Bill No. 56 aims to enhance home care services in Oklahoma by establishing a program that allows family members of Medicaid recipients to serve as recognized family caregivers. The Oklahoma Health Care Authority is directed to create this program, which will enable family caregivers to provide services under the supervision of a Registered Nurse, specifically for Medicaid members under the age of 21 who qualify 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 amends existing definitions in the Home Care Act, particularly updating the term "Intermediary Services Organizations" to "intermediary services organizations (ISOs)." It also expands the definition of "skilled care" to include services provided by recognized family caregivers under the new program, alongside licensed professionals. The bill requires the Oklahoma Health Care Authority to seek federal approval for the program and to establish reimbursement rates for services provided by family caregivers. The act is set to take effect on July 1, 2025, and includes an emergency clause for immediate implementation upon passage.