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Oklahoma Legislature· SB 203Second Reading referred to Health and Human Services Committee then to Appropriations Committee

An act relating to the state Medicaid program, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1                               STATE OF OKLAHOMA

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2                 1st Session of the 60th Legislature (2025)

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3 SENATE BILL 203               By: Thompson
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6                               AS INTRODUCED

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7   An Act relating to the state Medicaid program;

7   requiring the Oklahoma Health Care Authority to

8   provide certain reimbursement to hospitals under

8   specified conditions; directing the Authority to seek

9   certain federal approval; providing for codification;

9   providing an effective date; and declaring an

10  emergency.

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13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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14  SECTION 1.         NEW LAW  A new section of law to be codified

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15 in the Oklahoma Statutes as Section 5025.1 of Title 63, unless there
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16 is created a duplication in numbering, reads as follows:
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17  A. The Oklahoma Health Care Authority shall provide Medicaid

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18 reimbursement to a hospital at one hundred percent (100%) of the
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19 statewide average nursing facility per diem rate for an individual
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20 if the individual:
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21  1. Is enrolled in the state Medicaid program;

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22  2. Has been admitted as an inpatient to such hospital;

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23  3. No longer requires acute inpatient care and discharge

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24 planning as described in 42 C.F.R., Section 482.43;
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    Req. No. 750                                              Page 1
1   4. Requires nursing facility level of care upon discharge; and

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2   5. Is unable to be transferred to a nursing facility due to a

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3 lack of nursing facility beds available to the individual or, in
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4 cases where the transfer requires a guardian, because the court has
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5 not appointed a guardian.
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6   B. Reimbursement for services under this section shall be

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7 subject to federal approval. The Authority shall seek any federal
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8 approval necessary to implement the provisions of this section.
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9   SECTION 2. This act shall become effective July 1, 2025.

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10  SECTION 3. It being immediately necessary for the preservation

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11 of the public peace, health or safety, an emergency is hereby
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12 declared to exist, by reason whereof this act shall take effect and
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13 be in full force from and after its passage and approval.
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15  60-1-750      DC         12/30/2024 3:27:57 PM

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    Req. No. 750                                              Page 2
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