Health & Human Services

SB 48 (Robinson/Askins): Specifies consent procedures for patients who might benefit from telemedicine. The bill also prohibits insurers from refusing coverage simply because telemedicine is being used in lieu of a face-to-face procedure.

SB 275 (Monson/Paulk): Establishes prescriptive authority for certified registered nurse anesthetists (CRNAs) by authorizing them, under a doctor's supervision, to order, select, obtain and administer legend drugs, Schedules II through V controlled substances, devices, and medical gases only when engaged in the pre- anesthetic preparation and evaluation; anesthesia induction, maintenance and emergence; and post anesthesia care; and only during the preoperative or preobstetrical period. Establishes a Formulary Advisory Council to propose recommendations for an inclusionary formulary listing of drugs that may be ordered, selected, obtained and administered by CRNAs.

SB 452 (Williams/Boyd (Laura): Would have allowed inspection and disclosure of information in the Department of Human Services' records for a child to a district court pursuant to an order for a home study in a divorce, annulment, custody or guardian appointment action or subsequent proceedings in such actions. (Pending in the Legislature)

SB 575 (Robinson/Settle): Authorizes ambulance services and expands the scope of the J. D. McCarty Center to include adults with developmental disabilities. Provides for accreditation of eye banks.

SB 639 (Monson/Mitchell): Expands coverage under Medicaid for children through age 14 whose family incomes do not exceed 185% of poverty. Establishes a cost-sharing option on a sliding fee scale basis for providing Medicaid coverage to certain low income families.

HB 1077 (Seikel/Monson): Would have required any group health insurance or health benefit plan to offer coverage for severe mental illness equal to that for treatment of all other physical diseases and disorders. Provided certain exceptions to the equal treatment requirement. Defined types of mental illnesses covered by the legislation. (VETOED)

HB 1302 (Eddins/Weedn): Provides an exception to the confidentiality requirement for persons in a mental health facility. Requires that, upon admission and after seventy-two hours as an inpatient, the facility must inquire, at least once, whether the person wishes to authorize the release of information regarding his or her inpatient status. Allows seclusion or restraint to be administered to a non consenting individual upon written orders of an examining physician. Prohibits employer retaliation against an employee for cooperating with an investigation pursuant to the Protective Services for Vulnerable Adults Act. Requires the Department of Human Services to attempt to interview persons alleged to be involved in abuse, neglect or exploitation of vulnerable adults. Provides for other help for vulnerable adults through court orders appointing a temporary guarding, freezing the assets of the vulnerable adult, and revoking powers of an attorney in fact.

HB 1360 (Boyd (Laura)/Henry): Requires recognition according to levels of capacity and capability for caring for certain kinds of patient injuries by the State Department of Health for any entity that presents itself to the public by any means as a trauma center, facility or hospital. Requires the State Board of Health to promulgate rules to implement this provision and to establish a fee schedule for applications for recognition as a trauma facility by the Department.

HB 1391 (Seikel/Weedn): Creates the coordinated data base for children to design and implement a coordinated system that provides data linkages for the sharing of case information and aggregate data analysis for planning, research and outcome evaluation and service coordination. The system is to be implemented through interagency agreements and will utilize a data base application that supports information sharing to reduce duplication, improve service delivery and allow data analysis for evaluation. The Commission on Children and Youth is the lead agency.

HB 1416 (Boyd (Betty)/Henry): Is the "Oklahoma Managed Care Act." Requires managed care plans or qualified utilization review programs to be certified by the State Department of Health. Requires the State Board of Health to promulgate rules for the certification of managed care plans. States criteria to be met by managed care plans in the state.

HB 1540 (Erwin/Brown): Is the "Continuum of Care and Assisted Living Act." Sets out criteria to be met by continuum of care facilities or assisted living centers, including licensing requirements.

HB1644 (Ervin/Robinson): Sets up economic and governance terms and conditions for a 50-year joint operating agreement between the University Hospital Authority, the University of Oklahoma and Columbia/HCA. Establishes a 10-member governing committee composed of representatives of the Authority, OU and Columbia. Decisions require a majority vote of the state as well as Columbia appointees. The committee must approve all major decisions related to the CEO, medical services, budgets, facilities, indebtedness, certain transactions, and assignments or subleases. The act also contains provisions for indigent care and the purchase of such services from Columbia.

HB 1757 (Ross/Horner): Would have expanded contract provisions under the Oklahoma Medicaid Healthcare Options System to include a requirement that a participating provider contract with essential community and special needs providers of medical services, defined as Federally Qualified Health Centers and community health centers, Title 10 family planning providers, and providers identified by the Health Care Authority as of June, 1995, as traditional providers. (VETOED)

HB 1790 (Seikel/Weedn): Addresses service delivery for persons with developmental disabilities. Prohibits an incompetent individual from being involuntarily committed to the legal custody of the Department of Human Services (DHS) or any of its facilities. Authorizes DHS to pay a voucher to a relative or certified volunteer for the purpose obtaining legal representation to initiate guardianship proceedings on behalf of certain persons with developmental disabilities. Creates the Task Force on Medicaid Managed Care Services for People with Developmental Disabilities to advise the Oklahoma Health Care Authority on implementation of managed care among this population. Requires a community services provider to meet certain criteria before offering to employ or contract with a community services worker applicant. Requires the Commission for Human Services to promulgate rules for the establishment and maintenance of a community services worker registry. Allows DHS to appoint a receiver to take possession of and operate an agency providing residential services and, if necessary, petition the court to place the agency under the control of a receiver to ensure the residents receive adequate care. Provides procedures relating to the appointment of a receiver. Exempts certain entities from the provisions of the Home Care Act.

HB 1860 (Hamilton/Haney): Postpones from July '97 to July '99 implementation of Medicaid managed care for the aged, blind or disabled. Provides for a waiver to be submitted by July '98 to implement a managed care pilot program for long-term care participants.

HB 2024 (Boyd (Laura)/Cain): expands and clarifies certain definitions--including addition of licensed marital and family therapists to the definition of licensed mental health professional-- in the Emergency Detention and Protective Custody statutes related to newly created procedures for determining whether a person is mentally ill and requires treatment. Specifies the rights of a person alleged to be mentally ill and requiring treatment, including the right to be represented by a court-appointed attorney throughout the disposition of the case. Establishes procedures for notification regarding hearings on a mentally ill petition. Requires a certificate of evaluation to be completed, filed and to accompany such petition.

HB 2133 (Seikel/Weedn): Modifies policy related to kinship foster care to make foster care reimbursement effective the date of placement of a child into a foster home. Establishes rights of foster parents and guardianships through juvenile court for non state custody children. requires training for kinship care foster parents; provides for pamphlet for grandparents on foster care. Requires permanency placement plans to be developed within twelve (12) months of initial placement. Establishes a hot line for use by foster parents to report suspected conduct by DHS employees which is detrimental to the best interests of children in foster care.

HB 2170 (Seikel/Cain): Deletes provisions related to welfare reform that are no longer applicable under the new federal law, the Personal Responsibility and Work Opportunity Act of 1996 and clarifies language related to the change of the name AFDC to TANF (Temporary Assistance for Needy Families). Authorizes individual development accounts for recipients for certain purposes; a study of problems of TANF recipients with substance abuse; performance-based contracts for work activities; creation of a system of statewide child care network resource and referral centers; establishment of one-stop career/employment centers; system for providing services to qualified aliens.


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