HB 3644: Venous thromboembolism; creating the Blake Burgess Act; requiring certain hospital policies and training; establishing certain registry and reporting requirements; imposing certain requirements on assisted living centers; effective date; emergency. - Oklahoma

Floor (House) → Floor (Senate) · 3 edits

MINOR

The bill was amended to transition from a House version to a Senate version, incorporating specific changes to the reporting timeline and the definition of assisted living centers. The most significant substantive change is the extension of the deadline for the initial state report from June 1, 2027, to July 1, 2027, providing facilities an extra month to comply. Additionally, the definition of an 'assisted living center' was expanded to explicitly include facilities offering adult day care services, broadening the scope of entities subject to the bill's regulations.

Scope change

The bill's scope was expanded to include adult day care centers within the definition of an assisted living center, and the applicability timeline was adjusted to allow for a later initial state report.

TIMELINE

The deadline for the Department of Health to submit the initial detailed report on venous thromboembolism was extended from June 1, 2027, to July 1, 2027.

DEFINITION

The definition of 'assisted living center' was updated to explicitly include facilities providing adult day care center services.

TECHNICAL

The bill text was updated to reflect Senate floor amendments, including changes to the bill title and sponsor list.

House Committee Substitute → HB3644 (4-27-26) (HINES) FS FA1.PDF · 5 edits

MODERATE

The bill was revised from a House Committee Substitute to a Floor Substitute, incorporating Senate amendments that expanded the bill's scope and updated administrative details. The most significant change is the addition of 'assisted living centers' to the list of facilities required to report venous thromboembolism data, broadening the registry's reach beyond just hospitals and surgical centers. Additionally, the bill was updated to refer to a 'state-designated entity for health information exchange' instead of a 'state-designated health information exchange,' clarifying the administrative mechanism for data collection.

Scope change

The bill's scope was expanded to include assisted living centers as facilities required to participate in the venous thromboembolism registry and reporting requirements.

REQUIREMENT

Added 'assisted living centers' to the list of facilities that must develop VTE policies and submit data to the statewide registry.

DEFINITION

Updated the definition of 'Assisted living center' to explicitly include services provided to residents of assisted living centers.

TECHNICAL

Changed the reference from 'state-designated health information exchange' to 'state-designated entity for health information exchange' to clarify the administrative role.

Corrected the title of the Commissioner of Health from 'Commissioner' to 'State Commissioner of Health' for consistency.

Adjusted page numbering and formatting headers to reflect the Floor Substitute version.

Proposed Committee Substitute (sub committee) 1 → House Committee Substitute · 2 edits

MINOR

The bill was converted from a proposed subcommittee substitute to the official House Committee Substitute, updating the header information and page numbers while retaining the core legislative text. The substantive policy content regarding venous thromboembolism screening, hospital training requirements, and the establishment of a statewide registry remains unchanged.

Scope change

The scope of the bill remains unchanged; the text defines the same requirements for hospitals and ambulatory surgical centers regarding VTE prevention and reporting.

TECHNICAL

Updated document headers to reflect the transition from 'Proposed Subcommittee Substitute' to 'Committee Substitute' and corrected page numbering references.

Replaced the original committee amendment signature block with the standard House Committee Substitute format.

Proposed Committee Substitute (full committee) 1 → Proposed Committee Substitute (sub committee) 1 · 3 edits

MINOR

The bill was downgraded from a full committee substitute to a subcommittee substitute, indicating it is still in the early stages of legislative review. The substantive policy text remains largely the same, but the document's internal reference numbers were updated to reflect its new status.

Scope change

The bill's scope and applicability remain unchanged; it still mandates venous thromboembolism screening, training, and data reporting for hospitals.

TECHNICAL

The document title was changed from 'Proposed Committee Substitute' to 'Proposed Subcommittee Substitute', reflecting its current stage in the legislative process.

Internal page and section numbering were adjusted to match the new subcommittee version.

The tracking reference number for the bill was updated from 16728 to 16219.

