HB 2268: Oklahoma Health Care Authority; making an appropriation; effective date; emergency. - Oklahoma

Floor (House) → Floor (Senate) · 4 edits

MODERATE

The bill was revised to reflect its progression from the House to the Senate, including updated session dates and a change in the committee reporting body. Substantive policy changes include shifting the effective date from November 1, 2025 to November 1, 2026, and redefining covered diagnoses to explicitly include both Alzheimer's and dementia under specific ICD codes.

Scope change

The bill's scope regarding covered diagnoses was expanded to explicitly include dementia alongside Alzheimer's, and the timeline for implementation was delayed by one year.

TIMELINE

The effective date for the new Medicaid benefits was changed from November 1, 2025 to November 1, 2026.

DEFINITION

New definitions were added for 'Alzheimer's diagnosis' and 'dementia diagnosis' to specify the exact ICD codes eligible for coverage.

TECHNICAL

The committee reporting section was updated to reflect the Senate Health and Human Services Committee instead of the Appropriations and Budget Committee.

The bill title was updated to indicate it is a 'Committee Substitute' for the House Bill, reflecting Senate amendments.

Senate Committee Substitute for House Bill → HB2268 (4-27-26) (STANLEY) FS FA1.PDF · 4 edits

MODERATE

The bill was reclassified from a 'Committee Substitute' to a 'Floor Substitute,' indicating it has moved to the floor for final passage. The primary substantive change is a complete rewrite of the funding section: the bill now appropriates $2.5 million to the Oklahoma Health Care Authority to increase PACE program rates by 25%, replacing the previous mandate for the state Medicaid program to reimburse specific cognitive assessment services. The effective date was also adjusted from November 1, 2026, to July 1, 2026, and an emergency clause was added to allow immediate implementation.

Scope change

The bill's scope shifted from requiring Medicaid reimbursement for specific cognitive services to providing direct state funding for a rate increase in the PACE program.

FISCAL

Replaced Medicaid reimbursement mandates for cognitive assessments with a $2.5 million appropriation to the Oklahoma Health Care Authority for a 25% rate increase in PACE programs.

TIMELINE

Changed the effective date from November 1, 2026, to July 1, 2026.

REQUIREMENT

Added an emergency clause declaring the act necessary for public health and safety to allow immediate effect upon passage.

TECHNICAL

Updated the bill title from 'Committee Substitute' to 'Floor Substitute' and revised the bill number formatting.

Engrossed → Senate Committee Substitute for House Bill · 4 edits

MODERATE

The bill was renumbered from an Engrossed House Bill to a Senate Committee Substitute, indicating it has been revised by the Senate. The effective date for the new law was extended from November 1, 2025, to November 1, 2026, delaying when the new coverage begins. The definitions for medical diagnoses were updated to include specific ICD codes for Alzheimer's and dementia, and the funding source was clarified to be the state Medicaid program rather than a contracted entity.

Scope change

The bill's scope remains focused on Medicaid reimbursement for cognitive assessment services, but the applicability timeline is delayed by one year.

TIMELINE

The effective date for the new law was changed from November 1, 2025, to November 1, 2026.

DEFINITION

Definitions for 'Alzheimer's diagnosis' and 'Dementia diagnosis' were updated to include specific International Classification of Diseases (ICD) codes.

FISCAL

The text was changed to clarify that the state Medicaid program provides coverage, replacing language about a 'contracted entity'.

TECHNICAL

The bill title and header were updated from 'Engrossed House Bill' to 'Committee Substitute' to reflect Senate amendments.

Amended And Engrossed → Engrossed · 3 edits · Apr 29, 2026

MINOR

The bill was amended to update authorship, renumber sections for consistency, and change the effective date from November 1, 2025, to July 1, 2026. These changes ensure the legislation is properly attributed and aligns the funding timeline with the fiscal year ending in 2027.

Scope change

The bill's scope remains focused on providing a 25% rate increase for all-inclusive care for the elderly (PACE) programs to support low-income and aging Oklahomans.

TECHNICAL

Senate authorship was updated to list Stanley as the principal author and Mann as a coauthor.

Section numbers were renumbered (e.g., former Section 4 became Section 1) to correct the bill's internal structure.

TIMELINE

The effective date was moved from November 1, 2025, to July 1, 2026, to align with the fiscal year ending June 30, 2027.

Enrolled (final version) → Amended And Engrossed · 4 edits · Apr 29, 2026

MODERATE

The bill was amended to update authorship credits and significantly restructure the text, replacing the original enacted version with a new draft. The most substantive policy change is the addition of a new section requiring Medicaid to reimburse for cognitive assessment and care planning services, effective November 1, 2025. The original funding appropriation for PACE programs and the July 2026 effective date were removed in this version.

Scope change

The bill's scope expanded to include mandatory Medicaid reimbursement for cognitive assessment and care planning services, while the specific funding amount and effective date for PACE programs were removed.

FISCAL

Added a new requirement for Medicaid to reimburse providers for cognitive assessment and care planning services (CPT code 99483).

Removed the specific $2.5 million appropriation for PACE programs and the July 1, 2026 effective date found in the enrolled version.

TIMELINE

Changed the effective date for the new cognitive services provision to November 1, 2025.

TECHNICAL

Updated Senate authorship credits and reorganized the bill text structure.

Introduced → Enrolled (final version) · 5 edits · Mar 13, 2025

MODERATE

The bill was completely rewritten from a Medicaid reimbursement measure to a funding bill for the Oklahoma Health Care Authority. The original text focused on defining terms and setting reimbursement rates for cognitive assessment services, while the new version appropriates $2.5 million to increase rates for all-inclusive care for the elderly (PACE) programs.

Scope change

The bill's scope shifted entirely from defining Medicaid billing codes and reimbursement rules to providing specific funding for PACE programs serving low-income and aging Oklahomans.

DEFINITION

Removed all definitions related to 'cognitive assessment and care planning services' and 'contracted entity'.

REQUIREMENT

Removed the requirement for the Medicaid Program to provide reimbursement for cognitive assessment services.

FISCAL

Added an appropriation of $2,500,000 to the Oklahoma Health Care Authority for a 25% rate increase for PACE programs.

TIMELINE

Changed the effective date from November 1, 2025 to July 1, 2026.

EMERGENCY

Added a declaration of emergency to allow the bill to take effect immediately upon passage.

Oklahoma Health Care Authority; making an appropriation; effective date; emergency.

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