Oklahoma 2025 Regular Session

Oklahoma Senate Bill SB889 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1
2	2
3		-	SB889 HFLR Page 1
4		-	BOLD FACE denotes Committee Amendments. 1
	3	+	Req. No. 13543 Page 1 1
5	4		2
6	5		3
7	6		4
8	7		5
9	8		6
10	9		7
11	10		8
12	11		9
13	12		10
14	13		11
15	14		12
16	15		13
17	16		14
18	17		15
19	18		16
20	19		17
21	20		18
22	21		19
23	22		20
24	23		21
25	24		22
26	25		23
27	26		24
28	27
29		-	HOUSE OF REPRESENTATIVES - FLOOR VERSION
30		-
31	28		STATE OF OKLAHOMA
32	29
33	30		1st Session of the 60th Legislature (2025)
34	31
35	32		COMMITTEE SUBSTITUTE
36	33		FOR ENGROSSED
37	34		SENATE BILL NO. 889 By: Murdock, Bullard,
38	35		Bergstrom, Frix, Jett,
39	36		Grellner, Sacchieri,
40	37		McIntosh, and Deevers of
41	38		the Senate
42	39
43	40		and
44	41
45		-	Lepak, Cantrell, Wolfley,
46		-	Sneed, Ford, Humphrey,
47		-	Williams, Woolley, Olsen,
48		-	Banning, Hildebrant, and
49		-	Luttrell of the House
	42	+	Lepak of the House
	43	+
	44	+
50	45
51	46
52	47
53	48		COMMITTEE SUBSTITUTE
54	49
55	50		An Act relating to hospitals; defining terms;
56	51		requiring hospitals to make public certain file and
57	52		list; stating requirements for list of standard
58	53		charges; requiring certain digital publication of
59	54		specified information; requiring certai n online
60	55		display of list; stipulating requirements related to
61	56		accessibility and formatting of list; requiring
62	57		annual update of list; stating requirements for list
63	58		of standard charges and selection of shoppable
64	59		services; requiring list to include certain
65	60		information; directing certain display and
66	61		availability of list; authorizing certain compliance
67	62		monitoring by the State Department of Health;
68	63		authorizing certain actions for noncompliance;
69	64		defining material violation; authorizing issuance of
70	65		certain notice upon certain determination; specifying
71	66		certain requirements for corrective action plans;
72	67		prohibiting certain collection actions by
73	68		noncompliant hospitals; authorizing certain civil
74	69		actions; imposing certain requirements on hospitals
75	70		found noncompliant; prov iding certain construction;
	71	+	amending 63 O.S. 2021, Section 1 -725.2, which relates
	72	+	to definitions in the Transparency in Health Care
	73	+	Prices Act; excluding hospitals; providing for
	74	+	codification; and providing an effective date.
76	75
77		-	SB889 HFLR Page 2
78		-	BOLD FACE denotes Committee Amendments. 1
	76	+	Req. No. 13543 Page 2 1
79	77		2
80	78		3
81	79		4
82	80		5
83	81		6
84	82		7
85	83		8
86	84		9
87	85		10
88	86		11
89	87		12
90	88		13
91	89		14
92	90		15
93	91		16
94	92		17
95	93		18
96	94		19
97	95		20
98	96		21
99	97		22
100	98		23
101	99		24
102	100
103		-	amending 63 O.S. 2021, Section 1 -725.2, which relates
104		-	to definitions in the Transpare ncy in Health Care
105		-	Prices Act; excluding hospitals; providing for
106		-	codification; and providing an effective date.
