The bill, known as Senate Bill No. 253, mandates that the Oklahoma Health Care Authority include specific information in its annual budget request related to the state Medicaid program. It requires the Authority to present a supplemental item that details the new state and federal funding needed to cover the additional costs for reimbursing nursing facilities and intermediate care facilities for individuals with intellectual disabilities, based on the most recent audited costs.

To determine these audited costs, the bill specifies that the calculation must be based on the latest cost report submitted to the Oklahoma Health Care Authority. This new legal requirement will be codified as Section 1-1925.2A of Title 63 in the Oklahoma Statutes and is set to take effect on November 1, 2025.