ENGROSSED SENATE
BILL NO. 411	By:	Brown and Ivester of the Senate

			and

		Moore of the House

[ comprehensive health care information system - website - defining term - rules - codification - effective date ]

BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1.     NEW LAW     A new section of law to be codified in the Oklahoma Statutes as Section 7300 of Title 36, unless there is created a duplication in numbering, reads as follows:
A.  The Insurance Department shall, in collaboration with the State Department of Health, establish and maintain a comprehensive health care information system.  The comprehensive health care information system shall be published on a website that permits consumers to see approximate pricing information on different health care services and pharmaceuticals from different types of providers.
B.  The purpose of the comprehensive health care information system shall be to:
1.  Serve as a resource for insurers, employers, providers, purchasers of health care, and state agencies to continuously review health care utilization, expenditures, and performance; and
2.  Enhance the ability of consumers and employers to make informed and cost-effective health care choices.
C.  In presenting data from the comprehensive health care information system, comparative considerations shall be made regarding geography, demographics, general economic factors, and institutional size.
D.  In order to implement the provisions of this section, the Insurance Department and the State Department of Health shall enter into a memorandum of understanding for collaboration in the development of the comprehensive health care information system.  Such memorandum of understanding shall include, but shall not be limited to:
1.  A description of the data sets that will be included in the comprehensive health information system;
2.  The criteria and procedures for the development of limited use data sets;
3.  The criteria and procedures to ensure compliance with applicable state and federal laws; and
4.  A proposed time frame for the creation of the comprehensive health care information system.
E.  The comprehensive health care information system shall not include or disclose any data that contains direct personal identifiers.  For the purposes of this section, “direct personal identifiers” means information that contains primary or obvious identifiers, including, but not limited to, the name, street address, e-mail address, telephone number, or social security number of an individual.
F.  The Insurance Commissioner and the State Board of Health shall promulgate rules as necessary to implement the provisions of this section.
SECTION 2.     NEW LAW     A new section of law to be codified in the Oklahoma Statutes as Section 6046 of Title 36, unless there is created a duplication in numbering, reads as follows:
A.  Any health benefit plan, as defined in subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes, that provides coverage for medically necessary diagnostic or surgical treatment of conditions affecting skeletal joints shall provide comparable coverage for diagnostic or surgical treatment of conditions affecting the temporomandibular joint if the treatment is medically necessary as a result of:
1.  An accident;
2.  A trauma;
3.  A congenital defect;
4.  A developmental defect; or
5.  A pathology.
B.  Coverage required under this section may be subject to any provision in the health benefit plan that is generally applicable to surgical treatment, including a requirement for precertification of coverage.
SECTION 3.  This act shall become effective November 1, 2011.
Passed the Senate the 14th day of March, 2011.

	
Presiding Officer 	of the Senate

Passed the House of Representatives the ____ day of __________, 2011.

	
Presiding Officer of the House
	of Representatives