1| STATE OF OKLAHOMA | | | 2| 2nd Session of the 60th Legislature (2026) | | | 3|HOUSE BILL 3599 By: Lepak | | | 4| | | | 5| | | | 6| AS INTRODUCED | | | 7| An Act relating to Medicaid; directing the Oklahoma | | Health Care Authority to file a waiver or state plan | 8| amendment; directing for an expansion in | | cost-sharing; providing for codification; and | 9| providing an effective date. | | | 10| | | | 11| | | | 12|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | | | 13| SECTION 1. NEW LAW A new section of law to be codified | | | 14|in the Oklahoma Statutes as Section 4012 of Title 56, unless there | | | 15|is created a duplication in numbering, reads as follows: | | | 16| A. The Oklahoma Health Care Authority shall file a Medicaid | | | 17|waiver or state plan amendment, as necessary, on or before January | | | 18|1, 2027, to impose a cost-sharing requirement of Thirty-five Dollars | | | 19|($35.00) per provision of care, items, or services for expansion | | | 20|enrollees, subject to federal limitations on cost-sharing and | | | 21|eligibility limitations under 42 U.S.C. Section 1396a. The Oklahoma | | | 22|Health Care Authority shall not reduce the cost-sharing requirement | | | 23|for an expansion enrollee's nonemergency use of emergency | | | 24|departments below Thirty-five Dollars ($35.00). The total aggregate | | | Req. No. 15163 Page 1 ___________________________________________________________________________
1|amount of cost-sharing charges imposed under the state plan for all | | | 2|individuals in the family may not exceed five percent (5%) of the | | | 3|family income, as applied on a quarterly basis. | | | 4| B. A provider participating under the state plan may require as | | | 5|a condition for the provision of care, items, or services to an | | | 6|expansion enrollee, payment of cost-sharing charges under the state | | | 7|plan pursuant to subsection A of this section. The amount of any | | | 8|required payment of cost-sharing for an expansion enrollee shall be | | | 9|deducted from the payment to a participating provider, regardless of | | | 10|whether that provider elects to require payment of such charges. | | | 11| SECTION 2. This act shall become effective November 1, 2026. | | | 12| | | | 13| 60-2-15163 TJ 12/17/25 | | | 14| | | | 15| | | | 16| | | | 17| | | | 18| | | | 19| | | | 20| | | | 21| | | | 22| | | | 23| | | | 24| | | | Req. No. 15163 Page 2