107		-
108		-
109		-
110		-
111	101		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
112	102		SECTION 1. NEW LAW A new section of law to be codified
113	103		in the Oklahoma Statutes as Section 1 -725.11 of Title 63, unless
114	104		there is created a duplication in numbering, reads as follows:
115	105		As used in this act:
116	106		1. “Ancillary service” means a hospital item or service that a
117	107		hospital customarily provides as part of a shoppable service;
118	108		2. “Chargemaster” means the list of all hospital items or
119	109		services maintained by a hospital for which the hospital has
120	110		established a charge;
121	111		3. “De-identified maximum negotiated charge” means the highest
122	112		charge that a hospital has negotiated with all third -party payors
123	113		for a hospital item or service;
124	114		4. “De-identified minimum negotiated charge” means the lowest
125	115		charge that a hospital has negotiated with all third -party payors
126	116		for a hospital item or service;
127	117		5. “Department” means the State Department of Health;
128	118		6. “Discounted cash price” means the charge that applies to an
129	119		individual who pays cash, or a cash equivalent, for a hospital item
130	120		or service;
	121	+	7. “Gross charge” means the charge for a hospital item or
	122	+	service that is reflected on a hospital’s chargemaster, absent any
	123	+	discounts;
	124	+	8. “Hospital” means a hospital:
131	125
132		-	SB889 HFLR Page 3
133		-	BOLD FACE denotes Committee Amendments. 1
	126	+	Req. No. 13543 Page 3 1
134	127		2
135	128		3
136	129		4
137	130		5
138	131		6
139	132		7
140	133		8
141	134		9
142	135		10
143	136		11
144	137		12
145	138		13
146	139		14
147	140		15
148	141		16
149	142		17
150	143		18
151	144		19
152	145		20
153	146		21
154	147		22
155	148		23
156	149		24
157	150
158		-	7. “Gross charge” means the charge for a hospital item or
159		-	service that is reflected on a h ospital’s chargemaster, absent any
160		-	discounts;
161		-	8. “Hospital” means a hospital:
162	151		a. licensed under Section 1 -702 of Title 63 of the
163	152		Oklahoma Statutes, or
164	153		b. owned or operated by a state agency;
165	154		9. “Hospital items or services” means all items and services,
166	155		including individual items and services and service packages, that
167	156		may be provided by a hospital to a patient in connection with an
168	157		inpatient admission or an outpatient department visit, as
169	158		applicable, for which the hospital has established a standard
170	159		charge, including:
171	160		a. supplies and procedures,
172	161		b. room and board,
173	162		c. use of the facility and other areas, generally
174	163		referred to as facility fees,
175	164		d. services of physicians and non -physician
176	165		practitioners, generally referred to as professional
177	166		charges, and
178	167		e. any other item or service for which a hospital has
179	168		established a standard charge;
180	169		10. “Machine-readable format” means a digital representation of
181	170		information in a file that can be imported or read into a computer
	171	+	system for further processing. The term includes Extensible Markup
	172	+	Language (.XML), JavaScript Object Notation (.JSON), and Comma -
	173	+	Separated Values (.CSV) formats;
182	174
183		-	SB889 HFLR Page 4
184		-	BOLD FACE denotes Committee Amendments. 1
	175	+	Req. No. 13543 Page 4 1
185	176		2
186	177		3
187	178		4
188	179		5
189	180		6
190	181		7
191	182		8
192	183		9
193	184		10
194	185		11
195	186		12
196	187		13
197	188		14
198	189		15
199	190		16
200	191		17
201	192		18
202	193		19
203	194		20
204	195		21
205	196		22
206	197		23
207	198		24
208	199
209		-	system for further processing. The term inc ludes Extensible Markup
210		-	Language (.XML), JavaScript Object Notation (.JSON), and Comma -
211		-	Separated Values (.CSV) formats;
212	200		11. “Payor-specific negotiated charge” means the charge that a
213	201		hospital has negotiated with a third -party payor for a hospital item
214	202		or service;
215	203		12. “Service package” means an aggregation of individual
216	204		hospital items or services into a single service with a single
217	205		charge;
218	206		13. “Shoppable service” means a service that may be scheduled
219	207		by a health care consumer in advance;
220	208		14. “Standard charge” means the regular rate established by the
221	209		hospital for a hospital item or service provided to a specific group
222	210		of paying patients. The term includes all of the following, as
223	211		defined under this section:
224	212		a. the gross charge,
225	213		b. the payor-specific negotiated charge,
226	214		c. the de-identified minimum negotiated charge,
227	215		d. the de-identified maximum negotiated charge, and
228	216		e. the discounted cash price; an d
229	217		15. “Third-party payor” means an entity that is, by statute,
230	218		contract, or agreement, legally responsible for payment of a claim
231	219		for a hospital item or service.
	220	+	SECTION 2. NEW LAW A new section of law to be codified
	221	+	in the Oklahoma Statutes as Section 1 -725.12 of Title 63, unless
	222	+	there is created a duplication in numbering, reads as follows:
	223	+	Notwithstanding any other law, a hospital shall make public:
232	224
233		-	SB889 HFLR Page 5
234		-	BOLD FACE denotes Committee Amendments. 1
	225	+	Req. No. 13543 Page 5 1
235	226		2
236	227		3
237	228		4
238	229		5
239	230		6
240	231		7
241	232		8
242	233		9
243	234		10
244	235		11
245	236		12
246	237		13
247	238		14
248	239		15
249	240		16
250	241		17
251	242		18
252	243		19
253	244		20
254	245		21
255	246		22
256	247		23
257	248		24
258	249
259		-	SECTION 2. NEW LAW A new section of law to be codified
260		-	in the Oklahoma Statutes as Section 1 -725.12 of Title 63, unless
261		-	there is created a duplication in numbering, reads as foll ows:
262		-	Notwithstanding any other law, a hospital shall make public:
263	250		1. A digital file in a machine -readable format that contains a
264	251		list of all standard charges for all hospital items or services as
265	252		described by Section 3 of this act; and
266	253		2. A consumer-friendly list of standard charges for a limited
267	254		set of shoppable services as provided in Section 4 of this act.
