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OK SB257

OK SB257
Medicaid; creating exception to certain prohibition on contracts with out-of-state providers. Effective date.


summary

Introduced
02/03/2025
In Committee
02/04/2025
Crossed Over
Passed
Dead

Introduced Session

2025 Regular Session

Bill Summary

An Act relating to the state Medicaid program; amending 63 O.S. 2021, Section 5060, which relates to contracts with out-of-state providers; creating exception to certain prohibition; updating statutory language; and providing an effective date.

AI Summary

This bill modifies Oklahoma's Medicaid regulations regarding contracts with out-of-state medical providers by creating a specific exception for laboratory and diagnostic processing services. Currently, the state Medicaid program is prohibited from contracting with out-of-state medical providers when similar services are available from in-state providers. The new legislation allows reimbursement to out-of-state laboratories for laboratory analysis or diagnostic processing services that are not directly offered by providers licensed and practicing within Oklahoma. The bill requires the Oklahoma Health Care Authority to seek any necessary federal approvals to implement these changes, and the new provisions will take effect on November 1, 2025. The amendment also makes minor technical language updates, such as replacing "the State of Oklahoma" with "this state" in the existing statute. The primary purpose appears to be providing flexibility for Medicaid to access specialized laboratory and diagnostic services from out-of-state providers when local options are not available.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Second Reading referred to Health and Human Services (on 02/04/2025)

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