The bill establishes a new program under the Oklahoma Health Care Authority that allows family members of Medicaid recipients to be recognized as family caregivers. This program will enable these caregivers to provide services to Medicaid members under the supervision of a Registered Nurse, provided the Medicaid member is under 21 years old and approved for private duty nursing services. The bill outlines the qualifications and requirements for family caregivers, including a criminal history background check, and mandates that home care agencies ensure compliance with these standards. Additionally, the bill stipulates that reimbursable services provided by recognized family caregivers will be compensated at rates set by the Authority.

Furthermore, the bill amends existing definitions in the Home Care Act, particularly updating the definition of "home care agency" to include intermediary services organizations (ISOs) and clarifying the scope of skilled care to encompass services provided by recognized family caregivers. The bill also requires the Oklahoma Health Care Authority Board to establish standards for training and competency evaluation for family caregivers and to apply for necessary federal approvals to implement the program. The act is set to take effect on July 1, 2025, and includes an emergency clause for immediate implementation upon passage.