Oklahoma 2025 Regular Session

Oklahoma Senate Bill SB761 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	SENATE FLOOR VERSION - SB761 SFLR Page 1
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29		-	SENATE FLOOR VERSION
30		-	March 3, 2025
	53	+	STATE OF OKLAHOMA
31	54
	55	+	1st Session of the 60th Legislature (2025)
32	56
33		-	SENATE BILL NO. 761 By: McIntosh, Sacchieri, and
34		-	Hamilton
	57	+	SENATE BILL 761 By: McIntosh
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	63	+	AS INTRODUCED
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39	65		An Act relating to health care; creating the Lori
40	66		Brand Patient Bill of Rights Act of 2025; providing
41	67		short title; creating a list of r ights for a patient
42	68		seeking treatment; specifying certain
43	69		responsibilities of patients seeking treatment;
44	70		creating certain rights for minor patients seeking
45	71		treatment; specifying certain responsibilities of
46	72		parents of minor patients seeking treatment;
47	73		providing for codification; and providing an
48	74		effective date.
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53	81		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
54	82		SECTION 1. NEW LAW A new section of law to be codified
55	83		in the Oklahoma Statutes as Section 3501 of Title 63 , unless there
56	84		is created a duplication in numbering, reads as follows:
57	85		This act shall be known and may be cited as the “Lori Brand
58	86		Patient Bill of Rights Act of 202 5”.
59	87		SECTION 2. NEW LAW A new section of law to be codified
60	88		in the Oklahoma Statutes as Section 3501.1 of Title 63, unless there
61	89		is created a duplication in numbering, reads as follows:
62		-	A. Each patient treated in this state shall have the following
63		-	rights when being treated:
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	141	+	A. Each patient treated in this state shall have the following
	142	+	rights when being treated:
91	143		1. The right to considerate and respectful car e, provided in a
92	144		safe environment, free from all forms of abuse, neglect, harassment,
93	145		or exploitation;
94	146		2. To receive information in a manner that he or she
95	147		understands. Communications with the patient shall be effective and
96	148		provided in a manner that faci litates understanding by the patient.
97	149		Written information provided will be ap propriate to the age,
98	150		understanding, and, as appropriate, the language of the patient. As
99	151		appropriate, communications specific to the vision -, speech-,
100	152		hearing-, cognitive-, and language-impaired patient will be
101	153		provided. The hospital shall meet the requirements of federal
102	154		regulations that require program and facility accessibility;
103	155		3. To receive as much information about any proposed treatment
104	156		or procedure as he or she may nee d in order to give informed consent
105	157		or to refuse the course of treatment. Exc ept in emergencies, this
106	158		shall include a description of the procedure or treatment, the
107	159		medically significant risks involved in the procedure or treatment,
108	160		alternate courses of t reatment or nontreatment and the risks
109	161		involved in each, and the name of the person who will carry out the
110	162		procedure or treatment;
111	163		4. To receive the name of the doctor who has primary
112	164		responsibility for coordinating his or her care;
113		-	5. To have an advance directive for health care conce rning
114		-	treatment or to designate a surrogate decision-maker with the
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	216	+	5. To have an advance directive for health care concerning
	217	+	treatment or to designate a surrogate de cision-maker with the
142	218		expectation that the hospital will honor the intent of that
143	219		directive to the extent allowed by law and hospital policy. The
144	220		health care provider must advis e a patient of his or her rights
145	221		under state law and hospital policy to make informed medical
146	222		decisions, ask if the patient has an advance directive, and include
147	223		that information in patient records. The patient has the right to
148	224		timely information about ho spital policy that may limit its ability
149	225		to implement a legally valid advance directive;
150	226		6. To participate in the development and implementation of his
151	227		or her plan of care and actively participate in decisions regarding
152	228		his or her medical care;
153	229		7. To accept medical care or to refuse treatment, to the extent
154	230		permitted by law, and to be informed of the consequences of such
155	231		refusal;
156	232		8. To become informed of his or her rights as a patient in
157	233		advance of, or when discontinuing, the provision of care. The
158	234		patient may appoint a representative to receive this information
159	235		should he or she so desire;
160	236		9. To have a family member or representative of his or her
161	237		choice notified promptly of his or her admission to the hospital;
162	238		10. To request that no information regar ding his or her
163	239		admittance, diagnosis, or treatment be released;
164		-	11. To full consideration of privacy concerning his or her
165		-	medical care program. Case discussion, consultation, examination,
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	291	+	11. To full consideration of privacy concerning his or her
	292	+	medical care program. Case discussion, consultation, examination,
193	293		and treatment are confidential and should be conducted discreetl y to
194	294		protect privacy. The patient has the right to be advised as to the
195	295		reason for the presence of any individual involved in his or her
196	296		health care;
197	297		12. To access his or her medical records, including current
198	298		medical records, upon a verbal or written request, in the form and
199	299		format requested by the individual, if it is readily producible in
200	300		such form and format (including in an electronic form or format when
