Bill Text For HB1630 - Engrossed

 1|ENGROSSED HOUSE                                                        |
  |BILL NO. 1630                        By: Sneed of the House            |
 2|                                                                       |
  |                                         and                           |
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  |                                         Bullard of the Senate         |
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 5|                                                                       |
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 6|                                                                       |
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 7|       An Act relating to medical facilities; defining                 |
  |       terms; prohibiting operation of certain facility                |
 8|       without a license; providing certain interpretation;            |
  |       requiring separate license for each location;                   |
 9|       prohibiting transfer or assignment of certain                   |
  |       license; providing penalty for noncompliance;                   |
10|       requiring the establishment of certain                          |
  |       classification; providing certain exceptions; setting           |
11|       requirements for certain application; requiring                 |
  |       licensing fee; requiring Oklahoma Commissioner of               |
12|       Health to adopt certain rules and set certain fees;             |
  |       authorizing facility inspections; requiring licensing           |
13|       fees to be deposited in certain revolving fund;                 |
  |       requiring Oklahoma Commissioner of Health to adopt              |
14|       certain rules; requiring consultation; requiring                |
  |       facility to provide examination for determination of            |
15|       emergency medical condition; requiring facility to              |
  |       meet certain standards; requiring agreement;                    |
16|       prohibiting certain reimbursement; authorizing                  |
  |       complaints against certain facilities to be filed               |
17|       with the State Department of Health; authorizing                |
  |       State Department of Health to take certain action for           |
18|       certain violations; authorizing emergency order of              |
  |       license suspension; providing procedure for hearing;            |
19|       authorizing petition for temporary restraining order;           |
  |       authorizing district courts to issue injunctions;               |
20|       directing the Attorney General to file suit at                  |
  |       request of Department; establishing venue;                      |
21|       authorizing administrative penalties; limiting amount           |
  |       of penalties; providing basis for calculating amount            |
22|       of penalty; requiring certain written notice;                   |
  |       specifying information to be included in written                |
23|       notice; providing for judicial review of certain                |
  |       order; creating revolving fund; providing for                   |
24|       codification; and providing an effective date.                  |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 1
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 1|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:                  |
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 2|    SECTION 1.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
 3|in the Oklahoma Statutes as Section 2667 of Title 63, unless there     |
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 4|is created a duplication in numbering, reads as follows:               |
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 5|    As used in this act:                                               |
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 6|    1.  "Commissioner" means the Oklahoma Commissioner of Health;      |
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 7|    2.  "Department" means the State Department of Health;             |
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 8|    3.  "Emergency care" means health care services provided to        |
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 9|achieve stabilization as needed for conditions that reasonably         |
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10|appear to constitute a life- or limb-threatening emergency based on    |
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11|the presenting symptoms of the patient;                                |
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12|    4.  "Facility" means a short-term emergency and nonemergency       |
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13|hybrid medical facility;                                               |
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14|    5.  "Maximum emergency stay period" means any patient who is       |
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15|treated for an emergency situation and is prohibited from being        |
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16|treated or held any longer than twenty-four (24) hours so long as      |
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17|the necessary treatment required is deemed an emergency.  Maximum      |
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18|emergency stay period shall not apply to patients that are             |
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19|stabilized and needing further treatment from being provided           |
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20|nonemergency care;                                                     |
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21|    6.  "Nonemergency care" means all health care that is not for      |
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22|life-threatening conditions or covered as emergency care under an      |
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23|existing health care policy, including, but not limited to, the        |
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24|following services:                                                    |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 2
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 1|         a.    diagnostic testing,                                     |
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 2|         b.    lab testing,                                            |
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 3|         c.    outpatient services,                                    |
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 4|         d.    primary care, and                                       |
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 5|         e.    X-rays, magnetic resonance imaging (MRI), and other     |
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 6|              types of imaging; and                                    |
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 7|    7.  "Short-term emergency and nonemergency hybrid medical          |
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 8|facility" means a dual-sided facility, structurally separate and       |
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 9|distinct from a hospital that is open twenty-four (24) hours per day   |
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10|and seven (7) days a week, with one side of the facility providing     |
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11|emergency care and the other side of the facility providing            |
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12|nonemergency care.                                                     |
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13|    SECTION 2.     NEW LAW     A new section of law to be codified     |
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14|in the Oklahoma Statutes as Section 2668 of Title 63, unless there     |