268	255		SECTION 3. NEW LAW A new section of law to be codified
269	256		in the Oklahoma Statutes as Section 1 -725.13 of Title 63, unless
270	257		there is created a duplication in numbering, reads as follows:
271	258		A. A hospital shall:
272	259		1. Maintain a list of all standard charges for all hospital
273	260		items or services in accordance with this section; and
274	261		2. Ensure the list required under paragraph 1 of this
275	262		subsection is available at all times to the public, including by
276	263		posting the list electronically in the manner provided by this
277	264		section.
278	265		B. The standard charges contained in the list required to be
279	266		maintained by a hospital under subsection A of this section shall
280	267		reflect the standard charges applicable to that location of the
281	268		hospital, regardless of whether the hospital operates in more than
282	269		one location or operates under the same license as another hospital.
	270	+	C. The list required under subsection A of this section shall
	271	+	include the following items, as applicable:
	272	+	1. A description of each hospital item or service provided by
	273	+	the hospital;
283	274
284		-	SB889 HFLR Page 6
285		-	BOLD FACE denotes Committee Amendments. 1
	275	+	Req. No. 13543 Page 6 1
286	276		2
287	277		3
288	278		4
289	279		5
290	280		6
291	281		7
292	282		8
293	283		9
294	284		10
295	285		11
296	286		12
297	287		13
298	288		14
299	289		15
300	290		16
301	291		17
302	292		18
303	293		19
304	294		20
305	295		21
306	296		22
307	297		23
308	298		24
309	299
310		-	C. The list required under subsection A of this se ction shall
311		-	include the following items, as applicable:
312		-	1. A description of each hospital item or service provided by
313		-	the hospital;
314	300		2. The following charges for each individual hospital item or
315	301		service when provided in either an inpatient setting or an
316	302		outpatient department setting, as applicable:
317	303		a. the gross charge,
318	304		b. the de-identified minimum negotiated charge,
319	305		c. the de-identified maximum nego tiated charge,
320	306		d. the discounted cash price, and
321	307		e. the payor-specific negotiated charge, listed by the
322	308		name of the third-party payor and plan associated with
323	309		the charge and displayed in a manner that clearly
324	310		associates the charge with each third -party payor and
325	311		plan; and
326	312		3. Any code used by the hospital for purposes of accounting or
327	313		billing for the hospital item or service, including the Current
328	314		Procedural Terminology (CPT) code, the Healthcare Common Procedure
329	315		Coding System (HCPCS) code, the Diagnosis Re lated Group (DRG) code,
330	316		the National Drug Code (NDC), or other common identifier.
331	317		D. The information contained in the list required under
332	318		subsection A of this section shall be published in a single digital
333	319		file that is in a machine -readable format.
	320	+	E. The list required under subsection A of this section shall
	321	+	be displayed in a prominent location on the hospital’s publicly
	322	+	accessible Internet website. If the hospital operates multiple
	323	+	locations and maintains a single Internet website, the list required
334	324
335		-	SB889 HFLR Page 7
336		-	BOLD FACE denotes Committee Amendments. 1
	325	+	Req. No. 13543 Page 7 1
337	326		2
338	327		3
339	328		4
340	329		5
341	330		6
342	331		7
343	332		8
344	333		9
345	334		10
346	335		11
347	336		12
348	337		13
349	338		14
350	339		15
351	340		16
352	341		17
353	342		18
354	343		19
355	344		20
356	345		21
357	346		22
358	347		23
359	348		24
360	349
361		-	E. The list required under subsection A of this section shall
362		-	be displayed in a prominent location on the hospital ’s publicly
363		-	accessible Internet website. If the hospital operates multiple
364		-	locations and maintains a single Internet website, the list required
365	350		under subsection A of this section shall be posted for each location
366	351		the hospital operates in a manner that clearly associates the list
367	352		with the applicable location of the hospital.
