SB 253 Oklahoma Senate · 2026 Regular Session

Medicaid; requiring Oklahoma Health Care Authority to include certain information in annual budget request. Effective date.

SB 253 requires Oklahoma's Medicaid agency (the Oklahoma Health Care Authority) to include specific funding details in its annual budget request. It mandates that the budget reflect new state and federal funding needed to cover the most recent audited costs for reimbursing nursing facilities and intermediate care facilities serving individuals with intellectual disabilities. The audited cost must be calculated using the latest cost report submitted to the agency. This change takes effect November 1, 2025.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
Mar 2025
House Passage
May 2025
Signed into Law
May 2025
Introduced Feb 3, 2025 Signed May 15, 2025
Maddy AI version diff · 4 comparisons

What changed between versions

Floor (House) Floor (Senate) · 3 edits
MINOR
The bill text was converted from the House version to the Senate version, primarily involving formatting changes, header updates, and reordering of committee report information. The substantive policy content regarding Medicaid funding calculations for nursing facilities and intellectual disabilities remains unchanged.
TECHNICAL

Header changed from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' with updated date and page numbering format.

Coauthor attribution changed from 'Stinson and Osburn of the House' to 'Stinson of the House' only in the Senate version.

Committee report section reorganized with Senate Appropriations and Budget committee information moved to a different position in the document.

Floor votes · Senate Mar 10, 2025 · House May 7, 2025

How they voted

480
Passed · 1 other
Total votes 49
Mar 10, 2025
D Democratic9
9 Yea
100% Yea
R Republican40
39 Yea 1
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
24
Key actions
6
Committee
6
May 7, 2025
Committee
Referred for enrollment
upper
May 7, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 79 Nays: 0
lower
Apr 16, 2025
Lower · Passed
CR; Do Pass Appropriations and Budget Committee
lower
Apr 8, 2025
Lower · Passed
Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee
lower
Apr 2, 2025
Committee
Referred to Appropriations and Budget Health Subcommittee
lower
Mar 11, 2025
Introduced
First Reading
lower
Mar 11, 2025
Upper · Passed
Engrossed to House
upper
Mar 10, 2025
Committee
Referred for engrossment
upper
Mar 10, 2025
Upper · Passed
Measure passed: Ayes: 46 Nays: 0
upper
Mar 3, 2025
Upper · Passed
Reported Do Pass Health and Human Services committee; CR filed
upper
Feb 3, 2025
Introduced
First Reading
upper
2 primary · 0 co-sponsors

Sponsors