Medicaid; out-of-state medical providers; term; effective date.
House Bill 1816 aims to limit the Oklahoma Medicaid program's contracts with out-of-state medical providers. It states that the program should not contract with out-of-state providers for "treatment" if that same treatment is available from a provider licensed and practicing within Oklahoma. "Treatment" is defined as services requiring the patient's physical presence and direct care from a medical provider, specifically excluding remote services like laboratory analysis. The bill requires the Oklahoma Health Care Authority to obtain any necessary federal approvals to implement these provisions, with an effective date of November 1, 2025.
Bill status
passed both
4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
House Passage
Mar 2025
Senate Passage
May 2025
Governor
Introduced Feb 3, 2025
Last action May 6, 2025
Maddy AI version diff · 4 comparisons
What changed between versions
Floor (House)
→
Floor (Senate)
·
3 edits
MINOR
The bill was reformatted from a House floor version to a Senate floor version with substantive additions. The most significant change is the addition of a new Section 2 establishing a specific effective date of November 1, 2025, which was not present in the original House version. The core Medicaid provision regarding out-of-state medical providers remains substantively unchanged, though formatting and committee report details were updated.
Scope change
The bill's scope remains the same - it continues to restrict Oklahoma Medicaid contracts with out-of-state medical providers for services requiring patient physical presence - but now includes a specific implementation timeline.
TIMELINE
Added Section 2 specifying the bill becomes effective on November 1, 2025, providing a clear implementation date that was missing from the House version.
TECHNICAL
Updated header information to reflect Senate floor version status and amended bill designation rather than introduced bill status.
Changed committee report date from March 5, 2025 to April 14, 2025 to reflect the Senate floor version timeline.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
25
Key actions
8
Committee
7
Amendments
1
May 6, 2025
Upper · Passed
Engrossed to House
upper
May 5, 2025
Committee
Referred for engrossment
upper
May 5, 2025
Upper · Passed
Measure passed: Ayes: 41 Nays: 4
upper
Apr 14, 2025
Upper · Passed
Reported Do Pass as amended Health and Human Services committee; CR filed
upper
Mar 27, 2025
Introduced
First Reading
upper
Mar 27, 2025
Lower · Passed
Engrossed, signed, to Senate
lower
Mar 26, 2025
Committee
Referred for engrossment
lower
Mar 26, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 90 Nays: 1
lower
Mar 26, 2025
Lower · Passed
Amended
lower
Mar 5, 2025
Lower · Passed
CR; Do Pass Health and Human Services Oversight Committee
lower
Feb 25, 2025
Lower · Passed
Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
lower
Feb 17, 2025
Committee
Referred to Public Health
lower
Feb 17, 2025
Committee
Referred to Health and Human Services Oversight
lower
Feb 3, 2025
Introduced
First Reading
lower
2 primary · 0 co-sponsors
Sponsors
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