Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1 STATE OF OKLAHOMA
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2 1st Session of the 60th Legislature (2025)
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3 SENATE BILL 1005 By: Stewart
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6 AS INTRODUCED
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7 An Act relating to hospitals; requiring hospitals to
7 implement certain policy; requiring hospitals to
8 provide certain itemized statement on request;
8 listing required information for itemized statement;
9 stipulating requirements and procedures for providing
9 statement to third-party payor; authorizing certain
10 fee; authorizing certain enforcement; defining term;
10 creating exception; providing for codification; and
11 providing an effective date.
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14 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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15 SECTION 1. NEW LAW A new section of law to be codified
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16 in the Oklahoma Statutes as Section 1-724.1 of Title 63, unless
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17 there is created a duplication in numbering, reads as follows:
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18 A. Each hospital licensed by the State Department of Health
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19 shall develop, implement, and enforce a written policy for the
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20 billing of hospital services and supplies. The policy shall
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21 include:
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22 1. A periodic review of the itemized statements required by
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23 subsection B of this section; and
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1 2. A procedure for handling complaints relating to billed
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2 services.
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3 B. Not later than thirty (30) business days after the date of
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4 the hospital discharge of a person who received hospital services,
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5 the hospital shall automatically provide an itemized statement of
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6 the billed services provided to the person. The itemized statement
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7 shall be printed in a conspicuous manner and shall list the
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8 following information:
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9 1. Provider's name and National Provider Identifier (NPI)
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10 number;
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11 2. Date or dates of service;
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12 3. Admission date;
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13 4. Discharge date;
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14 5. Revenue codes corresponding to each service rendered;
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15 6. Current Procedural Terminology (CPT) or Healthcare Common
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16 Procedure Coding System (HCPCS) codes corresponding to each service
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17 rendered;
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18 7. Description of each service;
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19 8. Amount charged by the provider for each service;
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20 9. Units and quantities of each service provided, specifically
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21 procedures, tests, or medications that may be measured in units;
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22 10. Subtotal of each service;
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23 11. Insurance payments;
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24 12. Patient payments;
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1 13. Payment due date;
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2 14. Provider's contact information; and
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3 15. A section on hospital payments and adjustments, which shall
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4 include:
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5 a. date or dates of service,
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6 b. description of hospital payment and adjustment,
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7 c. any discounts and credits,
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8 d. total hospital payment and adjustments, and
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9 e. final hospital payment after adjustments.
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10 C. A hospital shall provide an itemized statement of billed
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11 services to a third-party payor who is actually or potentially
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12 responsible for paying all or part of the billed services provided
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13 to a patient and who has received a claim for payment of those
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14 services. To be entitled to receive a statement, the third-party
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15 payor must request the statement from the hospital and must have
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16 received a claim for payment. The request must be made not later
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17 than one year after the date on which the payor received the claim
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18 for payment. The hospital shall provide the statement to the payor
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19 not later than thirty (30) business days after the date on which the
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20 payor requests the statement. If a third-party payor receives a
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21 claim for payment of part but not all of the billed services, the
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22 third-party payor may request an itemized statement of only the
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23 billed services for which payment is claimed or to which any
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24 deduction or copayment applies. If a third-party payor requests
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Req. No. 177 Page 3
1 more than two copies of the statement, the hospital may charge a
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2 reasonable fee for the third and subsequent copies provided to that
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3 person. The fee shall not exceed the hospital's cost to copy,
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4 process, and deliver the copy to the person.
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5 D. The State Department of Health may enforce this section by
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6 assessing an administrative penalty, obtaining an injunction, or
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7 providing any other appropriate remedy, including suspending,
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8 revoking, or refusing to renew a hospital's license.
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9 E. As used in this section, "hospital" has the same meaning as
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10 provided by Section 1-701 of Title 63 of the Oklahoma Statutes.
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11 F. This section shall not apply to a hospital maintained or
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12 operated by the federal government.
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13 SECTION 2. This act shall become effective November 1, 2025.
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15 60-1-177 DC 1/16/2025 2:19:56 PM
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Req. No. 177 Page 4Every fact on this page links to its source, starting with the official bill record.