Healthcare (Medicare)

SB 787 establishes the Oklahoma Health Care Cost Containment and Affordability Act, setting strict limits on how much health insurance plans must pay hospitals and providers for inpatient or outpatient services. It prohibits payments exceeding 200% of Medicare rates (or Medicaid rates if Medicare doesn't cover the service) or the median rate paid by health plans for the same service. This directly affects hospitals, health systems, and providers billing health insurance plans, while exempting critical access hospitals, federally qualified health centers, and rural clinics. The bill also requires providers to report pricing data to the State Department of Health and insurers to monitor compliance, with strict confidentiality rules for shared information.