Healthcare (Medicaid)

in committee · Oklahoma · Senate Feb 3, 2026

SB 1654: Mobile integrated healthcare; directing establishment of mobile integrated healthcare program; requiring certain reimbursement. Effective date.

SB 1654 requires health care benefit plans (like insurance companies) to reimburse mobile integrated healthcare (MIH) providers at specific rates. For non-transport treatments, plans must pay at least the state Medicaid program's minimum rate. For MIH providers who transport patients to alternative destinations (e.g., clinics instead of hospitals), reimbursement must match basic or advanced life support rates based on patient needs. This applies to all MIH suppliers and affects how health plans cover these services in Oklahoma. The bill directs the Oklahoma Health Care Authority to establish the reimbursement methodology.

Topics ✓ HealthcareSupports HealthcareMandates specific reimbursement rates for MIH providers, ensuring coverage access and strengthening healthcare funding for mobile services.95% confidence

Sub-Topics Medicaid

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in committee · Oklahoma · House Feb 3, 2026

HB 3911: Medicaid; Oklahoma Health Care Authority; 1915(c) waiver; postsecondary support; Home and Community-Based Services waiver; effective date.

HB 3911 directs Oklahoma's Medicaid agency to amend its federal 1915(c) waiver with CMS to expand coverage for postsecondary support (such as job training or education programs) under Home and Community-Based Services (HCBS) waivers. This change would directly affect Oklahomans receiving HCBS through Medicaid who need postsecondary support to maintain independence in community settings. The bill requires the Oklahoma Health Care Authority to formally update the waiver agreement with federal authorities. The amendment would take effect November 1, 2026.

Topics ✓ EducationSupports EducationExpands Medicaid coverage for postsecondary education programs under HCBS waivers, directly enhancing educational access for HCBS recipients.85% confidence ✓ HealthcareSupports HealthcareExpands Medicaid HCBS waiver to include postsecondary support, enhancing community-based care access for beneficiaries through federal waiver amendment.95% confidence

Sub-Topics Medicaid

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in committee · Oklahoma · Senate Feb 3, 2026

SB 1648: Medicaid; creating the Healthy Moms, Healthy Babies Act; requiring coverage and reimbursement of specified services; requiring certain reimbursement methodology. Effective date.

SB 1648, the "Healthy Moms, Healthy Babies Act," requires Oklahoma Medicaid to cover specific maternal health services for pregnant and postpartum women. It mandates separate reimbursement for prenatal, delivery, and postpartum care (including office visits, lab work, remote monitoring, and gestational diabetes management) instead of bundled payments, and adds coverage for depression screening, self-measured blood pressure monitoring, remote ultrasounds, and doulas/community health workers for home visits. The bill also establishes presumptive eligibility for pregnant applicants to access immediate prenatal care while processing full applications. These changes take effect November 1, 2026, and require the Oklahoma Health Care Authority to seek necessary federal approvals.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid coverage for expanded maternal health services including depression screening, remote monitoring, and doulas, strengthening access and funding for critical healthcare needs.95% confidence

Sub-Topics Medicaid Telehealth Women's Health

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signed · Oklahoma · Senate May 6, 2026

SB 1565: Medicaid; establishing powers and duties related to Transforming Maternal Health (TMaH) Model; requiring inclusion of nutrition support services. Effective date. Emergency.

SB 1565 requires Oklahoma's Medicaid program to include nutrition support services for pregnant and postpartum women with diet-related conditions or high-risk pregnancy factors. It mandates medically tailored home-delivered meals designed by dietitians to meet specific medical needs, along with optional nutritional counseling, to improve maternal health outcomes. The bill authorizes Oklahoma Health Care Authority to use federal funds from the CMS Transforming Maternal Health (TMaH) Model exclusively for these services. The law takes effect July 1, 2026, and is designated as an emergency measure.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid inclusion of nutrition support services for high-risk maternal health, expanding coverage and improving access to medically tailored care.95% confidence

Sub-Topics Medicaid Women's Health

signed · Oklahoma · Senate Apr 28, 2026

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

SB 1847 modifies Oklahoma's ADvantage Waiver Program, which provides Medicaid home- and community-based services. It creates an exception allowing individuals with cognitive impairments to qualify if they were already residing in an assisted living center contracted with the state when their impairment developed, and the center has a specific accommodation plan. This change directly affects adults with cognitive impairments who live in state-contracted assisted living facilities and developed their condition after moving in. The bill does not alter financial or age requirements but adjusts eligibility for this specific group. The exception applies to those meeting all three conditions outlined in the bill's new subsection B.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid eligibility for cognitive impairment patients in state-contracted facilities, increasing access to home-based care services under ADvantage Waiver Program.95% confidence

Sub-Topics Long-Term Care Medicaid

in committee · Oklahoma · House Feb 3, 2026

HB 3359: Medicaid coverage; biomarker testing coverage; discretionary; effective date.

