Medicaid; modifying various provisions relating to nursing facility incentive reimbursement. Effective date.

SB 1417 updates Oklahoma's Medicaid program to create a pay-for-performance system that rewards nursing facilities with extra funding for improving specific resident outcomes, such as reducing pressure ulcers and urinary tract infections. Under this plan, facilities must meet certain quality benchmarks to earn quarterly bonuses, while unspent funds from facilities that fail to meet these targets are pooled and redistributed to successful providers. The bill also requires the state to establish an advisory group to recommend future quality measures and mandates annual reporting to state officials to ensure transparency. Additionally, the legislation directs the Oklahoma Health Care Authority to implement a scholarship program and adjust direct care payments based on available funding.