Oklahoma 2025 Regular Session

Oklahoma Senate Bill SB761 Latest Draft

Bill / Amended Version Filed 03/04/2025

                             
 
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SENATE FLOOR VERSION 
March 3, 2025 
 
 
SENATE BILL NO. 761 	By: McIntosh, Sacchieri, and 
Hamilton 
 
 
 
 
An Act relating to health care; creating the Lori 
Brand Patient Bill of Rights Act of 2025; providing 
short title; creating a list of rights for a patient 
seeking treatment; specifying certain 
responsibilities of patients seeking treatment; 
creating certain rights for minor patients seeking 
treatment; specifying certain responsibilities of 
parents of minor patients seeking treatment; 
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 3501 of Title 63, unless there 
is created a duplication in numbering, reads as follows: 
This act shall be known and may be cited as the “Lori Brand 
Patient Bill of Rights Act of 202 5”. 
SECTION 2.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 3501 .1 of Title 63, unless there 
is created a duplication in numbering, reads as follows: 
A.  Each patient treated in this state shall have the following 
rights when being treated:   
 
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1.  The right to considerate and respectful care, provided in a 
safe environment, free from all forms of abuse, neglect, harassment, 
or exploitation; 
2.  To receive information in a manner that he or she 
understands.  Communications with the patient shall be effective and 
provided in a manner that facilitates understanding by the pat ient.  
Written information provide d will be appropriate to the age, 
understanding, and, as appropriate, the language of the patient.  As 
appropriate, communications specific to the vision -, speech-, 
hearing-, cognitive-, and language-impaired patient will be 
provided.  The hospital shall meet the requirements of federal 
regulations that require program and facility accessibility; 
3.  To receive as much information about any proposed treatment 
or procedure as he or she may need in order to give informed cons ent 
or to refuse the course of tre atment.  Except in emergencies, this 
shall include a description of the procedure or treatment, the 
medically significant risks involved in the procedure or treatment, 
alternate courses of treatment or nontreatment and the risks 
involved in each, and the name of the person who will carry out the 
procedure or treatment; 
4.  To receive the name of the doctor who has primary 
responsibility for coordinating his or her care; 
5.  To have an advance directive for health care conce rning 
treatment or to designate a surrogate decision-maker with the   
 
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expectation that the hospital will honor the intent of that 
directive to the extent allowed by law and hospital policy.  The 
health care provider must advise a patient of his or her rights 
under state law and hospital policy to make informed medical 
decisions, ask if the patient has an advance directive, and include 
that information in patient records.  The patient has the right to 
timely information about hospital policy that may limit its ability 
to implement a legally va lid advance directive; 
6.  To participate in the development and implementation of his 
or her plan of care and actively participate in decisions regarding 
his or her medical care; 
7.  To accept medical care or to refuse tr eatment, to the extent 
permitted by law, and to be informed of the consequences of such 
refusal; 
8.  To become informed of his or her rights as a patient in 
advance of, or when discontinuing, the provision of care.  The 
patient may appoint a representative to receive this information 
should he or she so desire; 
9.  To have a family member or representative of his or her 
choice notified promptly of his or her admission to the hospital; 
10.  To request that no information regarding his or her 
admittance, diagnosis, or treatment be released; 
11.  To full consideration of privacy concerning his or her 
medical care program.  Case discussion, consultation, examination,   
 
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and treatment are confidential and should be conducted discreetly to 
protect privacy.  The patie nt has the right to be advised as to the 
reason for the presence of any individual involved in his or her 
health care; 
12.  To access his or her medical records, including current 
medical records, upon a verbal or written request, in the form and 
format requested by the individual, if it is readily producible in 
such form and format (including in an electronic form or format when 
such medical records are maintained electronically); or, if not, in 
a readable hard copy form or such other form and format as ag reed to 
by the facility and the in dividual, and within a reasonable time 
frame.  The hospital must not frustrate the legitimate efforts of 
individuals to gain access to their own medical records and must 
actively seek to meet these requests as quickly as i ts record 
keeping system permits; 
13.  To reasonable continuity of care, when appropriate, and to 
be informed by the doctor and other caregivers of available and 
realistic patient care options when hospital care is no longer 
appropriate; 
14.  To confidential treatment of all communications and records 
pertaining to his or her care and stay at the hospital.  The 
patient’s written authorization shall be obtained before his or her 
medical records can be made available to anyone not directly 
concerned with his or her care;   
 
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15.  To expect that, within its capacity and policies, the 
hospital will make a reasonable response to the request of a patient 
for appropriate and medically directed care and services.  The 
hospital must provide evaluation, service, and or a referral as 
indicated by the urgen cy of the case.  When medically appropriate 
and legally permissible, or when a patient has requested a transfer, 
that patient may be transferred to another facility.  The receiving 
facility must have first accepted the pat ient for transfer.  The 
patient must also have the benefit of the complete information and 
explanation concerning the need for, risks and benefits of, and 
alternatives to such a transfer; 
16.  The patient or patient ’s representative has the right to 
participate in the consideration of ethi cal issues that might arise 
in the care of the patient.  The hospital shall have a mechanism for 
the consideration of ethical issues arising in the care of patients 
and to provide education to caregivers and patients on et hical 
issues in health care; 
17.  To be advised of the hospital ’s complaint or grievance 
process should the patient wish to communicate a concern regarding 
the quality of care he or she receives.  This process shall include 
whom to contact to file a compla int.  The patient shall be provided 
with a written notice of the complaint determination that contains 
the contact information of the patient advocate or similar person or 
department, the steps taken on his or her behalf to investigate the   
 
