Medicaid; Oklahoma Health Care Authority; 1915(c) waiver; postsecondary support; Home and Community-Based Services waiver; effective date.

HB 3911 directs Oklahoma's Medicaid agency to amend its federal 1915(c) waiver with CMS to expand coverage for postsecondary support (such as job training or education programs) under Home and Community-Based Services (HCBS) waivers. This change would directly affect Oklahomans receiving HCBS through Medicaid who need postsecondary support to maintain independence in community settings. The bill requires the Oklahoma Health Care Authority to formally update the waiver agreement with federal authorities. The amendment would take effect November 1, 2026.