Bill > SB875

This bill modifies Oklahoma's Medicaid program by establishing new requirements and penalties for contracted healthcare entities, specifically focusing on primary care service spending. Under the new provisions, Medicaid contracted entities will be required to spend at least 11% of their total healthcare expenses on primary care services by the end of the fourth year of their initial contracting period. If a contracted entity fails to meet this requirement, they will face consequences such as paying liquidated damages to the Oklahoma Health Care Authority, with those proceeds specifically earmarked for primary care services. Furthermore, if an entity fails to allocate at least 8% of healthcare expenses to primary care, they will be ineligible for a capitated contract in the subsequent procurement cycle. The bill also expands the duties of the Medicaid Delivery System Quality Advisory Committee to include developing recommendations for how liquidated damages should be used. The changes aim to incentivize and ensure meaningful investment in primary care services within Oklahoma's Medicaid program, with the new requirements set to take effect on July 1, 2025.

Health and Social Services

http://www.oklegislature.gov/BillInfo.aspx?Bill=sb875&Session=2600