SB 202: Medicaid; modifying eligibility requirements for self-funded or self-insured health care plan to participate in certain premium assistance program. Emergency. - Oklahoma

Floor (House) → Floor (Senate) · 7 edits

MODERATE

This bill version transitioned from the House to the Senate floor, adding new text that establishes the Oklahoma Medicaid Program Reform Act framework. The Senate version adds language recognizing barriers to Medicaid under federal law and expands eligibility criteria, including income thresholds and employer size requirements for premium assistance programs.

Scope change

The bill's scope expanded from primarily amending existing Medicaid provisions to explicitly establishing a framework for premium assistance programs with specific eligibility criteria for children, small businesses, and employers of various sizes.

SCOPE

Added language recognizing barriers to providing Medicaid benefits under federal law and establishing provisions to lower the number of uninsured and assist businesses in providing health care benefits.

ELIGIBILITY

Modified eligibility requirements for children under the state Medicaid program, specifying coverage for children under 18 whose family incomes do not exceed 185% of the federal poverty level.

Added premium assistance program provisions for small employers with up to 250 employees and not-for-profit employers with up to 500 employees to purchase employer-sponsored insurance or state-sponsored benefit plans.

Added provisions for foster parents employed by employers with more than 250 employees to be exempt from qualifying employer requirements and eligible for premium assistance.

Modified premium assistance program eligibility to include qualified employees whose family income does not exceed 250% of the federal poverty level, subject to federal financial participation limits.

FISCAL

Created a new revolving fund called the 'Health Employee and Economy Improvement Act (HEEIA) Revolving Fund' in the State Treasury to support premium assistance programs.

REQUIREMENT

Added requirement for the Oklahoma Health Care Authority to apply for waivers from CMS to accomplish purposes including increasing access to health care and reforming the state Medicaid program.

Engrossed → Floor (House) · 4 edits

MODERATE

The bill text was reformatted from a Senate version to a House floor version, with page numbers and headers changed. No substantive policy changes were made to the Medicaid program provisions, eligibility requirements, or funding mechanisms.

TECHNICAL

Page headers changed from 'ENGROSSED SENATE' to 'HOUSE OF REPRESENTATIVES - FLOOR VERSION' and 'SB202 HFLR'

Page numbers renumbered from 1-4 to 1-4 with different header formats

Added note that 'BOLD FACE denotes Committee Amendments' in the House version

Minor formatting adjustments to spacing and indentation throughout the document

Introduced → Amended And Engrossed · 6 edits · Mar 12, 2025

MODERATE

The bill was amended from its introduced version to its engrossed version, primarily updating the title and adding an emergency declaration. The substantive policy content regarding Medicaid premium assistance program eligibility, employer size limits, and program provisions remained largely unchanged, with the main differences being formatting, page numbering, and the addition of emergency declaration language.

Scope change

No substantive change to the bill's scope or applicability; the core policy provisions remain the same.

TECHNICAL

Updated the bill title from 'AS INTRODUCED' to 'ENGROSSED HOUSE AMENDMENT TO ENGROSSED SENATE BILL NO. 202' with proper legislative tracking information.

Added 'declaring an emergency' to the act's purpose statement, allowing the bill to take effect immediately without waiting for the next legislative session.

Changed the section header from 'AMENDATORY' to 'AMENDMENT NO. 1' with specific page and line references for the statutory amendment.

Replaced the original title text with bracketed placeholder text indicating the bill's subject matter (state Medicaid program, premium assistance, eligibility requirements, self-funded or self-insured health care plan, emergency).

Removed the original 'AS INTRODUCED' header and replaced it with engrossed version formatting including House and Senate passage dates.

Updated page numbering and formatting throughout the document to reflect the engrossed version rather than the introduced version.

Amended And Engrossed → Engrossed · 5 edits · Mar 12, 2025

MODERATE

The bill was amended to expand eligibility for the state Medicaid premium assistance program to include self-funded or self-insured health care plans and to extend coverage to qualified employees with family income up to 250% of the federal poverty level. The amendment also creates a new revolving fund to finance the program and adds options for high-deductible health plans compatible with health savings accounts.

Scope change

The bill's scope expanded from the state Medicaid program to explicitly include self-funded or self-insured health care plans as eligible participants in the premium assistance program.

ELIGIBILITY

Eligibility requirements were modified to allow self-funded or self-insured health care plans to participate in the premium assistance program, broadening who can receive coverage assistance.

New eligibility provision added to extend premium assistance to qualified employees whose family income does not exceed 250% of the federal poverty level, subject to federal financial participation limits.

FISCAL

A new revolving fund called the 'Health Employee and Economy Improvement Act (HEEIA) Revolving Fund' was created in the State Treasury to finance the premium assistance program and state Medicaid share.

REQUIREMENT

New requirement added authorizing the Authority to create an option for purchasing high-deductible health insurance plans compatible with health savings accounts as part of the premium assistance program.

The Authority is now directed to negotiate with CMS to include provisions in waiver authority that support the expanded eligibility and program extensions.

Medicaid; modifying eligibility requirements for self-funded or self-insured health care plan to participate in certain premium assistance program. Emergency.

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