Bill No. 1161 amends the Oklahoma Health Care Authority's appropriations and operational procedures. The bill changes the fiscal year end date for appropriations from June 30, 2025, to June 30, 2027, and allocates $99,494,450 from the Health Care Enhancement Fund to support the Authority's duties. It also outlines the responsibilities and compensation for employees, allowing the Administrator to set these terms. Additionally, the bill authorizes the payment of professional expenses for both the Administrator and employees, provided they are full-time and utilizing their professional skills in their roles.

Furthermore, the bill facilitates cash management by permitting the Oklahoma Health Care Authority to transfer funds between various accounts to meet expenditure requirements, with certain limitations on the amounts transferred. It allows for the exemption of unanticipated federal funds from budgetary limitations and enables early transfer requests of tax collections to address cash flow issues. The act is set to take effect on July 1, 2026, and includes an emergency clause for immediate implementation upon passage.