Healthcare (Medicaid)

passed · Oklahoma · House Apr 27, 2026

HB 2947: Behavioral health; terms; Medicaid; scope of practice; interns; administrative requirements; effective date.

HB 2947 adds a new provider code in Oklahoma Medicaid for master's and doctoral-level behavioral health clinical interns. These interns - graduate students in nationally accredited programs - can provide services under the direct supervision of licensed behavioral health providers (like LPCs or LCSWs) while following all Medicaid documentation and training requirements. The bill directly affects interns seeking practical experience and licensed supervisors who will oversee their Medicaid-covered services. It expands Medicaid access to behavioral health care by formalizing intern participation in the state's Medicaid plan.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid coverage for behavioral health interns, enabling supervised services and improving mental health access under public health programs.95% confidence

Sub-Topics Healthcare Workforce Medicaid Mental Health

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in committee · Oklahoma · House Feb 4, 2025

HB 1115: Medicaid; Oklahoma Health Care Authority; mental health; children; effective date.

HB 1115 requires Oklahoma's Medicaid program to increase payment rates for mental health services provided to children 19 years of age or younger by 30%. This change directly affects mental health providers who serve Medicaid-eligible children under 19 by raising the reimbursement they receive for these services. The bill mandates a specific 30% rate increase for covered mental health services, without altering eligibility criteria. The policy becomes effective November 1, 2025.

Topics ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursement rates for children's mental health services by 30%, directly funding and strengthening provider access to care under public health programs.95% confidence

Sub-Topics Medicaid Mental Health

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in committee · Oklahoma · Senate Feb 4, 2025

SB 203: Medicaid; requiring the Oklahoma Health Care Authority to provide certain reimbursement to hospitals under specified conditions. Effective date. Emergency.

SB 203 requires Oklahoma's Medicaid program to reimburse hospitals 100% of the statewide average nursing facility per diem rate for Medicaid patients who no longer need acute hospital care but require nursing facility-level care upon discharge. This applies specifically when patients cannot be transferred to a nursing facility due to bed shortages or because a court-appointed guardian is pending. The Oklahoma Health Care Authority must seek federal approval to implement this reimbursement, and the bill takes effect July 1, 2025. It directly affects Medicaid-enrolled patients needing nursing care transitions and the hospitals treating them.

Topics ✓ HealthcareSupports HealthcareMandates 100% reimbursement to hospitals for Medicaid patients needing nursing facility care during bed shortages or guardian delays, ensuring continuity of care and preventing financial strain on providers, directly supporting healthcare access a...95% confidence

Sub-Topics Hospitals Medicaid

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vetoed · Oklahoma · House May 30, 2025

HB 1576: Medicaid; terms; Oklahoma Health Care Authority; coverage; Medicaid; criteria; medical necessity; discretion; Chief Operating Officer; Health Information Portability and Accountability Act; scientific research; consent; research; opting-out; minors; promulgation of rules and regulations; waiver application; effective date; emergency.

HB 1576 requires Oklahoma Medicaid to cover rapid whole genome sequencing (RWGS) for eligible beneficiaries under age 21 with complex or acute illnesses of unknown cause while receiving critical care in a hospital. It mandates coverage only when specific medical criteria are met, such as symptoms suggesting broad genetic testing needs, timely diagnosis being critical for treatment, and conditions like congenital anomalies or abnormal test results. The bill also ensures genetic data used for diagnosis is protected under HIPAA, allows research use only with explicit patient or guardian consent (with opt-out rights), and requires the Oklahoma Health Care Authority to implement rules and seek federal approval for coverage. This policy directly affects Medicaid-covered children and teens in intensive care with undiagnosed conditions.

Topics ✓ HealthcareSupports HealthcareBill mandates Medicaid coverage for rapid whole genome sequencing for critically ill minors under 21, expanding diagnostic access and treatment options.95% confidence

Sub-Topics Hospitals Medicaid

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in committee · Oklahoma · Senate Feb 4, 2025

SB 226: Medicaid program; providing for certain reimbursement methodology for certain hospitals. Effective date. Emergency.

SB 226 changes how Oklahoma reimburses hospitals under its Medicaid program. It requires the Oklahoma Health Care Authority to pay rural emergency hospitals more for services to Medicaid patients and to pay 25% more for obstetrical care at hospitals certified as "Baby-Friendly" by Baby-Friendly USA. The bill mandates seeking federal approval for the obstetrics reimbursement change and takes effect July 1, 2025. These adjustments directly affect rural emergency hospitals and Baby-Friendly designated hospitals providing maternity care.

