reglab/housing_qa huggingface dataset:
56 OK Stat § 56-1006 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1006. Medicaid fraud - Penalties.

|A. Any person found to have committed any violation of paragraphs 1 through 6 of subsection A of Section 1005 of this title shall be deemed guilty of Medicaid fraud. |B. 1. Any person committing Medicaid fraud where the aggregate amount of payments illegally claimed or received is Two Thousand Five Hundred Dollars ($2,500.00) or more shall be guilty of a felony, and upon conviction thereof shall pay a fine of not more than three times the amount of payments illegally claimed or received or Ten Thousand Dollars ($10,000.00) whichever is greater, or be imprisoned for not more than three (3) years, or both such fine and imprisonment.2. Any person committing Medicaid fraud where the aggregate amount of payments illegally claimed or received is less than Two Thousand Five Hundred Dollars ($2,500.00) shall be guilty of a misdemeanor and upon conviction thereof shall pay a fine of not more than three times the amount of payments illegally claimed or received or One Thousand Dollars ($1,000.00) whichever is greater, or imprisoned for not more than one (1) year, or both such fine and imprisonment.Any person who violates paragraph 7 of subsection A of Section 1005 of this title shall be guilty of a felony.Added by Laws 1989, c. 220, § 6, operative July 1, 1989. Amended by Laws 1990, c. 144, § 5, emerg. eff. May 1, 1990; Laws 1997, c. 133, § 501, eff. July 1, 1999; Laws 1999, 1st Ex.Sess., c. 5, § 366, eff. July 1, 1999.NOTE: Laws 1998, 1st Ex.Sess., c. 2, § 23 amended the effective date of Laws 1997, c. 133, § 501 from July 1, 1998, to July 1, 1999.
56 OK Stat § 56-1007 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1007. Additional penalties.

|A. Any person who receives payment for furnishing goods or services under the Oklahoma Medicaid Program, which the person is not entitled to receive by reason of offenses under paragraphs 1 through 6 of subsection A of Section 1005 of this title, shall, in addition to any other penalties provided by law, be liable for: |1. Full restitution to the Oklahoma Health Care Authority of all funds or payments received in violation of the Oklahoma Medicaid Program Integrity Act which shall be returned to the Authority for deposit to the Oklahoma Health Care Authority Medicaid Program Fund, created in Section 6 of this act;2. Payment of interest on the amount of the excess payment at the maximum legal rate in effect on the date the payment was made to the person for the period from the date upon which payment was made to the date upon which the repayment is made to the Authority. All such payments shall be deposited in the Oklahoma Health Care Authority Medicaid Program Fund, created in Section 6 of this act; and3. The cost of investigation, litigation, and attorney fees, which shall be deposited to the General Revenue Fund.B. 1. In addition to the penalties imposed by paragraphs 1, 2 and 3 of subsection A of this section, any person who receives payment for furnishing goods or services under the Oklahoma Medicaid Program, which the person is not entitled to receive by reason of violation of paragraphs 1 through 6 of subsection A of Section 1005 of this title, shall be liable for one of the following penalties:a.a civil penalty of two (2) times the amount of restitution and interest thereon from date of judgment, which shall be deposited to the General Revenue Fund, orb.a civil penalty in the sum of Two Thousand Dollars ($2,000.00) and interest thereon from date of judgment for each false or fraudulent claim, statement, or representation submitted for providing goods or services, which shall be deposited to the General Revenue Fund.2. A criminal action need not be brought against the person before civil liability attaches under this section.C. In addition to the sanctions provided by the Oklahoma Medicaid Program Integrity Act, the Authority may, upon the conviction of or the entry of an administrative, civil or criminal judgment against any person wherein Medicaid fraud on the person's part is involved, suspend the provider agreement between the Authority and the person and stop reimbursement to the person for goods or services claimed for a period of up to five (5) years from the date of final adjudication of the matter.Added by Laws 1989, c. 220, § 7, operative July 1, 1989. Amended by Laws 1990, c. 144, § 6, emerg. eff. May 1, 1990; Laws 1995, c. 306, § 5, eff. July 1, 1995.
56 OK Stat § 56-1007.1 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1007.1. Short title - Defunding Statutory Rape Cover-up Act.

