Medicaid; requiring Oklahoma Health Care Authority to include certain information in annual budget request. Effective date.
SB 253 requires the Oklahoma Health Care Authority (OHCA) to include specific funding details in its annual Medicaid budget request. It mandates that the budget must reflect new state and federal funding needed to cover additional costs for reimbursing nursing facilities and intermediate care facilities serving individuals with intellectual disabilities. This reimbursement must be based on the most recent audited cost, calculated using the latest cost report submitted to OHCA. The bill directly affects Medicaid providers and the state's budgeting process for Medicaid services, effective November 1, 2025.
Bill status
passed both
4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
Mar 2025
House Passage
May 2025
Governor
Introduced Feb 3, 2025
Last action May 15, 2025
Maddy AI version diff · 4 comparisons
What changed between versions
Floor (House)
→
Floor (Senate)
·
4 edits
MODERATE
This bill moved from the House to the Senate floor, with minor formatting and authorship changes. The core policy content regarding Medicaid budget reporting requirements for nursing facilities serving individuals with intellectual disabilities remains unchanged. The Senate version includes a committee report from the Health and Human Services Committee dated March 3, 2025, while the House version had an Appropriations Committee report dated April 16, 2025.
TECHNICAL
Header changed from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' with updated date to March 3, 2025
Added co-author 'Stinson of the House' to the bill sponsors list
Committee report changed from Appropriations and Budget Committee (April 16, 2025) to Health and Human Services Committee (March 3, 2025)
Page headers updated to reflect Senate Floor Version instead of House Floor Version
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
24
Key actions
6
Committee
6
May 7, 2025
Committee
Referred for enrollment
upper
May 7, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 79 Nays: 0
lower
Apr 16, 2025
Lower · Passed
CR; Do Pass Appropriations and Budget Committee
lower
Apr 8, 2025
Lower · Passed
Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee
lower
Apr 2, 2025
Committee
Referred to Appropriations and Budget Health Subcommittee
lower
Mar 11, 2025
Introduced
First Reading
lower
Mar 11, 2025
Upper · Passed
Engrossed to House
upper
Mar 10, 2025
Committee
Referred for engrossment
upper
Mar 10, 2025
Upper · Passed
Measure passed: Ayes: 46 Nays: 0
upper
Mar 3, 2025
Upper · Passed
Reported Do Pass Health and Human Services committee; CR filed
upper
Feb 3, 2025
Introduced
First Reading
upper
2 primary · 0 co-sponsors
Sponsors
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