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
48–0
Passed · 1 other
Total votes 49
Mar 10, 2025
D
Democratic9
100% Yea
R
Republican40
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
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