|This act shall be known and may be cited as the "Defunding Statutory Rape Cover-up Act". |Added by Laws 2019, c. 239, § 1, eff. Nov. 1, 2019.
56 OK Stat § 56-1007.2 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1007.2. Definitions.

|As used in the Defunding Statutory Rape Cover-up Act: |1. "Provider" shall mean a provider of services for compensation; and2. "Affiliate" shall mean an entity which licenses the use of a trademark or other recognized name to the provider, and which exercises control over the use of part or all of the provider's name, or any entity so licensed or controlled.Added by Laws 2019, c. 239, § 2, eff. Nov. 1, 2019.
56 OK Stat § 56-1007.3 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1007.3. Eligibility for Medicaid reimbursement – Failure to report statutory rape.

|A. No provider shall be eligible for reimbursement through Medicaid or any other federal or state program, directly or by subcontract with any other party, if: |1. That provider, or any affiliate of that provider, has been found by a court of law, either civilly or criminally, to have failed to report statutory rape as part of mandatory potential child abuse reporting laws applicable to the medical provider, when that provider, or the affiliate of that provider, provides services relating to pregnancy or termination of pregnancy to that minor female for compensation; or2. The entity or an affiliate of the entity failed to report statutory rape of a patient as child abuse as required by law, where the abuser was later convicted of abusing that patient, whether or not the entity or an affiliate of the entity was itself adjudicated of failing to report statutory rape.B. Any provider found to be ineligible for reimbursement under this section shall be able to reapply after a period of five (5) years and a showing that procedures have been put in place to provide for reporting to appropriate law enforcement authorities.Added by Laws 2019, c. 239, § 3, eff. Nov. 1, 2019.
56 OK Stat § 56-1007.4 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1007.4. Promulgation of rules to investigate complaints.

|The Oklahoma Health Care Authority shall promulgate rules to investigate complaints pursuant to the Defunding Statutory Rape Cover-up Act. Nothing in the Defunding Statutory Rape Cover-up Act shall preclude the Oklahoma Attorney General or any district attorney with jurisdiction from prosecuting violations of the Defunding Statutory Rape Cover-up Act. |Added by Laws 2019, c. 239, § 4, eff. Nov. 1, 2019.
56 OK Stat § 56-1008 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1008. Annual report on Medicaid fraud.

|The Attorney General shall submit an annual report, due by July 1 of each year, to the Speaker of the House of Representatives, the President Pro Tempore of the Senate, the Governor and the Secretary of State detailing the number of Medicaid fraud cases investigated and litigated and the amount of monies collected in the previous fiscal year. |Added by Laws 1989, c. 220, § 8, operative July 1, 1989.
56 OK Stat § 56-1009.1 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1009.1. Short title - Legislative findings.

|A. Sections 1 and 2 of this act shall be known and may be cited as the “All Kids Act”. |B. The Legislature finds that, for the economic and social benefit of all residents of the State of Oklahoma, it is important to enable all children of this state to access affordable health insurance that offers comprehensive coverage and emphasizes preventative health care. Numerous studies, including the Institute of Medicine’s report, Health Insurance Matters, demonstrate that lack of insurance negatively affects health status. The Legislature further finds that access to health care is a key component for children’s healthy development and successful education. The effects of lack of insurance also negatively impact those who are insured because the cost of paying for care for the uninsured is shifted to those who have insurance in the form of higher health insurance premiums. A Families USA 2005 report indicates that by 2010, family premiums in Oklahoma will increase by Two Thousand Eleven Dollars ($2,011.00) due to cost-shifting from the uninsured. It is, therefore, the intent of the All Kids Act to provide access to affordable health insurance to all children in Oklahoma.Added by Laws 2007, c. 318, § 1, emerg. eff. June 4, 2007.
56 OK Stat § 56-1010.2 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1010.2. Definitions.