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15|is created a duplication in numbering, reads as follows:               |
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16|    A.  Except as provided by Section 3 of this act, a person shall    |
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17|not establish or operate a short-term emergency and nonemergency       |
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18|hybrid medical facility in this state without a license issued under   |
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19|this act.                                                              |
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20|    B.  Except as provided by Section 3 of this act, a facility        |
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21|shall not hold itself out to the public as a short-term emergency      |
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22|and nonemergency hybrid medical facility or use any similar term, as   |
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23|defined by State Department of Health rule, that would give the        |
  |                                                                       |
24|impression that the facility or person is providing emergency care     |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 3
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 1|unless the facility or person holds a license issued under this act.   |
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 2|    C.  Nothing in this act shall be interpreted to prohibit a         |
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 3|licensed short-term emergency and nonemergency hybrid medical          |
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 4|facility from providing other health care services including, but      |
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 5|not limited to, imaging, primary care, nonemergency care, and other    |
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 6|ancillary services.                                                    |
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 7|    D.  Each separate facility location shall have a separate          |
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 8|license.                                                               |
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 9|    E.  A license issued under this act is not transferable or         |
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10|assignable.                                                            |
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11|    F.  Any person who is convicted of violating a provision of this   |
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12|section shall be guilty of a misdemeanor.  Each day of a continuing    |
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13|violation constitutes a separate offense.                              |
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14|    G.  The Oklahoma Commissioner of Health by rule shall establish    |
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15|a classification for a facility that is in continuous operation        |
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16|twenty-four (24) hours per day and seven (7) days per week.            |
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17|    H.  No license shall be issued to a facility located in a city     |
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18|with an established hospital within twenty (20) miles or twenty (20)   |
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19|minutes (whichever is greater) from a rural hospital and a             |
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20|population of less than thirty thousand (30,000) people unless         |
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21|written permission is obtained from the hospital to operate a          |
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22|short-term emergency and nonemergency hybrid medical facility.         |
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23|                                                                       |
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24|                                                                       |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 4
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 1|    SECTION 3.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
 2|in the Oklahoma Statutes as Section 2669 of Title 63, unless there     |
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 3|is created a duplication in numbering, reads as follows:               |
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 4|    The following facilities shall not be required to be licensed      |
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 5|under this act:                                                        |
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 6|    1.  An office or clinic owned and operated by a manufacturing      |
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 7|facility solely for the purposes of treating its employees and         |
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 8|contractors;                                                           |
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 9|    2.  Temporary emergency clinics in disaster areas;                 |
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10|    3.  An office or clinic of a licensed dentist, optometrist, or     |
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11|podiatrist;                                                            |
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12|    4.  A licensed nursing home;                                       |
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13|    5.  A licensed hospital;                                           |
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14|    6.  A hospital that is owned and operated by this state;           |
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15|    7.  A facility located within or connected to a hospital           |
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16|described by paragraph 5 or 6 of this section;                         |
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17|    8.  A facility that is owned or operated by a hospital described   |
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18|by paragraph 5 or 6 of this section and is:                            |
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19|         a.    surveyed as a service of the hospital by an             |
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20|              organization that has been granted deeming authority     |
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21|              as a national accreditation program for hospitals by     |
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22|              the federal Centers for Medicare and Medicaid            |
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23|              Services, or                                             |
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24|                                                                       |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 5
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 1|         b.    granted provider-based status by the Centers for        |
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 2|              Medicare and Medicaid Services; or                       |
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 3|    9.  A licensed ambulatory surgical center.                         |
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 4|    SECTION 4.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
 5|in the Oklahoma Statutes as Section 2670 of Title 63, unless there     |
  |                                                                       |
 6|is created a duplication in numbering, reads as follows:               |
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 7|    A.  An applicant for a license under this act shall submit an      |
