§ 5051.1. Recovery from tortfeasors of amounts paid for medical expenses of injured and disease...
Oklahoma Statutes AnnotatedTitle 63. Public Health and SafetyEffective: November 1, 2023
Effective: November 1, 2023
63 Okl.St.Ann. § 5051.1
§ 5051.1. Recovery from tortfeasors of amounts paid for medical expenses of injured and diseased persons--Liens or other legal action
A. 1. The payment of medical expenses by the Oklahoma Health Care Authority for or on behalf of or the receipt of medical assistance by a person who has been injured, passed away, or who has suffered a disease as a result of the negligence or act of another person creates a debt to the Authority, subject to recovery by legal action pursuant to this section. Damages for medical costs are considered a priority over all other damages and shall be paid by the tortfeasor prior to all other damages being allocated or paid.
2. The payment of medical expenses by the Authority for or on behalf of a person who has been injured or who has suffered a disease, and either has a claim or may have a claim against an insurer, to the extent recoverable, creates a debt to the Authority whether or not such person asserts or maintains a claim against an insurer:
B. The Authority shall provide notice to all recipients of medical assistance at the time of application for such assistance of their obligation to report any claim or action, and any judgment, settlement or compromise arising from the claim or action, for injury or illness for which the Authority makes payments for medical assistance.
C. The recipient of medical assistance from the Authority for an injury or disease who asserts a claim or maintains an action against another on account of the injury or disease, or the recipient's legal representative, shall notify the Authority of the claim or action and of any judgment, settlement or compromise arising from the claim or action prior to the final judgment, settlement or compromise.
1. Shall have a lien upon payment of the medical assistance to the extent of the total amount so paid upon that part going or belonging to the injured or diseased person of any recovery or sum had or collected or to be collected by the injured or diseased person up to the amount of the damages for the total medical expenses, or by the heirs, personal representative or next of kin in case of the death of the person, whether by judgment or by settlement or compromise. The lien authorized by this subsection shall:
b. not be applied or considered valid against any temporary or permanent disability award of the claimant due under the Workers' Compensation Act,1
E. The Authority, to secure and enforce the right of recovery or reimbursement on behalf of the injured or diseased person, may initiate and prosecute any action or proceeding against any other person or tortfeasor who may be liable to the injured or diseased person, if the injured or diseased person has not initiated any legal proceedings against the other person or tortfeasor.
F. Any person or insurer that has been notified by the Authority of a claim of lien authorized by this section and who, directly or indirectly, pays to the recipient any money as a settlement or compromise of the recipient's claim arising out of the injury shall be liable to the Authority for the money value of the medical assistance rendered by the Authority in an amount not in excess of the amount to which the recipient was entitled to recover from the tortfeasor or insurer because of the injury.
3. “Insurer” means any insurance company that administers accident and health policies or plans or that administers any other type insurance policy containing medical provisions, and any nonprofit hospital service and indemnity and medical service and indemnity corporation, actually engaged in business in the state, regardless of where the insurance contract is written, or plan is administered or where such corporation is incorporated.
Credits
Laws 1970, c. 313, § 1, eff. April 7, 1970; Laws 1981, c. 159, § 1, eff. May 8, 1981; Laws 1986, c. 22, § 1, eff. March 18, 1986. Renumbered from Title 56, § 200 and amended by Laws 1996, c. 221, §§ 1, 6, eff. Nov. 1, 1996. Laws 2005, c. 91, § 1, eff. Nov. 1, 2005; Laws 2007, c. 74, § 1, eff. Nov. 1, 2007; Laws 2023, c. 161, § 1, eff. Nov. 1, 2023.
Footnotes
Title 85A, § 1 et seq.
63 Okl. St. Ann. § 5051.1, OK ST T. 63 § 5051.1
Current with emergency effective legislation through Chapter 257 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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