|A. As used in the Oklahoma Medicaid Program Reform Act of 2003: |1. "Authority" means the Oklahoma Health Care Authority;2. "Board" means the Oklahoma Health Care Authority Board;3. "Administrator" means the chief executive officer of the Oklahoma Health Care Authority;4. "Eligible person" means any person who meets the minimum requirements established by:a.rules promulgated by the Oklahoma Health Care Authority Board pursuant to the requirements of Title XIX of the federal Social Security Act, 42 U.S.C., Section 1396 et seq.,b.a waiver under the provisions of this act, orc.any state law authorizing the purchase of small employer buy-in coverage;5. "Member" means an eligible person who enrolls in the Oklahoma Medicaid Healthcare Options System;6. "Nonparticipating provider" means a person who provides hospital or medical care pursuant to the Oklahoma Medicaid Program but does not have a managed care health services contract or subcontract within the Oklahoma Medicaid Healthcare Options System;7. "Prepaid capitated" means a mode of payment by which a health care provider directly delivers health care services for the duration of a contract to a maximum specified number of members based on a fixed rate per member, regardless of the actual number of members who receive care from the provider or the amount of health care services provided to any member;8. "Participating provider" means any person or organization who contracts with the Authority for the delivery of hospitalization, eye care, dental care, medical care and other medically related services to members or any subcontractor of such provider delivering services pursuant to the Oklahoma Medicaid Healthcare Options System; and9. "System" means the Oklahoma Medicaid Healthcare Options System established by the Oklahoma Medicaid Program Reform Act of 2003.Added by Laws 1993, c. 336, § 2, eff. July 1, 1993. Amended by Laws 1995, c. 204, § 2, eff. July 1, 1995; Laws 2003, c. 464, § 2, eff. July 1, 2003.
56 OK Stat § 56-1010.5 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1010.5. Contracts with participating providers.

|As a condition of the contract with any proposed or potential participating provider pursuant to the Oklahoma Medicaid Program Reform Act of 2003, the Oklahoma Health Care Authority shall require such contract terms as are necessary, in its judgment, to ensure adequate performance by a participating provider of the provisions of each contract executed pursuant to the Oklahoma Medicaid Program Reform Act of 2003. Required contract provisions shall include, but are not limited to: |1. The maintenance of deposits, performance bonds, financial reserves or other financial providers which have posted other security, equal to or greater than that required by the System, with a state agency for the performance of managed care contracts if funds would be available from such security for the System upon default by the participating provider;2. A requirement that whenever the state appropriates funds for specific purposes, including, but not limited to, increases in reimbursement rates, a participating provider and any subcontractor shall apportion such funds pursuant to legislative directive;3. Requirements that all records relating to contract compliance shall be available for inspection by the Authority or are submitted in accordance with rules promulgated by the Oklahoma Health Care Authority Board and that such records be maintained by the participating provider for five (5) years. Such records shall also be made available by a participating provider on request of the secretary of the United States Department of Health and Human Services, or its successor agency;4. Authorization for the Authority to directly assume the operations of a participating provider under circumstances specified in the contract. Operations of the participating provider shall be assumed only as long as it is necessary to ensure delivery of uninterrupted care to members enrolled with the participating provider and accomplish the orderly transition of those members to other providers participating in the System, or until the participating provider reorganizes or otherwise corrects the contract performance failure. The operations of a participating provider shall not be assumed unless, prior to that action, notice is delivered to the provider and an opportunity for a hearing is provided; and5. A requirement that, if the Authority finds that the public health, safety or welfare requires emergency action, it may assume the operations of the participating provider on notice to the participating provider and pending an administrative hearing which it shall promptly institute. Notice, hearings and actions pursuant to this subsection shall be in accordance with Article II of the Administrative Procedures Act.Added by Laws 1993, c. 336, § 5, eff. July 1, 1993. Amended by Laws 1995, c. 204, § 5, eff. July 1, 1995; Laws 2001, c. 422, § 1, eff. July 1, 2001; Laws 2003, c. 464, § 4, eff. July 1, 2003.
56 OK Stat § 56-1010.8 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1010.8. Medicaid Contingency Revolving Fund.

