Bill > SB1443

This bill requires health benefit plans, which are defined as insurance policies or similar coverage documents providing benefits for medical or surgical expenses, to consider specific factors when determining payments for anesthesia services, which are defined by prevailing medical coding and billing standards. Specifically, these plans must account for the patient's physical status, including the use of physical status modifiers (like ASA III, IV, or V, indicating increasing severity of disease or threat to life), and the complexity and urgency of the care provided, as determined by the treating physician. Furthermore, the bill mandates that physical status modifiers be paid according to corresponding base unit values to the treating physician for patients categorized as ASA III, IV, or V, with higher base unit values assigned to more severe patient classifications. This act is set to become effective on November 1, 2026.

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http://www.oklegislature.gov/BillInfo.aspx?Bill=sb1443&Session=2600