Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; effective date.

Added a committee report recommending the bill do pass as amended and coauthored.

Updated the header to reflect the House Floor version and added a note indicating that bold face text denotes committee amendments.

Reorganized the layout and formatting of the bill text to align with the House Floor version.

The document title was changed from 'PROPOSED SUBCOMMITTEE SUBSTITUTE' to 'COMMITTEE SUBSTITUTE', indicating the bill has moved to the official House committee stage.

The page reference number at the bottom of the first page was updated from 16396 to 16969.

The header text indicating the document was a 'Proposed Committee Substitute' was removed as it is no longer applicable.

Deleted requirements for reimbursing depression screening during pregnancy and the postpartum period.

Removed detailed provisions authorizing reimbursement for remote ultrasound procedures and the specific technology standards required.

Deleted the section allowing reimbursement for home visitation services provided by doulas or community health workers.

Added a specific effective date of November 1, 2026, to the act.

Condensed the bill's purpose statement to focus exclusively on flexible payment structures for maternity care rather than listing specific reimbursable services.

Added explicit authorization for reimbursement of depression screening during pregnancy and the postpartum period.

Added reimbursement for remote monitoring services and remote ultrasound procedures performed at home or off-site locations.

Added coverage for home visitation services provided by doulas or community health workers.

Changed the payment structure to require separate reimbursement for prenatal, delivery, and postpartum services instead of a single global payment.

Expanded the list of covered services to include laboratory fees, physician-ordered testing, blood work, fetal nonstress tests, and continuous glucose monitors.

Removed all specific policy language regarding reimbursement for depression screening, flexible payment structures, presumptive eligibility, remote ultrasound procedures, and home visitation services.

Removed requirements for the Oklahoma Health Care Authority to apply for federal waivers or adopt specific rules to implement the new coverage.

Removed detailed definitions and lists of covered services such as blood work, fetal nonstress tests, and continuous glucose monitors.

Condensed the bill to focus solely on setting the effective date of November 1, 2026, removing the original introductory act text.