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 8|application to the State Department of Health on a form prescribed     |
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 9|by the Department.                                                     |
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10|    B.  Each application shall be accompanied by a nonrefundable       |
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11|license fee in an amount set by the Oklahoma Commissioner of Health.   |
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12|    C.  The application shall require that an emergency room is        |
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13|staffed by board-certified emergency room physicians licensed by the   |
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14|State Board of Medical Licensure and Supervision.                      |
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15|    D.  The application shall contain evidence that the facility       |
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16|meets the minimum standards and requirements specified in Section 9    |
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17|of this act.                                                           |
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18|    E.  The Department shall issue a license if, after inspection      |
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19|and investigation, it finds that the applicant and the facility meet   |
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20|the requirements of this act and the standards adopted under this      |
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21|act.                                                                   |
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22|    F.  The license fee shall be paid annually on renewal of the       |
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23|license.                                                               |
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24|                                                                       |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 6
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 1|    SECTION 5.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
 2|in the Oklahoma Statutes as Section 2671 of Title 63, unless there     |
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 3|is created a duplication in numbering, reads as follows:               |
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 4|    The Oklahoma Commissioner of Health shall adopt rules necessary    |
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 5|to implement this act, including requirements for the issuance,        |
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 6|renewal, denial, suspension, and revocation of a license to operate    |
  |                                                                       |
 7|a facility.                                                            |
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 8|    SECTION 6.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
 9|in the Oklahoma Statutes as Section 2672 of Title 63, unless there     |
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10|is created a duplication in numbering, reads as follows:               |
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11|    The Oklahoma Commissioner of Health shall set fees imposed by      |
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12|this act in amounts reasonable and necessary to defray the cost of     |
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13|administering this act.                                                |
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14|    SECTION 7.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
15|in the Oklahoma Statutes as Section 2673 of Title 63, unless there     |
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16|is created a duplication in numbering, reads as follows:               |
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17|    The State Department of Health may inspect a facility at           |
  |                                                                       |
18|reasonable times as necessary to ensure compliance with this act.      |
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19|    SECTION 8.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
20|in the Oklahoma Statutes as Section 2674 of Title 63, unless there     |
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21|is created a duplication in numbering, reads as follows:               |
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22|    All fees collected under this act shall be deposited in the        |
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23|State Treasury to the credit of the Short-term Emergency and           |
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24|Nonemergency Hybrid Medical Facility Licensing Fund created by         |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 7
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 1|Section 17 of this act for the administration and enforcement of       |
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 2|this act and for no other purposes.                                    |
  |                                                                       |
 3|    SECTION 9.     NEW LAW     A new section of law to be codified     |
  |                                                                       |
 4|in the Oklahoma Statutes as Section 2675 of Title 63, unless there     |
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 5|is created a duplication in numbering, reads as follows:               |
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 6|    A.  The Oklahoma Commissioner of Health shall adopt rules          |
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 7|necessary to implement this act, including standards for:              |
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 8|    1.  The construction and design of the facility including          |
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 9|plumbing, heating, lighting, ventilation, proper air transportation    |
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10|accommodations, and other design standards necessary to ensure the     |
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11|health and safety of patients;                                         |
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12|    2.  Any transportation accommodations which shall be required      |
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13|unless a facility is located where air transportation is expressly     |
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14|prohibited by Title 14 of the Code of Federal Regulations;             |
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15|    3.  The number, qualifications, and organization of the            |
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16|professional staff and other personnel, including the requirement      |
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17|that each facility staff board-certified emergency room physicians     |
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18|when providing emergency care;                                         |
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19|    4.  The administration of the facility;                            |
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20|    5.  The equipment essential to the health and welfare of the       |
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21|patients;                                                              |
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22|    6.  The sanitary and hygienic conditions within the facility and   |
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23|its surroundings;                                                      |
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24|                                                                       |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 8