201	301		such medical records are maintained electronically); or, if not, in
202	302		a readable hard copy form or such other form and format as agreed to
203	303		by the facility and the individual, an d within a reasonable time
204	304		frame. The hospital must not frustrate the legitimate efforts of
205	305		individuals to gain access to their own medical records and must
206	306		actively seek to mee t these requests as quickly as its record
207	307		keeping system permits;
208	308		13. To reasonable continuity of care, when appropriate, and to
209	309		be informed by the doctor and other caregivers of available and
210	310		realistic patient care options when hospital care is no longer
211	311		appropriate;
212	312		14. To confidential treatment of all communications and records
213	313		pertaining to his or her care and stay at the hospital. The
214	314		patient’s written authorization shall be obtained before his or her
215		-	medical records can be made available to anyone not directly
216		-	concerned with his or her care;
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	366	+	medical records can be made available to anyone not directly
	367	+	concerned with his or her care;
244	368		15. To expect that, within its capacity and policies, the
245	369		hospital will make a reasonable response to the request of a patient
246	370		for appropriate and medically directed care and services. The
247	371		hospital must provid e evaluation, service, and or a referral as
248	372		indicated by the urgency of the ca se. When medically appropriate
249	373		and legally permissible, or when a patient has requested a transfer,
250	374		that patient may be transferred to another facility. The receiving
251	375		facility must have first accepted the patient for transfer. The
252	376		patient must also have the benefit of the complete information and
253	377		explanation concerning the need for, risks and benefits of, and
254	378		alternatives to such a transfer;
255	379		16. The patient or patient ’s representative has the right to
256	380		participate in the consideration of ethical issues t hat might arise
257	381		in the care of the patient. The hospital shall have a mechanism for
258	382		the consideration of ethical issues arising in the care of patients
259	383		and to provide education to caregivers and patients on ethical
260	384		issues in health care;
261	385		17. To be advised of the hospital ’s complaint or grievance
262	386		process should the patient wish to communicate a concern regarding
263	387		the quality of care he or she receives. This process shall include
264	388		whom to contact to file a complaint. The patient shall be provided
265	389		with a written notice of the complaint determination that contains
266		-	the contact information of the patient advocate or similar person or
267		-	department, the steps taken on his or her behalf to investigate the
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	441	+	the contact information of the patient advocate or similar person or
	442	+	department, the steps taken on his or her behalf to investigate the
295	443		complaint, the results of the complaint and, when possible, the
296	444		resolution of the complaint concerning the quality of care;
297	445		18. If the patient is sixty -five (65) years of age or older,
298	446		the message from Medicare outlining the rights of the elderly shall
299	447		be provided to the patient at the time of his or her admission t o
300	448		the hospital;
301	449		19. To be advised if a hospital or doctor proposes to engage in
302	450		medical education, training examinations with students or other
303	451		personnel, research studies, or human experimentation affecting the
304	452		patient’s care or treatment. The patient has the right to consent
305	453		or refuse to participate in and to have such education, training
306	454		examinations, research studies, or experiments fully explained prior
307	455		to consent. All inf ormation provided to subjects shall be contained
308	456		in the medical record or rese arch file, along with the consent
309	457		forms. Refusal to participate or discontinuation of participation
310	458		shall not compromise the patient ’s right to access care, treatment,
311	459		or services;
312	460		20. To examine and receive an explanation of his or her bill
313	461		regardless of source of payment;
314	462		21. To find publicly disclosed on any website for the hospital
315	463		any language that would put a reasonable person on notice as to
316	464		whether the hospital may be c orporately-owned or physician-owned.
317		-	For purposes of this section , a public website for the hospital does
318		-	not include, by way of example: social media websites, electronic
319	465
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	516	+	For purposes of this section, a public w ebsite for the hospital does
	517	+	not include, by way of example: social media websites, electronic
346	518		payment portals, electronic patient care portals, or electronic
347	519		health information exchanges;
348	520		22. To remain free from restraints or seclusion in any forms
349	521		that are not medically necessary or are used as a means of coercion,
350	522		discipline, convenience, or retaliation by staff;
351	523		23. To receive the visitors whom he or she designates,
352	524		including, but not limited to, a spouse, a domestic partner,
353	525		including a same-sex domestic partner, another family member, or a
354	526		friend. The patient has the right to withdraw or deny consent at
355	527		any time. Visitation shall not be restricted, limited, or otherwise
356	528		denied on the basis of race, color, national origin, religion, sex,
357	529		disease type or state, or disability; and
358	530		24. Through use of the Hospital -Issued Notice of Noncoverage,
359	531		Medicare beneficiaries have the right to be informed in advance of
360	532		procedures or treatment for which Medicare may deny payment, and
361	533		that the beneficiary may be p ersonally responsible for full payment
362	534		if Medicare denies payment.