|There is hereby created in the State Treasury a revolving fund for the Oklahoma Health Care Authority to be designated the "Medicaid Contingency Revolving Fund". The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of all taxes levied, pursuant to subsection A of Section 624 of Title 36 of the Oklahoma Statutes, on premiums paid by entities subject to such premium tax on behalf of Medicaid recipients. All monies accruing to the credit of the fund are hereby appropriated and shall be budgeted and expended by the Oklahoma Health Care Authority to maintain current eligibility levels under Title XIX of the federal Social Security Act, 42 U.S.C., Section 1396 et seq. |Added by Laws 1995, c. 331, § 2, eff. Nov. 1, 1995.
56 OK Stat § 56-1010.12 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1010.12. Prescriptions for non-sedating antihistamines - Exemption from prior authorization procedures.

|Subject to the provisions of subsection B of Section 204 of Title 56 of the Oklahoma Statutes, effective September 1, 1998, children age eighteen (18) or younger may be prescribed non-sedating antihistamines under the state Medicaid plan without prior authorization by the Medicaid Drug Utilization Review Board. Adults age nineteen (19) or older shall continue to be subject to the prior authorization procedures of the Medicaid Drug Utilization Review Board for non-sedating antihistamines. |Added by Laws 1998, c. 392, § 3, eff. Sept. 1, 1998.
56 OK Stat § 56-1010.13 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1010.13. Representatives of incompetent Medicaid beneficiaries.

|A Medicaid beneficiary, including, but not limited to, a beneficiary currently enrolled in a fully or partially capitated managed care delivery model pursuant to the provisions of the Oklahoma Medicaid Healthcare Options System, who is not medically or legally competent may have another person act on the beneficiary’s behalf for purposes of enrollment or reenrollment into any of the managed care delivery models. A person so authorized shall be a member of one of the following classes of persons: |1. An authorized representative pursuant to the provisions of 20 U.S. Code of Federal Regulations, Section 404.2021;2. The beneficiary’s spouse;3. The guardian of the person appointed pursuant to the Oklahoma Guardianship and Conservatorship Act;4. The attorney-in-fact for health care decisions acting pursuant to the provisions of the Uniform Durable Power of Attorney Act or the health care proxy acting pursuant to the provisions of the Oklahoma Rights of the Terminally Ill or Persistently Unconscious Act;5. A child of the beneficiary who is at least eighteen (18) years of age;6. A parent of the beneficiary; or7. A brother or sister of the beneficiary who is at least eighteen (18) years of age.Added by Laws 1999, c. 416, § 1, eff. Nov. 1, 1999. Amended by Laws 2003, c. 2, § 2, emerg. eff. March 17, 2003.
56 OK Stat § 56-1010.21 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1010.21. Short title – Purpose - Definition.

|A. This act shall be known and may be cited as the “Oklahoma Pharmacy Connection Program”. |B. Initial implementation of the program shall target senior citizens and shall utilize the existing toll-free Senior Info-Line telephone number for senior citizen services.C. The purpose of the Oklahoma Pharmacy Connection Program shall be to improve access to prescription drugs for citizens who have no or inadequate health insurance or other resources for the purchase of medically necessary prescription drugs by:1. Providing a clearinghouse to assist citizens of this state to access manufacturer-sponsored prescription drug assistance programs for which they are or may be eligible;2. Disseminating information about and advertising the program that will assist citizens with purchasing prescription drugs at a lower cost;3. Assisting citizens with accessing pharmaceutical discount or insurance programs that may be of benefit to them;4. Serving as a resource for pharmaceutical benefit issues; and5. Implementing additional strategies to assist citizens to access prescription drugs as appropriate.D. For the purposes of the Oklahoma Pharmacy Connection Program, "manufacturer-sponsored prescription drug assistance program" means a program offered by a pharmaceutical company through which the company provides a drug or drugs to eligible persons at no charge or at a substantially reduced cost. The term does not include the provision of a drug as part of a clinical trial.Added by Laws 2002, c. 337, § 1, emerg. eff. May 30, 2002.
56 OK Stat § 56-1010.22 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1010.22. Establishment of program – Services to be offered – Target population.