Topics ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursements for rural hospitals and Baby-Friendly OB care, enhancing funding and access for covered services.95% confidence

Sub-Topics Hospitals Medicaid Women's Health

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in committee · Oklahoma · Senate Feb 4, 2025

SB 1063: Prescriptions; creating the Oklahoma Health Care Safety Net and Affordable Prescriptions Accessibility Act; prohibiting certain actions; providing for enforcement by Attorney General and Insurance Commissioner. Effective date.

SB 1063, the Oklahoma Health Care Safety Net and Affordable Prescriptions Accessibility Act, prohibits health insurers, pharmacy benefits managers, and drug manufacturers from discriminating against healthcare providers participating in the federal 340B drug discount program. It requires equal reimbursement rates for 340B drugs compared to non-340B drugs, bans extra fees or restrictions on these providers, and prevents manufacturers from blocking access to discounted drugs. The law directly affects 340B entities (like community health centers), insurers, and pharmacies, while excluding Oklahoma Medicaid program reimbursements. Enforcement will be handled by the Attorney General and Insurance Commissioner.

Topics ✓ HealthcareSupports HealthcareProhibits discrimination against 340B providers, mandates equal reimbursement for 340B drugs, bans extra fees/restrictions, and prevents access blocks - directly improving patient access to affordable prescriptions.95% confidence

Sub-Topics Medicaid Prescription Drugs

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signed · Oklahoma · Senate May 15, 2025

SB 253: 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.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates Medicaid budget inclusion of audited costs, ensuring fiscal accountability for essential services.90% confidence ✓ HealthcareSupports HealthcareBill mandates Medicaid budget include funding for audited costs of facilities serving individuals with intellectual disabilities, ensuring adequate reimbursement for healthcare services.90% confidence

Sub-Topics Medicaid

died · Oklahoma · Senate Feb 19, 2026

SB 1383: Medicaid; providing for Medicaid coverage of diabetes self-management education and support. Effective date.

SB 1383 requires Oklahoma Medicaid to cover diabetes self-management education and support (DSMES) for beneficiaries with diabetes. It mandates the Oklahoma Health Care Authority to develop a state plan amendment for this coverage after completing a feasibility study and reporting on costs, clinical evidence, and pilot results. The bill defines DSMES as personalized education covering healthy eating, physical activity, blood sugar monitoring, and medication management. This policy change directly affects Oklahoma Medicaid enrollees diagnosed with diabetes by expanding their covered health services. The bill becomes effective November 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid coverage for diabetes self-management education, expanding access to critical care for beneficiaries with diabetes.95% confidence

Sub-Topics Medicaid

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signed · Oklahoma · House May 8, 2025

HB 2049: Medicaid parity; coverage; mental health and substance use disorders; contract compliance; noncompliance reviews; Oklahoma Health Care Authority; complaints; publication of reports; effective date.

HB 2049 requires Oklahoma's Medicaid managed care plans to comply with federal parity laws for mental health and substance use disorder coverage. It mandates regular compliance checks on nonquantitative treatment limitations (like prior authorization), creates a standardized process for handling parity complaints, and requires the Oklahoma Health Care Authority to publicly report on compliance. The law directly affects Medicaid managed care plans, the Oklahoma Health Care Authority, and Medicaid beneficiaries seeking mental health or substance use services. Key provisions include contract requirements for parity analysis, public disclosure of compliance reports, and a 30-day deadline for publishing federal reports. The bill became effective November 1, 2025.

Topics ✓ HealthcareSupports HealthcareRequires Medicaid plans to comply with federal parity laws for mental health/substance use coverage, strengthening patient access and rights under Medicaid.95% confidence

Sub-Topics Medicaid Mental Health Substance Abuse

in committee · Oklahoma · House Feb 4, 2025

HB 1988: Medicaid; Oklahoma Health Care Authority; eligibility; effective date.

HB 1988 expands Oklahoma's Medicaid program to cover adults aged 19 to 64 with household incomes at or below 160% of the federal poverty level. This change directly affects low-income working adults and families who previously did not qualify for Medicaid under Oklahoma's current eligibility rules. The Oklahoma Health Care Authority must implement this expanded coverage starting November 1, 2025. The bill modifies eligibility criteria to include this income group without altering existing Medicaid benefits or funding mechanisms.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid eligibility to cover low-income adults (19-64) at 160% FPL, directly increasing healthcare access and coverage for previously excluded groups.95% confidence

Sub-Topics Medicaid

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