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 1|    7.  The requirements for the contents, maintenance, and release    |
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 2|of medical records;                                                    |
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 3|    8.  The minimal level of care and standards for denial of care;    |
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 4|    9.  The provision of laboratory and radiological services;         |
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 5|    10.  The distribution and administration of drugs and controlled   |
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 6|substances;                                                            |
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 7|    11.  A quality assurance program for patient care;                 |
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 8|    12.  Disclosure, if applicable, of the following:                  |
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 9|         a.    the name and Social Security number of the sole         |
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10|              proprietor, if the facility is a sole proprietor,        |
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11|         b.    the name and Social Security number of each general     |
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12|              partner who is an individual, if the facility is a       |
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13|              partnership,                                             |
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14|         c.    the name and Social Security number of any individual   |
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15|              who has an ownership interest of more than twenty-five   |
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16|              percent (25%) in the corporation, if the facility is a   |
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17|              corporation, and                                         |
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18|         d.    the names and license numbers of any physicians         |
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19|              licensed by the State Board of Medical Licensure and     |
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20|              Supervision or the State Board of Osteopathic            |
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21|              Examiners who have a financial interest in the           |
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22|              facility or any entity which has an ownership interest   |
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23|              in the facility;                                         |
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24|                                                                       |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 9
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 1|    13.  Transfer protocols for patients requiring advanced medical    |
  |                                                                       |
 2|care at a hospital and who require emergency medical treatment         |
  |                                                                       |
 3|extending past the twenty-four-hour maximum stay period;               |
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 4|    14.  Proper air transportation accommodations; and                 |
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 5|    15.  Any other aspect of the operation of a facility that the      |
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 6|Commissioner considers necessary to protect the facility's patients    |
  |                                                                       |
 7|and the public.                                                        |
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 8|    B.  In adopting the rules required under subsection A of this      |
  |                                                                       |
 9|section concerning transfer protocols, the Commissioner shall          |
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10|consult with physicians who provide emergency care and medical         |
  |                                                                       |
11|consultant organizations.                                              |
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12|    SECTION 10.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
13|in the Oklahoma Statutes as Section 2676 of Title 63, unless there     |
  |                                                                       |
14|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
15|    A.  A facility shall provide to each facility emergency patient,   |
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16|without regard to the individual's ability to pay, an appropriate      |
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17|medical screening, examination, and stabilization within the           |
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18|facility's capability, including ancillary services routinely          |
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19|available to the facility, to determine whether an emergency medical   |
  |                                                                       |
20|condition exists and to determine any necessary stabilizing            |
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21|treatment.                                                             |
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22|    B.  Each facility shall meet those standards set forth by          |
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23|Section 1395dd of 42 U.S.C. of the Emergency Medical Treatment and     |
  |                                                                       |
24|Labor Act.                                                             |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 10
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 1|    C.  Before a facility accepts any patient for treatment or         |
  |                                                                       |
 2|diagnosis, the facility shall enter into a referral, transmission,     |
  |                                                                       |
 3|or admission agreement with a hospital licensed in this state.         |
  |                                                                       |
 4|    D.  An insurer or third-party administrator shall be prohibited    |
  |                                                                       |
 5|from reimbursing a facility licensed under this act on a discounted    |
  |                                                                       |
 6|fee basis for covered services that are provided to an insured         |
  |                                                                       |
 7|unless:                                                                |
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 8|    1.  The insurer or third-party administrator has contracted with   |
  |                                                                       |
 9|either:                                                                |
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10|         a.    the physician or other practitioner, institutional      |
  |                                                                       |
11|              provider, or organization of physicians and health       |
  |                                                                       |
12|              care providers, or                                       |
  |                                                                       |
13|         b.    the health maintenance organization, exclusive          |
  |                                                                       |
14|              provider organization, or preferred provider             |
  |                                                                       |