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complaint, the results of the complaint and, when possible, the 
resolution of the complaint concerning the quality of care; 
18.  If the patient is sixty -five (65) years of age or older, 
the message from Medicare outlining the rights of the elderly shall 
be provided to the patient at the time of his or her admission to 
the hospital; 
19.  To be advised if a hospital or doctor proposes to engage in 
medical education, training examinations with students or other 
personnel, research studies, or human experimentation affecting t he 
patient’s care or treatment.  The patient has the right to consent 
or refuse to participate in and to have such education, training 
examinations, research studies, or experiments fully explained prior 
to consent.  All information provided to subjects sh all be contained 
in the medical record or research file, along with the consent 
forms.  Refusal to participate or discontinuation of participation 
shall not compromise the patient ’s right to access care, treatment, 
or services; 
20.  To examine and receive an explanation of his or her bill 
regardless of source of payment; 
21.  To find publicly disclosed on any website for the hospital 
any language that would put a reasonable person on notice as to 
whether the hospital may be corporately -owned or physician-owned.  
For purposes of this section , a public website for the hospital does 
not include, by way of example:  social media websites, electronic   
 
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payment portals, electronic patient care portals, or electronic 
health information exchanges; 
22.  To remain free from restraints or seclusion in any forms 
that are not medically necessary or are used as a means of coercion, 
discipline, convenience, or retaliation by staff; 
23.  To receive the visitors whom he or she designates, 
including, but not limited to, a spouse , a domestic partner, 
including a same-sex domestic partner, another family member, or a 
friend.  The patient has the right to withdraw or deny consent at 
any time.  Visitation shall not be restricted, limited, or otherwise 
denied on the basis of race, col or, national origin, religion, sex, 
disease type or state, or disability; and 
24.  Through use of the Hospital -Issued Notice of Noncoverage, 
Medicare beneficiaries have the right to be informed in advance of 
procedures or treatment for which Medicare may d eny payment, and 
that the beneficiary may be personally responsible for full payment 
if Medicare denies payment. 
B.  A patient, guardian of a patient, or legally authorized 
representative of a patient shall have the following 
responsibilities: 
1.  To provide accurate and complete information concerning the 
patient’s present complaints, past illnesses, hospitalizations, 
medications, and other matters relating to his or her health;   
 
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2.  To report perceived risks in the patient ’s care and 
unexpected changes in his or her condition to the respon sible health 
care provider; 
3.  For the patient’s actions should he or she refuse treatment 
or not follow his or her doctor ’s orders; 
4.  To ask questions when the patient does not understand what 
he or she has been told a bout the patient’s care or what he or she 
is expected to do; 
5.  To be considerate of the rights of other patients and 
hospital personnel; 
6.  To participate in educational and discharge planning 
activities necessary to ensure that he or she has adequate k nowledge 
and support services to p rovide him or her with a safe environment 
upon discharge from the hospital; 
7.  To ask the doctor or nurse what to expect regarding pain 
management, to discuss pain relief options with doctors and nurses 
and to help develop a pain management plan, to ask for pain relief 
when pain first begins, to help doctors and nurses assess the 
patient’s pain, to tell the doctors and nurses if his or her pain is 
not relieved, and to tell doctors and nurses about any concerns 
about taking pain medication; 
8.  For keeping appointments and for notifying the hospital or 
doctor when he or she is unable to do so;   
 
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9.  Being respectful of his or her personal property and that of 
other patients in the hospital; 
10.  Following hospital procedures; and 
11.  Assuring that the financial obligations of his or her care 
is fulfilled as promptly as possible. 
C.  Any minor patient has the following rights when being 
treated in this state: 
1.  To be treated with respect in regards to: 
a. each child and adole scent as a unique individual, and 
b. the caretaking role and individual response of the 
parent and legal guardian; 
2.  To provisions for normal physical and physiological needs of 
a growing child including nutrition, rest, sleep, warmth, activity, 
and freedom to move and explore.  Minors shall have the right to: 
a. appropriate treatment in the least restrictive 
setting, 
b. not receive unnecessary or excessive medication, 
c. an individualized treatment plan and the right to 
participate in the plan, 
d. a humane treatment environment that prov ides 
reasonable protection from harm and appropriate 
privacy for personal needs, 
e. separation from adult patients when possible, and   
 
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f. regular communication between the minor patient and 
the patient’s family or legal gua rdian; 
3.  To consistent, supportive, and nurturing care which: 
a. meets the emotional and psychosocial needs of the 
minor, and 
b. fosters open communication; 
4.  To provisions for self -esteem needs which will be met by 
attempts to give the minor: 
a. the reassuring presence of a parent , guardian, or 
designee of the parent or guardian, 
b. freedom to express feelings or fears with appropriate 
reactions, 
c. as much control as possible over both self and 
situation, 
d. opportunities to work through experiences b efore and 
after they occur, verbally, in play, or in other 
appropriate ways, and 
e. recognition for coping well during difficult 
situations; 
5.  To provisions for varied and normal stimuli of life which 
contributes to cognitive, social, emotional, and phys ical 
developmental needs such as p lay, educational, and social activities 
essential to all children and adolescents;   
 
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6.  To information about what to expect prior to, during, and 
following a procedure or experience and support in coping with it; 
7.  To participate with the minor’s parent or guardian in 
decisions affecting his or her own medical treatment; and 
8.  To the minimization of stay duration by recognizing 
discharge planning needs. 
D.  All parents and legal guardians of minor patients in this 
state shall have the following responsib ilities: 
1.  To continue in their parenting role to the extent of their 
ability; and 
2.  To be available to participate in decision -making and 
provide staff with knowledge of other parent or family whereabouts. 
SECTION 3.  This act shall become effective November 1, 2025. 
COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES 
March 3, 2025 - DO PASS