STATE OF OKLAHOMA

1st Session of the 53rd Legislature (2011)

SENATE BILL 51	By:	Wilson

AS INTRODUCED

An Act relating to the Oklahoma Health Care Authority; declaring legislative intent; directing the Oklahoma Health Care Authority to establish certain pilot program; directing the Oklahoma Health Care Authority to select a pilot county; providing requirements for certain health care providers; requiring certain health care providers to provide certain medical services; specifying collection and payment of certain health care costs; requiring the Oklahoma Health Care Authority to promulgate certain rules; requiring the Oklahoma Health Care Authority to provide certain reports; covering certain health care providers under The Governmental Tort Claims Act; providing for codification; and providing an 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 3200 of Title 56, unless there is created a duplication in numbering, reads as follows:
A.  It is the intent of the Legislature to test the effectiveness of a pilot program for a comprehensive health system for the uninsured.
B.  The Oklahoma Health Care Authority shall establish a three-year pilot program for a comprehensive health system for the uninsured in which the Oklahoma Health Care Authority will act as the plan administrator.
C.  The Oklahoma Health Care Authority shall select from a group of applicants a pilot county in which to operate the pilot program.
D.  Health care providers located in the pilot county may voluntarily participate in the pilot program if the following conditions are met:
1.  The health care provider is eligible for Medicare reimbursement;
2.  The health care provider relinquishes all monies received in excess of Medicare reimbursement from other sources including, but not limited to, commercial insurance payers; and
3.  The relinquished monies pursuant to paragraph 2 of this subsection are used by the Oklahoma Health Care Authority for the purposes of this pilot program.
E.  Participating health care providers shall provide all necessary medical services for any uninsured person within the capability of such providers.  Health care costs accrued from such uninsured person shall be directly billed at the Medicare fee schedule set forth by the Centers for Medicare and Medicaid Services or at a negotiated rate.
F.  The health care provider shall collect twenty percent (20%) of such health care costs from the uninsured person.  The remaining eighty percent (80%) shall be paid by the Oklahoma Health Care Authority from:
1.  Monies received from the Health Employee and Economy Improvement Act (HEEIA) Revolving Fund; and
2.  Monies collected from participating providers pursuant to paragraph 2 of subsection D of this section.
G.  The Oklahoma Health Care Authority shall promulgate rules as necessary to implement this pilot program.
H.  The Oklahoma Health Care Authority shall provide an annual report to the Legislature on or before November 1 of each year which shall include, but not be limited to:
1.  The net cost of the program;
2.  Health services provided for the uninsured; and
3.  Health care provider payment collection success rate.
I.  The participating health care providers shall be covered under The Governmental Tort Claims Act.
SECTION 2.  This act shall become effective November 1, 2011.

53-1-65	ARE	1/17/2004 3:14:05 AM