Health care costs; creating the Oklahoma Health Care Cost Containment and Affordability Act; placing limitations on certain payment rates; prohibiting collections from exceeding certain authorized amounts. Effective date.

SB 787 establishes the Oklahoma Health Care Cost Containment and Affordability Act, directly affecting hospitals, health systems, and other health care providers. It limits payments for inpatient/outpatient services to the lesser of 200% of Medicare rates (or Medicaid rates if Medicare doesn’t cover it) or the median rate paid by health benefit plans. Providers cannot collect amounts exceeding patient cost-sharing limits under the plan’s terms. Exemptions apply to critical access hospitals, federally qualified health centers, and rural clinics. The law also requires health insurers and providers to submit cost data for monitoring compliance.