The bill, known as Senate Bill No. 1136, focuses on the budgetary operations of the Oklahoma Health Care Authority (OHCA). It mandates that a specific sum of $100,031,677 from appropriated funds be allocated for program growth and to compensate for reduced federal matching dollars. The bill also outlines the duties and compensation for OHCA employees, allowing the Administrator to set these parameters. Additionally, it authorizes the payment of professional expenses for both the Administrator and employees, provided they are full-time and utilize their professional skills in their roles.

Furthermore, the bill facilitates cash management by allowing the Office of Management and Enterprise Services to transfer funds between OHCA's federal and revolving funds as needed. It permits the transfer of funds between specific accounts to meet claims under the Supplemental Hospital Offset Payment Program and allows for exemptions from expenditure and budgetary limitations for unanticipated federal funds awarded after July 1, 2025. The bill also includes provisions for transferring appropriated funds between fiscal years to meet obligations and for early tax collection transfers to address cash-flow issues.