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 lists these charges. Additionally, hospitals must provide a consumer-friendly list of at least 300 shoppable services, ensuring that the information is updated annually and includes clear descriptions and various pricing details, such as gross charges and negotiated rates. This 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 requiring corrective action plans. Noncompliant hospitals are prohibited from initiating collection actions against patients for debts incurred during the period of noncompliance and may be required to refund payments made by patients if found materially noncompliant. The bill also clarifies definitions related to health care services and providers, and it is set to take effect on November 1, 2025.