368	353		F. The list required under subsection A of this section shall:
369	354		1. Be available:
370	355		a. free of charge,
371	356		b. without having to establish a user account or
372	357		password, and
373	358		c. without having to submit personal identifying
374	359		information;
375	360		2. Be digitally searchable; and
376	361		3. Use the Centers for Medicare and Medicaid Services naming
377	362		convention specified under 45 C.F.R., Section 180.50.
378	363		G. The hospital shall update the list required under subsection
379	364		A of this section at least once each year. The hospital shall
380	365		clearly indicate the date on which the list was most recently
381	366		updated, either on the list or in a manner that is clearly
382	367		associated with the list.
	368	+	SECTION 4. NEW LAW A new section of law to be codified
	369	+	in the Oklahoma Statutes as Section 1 -725.14 of Title 63, unless
	370	+	there is created a duplication in numbering, reads as follows:
	371	+	A. Except as provided by subsection C of this section, a
	372	+	hospital shall maintain and make publicly available a list of the
	373	+	standard charges described by Section 3 of this act for each of at
383	374
384		-	SB889 HFLR Page 8
385		-	BOLD FACE denotes Committee Amendments. 1
	375	+	Req. No. 13543 Page 8 1
386	376		2
387	377		3
388	378		4
389	379		5
390	380		6
391	381		7
392	382		8
393	383		9
394	384		10
395	385		11
396	386		12
397	387		13
398	388		14
399	389		15
400	390		16
401	391		17
402	392		18
403	393		19
404	394		20
405	395		21
406	396		22
407	397		23
408	398		24
409	399
410		-	SECTION 4. NEW LAW A ne w section of law to be codified
411		-	in the Oklahoma Statutes as Section 1 -725.14 of Title 63, unless
412		-	there is created a duplication in numbering, reads as follows:
413		-	A. Except as provided by subsection C of this section, a
414		-	hospital shall maintain and make publi cly available a list of the
415		-	standard charges described by Section 3 of this act for each of at
416	400		least three hundred shoppable services provided by t he hospital.
417	401		The hospital may select the shoppable services to be included in the
418	402		list, except that the list shall include:
419	403		1. The seventy services specified as shoppable services by the
420	404		Centers for Medicare and Medicaid Services; or
421	405		2. If the hospital does not provide all of the shoppable
422	406		services described by paragraph 1 of this subsection, as many of
423	407		those shoppable services the hospital does provide.
424	408		B. In selecting a shoppable service for purposes of inclusion
425	409		in the list required under subsection A of this section, a hospital
426	410		shall consider how frequently the hospital provides the service and
427	411		the hospital’s billing rate for that service.
428	412		C. If a hospital does not provide three hundred shoppable
429	413		services, the hospital shall maintain a list of the t otal number of
430	414		shoppable services that the hospital provides in a manner that
431	415		otherwise complies with the requirements of subsection A of this
432	416		section.
	417	+	D. The list required under subsection A or C of this section,
	418	+	as applicable, shall:
	419	+	1. Include:
	420	+	a. a plain-language description of each shoppable service
	421	+	included on the list,
	422	+	b. the payor-specific negotiated charge that applies to
	423	+	each shoppable service included on the list and any
433	424
434		-	SB889 HFLR Page 9
435		-	BOLD FACE denotes Committee Amendments. 1
	425	+	Req. No. 13543 Page 9 1
436	426		2
437	427		3
438	428		4
439	429		5
440	430		6
441	431		7
442	432		8
443	433		9
444	434		10
445	435		11
446	436		12
447	437		13
448	438		14
449	439		15
450	440		16
451	441		17
452	442		18
453	443		19
454	444		20
455	445		21
456	446		22
457	447		23
458	448		24
459	449
460		-	D. The list required under subsection A or C of this section,
461		-	as applicable, shall:
462		-	1. Include:
463		-	a. a plain-language description of each shoppable service
464		-	included on the list,
465		-	b. the payor-specific negotiated ch arge that applies to
466		-	each shoppable service included on the list and any
467	450		ancillary service, listed by the name of the third -
468	451		party payor and plan as sociated with the charge and
469	452		displayed in a manner that clearly associates the
470	453		charge with the third -party payor and plan,
471	454		c. the discounted cash price that applies to each
472	455		shoppable service included on the list and any
