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Bill > HB3647


OK HB3647

OK HB3647
Health information; Oklahoma Health Care Transparency Initiative Act of 2026; Office of the State Coordinator for Health Information Exchange; powers and duties; state-designated entity; time period requirement; exemptions; terms; governance and oversight; voluntary submission; health benefit plan, person, or entity; compliance; submission of public health data for integration into the initiative; unique identifier; confidentiality, privacy, and security of data; use or disclosure of data; const


summary

Introduced
02/02/2026
In Committee
02/25/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An Act relating to health information; creating the Oklahoma Health Care Transparency Initiative Act of 2026; amending Section 1, Chapter 250, O.S.L. 2022 (63 O.S. Supp. 2025, Section 1-132.1), which relates to the Office of the State Coordinator for Health Information Exchange; modifying powers and duties of the Office; amending 63 O.S. 2021, Section 1-133, as last amended by Section 1, Chapter 243, O.S.L. 2024 (63 O.S. Supp. 2025, Section 1-133), which relates to state-designated entity for health information exchange; modifying time period of certain requirement; modifying and adding certain exemptions; defining terms; creating the Oklahoma Health Care Transparency Initiative; providing for governance and oversight of the initiative; requiring submitting entity to submit certain information to state- designated entity; allowing voluntary submission of certain information by certain health benefit plan, person, or entity; mandating compliance with certain requirements; requiring submission of public health data for integration into the initiative; requiring assignment of unique identifier; providing for confidentiality, privacy, and security of certain data; listing circumstances under which certain data may be made available; prohibiting certain use or disclosure of data; providing certain construction; authorizing certain penalties; limiting amount of penalties; providing for certain remittance or mitigation of penalties; requiring the Insurance Department to remit certain proceeds to the Oklahoma Health Care Authority; specifying allowed uses of certain funds; amending 51 O.S. 2021, Section 24A.3, as last amended by Section 1, Chapter 404, O.S.L. 2025 (51 O.S. Supp. 2025, Section 24A.3), which relates to the Oklahoma Open Records Act; modifying certain definition; providing for codification; and declaring an emergency.

AI Summary

This bill establishes the Oklahoma Health Care Transparency Initiative Act of 2026, which aims to create a comprehensive database of health care information in the state. It modifies the powers and duties of the Office of the State Coordinator for Health Information Exchange, now tasked with overseeing both the state-designated entity for health information exchange and the new transparency initiative. The bill also adjusts requirements for health care providers to report data to the state-designated entity, with implementation beginning by July 1, 2026, and allows for exemptions based on financial hardship, practice size, technological capability, or other factors. A key provision is the creation of the Oklahoma Health Care Transparency Initiative itself, which will be governed by the state-designated entity and overseen by the Office, starting July 1, 2027. This initiative will collect claims data, unique identifiers (which are unique codes for individuals that do not include direct personal identifiers like names or Social Security numbers), and demographic information from "submitting entities," which are defined as various health insurance providers, benefit plans, and entities administering health services, provided they meet certain coverage thresholds. The bill also mandates that the State Department of Health submit public health data, such as hospital discharge records and birth/death certificates, for integration into the initiative. Importantly, all data collected under this initiative will be considered confidential and exempt from public disclosure under the Oklahoma Open Records Act, with strict rules governing its use and disclosure to protect patient privacy and security, and it will not be used to reveal trade secrets or direct personal identifiers. The bill also outlines penalties for submitting entities that fail to comply, with fines assessed by the Insurance Department, and specifies how any collected fines will be used to fund the initiative.

Committee Categories

Health and Social Services

Sponsors (4)

Last Action

Authored by Senator Rosino (principal Senate author) (on 02/25/2026)

bill text


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