State Medicaid program; eliminating certain reduced assessment rate. Effective date.

SB 1807 eliminates a reduced assessment rate for nursing facilities under Oklahoma's Medicaid program, replacing it with a uniform per-patient day fee calculation. This fee, based on total annual patient gross receipts divided by patient days, directly affects licensed nursing facilities (excluding those operated by the Oklahoma Department of Veterans Affairs). The bill updates funding mechanisms, requiring the fee to fund specific Medicaid services including increasing personal needs allowances for nursing home residents from $30 to $50 monthly. It also clarifies that the fee must align with federal Medicaid reimbursement rules and ensures funds are exempt from budget cuts.