Medicaid; directing certain program delivery model; repealing provisions relating to managed care delivery model. Effective date.

SB 193 changes Oklahoma's Medicaid program from a managed care delivery model to a direct fee-for-service system. It requires the Oklahoma Health Care Authority (OHCA) to transition all Medicaid members from contracted managed care organizations to direct coverage, terminate existing managed care contracts, and establish new direct contracts with healthcare providers. The bill affects all Medicaid recipients in Oklahoma and healthcare providers who serve them, as payments would shift from insurers to OHCA directly. OHCA must seek federal approval for this change and promulgate new rules to implement the transition, which takes effect November 1, 2025. The bill repeals multiple existing Medicaid statutes that governed the managed care model.