15|              organization that has a network of preferred providers   |
  |                                                                       |
16|              and that has contracted with the physician or other      |
  |                                                                       |
17|              practitioner, institutional provider, or organization    |
  |                                                                       |
18|              of physicians and health care providers;                 |
  |                                                                       |
19|    2.  The physician or other practitioner, institutional provider,   |
  |                                                                       |
20|or organization of physicians and health care providers has agreed     |
  |                                                                       |
21|to the contract and to provide health care services under the terms    |
  |                                                                       |
22|of the contract; and                                                   |
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23|                                                                       |
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24|                                                                       |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 11
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 1|    3.  The insurer or third-party administrator has agreed to         |
  |                                                                       |
 2|provide coverage for those health care services under the health       |
  |                                                                       |
 3|insurance policy.                                                      |
  |                                                                       |
 4|    SECTION 11.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
 5|in the Oklahoma Statutes as Section 2677 of Title 63, unless there     |
  |                                                                       |
 6|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
 7|    A person may file a complaint with the State Department of         |
  |                                                                       |
 8|Health against a facility licensed under this act.                     |
  |                                                                       |
 9|    SECTION 12.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
10|in the Oklahoma Statutes as Section 2678 of Title 63, unless there     |
  |                                                                       |
11|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
12|    A.  The State Department of Health may deny, suspend, or revoke    |
  |                                                                       |
13|a license for a violation of this act or a rule adopted under this     |
  |                                                                       |
14|act.                                                                   |
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15|    B.  If the Department finds that a facility is in repeated         |
  |                                                                       |
16|noncompliance with this act or rules adopted under this act but the    |
  |                                                                       |
17|noncompliance does not endanger public health and safety, the          |
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18|Department may schedule the facility for probation rather than         |
  |                                                                       |
19|suspending or revoking the facility's license.  The Department shall   |
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20|provide notice to the facility of the probation and of the items of    |
  |                                                                       |
21|noncompliance not later than the tenth day before the date the         |
  |                                                                       |
22|probation period begins.  The Department shall designate a period of   |
  |                                                                       |
23|not less than thirty (30) calendar days during which the facility      |
  |                                                                       |
24|remains under probation.  During the probation period, the facility    |
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arsid13251694 ENGR. H. B. NO. 1630                                 Page 12
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 1|must correct the items that were in noncompliance and report the       |
  |                                                                       |
 2|corrections to the Department for approval.                            |
  |                                                                       |
 3|    C.  The Department may suspend or revoke the license of a          |
  |                                                                       |
 4|facility that does not correct items that were in noncompliance or     |
  |                                                                       |
 5|that does not comply with this act or the rules adopted under this     |
  |                                                                       |
 6|act within the applicable probation period.                            |
  |                                                                       |
 7|    SECTION 13.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
 8|in the Oklahoma Statutes as Section 2679 of Title 63, unless there     |
  |                                                                       |
 9|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
10|    A.  The State Department of Health may issue an emergency order    |
  |                                                                       |
11|to suspend a license issued under this act if the Department has       |
  |                                                                       |
12|reasonable cause to believe that the conduct of a license holder       |
  |                                                                       |
13|creates an immediate danger to the public health or safety.            |
  |                                                                       |
14|    B.  An emergency suspension under this section is effective        |
  |                                                                       |
15|immediately without a hearing or notice to the license holder.         |
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16|    C.  On written request of the license holder, the Department       |
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17|shall conduct a hearing not earlier than the tenth day or later than   |
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18|the thirtieth day after the date the hearing request is received to    |
  |                                                                       |
19|determine if the emergency suspension is to be continued, modified,    |
  |                                                                       |
20|or rescinded.                                                          |
  |                                                                       |
21|    D.  A hearing and any appeal under this section are governed by    |
  |                                                                       |
22|the Department's rules.                                                |
  |                                                                       |
23|                                                                       |
  |                                                                       |
24|                                                                       |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 13
___________________________________________________________________________

 1|    SECTION 14.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
 2|in the Oklahoma Statutes as Section 2680 of Title 63, unless there     |