HB 3359 requires Oklahoma's Medicaid program to cover biomarker testing for Medicaid members when supported by medical evidence, such as FDA approvals, clinical guidelines, or CMS coverage policies. It directly affects Medicaid recipients needing these tests, healthcare providers ordering them, and Medicaid contractors managing coverage. Key provisions mandate that contractors cover testing at the same scope as other services, approve/deny prior authorizations within 24-72 hours, and provide clear online processes for coverage exceptions. The bill takes effect November 1, 2026, with no changes to existing Medicaid coverage standards beyond this specific requirement.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid coverage for biomarker testing, expanding access to essential diagnostic services for beneficiaries per medical evidence standards.95% confidence

Sub-Topics Medicaid

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in committee · Oklahoma · Senate Feb 3, 2026

SB 1649: Medicaid; prohibiting Oklahoma Health Care Authority from imposing certain requirements on providers. Emergency.

SB 1649 prohibits Oklahoma's Medicaid program (administered by the Oklahoma Health Care Authority) from requiring healthcare providers to disclose whether they perform, refer for, or are affiliated with abortion services. This applies specifically to contracting, Medicaid payment, and credentialing processes. The bill directly affects Medicaid providers who previously might have faced such disclosure demands as a condition of participation. It mandates the Authority to create implementing rules and declares an emergency for immediate effect.

Topics ✓ HealthcareSupports HealthcareRemoves abortion-related disclosure requirement for Medicaid providers, enabling broader participation without restrictions on services.85% confidence

Sub-Topics Medicaid Medical Licensing Women's Health

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in committee · Oklahoma · House Feb 3, 2026

HB 3358: Medicaid provider audits; terms; review of Medicaid providers or managed care organizations; penalties; retain records; production of records; promulgation of rules; determination of overpayments; credible allegations of fraud; methodology for audits; notice; informal conference; expedited adjudicatory proceeding; Oklahoma Health Care Authority; corrective action plans; qualifications for hearing officer; costs; preliminary or final determination for overpayment; effective date.

This Oklahoma bill requires Medicaid providers and managed care organizations to retain relevant records for six years. It authorizes the Oklahoma Health Care Authority to audit providers for fraud, contract breaches, or billing errors, with written notice required before audits. If violations are found, providers may face fines up to $5,000 per incident or lose their Medicaid contracts. The bill also establishes a faster process for resolving disputes over audit findings, including informal conferences and expedited hearings.

Topics ✓ Budget & TaxesSupports Budget & TaxesPrevents Medicaid fraud to protect state budget via audits and penalties, promoting fiscal responsibility in program spending.85% confidence ✓ HealthcareSupports HealthcareBill enforces Medicaid fraud/billing audits and penalties, protecting program integrity and ensuring proper use of healthcare funds for beneficiaries.95% confidence

Sub-Topics Audits & Accountability Medicaid

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died · Oklahoma · Senate Feb 24, 2026

SB 1837: Medicaid home- and community-based services; requiring Oklahoma Health Care Authority to seek certain exemption. Effective date.

SB 1837 requires the Oklahoma Health Care Authority (OHCA) to seek a federal exemption allowing Medicaid providers in rural counties (population ≤60,000) to provide case management and develop person-centered plans for home- and community-based services. This directly affects rural healthcare providers who currently face restrictions under federal regulation 42 C.F.R. §441.301(c)(1)(vi). The bill mandates OHCA to establish conflict-of-interest protections for exempt providers, separating case management and provider functions within organizations. The exemption would permit these rural providers to deliver services without federal barriers, effective November 1, 2026.

Topics ✓ HealthcareSupports HealthcareRemoves federal restriction on rural Medicaid providers, enabling home/community-based services access. Expands patient access to care in underserved areas per bill's explicit mandate.90% confidence

Sub-Topics Medicaid

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in committee · Oklahoma · House Feb 3, 2026

HB 3602: Health care-related tax; Oklahoma Health Care Authority; report; publicly post; net patient revenue; exception; tax revenue; tax rate; effective date.

HB 3602 requires the Oklahoma Health Care Authority (OHCA) to annually report on health care-related taxes and publicly post the report online by October 1 each year. The bill prohibits increasing the percentage of health care providers' net patient revenue subject to these taxes above the 2025 level, and mandates a phased reduction - from 5.5% in 2028 down to 3.5% by 2032 and beyond - except for specific tax categories. It also bans tax rates that vary based on Medicaid service volume. This bill directly affects Oklahoma health care providers and the OHCA, taking effect November 1, 2026.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates phased tax rate reduction from 5.5% to 3.5% (2028-2032), providing tax relief for health care providers and promoting fiscal responsibility via transparent reporting.95% confidence ✓ HealthcareSupports HealthcareBill reduces healthcare provider tax rates from 5.5% to 3.5% by 2032, easing financial burden to support service provision and prevent tax increases.85% confidence

Sub-Topics Revenue Medicaid

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