Medicaid; requiring establishment of direct primary care pilot program. Effective date.

SB 1559 requires Oklahoma's Medicaid program to test a direct primary care model through a 36-month pilot program serving up to 1,000 Medicaid beneficiaries. It mandates the Oklahoma Health Care Authority to contract directly with qualified providers using monthly payments per patient (not traditional capitated contracts) and establish quality benchmarks aligned with federal rules. The program requires annual reports tracking access, patient satisfaction, clinical outcomes, and costs, with recommendations for future Medicaid policy. This pilot aims to evaluate how direct primary care - where patients pay a flat fee for services - could improve care within Medicaid, without changing existing Medicaid coverage.