1| SENATE FLOOR VERSION |
| February 9, 2026 |
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3|SENATE BILL NO. 1555 By: Reinhardt |
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6| An Act relating to Medicaid home- and community-based |
| services; amending 10 O.S. 2021, Section 1408, which |
7| relates to definitions; modifying certain definition; |
| updating statutory language and references; and |
8| providing an effective date. |
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11|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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12| SECTION 1. AMENDATORY 10 O.S. 2021, Section 1408, is |
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13|amended to read as follows: |
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14| Section 1408. A. "Individual with intellectual disability" as |
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15|used in Sections Section 1406 through 1424 et seq. of this title |
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16|means a person who has significantly subaverage functioning, |
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17|evidenced by an intelligence quotient (IQ) of less than seventy |
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18|(70), or between seventy-one (71) and seventy-five (75) accompanied |
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19|by a verbal or performance IQ score of seventy (70) or below, |
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20|manifested before the age of eighteen (18) twenty-two (22) years of |
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21|age and existing concurrently with related limitations in extreme |
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22|limitation of one or more or marked limitation of two or more of the |
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23|following applicable adaptive skill areas: |
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24| 1. Communication; |
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1| 2. Self-care; |
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2| 3. Home living; |
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3| 4. Social skills; |
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4| 5. Use of community resources; |
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5| 6. Self-direction; |
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6| 7. Health and safety; |
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7| 8. Functional academics; |
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8| 9. Leisure; and |
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9| 10. Work |
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10|areas of mental functioning, as described in the listing for |
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11|intellectual disorder in the Social Security Administration Listing |
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12|of Impairments for disability evaluation: |
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13| 1. Understand, remember, or apply information; |
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14| 2. Interact with others; |
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15| 3. Concentrate, persist, or maintain pace; or |
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16| 4. Adapt or manage oneself. |
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17| B. "Resident" as used in Sections Section 1406 through 1424 et |
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18|seq. of this title shall mean a person admitted to and in residence |
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19|in any of the institutions named in Section 1406 of this title, or |
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20|on a vacation or extended vacation status from such institution. |
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21| C. "Developmental disability" as used in Sections Section 1406 |
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22|through 1424 et seq. of this title means a severe, chronic |
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23|disability of a person which: |
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1| 1. Is attributable to a mental or physical impairment or |
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2|combination of mental and physical impairments, such as intellectual |
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3|developmental disorder, cerebral palsy, or autism; |
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4| 2. Is manifested before the person attains twenty-two (22) |
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5|years of age; |
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6| 3. Is likely to continue indefinitely; |
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7| 4. Results in substantial functional limitations in three or |
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8|more of the following areas of major life activity: |
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9| a. self-care, |
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10| b. receptive and expressive language, |
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11| c. learning, |
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12| d. mobility, |
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13| e. self-direction, |
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14| f. capacity for independent living, and |
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15| g. economic self-sufficiency; and |
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16| 5. Reflects the person's need for a combination and sequence of |
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17|special, interdisciplinary, or generic care, treatment, or other |
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18|services which are of lifelong or extended duration and are |
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19|individually planned and coordinated. The term developmental |
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20|disability shall not include mentally ill incompetent persons, as |
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21|those persons are defined by Section 1-103 of Title 43A of the |
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22|Oklahoma Statutes, whose sole disability is mental illness as |
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23|defined by Section 1-103 of Title 43A of the Oklahoma Statutes. |
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1| D. Nothing in subsection C of this section shall be construed |
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2|to render persons who are receiving services upon September 1, 1991, |
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3|through programs and services for individuals with intellectual |
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4|disabilities offered by the Department of Human Services as |
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5|ineligible for such services. The Department of Human Services may |
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6|provide, within the limitations of funds and other resources |
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7|available for such purpose, programs and services for persons with |
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8|developmental disabilities who are not presently served by the |
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9|Department of Human Services. |
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10| SECTION 2. This act shall become effective November 1, 2026. |
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11|COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES |
|February 9, 2026 - DO PASS |
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