Medicaid; out-of-state medical providers; term; effective date.
HB 1816 requires Oklahoma's Medicaid program to prioritize in-state medical providers for in-person care when local options are available, rather than contracting with out-of-state providers. It specifically applies to services requiring the patient's physical presence and direct provider care (excluding remote services like lab work). The Oklahoma Health Care Authority must seek federal approval to implement this change. The bill takes effect 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 amended to change its title from 'House Floor Version' to 'Senate Floor Version' and updated the legislative session details. The substantive policy content regarding Medicaid restrictions on out-of-state providers remains unchanged, with the only additions being a new section establishing the effective date of November 1, 2025, and a committee report indicating the bill passed as amended.
Scope change
No substantive changes to the bill's scope or applicability; only formatting and version designation were updated to reflect Senate floor consideration.
TIMELINE
Added Section 2 establishing November 1, 2025 as the effective date for the Medicaid restrictions on out-of-state providers.
TECHNICAL
Added a committee report by the Committee on Health and Human Services Oversight dated April 14, 2025, recommending the bill pass as amended.
Updated document headers to reflect Senate Floor Version instead of House Floor Version and changed the legislative session notation from 'AS INTRODUCED' to 'AS AMENDED'.
Floor votes · Senate May 5, 2025 · House Mar 26, 2025
How they voted
43–4
Passed · 2 other
Total votes 49
May 5, 2025
D
Democratic9
100% Yea
R
Republican40
85% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
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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