473	456		ancillary service or, if the hospita l does not offer a
474	457		discounted cash price for one or more of the shoppable
475	458		or ancillary services on the list, the gross charge
476	459		for the shoppable service or ancillary service, as
477	460		applicable,
478	461		d. the de-identified minimum negotiated charge that
479	462		applies to each shoppable service included on the list
480	463		and any ancillary service,
481	464		e. the de-identified maximum negotiated charge that
482	465		applies to each shoppable service included on the list
483	466		and any ancillary service, and
	467	+	f. any code used by the hospital for purposes of
	468	+	accounting or billing for each shoppable service
	469	+	included on the list and any ancillary service,
	470	+	including the Current Procedural Terminology (CPT)
	471	+	code, the Healthcare Common Procedure Coding System
	472	+	(HCPCS) code, the Diagnosis Related Group (DRG) code,
484	473
485		-	SB889 HFLR Page 10
486		-	BOLD FACE denotes Committee Amendments. 1
	474	+	Req. No. 13543 Page 10 1
487	475		2
488	476		3
489	477		4
490	478		5
491	479		6
492	480		7
493	481		8
494	482		9
495	483		10
496	484		11
497	485		12
498	486		13
499	487		14
500	488		15
501	489		16
502	490		17
503	491		18
504	492		19
505	493		20
506	494		21
507	495		22
508	496		23
509	497		24
510	498
511		-	f. any code used by the hospital for purposes of
512		-	accounting or billing for each shoppable service
513		-	included on the list and any ancillary service,
514		-	including the Current Procedural Terminology (CPT)
515		-	code, the Healthcare Common Procedure Coding System
516		-	(HCPCS) code, the Diagnosis Related Group (DRG) code,
517	499		the National Drug Code (NDC), or other common
518	500		identifier; and
519	501		2. If applicable:
520	502		a. state each location at which the hospital provides the
521	503		shoppable service and whether the standard charges
522	504		included in the list apply at that location to the
523	505		provision of that shoppable service in an inpatient
524	506		setting, an outpatient department setting, or in both
525	507		of those settings, as applicable, and
526	508		b. indicate if one or more of the shoppable services
527	509		specified by the Centers for Medicare and Medicaid
528	510		Services is not provided by the hospital.
529	511		E. The list required under subsection A or C of this section,
530	512		as applicable, shall be:
531	513		1. Displayed in the manner prescribed by subsection E of
532	514		Section 3 of this act for the list required under that section;
533	515		2. Available:
534	516		a. free of charge,
	517	+	b. without having to register or establish a user account
	518	+	or password, and
	519	+	c. without having to submit personal identifying
	520	+	information;
	521	+	3. Searchable by service description, billing code, and payor;
	522	+	and
535	523
536		-	SB889 HFLR Page 11
537		-	BOLD FACE denotes Committee Amendments. 1
	524	+	Req. No. 13543 Page 11 1
538	525		2
539	526		3
540	527		4
541	528		5
542	529		6
543	530		7
544	531		8
545	532		9
546	533		10
547	534		11
548	535		12
549	536		13
550	537		14
551	538		15
552	539		16
553	540		17
554	541		18
555	542		19
556	543		20
557	544		21
558	545		22
559	546		23
560	547		24
561	548
562		-	b. without having to register or establish a user account
563		-	or password, and
564		-	c. without having to submit per sonal identifying
565		-	information;
566		-	3. Searchable by service description, billing code, and payor;
567		-	and
568	549		4. Updated in the manner prescribed by subsecti on G of Section
569	550		3 of this act for the list required under that section.
570	551		F. Notwithstanding any other provision of this section, a
571	552		hospital is considered to meet the requirements of this section if
572	553		the hospital maintains, as determined by the State Departm ent of
573	554		Health, an Internet-based price estimator tool that:
574	555		1. Provides a cost estimate for each shoppable service and any
575	556		ancillary service included on the list maintained by the hospital
576	557		under subsection A of this section;
577	558		2. Allows a person to obtain an estimate of the amount the
578	559		person will be obligated to pay the hospital if the person elects to
579	560		use the hospital to provide the service; and
580	561		3. Is:
581	562		a. prominently displayed on the hospital’s publicly
582	563		accessible Internet website, and
583	564		b. accessible to the public:
584	565		(1) without charge, and
	566	+	(2) without having to register or establish a user
	567	+	account or password.