363	535		B. A patient, guardian of a patient, or legally authorized
364	536		representative of a patient shall have the followin g
365	537		responsibilities:
366		-	1. To provide accurate and complete information concerning the
367		-	patient’s present complaints, past illnesses, hospitalizations,
368		-	medications, and other matters relating to his or her health;
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	589	+	1. To provide accurate and complete information concerning the
	590	+	patient’s present complaints, past illnesses, hospitalizations,
	591	+	medications, and other matters relating to his or her health;
396	592		2. To report perceived risks in the patient ’s care and
397	593		unexpected changes in his or her condition to the responsible health
398	594		care provider;
399	595		3. For the patient’s actions should he or she refuse treatment
400	596		or not follow his or her doctor ’s orders;
401	597		4. To ask questions when the patient does not understan d what
402	598		he or she has been told about the patient ’s care or what he or she
403	599		is expected to do;
404	600		5. To be considerate of the rights of other patients and
405	601		hospital personnel;
406	602		6. To participate in educational and discharge planning
407	603		activities necessary to ensu re that he or she has adequate knowledge
408	604		and support services to provide him o r her with a safe environment
409	605		upon discharge from the hospital;
410	606		7. To ask the doctor or nurse what to expect regarding pain
411	607		management, to discuss pain relief options with docto rs and nurses
412	608		and to help develop a pain management plan, to ask for pain relief
413	609		when pain first begins, to help doctors and nurses assess the
414	610		patient’s pain, to tell the doctors and nurses if his or her pain is
415	611		not relieved, and to tell doctors and nurses about any concerns
416	612		about taking pain medication;
417		-	8. For keeping appointments and for notifying the hospital or
418		-	doctor when he or she is unable to do so;
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	664	+	8. For keeping appointments and for notifying the hospital or
	665	+	doctor when he or she is unable to do so;
446	666		9. Being respectful of his or her personal property and that of
447	667		other patients in the hospital;
448	668		10. Following hospital procedures; and
449	669		11. Assuring that the financial obligations of his or her care
450	670		is fulfilled as promptly as possible.
451	671		C. Any minor patient has the following rights when being
452	672		treated in this state:
453	673		1. To be treated with respect in reg ards to:
454	674		a. each child and adolescent as a unique individual, and
455	675		b. the caretaking role and individual response of the
456	676		parent and legal guardian;
457	677		2. To provisions for normal physical and physiological needs of
458	678		a growing child including nutrition, rest, s leep, warmth, activity,
459	679		and freedom to move and explore. Minors shall have the right to:
460	680		a. appropriate treatment in the least restrictive
461	681		setting,
462	682		b. not receive unnecessary or excessive medication,
463	683		c. an individualized treatment plan and the right to
464	684		participate in the plan,
465	685		d. a humane treatment environment that provides
466	686		reasonable protection from harm and appropriate
467	687		privacy for personal needs,
468		-	e. separation from adult patients when possible, and
469	688
470		-	SENATE FLOOR VERSION - SB761 SFLR Page 10
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	739	+	e. separation from adult patients when possible, and
496	740		f. regular communication between the minor patient and
497	741		the patient’s family or legal guardian;
498	742		3. To consistent, supportive, and nurturing care which:
499	743		a. meets the emotional and psychosocial needs of the
500	744		minor, and
501	745		b. fosters open communication;
502	746		4. To provisions for self -esteem needs which will be met by
503	747		attempts to give the minor:
504	748		a. the reassuring presence of a parent , guardian, or
505	749		designee of the parent or guardian,
506	750		b. freedom to express feelings or fears with appropriate
507	751		reactions,
508	752		c. as much control as possible over both self and
509	753		situation,
510	754		d. opportunities to work through experiences before and
511	755		after they occur, verbally, in play, or in other
512	756		appropriate ways, and
513	757		e. recognition for coping well during difficult
514	758		situations;
515	759		5. To provisions for varied and normal stimuli of life which
516	760		contributes to cognit ive, social, emotional, and physical
517	761		developmental needs such as play, educati onal, and social activities
518	762		essential to all children and adolescents;
519	763
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546	814		6. To information about what to expect prior to, during, and
547	815		following a procedure or experience and suppo rt in coping with it;
548	816		7. To participate with the minor’s parent or guardian in
549	817		decisions affecting his or her own medical treatment; and
550	818		8. To the minimization of stay duration by recognizing
551	819		discharge planning needs.
552	820		D. All parents and legal guardians of minor patients in this
553	821		state shall have the following responsibilities:
554	822		1. To continue in their parenting role to the extent of their
555	823		ability; and
556	824		2. To be available to participate in decision -making and
557	825		provide staff with knowledge of other parent or family whereabouts.
558	826		SECTION 3. This act shall become effective November 1, 2025.
559		-	~~COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES~~
560		-	~~March 3,~~ 2025 ~~- DO PASS~~
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