|A. The Department of Human Services shall establish a program through which health care providers and members of the public can obtain information about manufacturer-sponsored prescription drug assistance programs and shall provide such information to pharmacies, physicians and other appropriate health care providers, and to the general public. The Department shall ensure that the program has staff available who can, at a minimum: |1. Determine whether a pharmaceutical program is offered for the drug or drugs;2. Determine whether a person is eligible for assistance through a pharmaceutical program; and3. Assist a person to make application to and enroll in a pharmaceutical assistance program.B. Initial implementation of the program shall target senior citizens and shall utilize the existing toll-free Senior Info-Line telephone number for senior citizen services.C. The Department shall implement additional strategies, subject to available resources and the recommendations of the Oklahoma Pharmacy Connection Council, to improve access to prescription drugs for citizens who have no or inadequate health insurance or other resources for the purchase of medically necessary prescription drugs.D. The Department may apply for and accept grants or gifts and may enter into contracts with other state agencies or private organizations to assist with the implementation of the Oklahoma Pharmacy Connection Program including, but not limited to, contracts, gifts or grants from pharmaceutical manufacturers to assist with the direct costs of the program, and take such other action as necessary and appropriate to accomplish the purposes of and implement the provisions of the Oklahoma Pharmacy Connection Program.E. The Department of Human Services shall notify pharmaceutical companies doing business in Oklahoma of the Oklahoma Pharmacy Connection Program. Any pharmaceutical company that does business in this state and that offers a pharmaceutical assistance program shall notify the Department of Human Services of the existence of the program, the drugs covered by the program, and all information necessary to apply for assistance under the program.Added by Laws 2002, c. 337, § 2, emerg. eff. May 30, 2002.
56 OK Stat § 56-1011.1 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1011.1. Short title.

|Sections 1 through 10 of this act shall be known and cited as the “Oklahoma Medicaid Reform Act of 2006”. |Added by Laws 2006, c. 315, § 1, emerg. eff. June 9, 2006.
56 OK Stat § 56-1011.4 (2021)
2021 Oklahoma Statutes|Title 56. Poor Persons|§56-1011.4. Database of clinical utilization information - Needs analysis - Electronic prescribing pilot program.

|A. The Oklahoma Health Care Authority shall conduct a needs analysis to design a database of clinical utilization information or electronic medical records for Medicaid providers. This system shall be web-based and allow providers to review on a real-time basis the utilization of Medicaid services including, but not limited to, office visits, inpatient and outpatient hospitalizations, laboratory and pathology services, radiological and other imaging services, dental care, and patterns of dispensing prescription drugs in order to coordinate care and identify potential fraud and abuse. The Oklahoma Health Care Authority shall evaluate and report findings to the Governor and the Legislature by January 1, 2008. |B. The Oklahoma Health Care Authority shall design and implement an electronic prescribing pilot program. The pilot program may include, but is not limited to, providing hardware, software, and connectivity for a limited number of prescribers. The prescribers who participate may be given vouchers for hardware, software, and connectivity, or the Oklahoma Health Care Authority may use direct vendor contracts. The Oklahoma Health Care Authority shall:1. Within the messaging capabilities of the electronic prescribing system alert prescribers when patients are prescribed multiple drugs that may be duplicative, contraindicated, or have other potential problems related either to other medications or health status of the patient;2. Track spending trends for prescription drugs and deviation from best-practice guidelines and notify prescribers who consistently fall outside those guidelines, comparing those prescribers who are using the electronic prescribing system to those who are not in order to determine whether the pilot program should be expanded; and3. In conjunction with disease management programs or other targeted interventions, alert prescribers to patients who fail to refill ongoing or maintenance medication prescriptions in a timely fashion.C. A report of this pilot program shall be submitted to the Governor and the Legislature no later than eighteen (18) months after the start of the program.Added by Laws 2006, c. 315, § 4, emerg. eff. June 9, 2006.