	568	+	SECTION 5. NEW LAW A new section of law to be codified
	569	+	in the Oklahoma Statutes as Section 1 -725.15 of Title 63, unless
	570	+	there is created a duplication in numbering, reads as follows:
585	571
586		-	SB889 HFLR Page 12
587		-	BOLD FACE denotes Committee Amendments. 1
	572	+	Req. No. 13543 Page 12 1
588	573		2
589	574		3
590	575		4
591	576		5
592	577		6
593	578		7
594	579		8
595	580		9
596	581		10
597	582		11
598	583		12
599	584		13
600	585		14
601	586		15
602	587		16
603	588		17
604	589		18
605	590		19
606	591		20
607	592		21
608	593		22
609	594		23
610	595		24
611	596
612		-	(2) without having to register or establish a user
613		-	account or password.
614		-	SECTION 5. NEW LAW A new section of law to be codified
615		-	in the Oklahoma Statutes as Section 1 -725.15 of Title 63, unless
616		-	there is created a duplication in numbering, reads as follows:
617	597		A. The State Department of Health may monitor each hospital’s
618	598		compliance with the requirements of this act using any of the
619	599		following methods:
620	600		1. Evaluating complaints made by persons to the Depart ment
621	601		regarding noncompliance with this act;
622	602		2. Reviewing any analysis prepared regarding noncompliance with
623	603		this act; and
624	604		3. Auditing the Internet websites of hospitals for compliance
625	605		with this act.
626	606		B. If the Department determines that a hospital is not in
627	607		compliance with a provision of this act, the Department may take any
628	608		of the following actions:
629	609		1. Provide a written notice to the hospital that clearly
630	610		explains the manner in which the hospital is not in compliance with
631	611		this act;
632	612		2. Request a correct ive action plan from the hospital if the
633	613		hospital has materially violated a provision of this act, as
634	614		determined under Section 6 of this act; and
	615	+	3. Impose an administrative penalty on the hospital and
	616	+	publicize the penalty on the Department’s Internet we bsite if the
	617	+	hospital fails to:
	618	+	a. respond to the Department’s request to submit a
	619	+	corrective action plan, or
635	620
636		-	SB889 HFLR Page 13
637		-	BOLD FACE denotes Committee Amendments. 1
	621	+	Req. No. 13543 Page 13 1
638	622		2
639	623		3
640	624		4
641	625		5
642	626		6
643	627		7
644	628		8
645	629		9
646	630		10
647	631		11
648	632		12
649	633		13
650	634		14
651	635		15
652	636		16
653	637		17
654	638		18
655	639		19
656	640		20
657	641		21
658	642		22
659	643		23
660	644		24
661	645
662		-	3. Impose an administrative penalty on the hospital and
663		-	publicize the penalty on the Department’s Internet website if the
664		-	hospital fails to:
665		-	a. respond to the Department’s request to submit a
666		-	corrective action plan, or
667	646		b. comply with the requirements of a corrective action
668	647		plan submitted to the Department.
669	648		SECTION 6. NEW LAW A new section of law to be codified
670	649		in the Oklahoma Statutes as Section 1 -725.16 of Title 63, unless
671	650		there is created a duplication in numbering, reads as follows:
672	651		A. A hospital materially violates this act if the hospital
673	652		fails to publicize:
674	653		1. Pricing information as required by Section 2 of this act; or
675	654		2. The hospital’s standard charges in the form and manner
676	655		required by Sections 3 and 4 of this act.
677	656		B. If the State Department of Health determines that a hospital
678	657		has materially violated this act, the Department ma y issue a notice
679	658		of material violation to the hospital and request that the hospital
680	659		submit a corrective action plan. The notice shall indicate the form
681	660		and manner in which the corrective action plan shall be submitted to
682	661		the Department, and clearly state the date by which the hospital
683	662		shall submit the plan.
684	663		C. A hospital that receives a notice under subsection B of this
685	664		section shall:
	665	+	1. Submit a corrective action plan in the form and manner, and
	666	+	by the specified date, prescribed by the notice of violat ion; and
	667	+	2. As soon as practicable after submission of a corrective
	668	+	action plan to the Department, act to comply with the plan.
	669	+	D. A corrective action plan submitted to the Department shall:
686	670
687		-	SB889 HFLR Page 14
688		-	BOLD FACE denotes Committee Amendments. 1
	671	+	Req. No. 13543 Page 14 1
689	672		2
690	673		3
691	674		4
692	675		5
693	676		6
694	677		7
695	678		8
696	679		9
697	680		10
698	681		11
699	682		12
700	683		13
701	684		14
702	685		15
703	686		16
704	687		17
705	688		18
706	689		19
707	690		20
708	691		21
709	692		22
710	693		23
711	694		24
712	695
713		-	1. Submit a corrective action plan in the form and manner, and
714		-	by the specified date, prescribed by the notice of violation; and
715		-	2. As soon as practicable after submission of a corrective
716		-	action plan to the Department, act to co mply with the plan.