  |                                                                       |
 3|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
 4|    A.  The State Department of Health may petition a district court   |
  |                                                                       |
 5|for a temporary restraining order to restrain a continuing violation   |
  |                                                                       |
 6|of the standards or licensing requirements provided under this act     |
  |                                                                       |
 7|if the Department finds that the violation creates an immediate        |
  |                                                                       |
 8|threat to the health or safety of the patients of a facility.          |
  |                                                                       |
 9|    B.  A district court, on petition of the Department and on a       |
  |                                                                       |
10|finding by the court that a person is violating the standards or       |
  |                                                                       |
11|licensing requirements provided under this act, may by injunction:     |
  |                                                                       |
12|    1.  Prohibit a person from continuing a violation of the           |
  |                                                                       |
13|standards or licensing requirements provided under this act;           |
  |                                                                       |
14|    2.  Restrain or prevent the establishment or operation of a        |
  |                                                                       |
15|facility without a license issued under this act; or                   |
  |                                                                       |
16|    3.  Grant any other injunctive relief warranted by the facts.      |
  |                                                                       |
17|    C.  The Attorney General shall institute and conduct a suit        |
  |                                                                       |
18|authorized by this section at the request of the Department.           |
  |                                                                       |
19|    D.  Venue for a suit brought under this section is in the county   |
  |                                                                       |
20|in which the facility is located or in Oklahoma County.                |
  |                                                                       |
21|    SECTION 15.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
22|in the Oklahoma Statutes as Section 2681 of Title 63, unless there     |
  |                                                                       |
23|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
24|                                                                       |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 14
___________________________________________________________________________

 1|    A.  The State Department of Health may impose an administrative    |
  |                                                                       |
 2|penalty on a person licensed under this act who violates this act or   |
  |                                                                       |
 3|a rule or order adopted under this act.  A penalty collected under     |
  |                                                                       |
 4|this section or Section 16 of this act shall be deposited in the       |
  |                                                                       |
 5|State Treasury in the General Revenue Fund.                            |
  |                                                                       |
 6|    B.  A proceeding to impose the penalty is considered to be a       |
  |                                                                       |
 7|contested case.                                                        |
  |                                                                       |
 8|    C.  The amount of the penalty may not exceed One Thousand          |
  |                                                                       |
 9|Dollars ($1,000.00) for each violation, and each day a violation       |
  |                                                                       |
10|continues or occurs is a separate violation for purposes of imposing   |
  |                                                                       |
11|a penalty.  The total amount of the penalty assessed for a violation   |
  |                                                                       |
12|continuing or occurring on separate days under this subsection may     |
  |                                                                       |
13|not exceed Five Thousand Dollars ($5,000.00).                          |
  |                                                                       |
14|    D.  The amount shall be based on:                                  |
  |                                                                       |
15|    1.  The seriousness of the violation, including the nature,        |
  |                                                                       |
16|circumstances, extent, and gravity of the violation;                   |
  |                                                                       |
17|    2.  The threat to health or safety caused by the violation;        |
  |                                                                       |
18|    3.  The history of previous violations;                            |
  |                                                                       |
19|    4.  The amount necessary to deter a future violation;              |
  |                                                                       |
20|    5.  Whether the violator demonstrated good faith, including when   |
  |                                                                       |
21|applicable whether the violator made good-faith efforts to correct     |
  |                                                                       |
22|the violation; and                                                     |
  |                                                                       |
23|    6.  Any other matter that the Department may require.              |
  |                                                                       |
24|                                                                       |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 15
___________________________________________________________________________

 1|    E.  If the Department initially determines that a violation        |
  |                                                                       |
 2|occurred, the Department shall give written notice of the report by    |
  |                                                                       |
 3|certified mail to the person.                                          |
  |                                                                       |
 4|    F.  The notice under subsection E of this section shall:           |
  |                                                                       |
 5|    1.  Include a brief summary of the alleged violation;              |
  |                                                                       |
 6|    2.  State the amount of the recommended penalty; and               |
  |                                                                       |
 7|    3.  Inform the person of the person's right to a hearing on the    |
  |                                                                       |
 8|occurrence of the violation, the amount of the penalty, or both.       |
  |                                                                       |
 9|    G.  Within twenty (20) calendar days after the date the person     |
  |                                                                       |
10|receives the notice under subsection E of this section, the person     |
  |                                                                       |
