The bill mandates that hospitals in Oklahoma publicly disclose their standard charges for all items and services, requiring them to maintain a digital file in a machine-readable format that includes a comprehensive list of standard charges and a consumer-friendly list of at least 300 shoppable services. It specifies that these lists must be updated annually, include clear descriptions of services, and detail various pricing information such as gross charges and negotiated rates with third-party payors. Importantly, the information must be accessible free of charge and without requiring personal information from users.

To ensure compliance, the State Department of Health is empowered to monitor hospitals and take action against those that do not comply, including issuing notices of violation and mandating corrective action plans. The bill also prohibits hospitals from pursuing collection actions against patients if they are found to be materially out of compliance with the pricing disclosure requirements. Additionally, it amends existing law to exclude hospitals from the definition of "health care facility" under the Transparency in Health Care Prices Act, clarifying the scope of the new regulations. The bill is set to take effect on November 1, 2025, following its passage in the Senate on May 20, 2025.