717		-	D. A corrective action plan submitted to the Department shall:
718	696		1. Describe in detail the corrective action the hospital will
719	697		take to address any violation identified by the Department in the
720	698		notice provided under subsection B of this section; and
721	699		2. Provide a date by which the hospital will complete the
722	700		corrective action described by paragraph 1 of this subsection.
723	701		E. A corrective action plan is subject to review and approval
724	702		by the Department. After the Department reviews and approves a
725	703		hospital’s corrective action plan, the Department shall monitor and
726	704		evaluate the hospital’s compliance with the plan.
727	705		F. A hospital is consi dered to have failed to respond to the
728	706		Department’s request to submit a corrective action plan if the
729	707		hospital fails to submit a corrective action plan:
730	708		1. In the form and manner specified in the notice provided
731	709		under subsection B of this section; or
732	710		2. By the date specified in the notice provided under
733	711		subsection B of this section.
734	712		G. A hospital is considered to have failed to comply with a
735	713		corrective action plan if the hospital fails to address a violation
736	714		within the specified period of time contained in the plan.
	715	+	SECTION 7. NEW LAW A new section of law to be codified
	716	+	in the Oklahoma Statutes as Section 1 -725.17 of Title 63, unless
	717	+	there is created a duplication in numbering, reads as follows:
	718	+	A. A hospital that is not in materi al compliance with this act
	719	+	on the date that items or services are purchased from or provided to
737	720
738		-	SB889 HFLR Page 15
739		-	BOLD FACE denotes Committee Amendments. 1
	721	+	Req. No. 13543 Page 15 1
740	722		2
741	723		3
742	724		4
743	725		5
744	726		6
745	727		7
746	728		8
747	729		9
748	730		10
749	731		11
750	732		12
751	733		13
752	734		14
753	735		15
754	736		16
755	737		17
756	738		18
757	739		19
758	740		20
759	741		21
760	742		22
761	743		23
762	744		24
763	745
764		-	SECTION 7. NEW LAW A new section of law to be codified
765		-	in the Oklahoma Statutes as Section 1 -725.17 of Title 63, unless
766		-	there is created a duplication in numbering, reads as follows:
767		-	A. A hospital that is not in material compliance with this act
768		-	on the date that items or services are purchased from or provided to
769	746		a patient by the hospital shall not initiate or pursue collection
770	747		action against the patient or patient guarantor for a debt owed for
771	748		the items or services.
772	749		B. If a patient believes that a hospital was not in material
773	750		compliance with this act on a date on or after the effective date of
774	751		this act that items or services were purchased by or provided to the
775	752		patient, and the hospital takes a collection action agains t the
776	753		patient or patient guarantor, the patient or patient guarantor may
777	754		file suit to determine if the hospital was materially out of
778	755		compliance with this act on the date of service and if the
779	756		noncompliance is related to the items or services. The hospita l
780	757		shall not take a collection action against the patient or patient
781	758		guarantor while the lawsuit is pending.
782	759		C. A hospital that has been found by a judge or jury to be
783	760		materially out of compliance with this act:
784	761		1. Shall refund the payor any amount of the debt the payor has
785	762		paid and shall pay a penalty to the patient or patient guarantor in
786	763		an amount equal to the total amount of the debt;
	764	+	2. Shall dismiss or cause to be dismissed any court action with
	765	+	prejudice and pay any reasonable attorney fees and cos ts incurred by
	766	+	the patient or patient guarantor relating to the action; and
	767	+	3. Shall remove or cause to be removed from the patient’s or
	768	+	patient guarantor’s credit report any report made to a consumer
	769	+	reporting agency relating to the debt.
787	770
788		-	SB889 HFLR Page 16
789		-	BOLD FACE denotes Committee Amendments. 1
	771	+	Req. No. 13543 Page 16 1
790	772		2
791	773		3
792	774		4
793	775		5
794	776		6
795	777		7
796	778		8
797	779		9
798	780		10
799	781		11
800	782		12
801	783		13
802	784		14
803	785		15
804	786		16
805	787		17
806	788		18
807	789		19
808	790		20
809	791		21
810	792		22
811	793		23
812	794		24
813	795
814		-	2. Shall dismiss or cause to be dismissed any court action with
815		-	prejudice and pay any reasonable attorney fees and costs incurred by
816		-	the patient or patient guarantor relating to the action; and
817		-	3. Shall remove or cause to be r emoved from the patient’s or
818		-	patient guarantor’s credit report any report made to a consumer
819		-	reporting agency relating to the debt.
