	68	listing required information for itemized statement ;
69	69	stipulating requirements and procedures for providing
70	70	statement to third-party payor; authorizing certain
71	71	fee; authorizing certain enforcement; defining term;
72	72	creating exception; providing for codification; and
73	73	providing an effective date .
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79	79	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
80	80	SECTION 1. NEW LAW A new section of law to be codified
81	81	in the Oklahoma Statutes as Section 1 -724.1 of Title 63, un less
82	82	there is created a duplication in numbering, reads as follows:
83	83	A. Each hospital licensed by the State Department of Health
84	84	shall develop, implement, and enforce a written policy for the
85	85	billing of hospital services and supplies. The policy shall
86	86	include:
87	87	1. A periodic review of the itemized statements required by
88	88	subsection B of this section; and
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140	140	2. A procedure for handling complaints relating to billed
141	141	services.
142	142	B. Not later than thirty (30) business days after the date of
143	143	the hospital discharge of a person who receive d hospital services,
144	144	the hospital shall automatically provide an itemized statement of
145	145	the billed services provided to the person. The itemized statement
146	146	shall be printed in a conspicuous manner and shall list the
147	147	following information:
148	148	1. Provider’s name and National Provider Identifier (NPI)
149	149	number;
150	150	2. Date or dates of service;
151	151	3. Admission date;
152	152	4. Discharge date;
153	153	5. Revenue codes corresponding to each service rendered;
154	154	6. Current Procedural Terminology (CPT) or Healthcare C ommon
155	155	Procedure Coding System (HCPCS) codes corresponding to each service
156	156	rendered;
157	157	7. Description of each service;
158	158	8. Amount charged by the provider for each service;
159	159	9. Units and quantities of each service provided, specifically
160	160	procedures, tests, or medications that may be measured in units;
161	161	10. Subtotal of each service;
162	162	11. Insurance payments;
163	163	12. Patient payments;
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215	215	13. Payment due date;
216	216	14. Provider’s contact information; and
217	217	15. A section on hospital payments and adjustments, which shall
218	218	include:
219	219	a. date or dates of service,
220	220	b. description of hospital payment and adjustment,
221	221	c. any discounts and credits,
222	222	d. total hospital payment and adjustments, and
223	223	e. final hospital payment after adjustments.
224	224	C. A hospital shall provide an itemized statement of billed
225	225	services to a third-party payor who is actually or potentially
226	226	responsible for paying all or part of the billed services provided
227	227	to a patient and who has received a claim for payment of those
228	228	services. To be entitled to receive a statement, th e third-party
229	229	payor must request the statement from the hospital and must have
230	230	received a claim for payment. The request must be made not later
231	231	than one year after the date on which the payor received the claim
232	232	for payment. The hospital shall provide the statement to the payor
233	233	not later than thirty (30) business days after the date on which the
234	234	payor requests the statement. If a third-party payor receives a
235	235	claim for payment of part but not all of the billed services, the
236	236	third-party payor may request an itemized statement of only the
237	237	billed services for which payment is claimed or to which any
238	238	deduction or copayment applies. If a third-party payor requests
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290	290	more than two copies of the statement, the hospital may charge a
291	291	reasonable fee for the third and subsequent copies provided to that
292	292	person. The fee shall not exceed the hospit al’s cost to copy,
293	293	process, and deliver the copy to the person.
294	294	D. The State Department of Health may enforce this section by
295	295	assessing an administrative penalty, obtaining an injunction, or
296	296	providing any other appropriate remedy, including suspending,
297	297	revoking, or refusing to renew a hospital ’s license.
298	298	E. As used in this section, “hospital” has the same meaning as
299	299	provided by Section 1 -701 of Title 63 of the Oklahoma Statutes .
300	300	F. This section shall not apply to a hospital maintained or
301	301	operated by the federal government.
302	302	SECTION 2. This act shall become effective November 1, 2025.
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304	304	60-1-177 DC 1/16/2025 2:19:56 PM

Oklahoma 2025 Regular Session

Oklahoma Senate Bill SB1005 Compare Versions