SB 1847: Medicaid home- and community-based services; modifying eligibility criteria for the ADvantage Waiver Program. Effective date. Emergency. - Oklahoma

Floor (House) → Floor (Senate) · 3 edits

MINOR

The bill was amended to expand eligibility for the ADvantage Waiver Program by adding a new category for adults with cognitive impairments who reside in assisted living centers. Previously, only those with intellectual disabilities or physical disabilities were eligible under these specific conditions. This change allows more seniors with cognitive issues to access necessary home and community-based services.

Scope change

The bill's scope expanded to include adults with cognitive impairments residing in assisted living centers, whereas it previously excluded this group from this specific eligibility pathway.

ELIGIBILITY

Added a new eligibility criterion allowing adults with cognitive impairments who live in contracted assisted living centers to qualify for the waiver program, provided they resided there before developing the impairment and the facility has an accommodation plan.

Reorganized the eligibility requirements to clearly separate the general criteria from the specific exception for cognitive impairment cases.

TIMELINE

Updated the document headers to reflect the Senate floor version and the new effective date of February 25, 2026.

House Committee Substitute for Senate Bill → Floor (House) · 3 edits

MINOR

The bill was converted from a Senate version to a House Floor version, updating the title to reflect the House of Representatives and adding a co-author, Moore and Deck. The substantive policy content regarding Medicaid eligibility criteria, effective dates, and emergency declarations remains unchanged, though the formatting and page headers were updated to reflect the House committee process.

Scope change

The bill's scope and applicability remain unchanged; only the procedural metadata and authorship were updated.

TECHNICAL

Updated the document title to indicate it is the House of Representatives Floor Version instead of the Senate Committee Substitute.

Added 'Moore and Deck of the House' as additional co-authors to the bill.

Replaced the original page headers and footers with new House-specific formatting and committee report details.

Proposed Committee Substitute (full committee) 1 → House Committee Substitute for Senate Bill · 2 edits

MINOR

The bill was completely rewritten and renumbered by the House Committee, replacing the original Senate version. The substantive policy content regarding Medicaid eligibility and the effective date remains the same, but the bill text has been updated with new section numbers and a revised emergency declaration date.

Scope change

The bill's scope and applicability remain unchanged; the text was replaced with a committee substitute version that retains the original policy intent.

TECHNICAL

The entire bill text was replaced with a new version that includes updated section numbers and a revised emergency declaration date (April 8, 2026 instead of April 6, 2026).

The bill title and header information were updated to reflect the House Committee Substitute status and new bill number (17340 instead of 17305).

Enrolled (final version) → Proposed Committee Substitute (full committee) 1 · 3 edits

MINOR

The bill was completely rewritten by the House committee, replacing the original text with a new version that retains the same core purpose: updating Medicaid eligibility for the ADvantage Waiver Program. The substantive policy content regarding age limits, disability definitions, and required levels of care remains identical to the original Senate version, with no changes to funding, dates, or emergency declarations.

Scope change

The bill's scope and applicability remain unchanged; the committee substitute is a direct textual replacement of the original bill without altering the laws it amends.

TECHNICAL

Removed the original enrolled bill header, signatures, and page numbering from the Senate version.

Added House committee amendment headers, metadata (Request No. 17305), and new page numbering specific to the House substitute.

Replaced the entire body of the bill with text that is substantively identical to the original, preserving all eligibility criteria and effective dates.

Engrossed → Enrolled (final version) · 4 edits · Apr 28, 2026

MODERATE

The bill was finalized and enrolled, confirming its passage by the Senate and House and approval by the Governor. The substantive policy changes involve expanding eligibility for the ADvantage Waiver Program to include adults aged 19 to 64 with specific disabilities or conditions, while removing the previous exclusion for individuals with cognitive impairments. Additionally, the effective date for these changes was set to July 1, 2026.

Scope change

The bill's scope was expanded to include younger adults (ages 19-64) who meet specific disability criteria, whereas the previous version primarily focused on those 65 and older or physically disabled adults aged 21 and older.

ELIGIBILITY

The age requirement for physically disabled adults was lowered from 21 to 19 years old, and a new category was added for individuals aged 19 to 64 with developmental disabilities, progressive degenerative diseases, or specific medical needs.

The previous restriction preventing individuals with intellectual disabilities or cognitive impairments from qualifying was removed, allowing them to potentially access the program under new criteria.

TIMELINE

The effective date for the new eligibility criteria was explicitly set to July 1, 2026.

TECHNICAL

The bill text was updated from 'Engrossed' to 'Enrolled' to reflect its final status after passing both legislative chambers and receiving gubernatorial approval.

Amended And Engrossed → Engrossed · 1 edit · Apr 20, 2026

MINOR

The bill was renumbered to correct a sequencing error where the original text skipped Section 1 and jumped to Section 4. The substantive policy content, including eligibility criteria, the effective date of July 1, 2026, and the emergency declaration, remains unchanged.

TECHNICAL

Renumbered the sections of the act so that the amendment to 56 O.S. 2021, Section 1017.3 is now labeled as Section 1, the effective date is Section 2, and the emergency declaration is Section 3, replacing the previous incorrect numbering.

Introduced → Amended And Engrossed · 4 edits · Apr 20, 2026

MODERATE

The bill was amended to add a House coauthor and restructure the text for clarity. The most significant substantive change is the expansion of eligibility criteria for the ADvantage Waiver Program, which now includes adults aged 19 to 64 who have a developmental disability or a specific progressive degenerative disease. The amendment also clarifies the exception for individuals with cognitive impairments, ensuring they can still qualify if they meet specific residency and accommodation plan requirements in assisted living centers.

Scope change

The bill's scope was expanded to include younger adults (ages 19-64) with developmental disabilities or specific progressive degenerative diseases, whereas the original version primarily focused on those 65 and older or physically disabled adults.

ELIGIBILITY

Added a new eligibility category for adults aged 19 to 64 who have a developmental disability, provided they do not have an intellectual disability or cognitive impairment.

Added a new eligibility category for adults aged 19 to 64 who have a clinically documented, progressive, and degenerative disease that previously required hospital or long-term care.

Clarified the exception for individuals with cognitive impairments, specifying that they may qualify if they reside in an assisted living center and that center has an executed accommodation plan.

TECHNICAL

Added House Coauthor 'Deck' to the bill's authorship.

Medicaid home- and community-based services; modifying eligibility criteria for the ADvantage Waiver Program. Effective date. Emergency.

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