Engrossed → Proposed Committee Substitute (full committee) 1 · 5 edits

MODERATE

The bill was completely rewritten to replace the original Engrossed version. The new version expands the scope to include ambulatory surgical centers alongside hospitals, updates the reporting deadline to June 1, 2027, and clarifies that hospitals must report annually rather than regularly. It also adds a requirement for the health information exchange to use a nationally recognized platform for data collection.

Scope change

The bill now applies to both hospitals with emergency departments and ambulatory surgical centers, whereas the original version only applied to hospitals.

REQUIREMENT

Reporting frequency changed from 'regularly' to 'annually' for hospitals submitting data to the venous thromboembolism registry.

Added a requirement that the state-designated health information exchange must use a nationally recognized platform to collect data from hospitals.

TIMELINE

The deadline for the Department of Health to submit its detailed report to the Governor and Legislature was moved from July 1, 2027, to June 1, 2027.

SCOPE

Expanded the list of covered facilities to include ambulatory surgical centers in addition to hospitals with emergency departments.

TECHNICAL

The bill text was entirely replaced with a new version that includes updated legislative history and formatting.

Amended And Engrossed → Engrossed · 2 edits · Apr 28, 2026

MINOR

The bill was amended to replace the term 'state-designated entity' with 'state-designated health information exchange' throughout the text, clarifying the specific mechanism used to collect and manage data. Additionally, the definition of 'Continuum of care facility' was expanded to explicitly include adult day care center services alongside assisted living center services.

Scope change

The scope of the definition for 'Continuum of care facility' was broadened to include adult day care centers, while the operational scope of the registry was clarified by specifying the use of a health information exchange.

DEFINITION

The definition of 'Continuum of care facility' was updated to explicitly include 'adult day care center services' in addition to assisted living center services.

REQUIREMENT

The term 'state-designated entity for health information exchange' was changed to 'state-designated health information exchange' to clarify the specific operational mechanism for data collection.

Enrolled (final version) → Amended And Engrossed · 2 edits · Apr 28, 2026

MINOR

The bill was amended to update the title page with new Senate co-authors and to reformat the text for the final enrolled version. The substantive policy content regarding venous thromboembolism reporting, registry requirements, and definitions remains unchanged from the previous version.

Scope change

No change to the bill's scope or applicability; the amendment is purely procedural and formatting-related.

TECHNICAL

Updated the title page to reflect new Senate co-authors (Mann and Hines) and reorganized the layout to match the final enrolled format.

Reformatted the bill text to remove strike-through lines and insert new lines, converting the document from a draft amendment to the final engrossed version.

Introduced → Enrolled (final version) · 5 edits · Mar 5, 2026

MODERATE

The bill was finalized as an enrolled law, changing its status from a draft to an enacted statute. The primary substantive changes involve shifting the management of the statewide venous thromboembolism (VTE) registry from a newly created private non-profit entity to the state-designated entity for health information exchange. Additionally, the reporting timeline was adjusted to begin in fiscal year 2027, and the list of data points required for the report was expanded to include discharge status and principal payor information.

Scope change

The bill's scope regarding the VTE registry changed from requiring a new private non-profit organization to utilize an existing state health information exchange entity. The applicability of the reporting requirements remains on hospitals and ambulatory surgical centers, but the mechanism for data collection and reporting has been modified.

REQUIREMENT

The requirement to contract with a private non-profit corporation to run the VTE registry was removed and replaced with a mandate to use the state-designated entity for health information exchange.

The list of data points hospitals must report to the registry was expanded to include the patient's discharge status and principal payor.

A new requirement was added for the registry operator to limit the use of data strictly to advancing medical research or education to reduce morbidity and mortality.

TIMELINE

The start date for mandatory annual reporting to the VTE registry was set to July 1, 2027, and the initial detailed report to the legislature was moved to June 1, 2027.

DEFINITION

The definition of 'Assisted living center' in the Continuum of Care and Assisted Living Act was updated to include specific criteria regarding personal care, nursing supervision, and medication assistance needs.

Venous thromboembolism; creating the Blake Burgess Act; requiring certain hospital policies and training; establishing certain registry and reporting requirements; imposing certain requirements on assisted living centers; effective date; emergency.

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