SB 1380: Medicaid; requiring certain death record verifications; requiring certain denial or disenrollment of deceased individuals; prohibiting certain payments. Effective date. - Oklahoma

Floor (House) → Floor (Senate) · 7 edits

MODERATE

The bill was transitioned from the House version to the Senate floor version, which includes specific amendments to the Medicaid eligibility verification process. The Senate version adds new requirements for verifying death records, expands the list of information the state must check (such as lottery winnings and multistate enrollment), and sets a specific start date for monthly death record reviews. It also introduces new contractual requirements for vendors to ensure they generate savings for the state.

Scope change

The bill's scope remains focused on Medicaid eligibility and fraud prevention, but the Senate version expands the specific data points the state must verify and adds new procedural requirements for handling deceased enrollees.

REQUIREMENT

Added a requirement for the Oklahoma Health Care Authority to sign a memorandum of understanding with other state agencies to share eligibility information.

Added a requirement for the Authority to contract with independent vendors to verify eligibility data, with a mandate that these contracts must result in annualized savings exceeding their cost.

Added a requirement for the Authority to explore joining a multistate cooperative (like the National Accuracy Clearinghouse) to identify individuals enrolled in public assistance programs outside Oklahoma.

Modified the list of verification data to include lottery winnings and potential identity fraud or identity theft.

Modified the death verification procedures to explicitly require comparison against both the Social Security Administration's Death Master File and the State Department of Health's vital statistics system.

Added a new requirement for the Authority to recoup any funds expended on behalf of a deceased enrollee for capitated payments or services occurring after the date of death.

TIMELINE

Added a specific deadline requiring monthly death record verification for all enrolled individuals to begin no later than January 1, 2027.

Amended And Engrossed → Engrossed · 5 edits · Mar 25, 2026

MODERATE

The bill was amended to add a new coauthor and update the title to reflect changes in the text. Substantively, the bill now requires the state to begin monthly death record checks by January 1, 2027, specifically expanding the scope to include individuals in nursing and intermediate care facilities. The law mandates the immediate disenrollment of deceased individuals and prohibits payments for services rendered after death, with a requirement to recoup any funds already paid out.

Scope change

The bill's scope was expanded to explicitly include applicants receiving care in Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) in the death verification process.

REQUIREMENT

Added a new coauthor, Representative Archer, to the bill.

TIMELINE

Established a specific deadline requiring monthly death record verifications to begin no later than January 1, 2027.

ELIGIBILITY

Expanded the death verification requirement to cover individuals in Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities.

ENFORCEMENT

Mandated that the state must disenroll deceased individuals promptly and recoup any Medicaid funds paid for services rendered after the date of death.

DEFINITION

Updated the bill title to clarify that it relates to verifying Medicaid eligibility and requiring the disenrollment of deceased individuals.

Introduced → Amended And Engrossed · 5 edits · Mar 25, 2026

MODERATE

This bill was amended to add a House coauthor and refine specific eligibility and enforcement clauses. The changes clarify that death record verifications must exclude certain applicants with intellectual disabilities receiving specific waiver services, remove redundant language regarding application denials, and add a new subsection requiring the state to contract with independent vendors to verify eligibility data if internal methods are insufficient.

Scope change

The bill's scope regarding who must undergo death record verification was narrowed to exclude specific groups of individuals with intellectual disabilities receiving certain waiver services.

TECHNICAL

Added a House coauthor named Archer to the bill's authorship.

ELIGIBILITY

Clarified that death record verification requirements do not apply to applicants with intellectual disabilities receiving specific Home and Community Based Medicaid waiver services.

REQUIREMENT

Removed the instruction to deny applications before ensuring no coverage is authorized, streamlining the process for handling deceased applicants.

Added a requirement for the Authority to contract with independent vendors to provide verification information if needed.

Added a new subsection to Section 247 requiring the Authority to contract with independent vendors to provide information detailed in that section.

Medicaid; requiring certain death record verifications; requiring certain denial or disenrollment of deceased individuals; prohibiting certain payments. Effective date.

What changed between versions

How they voted

Actions timeline

Sponsors