11|in writing may:                                                        |
  |                                                                       |
12|    1.  Accept the determination and recommended penalty of the        |
  |                                                                       |
13|Department; or                                                         |
  |                                                                       |
14|    2.  Make a request for a hearing on the occurrence of the          |
  |                                                                       |
15|violation, the amount of the penalty, or both.                         |
  |                                                                       |
16|    H.  If the person accepts the determination and recommended        |
  |                                                                       |
17|penalty or if the person fails to respond to the notice, the           |
  |                                                                       |
18|Oklahoma Commissioner of Health by order shall approve the             |
  |                                                                       |
19|determination and impose the recommended penalty.                      |
  |                                                                       |
20|    I.  The notice of the order shall include a statement of the       |
  |                                                                       |
21|right of the person to a judicial review of the order.                 |
  |                                                                       |
22|    SECTION 16.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
23|in the Oklahoma Statutes as Section 2682 of Title 63, unless there     |
  |                                                                       |
24|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 16
___________________________________________________________________________

 1|    A.  Within thirty (30) calendar days after the date an order of    |
  |                                                                       |
 2|the Oklahoma Commissioner of Health that imposes an administrative     |
  |                                                                       |
 3|penalty becomes final, the person shall:                               |
  |                                                                       |
 4|    1.  Pay the penalty; or                                            |
  |                                                                       |
 5|    2.  File a petition for judicial review of the Commissioner's      |
  |                                                                       |
 6|order contesting the occurrence of the violation, the amount of the    |
  |                                                                       |
 7|penalty, or both.                                                      |
  |                                                                       |
 8|    B.  Within the thirty-day period prescribed by subsection A of     |
  |                                                                       |
 9|this section, a person who files a petition for judicial review may:   |
  |                                                                       |
10|    1.  Stay enforcement of the penalty by:                            |
  |                                                                       |
11|         a.    paying the penalty to the court for placement in an     |
  |                                                                       |
12|              escrow account, or                                       |
  |                                                                       |
13|         b.    giving the court a supersedeas bond approved by the     |
  |                                                                       |
14|              court that:                                              |
  |                                                                       |
15|              (1)   is for the amount of the penalty, and              |
  |                                                                       |
16|              (2)   is effective until all judicial review of the      |
  |                                                                       |
17|                   Commissioner's order is final;                      |
  |                                                                       |
18|    2.  Request the court to stay enforcement of the penalty by        |
  |                                                                       |
19|filing with the court a sworn affidavit of the person stating that     |
  |                                                                       |
20|the person is financially unable to pay the penalty and is             |
  |                                                                       |
21|financially unable to give the supersedeas bond and by sending a       |
  |                                                                       |
22|copy of the affidavit to the Commissioner by certified mail.           |
  |                                                                       |
23|    C.  If the Commissioner receives a copy of an affidavit under      |
  |                                                                       |
24|subsection B of this section, the Commissioner may file with the       |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 17
___________________________________________________________________________

 1|court, within five (5) calendar days after the date the copy is        |
  |                                                                       |
 2|received, a contest to the affidavit.  The court shall hold a          |
  |                                                                       |
 3|hearing on the facts alleged in the affidavit as soon as practicable   |
  |                                                                       |
 4|and shall stay the enforcement of the penalty on finding that the      |
  |                                                                       |
 5|alleged facts are true.  The person who files an affidavit has the     |
  |                                                                       |
 6|burden of proving that the person is financially unable to pay the     |
  |                                                                       |
 7|penalty or to give a supersedeas bond.                                 |
  |                                                                       |
 8|    D.  If the person does not pay the penalty and the enforcement     |
  |                                                                       |
 9|of the penalty is not stayed, the penalty may be collected.  The       |
  |                                                                       |
10|Attorney General may sue to collect the penalty.                       |
  |                                                                       |
11|    E.  If the court sustains the finding that a violation occurred,   |
  |                                                                       |
12|the court may uphold or reduce the amount of the penalty and order     |
  |                                                                       |
13|the person to pay the full or reduced amount of the penalty.           |
  |                                                                       |
14|    F.  If the court does not sustain the finding that a violation     |
  |                                                                       |
15|occurred, the court shall order that a penalty is not owed.            |
  |                                                                       |
16|    G.  If the person paid the penalty and if the amount of the        |
  |                                                                       |
17|penalty is reduced or the penalty is not upheld by the court, the      |
  |                                                                       |
18|court shall order, when the court's judgment becomes final, that the   |
  |                                                                       |
