State Medicaid program; modifying various provisions relating to nursing facility incentive reimbursement. Effective date. Emergency.
This bill modifies Oklahoma's Medicaid program to create a pay-for-performance incentive system for nursing facilities, directly affecting providers of long-term care services. It establishes a quality assurance component where facilities can earn additional payments based on their performance in four specific long-stay quality measures, such as pressure ulcer prevention and weight loss monitoring, using ratings from the federal CMS Five-Star Quality Rating System. Facilities can receive between 40% and 100% of reserved funds depending on their star rating, with an optional staff retention initiative offering up to $3 per patient day for maintaining registered nurse and certified nurse aide retention rates. The bill also requires the Oklahoma Health Care Authority to form an advisory group to review quality measures annually, submit annual reports to state officials, and audit the program for transparency.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 3, 2025
Last action Mar 10, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Committee Substitute
→
Floor (Senate)
·
3 edits
MINOR
The bill was revised from a Committee Substitute version to a Senate Floor version, primarily updating the header information and page numbering while retaining the core legislative text. The substantive policy provisions regarding Medicaid reimbursement rates, quality metrics, and staff retention initiatives remain unchanged in their operational details.
Scope change
No substantive change to the bill's scope or applicability; only formatting and header information were modified.
TECHNICAL
Header information was updated to reflect the Senate Floor version dated March 5, 2025, replacing the Committee Substitute designation.
Page numbering and footer text were adjusted to reflect the Senate Floor version format, including page references and amendment notation.
Section 1 title was slightly reworded to include a keyword summary in brackets for easier reference, though the actual statutory language remains unchanged.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
10
Key actions
2
Committee
3
Mar 5, 2025
Upper · Passed
Reported Do Pass, amended by committee substitute Appropriations committee; CR filed
upper
Feb 10, 2025
Committee
Referred to Appropriations
upper
Feb 10, 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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