An act relating to Medicaid, the official text

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 providing an

9   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