The bill amends Section 5060 of the Oklahoma Medicaid program to establish guidelines regarding the contracting of out-of-state medical providers. It specifies that the state Medicaid program shall not contract with out-of-state providers for treatments that are available from licensed providers within Oklahoma, where practicable and in accordance with state and federal law. The bill introduces a definition for "treatment," clarifying that it refers to services requiring the physical presence of the patient and direct care from a medical provider. Notably, services conducted remotely, such as laboratory analysis or diagnostic processing, are explicitly excluded from this definition.

Additionally, the bill mandates that the Oklahoma Health Care Authority seek any necessary federal approval to implement these provisions. The effective date for this act is set for November 1, 2025.