This bill mandates that the Oklahoma Health Care Authority provide Medicaid reimbursement to hospitals at a rate of 100% of the statewide average nursing facility per diem for individuals who meet specific criteria. These criteria include being enrolled in the state Medicaid program, being admitted as an inpatient, no longer requiring acute inpatient care, needing nursing facility level care upon discharge, and being unable to transfer to a nursing facility due to a lack of available beds or the absence of a court-appointed guardian.

Additionally, the bill stipulates that reimbursement for these services is contingent upon federal approval, and the Authority is directed to seek the necessary federal approvals to implement these provisions. The act is set to take effect on July 1, 2025, and includes an emergency clause for immediate implementation upon passage and approval.