Req. No. 177 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 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 1st Session of the 60th Legislature (2025) SENATE BILL 1005 By: Stewart AS INTRODUCED An Act relating to hospitals; requiring hospitals to implement certain policy; requiring hospital s to provide certain itemized statemen t on request; listing required information for itemized statement ; stipulating requirements and procedures for providing statement to third-party payor; authorizing certain fee; authorizing certain enforcement; defining term; creating exception; providing for codification; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1 -724.1 of Title 63, un less there is created a duplication in numbering, reads as follows: A. Each hospital licensed by the State Department of Health shall develop, implement, and enforce a written policy for the billing of hospital services and supplies. The policy shall include: 1. A periodic review of the itemized statements required by subsection B of this section; and Req. No. 177 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. A procedure for handling complaints relating to billed services. B. Not later than thirty (30) business days after the date of the hospital discharge of a person who receive d hospital services, the hospital shall automatically provide an itemized statement of the billed services provided to the person. The itemized statement shall be printed in a conspicuous manner and shall list the following information: 1. Provider’s name and National Provider Identifier (NPI) number; 2. Date or dates of service; 3. Admission date; 4. Discharge date; 5. Revenue codes corresponding to each service rendered; 6. Current Procedural Terminology (CPT) or Healthcare C ommon Procedure Coding System (HCPCS) codes corresponding to each service rendered; 7. Description of each service; 8. Amount charged by the provider for each service; 9. Units and quantities of each service provided, specifically procedures, tests, or medications that may be measured in units; 10. Subtotal of each service; 11. Insurance payments; 12. Patient payments; Req. No. 177 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 13. Payment due date; 14. Provider’s contact information; and 15. A section on hospital payments and adjustments, which shall include: a. date or dates of service, b. description of hospital payment and adjustment, c. any discounts and credits, d. total hospital payment and adjustments, and e. final hospital payment after adjustments. C. A hospital shall provide an itemized statement of billed services to a third-party payor who is actually or potentially responsible for paying all or part of the billed services provided to a patient and who has received a claim for payment of those services. To be entitled to receive a statement, th e third-party payor must request the statement from the hospital and must have received a claim for payment. The request must be made not later than one year after the date on which the payor received the claim for payment. The hospital shall provide the statement to the payor not later than thirty (30) business days after the date on which the payor requests the statement. If a third-party payor receives a claim for payment of part but not all of the billed services, the third-party payor may request an itemized statement of only the billed services for which payment is claimed or to which any deduction or copayment applies. If a third-party payor requests Req. No. 177 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 more than two copies of the statement, the hospital may charge a reasonable fee for the third and subsequent copies provided to that person. The fee shall not exceed the hospit al’s cost to copy, process, and deliver the copy to the person. D. The State Department of Health may enforce this section by assessing an administrative penalty, obtaining an injunction, or providing any other appropriate remedy, including suspending, revoking, or refusing to renew a hospital ’s license. E. As used in this section, “hospital” has the same meaning as provided by Section 1 -701 of Title 63 of the Oklahoma Statutes . F. This section shall not apply to a hospital maintained or operated by the federal government. SECTION 2. This act shall become effective November 1, 2025. 60-1-177 DC 1/16/2025 2:19:56 PM