19|appropriate amount plus accrued interest be remitted to the person     |
  |                                                                       |
20|within thirty (30) calendar days after the date that the judgment of   |
  |                                                                       |
21|the court becomes final.  The interest accrues at the rate charged     |
  |                                                                       |
22|on loans to depository institutions by the Federal Reserve Bank of     |
  |                                                                       |
23|New York.  The interest shall be paid for the period beginning on      |
  |                                                                       |
24|                                                                       |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 18
___________________________________________________________________________

 1|the date the penalty is paid and ending on the date the penalty is     |
  |                                                                       |
 2|remitted.                                                              |
  |                                                                       |
 3|    H.  If the person gave a supersedeas bond and the penalty is not   |
  |                                                                       |
 4|upheld by the court, the court shall order, when the court's           |
  |                                                                       |
 5|judgment becomes final, the release of the bond.  If the person gave   |
  |                                                                       |
 6|a supersedeas bond and the amount of the penalty is reduced, the       |
  |                                                                       |
 7|court shall order the release of the bond after the person pays the    |
  |                                                                       |
 8|reduced amount.                                                        |
  |                                                                       |
 9|    SECTION 17.     NEW LAW     A new section of law to be codified    |
  |                                                                       |
10|in the Oklahoma Statutes as Section 2683 of Title 63, unless there     |
  |                                                                       |
11|is created a duplication in numbering, reads as follows:               |
  |                                                                       |
12|    There is hereby created in the State Treasury a revolving fund     |
  |                                                                       |
13|for the State Department of Health to be designated the "Short-term    |
  |                                                                       |
14|Emergency and Nonemergency Hybrid Medical Facility Licensing Fund".    |
  |                                                                       |
15|The fund shall be a continuing fund, not subject to fiscal year        |
  |                                                                       |
16|limitations, and shall consist of all monies received by the State     |
  |                                                                       |
17|Department of Health from short-term emergency and nonemergency        |
  |                                                                       |
18|hybrid medical facilities.  All monies accruing to the credit of the   |
  |                                                                       |
19|fund are hereby appropriated and may be budgeted and expended by the   |
  |                                                                       |
20|State Department of Health for the purpose of administering and        |
  |                                                                       |
21|enforcing licensing provisions for short-term emergency and            |
  |                                                                       |
22|nonemergency hybrid medical facilities.  Expenditures from the fund    |
  |                                                                       |
23|shall be made upon warrants issued by the State Treasurer against      |
  |                                                                       |
24|                                                                       |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 19
___________________________________________________________________________

 1|claims filed as prescribed by law with the Director of the Office of   |
  |                                                                       |
 2|Management and Enterprise Services for approval and payment.           |
  |                                                                       |
 3|    SECTION 18.  This act shall become effective November 1, 2025.     |
  |                                                                       |
 4|    Passed the House of Representatives the 25th day of March, 2025.   |
  |                                                                       |
 5|                                                                       |
  |                                                                       |
 6|                                                                       |
  |                                     Presiding Officer of the House    |
 7|                                                 of Representatives    |
  |                                                                       |
 8|                                                                       |
  |    Passed the Senate the ___ day of __________, 2025.                 |
 9|                                                                       |
  |                                                                       |
10|                                                                       |
  |                                                                       |
11|                                    Presiding Officer of the Senate    |
  |                                                                       |
12|                                                                       |
  |                                                                       |
13|                                                                       |
  |                                                                       |
14|                                                                       |
  |                                                                       |
15|                                                                       |
  |                                                                       |
16|                                                                       |
  |                                                                       |
17|                                                                       |
  |                                                                       |
18|                                                                       |
  |                                                                       |
19|                                                                       |
  |                                                                       |
20|                                                                       |
  |                                                                       |
21|                                                                       |
  |                                                                       |
22|                                                                       |
  |                                                                       |
23|                                                                       |
  |                                                                       |
24|                                                                       |
  |                                                                       |
arsid13251694 ENGR. H. B. NO. 1630                                 Page 20
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