820	796		D. Nothing in this act:
821	797		1. Prohibits a hospital from billing a patient, patient
822	798		guarantor, or third-party payor, including a health insurer, for
823	799		items or services provided to the patient; or
824	800		2. Requires a hospital to refund any payment made to the
825	801		hospital for items o r services provided to the patient, as long as
826	802		no collection action is taken in violation of this act.
827	803		SECTION 8. AMENDATORY 63 O.S. 2021, Section 1 -725.2, is
828	804		amended to read as follows:
829	805		Section 1-725.2. As used in the Transparency in Health Care
830	806		Prices Act:
831	807		1. "Agency" means a government department, agency or a
832	808		government-created entity;
833	809		2. "CPT code" means the Current Procedural Terminology code, or
834	810		its successor code, as developed and copyrighted by the American
835	811		Medical Association or its successor entity;
836	812		3. "Health care facility" means a facility licensed or certified
837	813		by the State Department of Health, but shall not include a nursing
	814	+	care facility, assisted living facility or, home care agency, or
	815	+	hospital;
	816	+	4. "Health care price" means the cash price that a health care
	817	+	provider or health care facility will charge a recipient for health
	818	+	care services that will be rendered. Health care price is the price
	819	+	charged for the standard service for the particular diagnosis and
838	820
839		-	SB889 HFLR Page 17
840		-	BOLD FACE denotes Committee Amendments. 1
	821	+	Req. No. 13543 Page 17 1
841	822		2
842	823		3
843	824		4
844	825		5
845	826		6
846	827		7
847	828		8
848	829		9
849	830		10
850	831		11
851	832		12
852	833		13
853	834		14
854	835		15
855	836		16
856	837		17
857	838		18
858	839		19
859	840		20
860	841		21
861	842		22
862	843		23
863	844		24
864	845
865		-	care facility, assisted living facility or, home care agency, or
866		-	hospital;
867		-	4. "Health care price" means the cash price that a health care
868		-	provider or health care facility will charge a recipient for hea lth
869		-	care services that will be rendered. Health care price is the price
870		-	charged for the standard service for the particular diagnosis and
871	846		does not include any amount that may be charged for complications or
872	847		exceptional treatment;
873	848		5. "Health care provider" means a person who is licensed,
874	849		certified or registered by this state to provide health care
875	850		services or a medical group, independent practice as sociation or
876	851		professional corporation providing health care services;
877	852		6. "Health care services" or "services" means services included
878	853		in, or incidental to, furnishing to an individual:
879	854		a. medical, mental, dental or optometric care or
880	855		hospitalization, or
881	856		b. other services for the purpose of preventing,
882	857		alleviating, curing or healing a physical or mental
883	858		illness or injury;
884	859		7. "Recipient" means an individual who receives health care
885	860		services from a health care provider or health care facility; and
886	861		8. "Specialty service line" means health care services rendered
887	862		by a specific medical specialist to include, but not be limited to:
888	863		a. general surgery,
	864	+	b. obstetrics or gynecology,
	865	+	c. cardiology,
	866	+	d. urology,
	867	+	e. ophthalmology,
	868	+	f. neurology/neurosurgery,
	869	+	g. orthopedics,
889	870
890		-	SB889 HFLR Page 18
891		-	BOLD FACE denotes Committee Amendments. 1
	871	+	Req. No. 13543 Page 18 1
892	872		2
893	873		3
894	874		4
895	875		5
896	876		6
897	877		7
898	878		8
899	879		9
900	880		10
901	881		11
902	882		12
903	883		13
904	884		14
905	885		15
906	886		16
907	887		17
908	888		18
909	889		19
910	890		20
911	891		21
912	892		22
913	893		23
914	894		24
915	895
916		-	b. obstetrics or gynecology,
917		-	c. cardiology,
918		-	d. urology,
919		-	e. ophthalmology,
920		-	f. neurology/neurosurgery,
921		-	g. orthopedics,
922	896		h. hematology/oncology,
923	897		i. pathology,
924	898		j. radiology,
925	899		k. emergency medicine,
926	900		l. physical therapy, or
927	901		m. another specialty service provided by a health care
928	902		facility.
929	903		SECTION 9. This act shall become effective November 1, 2025.
930	904
931		-	COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES
932		-	OVERSIGHT, dated 04/16/2025 - DO PASS, As Amended and Coau thored.
	905	+	60-1-13543 TJ 04/16/25
	906	+
	907	+