Medicaid; directing certain program delivery model; repealing provisions relating to managed care delivery model. Effective date.

SB 193 changes Oklahoma's Medicaid program from a managed care model to a direct fee-for-service system. It requires the Oklahoma Health Care Authority to transition all Medicaid members from contracted managed care organizations back to direct coverage, terminate existing managed care contracts, and directly reimburse healthcare providers. The bill repeals numerous existing laws related to managed care delivery (including Sections 4002.1 through 4002.15 and related provisions) and mandates the Authority to seek federal approval for this transition. The change takes effect November 1, 2025, affecting Medicaid recipients and healthcare providers currently covered under managed care contracts.