Bill No. 875, introduced by Senators Rosino and Stinson, amends various sections of the Oklahoma Medicaid program to establish new penalties and modify existing provisions related to capitated contracts, reimbursement rates, and the Medicaid Delivery System Quality Advisory Committee. Key amendments include the introduction of penalties for contracted entities that fail to meet specific primary care service expense requirements, with provisions for scoring penalties and ineligibility for future contract awards. The bill also mandates that the Oklahoma Health Care Authority develop a scoring methodology that favors provider-led and provider-owned entities in the procurement process, ensuring a minimum number of contracts are awarded to these entities.

Additionally, the bill clarifies definitions and establishes a framework for the use of proceeds from penalties, specifically directing that funds from liquidated damages be allocated exclusively to primary care services. The Medicaid Delivery System Quality Advisory Committee's powers and duties are expanded to include making recommendations on quality measures and developing methodologies for the use of penalty proceeds. The act is set to take effect on July 1, 2025, with an emergency clause for immediate implementation upon passage.

Statutes affected:
Introduced: 56-4002.12
Floor (Senate): 56-4002.12
Engrossed: 56-4002.12, 56-4002.13