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OK SB1005

OK SB1005
Hospitals; requiring hospitals to provide certain itemized statement; authorizing certain enforcement. Effective date.


summary

Introduced
02/03/2025
In Committee
02/04/2025
Crossed Over
Passed
Dead

Introduced Session

2025 Regular Session

Bill Summary

An Act relating to hospitals; requiring hospitals to implement certain policy; requiring hospitals to provide certain itemized statement 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.

AI Summary

This bill requires hospitals licensed in Oklahoma to develop and implement a comprehensive written policy for billing hospital services, which includes periodically reviewing itemized statements and establishing a complaint handling procedure. Hospitals must now automatically provide patients with detailed itemized statements within 30 business days of discharge, listing extensive information such as provider details, dates of service, specific medical codes (like CPT and HCPCS), service descriptions, charges, units of service, insurance and patient payments, and a breakdown of hospital payments and adjustments. The bill also mandates that hospitals provide similar itemized statements to third-party payors upon request within one year of receiving a claim, with the hospital required to respond within 30 business days. Hospitals may charge a reasonable fee for more than two copies of the statement. The State Department of Health is authorized to enforce these requirements through administrative penalties, injunctions, or license suspension/revocation. The law does not apply to federally maintained hospitals and will become effective on November 1, 2025. The primary aim is to increase transparency in hospital billing and provide patients and insurers with more detailed and accessible information about medical services and associated costs.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Second Reading referred to Health and Human Services (on 02/04/2025)

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