1| STATE OF OKLAHOMA | | | 2| 1st Session of the 60th Legislature (2025) | | | 3|SENATE BILL 193 By: Bullard | | | 4| | | | 5| | | | 6| AS INTRODUCED | | | 7| An Act relating to the state Medicaid program; | | directing certain program delivery model; requiring | 8| certain transition, contracts, and reimbursement; | | directing termination of specified contracts; | 9| providing certain construction; requiring the | | Oklahoma Health Care Authority to seek certain | 10| federal approval; directing promulgation of rules; | | repealing 56 O.S. 2021, Section 4002.1, which relates | 11| to the state Medicaid program; repealing 56 O.S. | | 2021, Sections 4002.2, 4002.4, 4002.6, 4002.7, and | 12| 4002.12, as last amended by Sections 1, 4, 5, 6, and | | 7, Chapter 448, O.S.L. 2024 (56 O.S. Supp. 2024, | 13| Sections 4002.2, 4002.4, 4002.6, 4002.7, and | | 4002.12), which relate to the state Medicaid program; | 14| repealing 56 O.S. 2021, Section 4002.2, as last | | amended by Section 1, Chapter 206, O.S.L. 2024 (56 | 15| O.S. Supp. 2024, Section 4002.2), which relates to | | the state Medicaid program; repealing 56 O.S. 2021, | 16| Section 4002.5, as last amended by Section 1, Chapter | | 243, O.S.L. 2023 (56 O.S. Supp. 2024, Section | 17| 4002.5), which relates to the state Medicaid program; | | repealing 56 O.S. 2021, Sections 4002.8, 4002.10, | 18| 4002.11, and 4002.13, as amended by Sections 12, 13, | | 14, and 18, Chapter 395, O.S.L. 2022 (56 O.S. Supp. | 19| 2024, Sections 4002.8, 4002.10, 4002.11, and | | 4002.13), which relate to the state Medicaid program; | 20| repealing 56 O.S. 2021, Section 4002.15, as amended | | by Section 20, Chapter 395, O.S.L. 2022, and as | 21| renumbered by Section 24, Chapter 395, O.S.L. 2022 | | (56 O.S. Supp. 2024, Section 4002.15), which relates | 22| to the state Medicaid program; repealing Sections 1, | | 5, 6, 8, 16, 17, and 19, Chapter 395, O.S.L. 2022 (56 | 23| O.S. Supp. 2024, Sections 4002.1a, 4002.3c, 4002.3d, | | 4002.4a, 4002.12a, 4002.12b, and 4002.14), which | 24| relate to the state Medicaid program; repealing | | Sections 3 and 4, Chapter 395, O.S.L. 2022, as | Req. No. 707 Page 1 ___________________________________________________________________________
1| amended by Sections 2 and 3, Chapter 448, O.S.L. 2024 | | (56 O.S. Supp. 2024, Sections 4002.3a and 4002.3b), | 2| which relate to the state Medicaid program; providing | | for codification; and providing an effective date. | 3| | | | 4| | | | 5| | | | 6|BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | | | 7| SECTION 1. NEW LAW A new section of law to be codified | | | 8|in the Oklahoma Statutes as Section 4002 of Title 56, unless there | | | 9|is created a duplication in numbering, reads as follows: | | | 10| A. Upon receipt of federal approval as described in subsection | | | 11|C of this section, the state Medicaid program shall return to a | | | 12|fee-for-service delivery model. The Oklahoma Health Care Authority | | | 13|shall transition all Medicaid members covered by a contracted entity | | | 14|to direct coverage by the Authority, shall enter into such contracts | | | 15|with health care providers as are necessary to ensure network | | | 16|adequacy as required by federal regulation, and shall directly | | | 17|reimburse such providers. Upon completion of such transition and | | | 18|execution of contracts, the Authority shall terminate its contracts | | | 19|with all contracted entities. | | | 20| B. Nothing in this section shall be construed to prohibit the | | | 21|Authority from implementing value-based payment arrangements with | | | 22|Medicaid providers through direct contractual agreements. | | | 23| C. The Authority shall seek any federal approval necessary to | | | 24|implement the provisions of this section. | | | Req. No. 707 Page 2 ___________________________________________________________________________
1| D. The Oklahoma Health Care Authority Board shall promulgate | | | 2|rules to implement the provisions of this section. | | | 3| SECTION 2. REPEALER 56 O.S. 2021, Section 4002.1, is | | | 4|hereby repealed. | | | 5| SECTION 3. REPEALER 56 O.S. 2021, Sections 4002.2, | | | 6|4002.4, 4002.6, 4002.7, and 4002.12, as last amended by Sections 1, | | | 7|4, 5, 6, and 7, Chapter 448, O.S.L. 2024 (56 O.S. Supp. 2024, | | | 8|Sections 4002.2, 4002.4, 4002.6, 4002.7, and 4002.12), are hereby | | | 9|repealed. | | | 10| SECTION 4. REPEALER 56 O.S. 2021, Section 4002.2, as | | | 11|last amended by Section 1, Chapter 206, O.S.L. 2024 (56 O.S. Supp. | | | 12|2024, Section 4002.2), is hereby repealed. | | | 13| SECTION 5. REPEALER 56 O.S. 2021, Section 4002.5, as | | | 14|last amended by Section 1, Chapter 243, O.S.L. 2023 (56 O.S. Supp. | | | 15|2024, Section 4002.5), is hereby repealed. | | | 16| SECTION 6. REPEALER 56 O.S. 2021, Sections 4002.8, | | | 17|4002.10, 4002.11, and 4002.13, as amended by Sections 12, 13, 14, | | | 18|and 18, Chapter 395, O.S.L. 2022 (56 O.S. Supp. 2024, Sections | | | 19|4002.8, 4002.10, 4002.11, and 4002.13), are hereby repealed. | | | 20| SECTION 7. REPEALER 56 O.S. 2021, Section 4002.15, as | | | 21|amended by Section 20, Chapter 395, O.S.L. 2022, and as renumbered | | | 22|by Section 24, Chapter 395, O.S.L. 2022 (56 O.S. Supp. 2024, Section | | | 23|4002.15), is hereby repealed. | | | 24| | | | Req. No. 707 Page 3 ___________________________________________________________________________
1| SECTION 8. REPEALER Sections 1, 5, 6, 8, 16, 17, and 19, | | | 2|Chapter 395, O.S.L. 2022 (56 O.S. Supp. 2024, Sections 4002.1a, | | | 3|4002.3c, 4002.3d, 4002.4a, 4002.12a, 4002.12b, and 4002.14), are | | | 4|hereby repealed. | | | 5| SECTION 9. REPEALER Sections 3 and 4, Chapter 395, | | | 6|O.S.L. 2022, as amended by Sections 2 and 3, Chapter 448, O.S.L. | | | 7|2024 (56 O.S. Supp. 2024, Sections 4002.3a and 4002.3b), are hereby | | | 8|repealed. | | | 9| SECTION 10. This act shall become effective November 1, 2025. | | | 10| | | | 11| 60-1-707 DC 12/31/2024 9:21:54 AM | | | 12| | | | 13| | | | 14| | | | 15| | | | 16| | | | 17| | | | 18| | | | 19| | | | 20| | | | 21| | | | 22| | | | 23| | | | 24| | | | Req. No. 707 Page 4