Oklahoma 2025 Regular Session

Oklahoma Senate Bill SB1005 Latest Draft

Bill / Introduced Version Filed 01/16/2025

                             
 
 
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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   
 
 
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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;   
 
 
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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   
 
 
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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