Req. No. 8441 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 58th Legislature (2022) HOUSE BILL 2971 By: Nichols AS INTRODUCED An Act relating to public health; amending 63 O.S. 2021, Section 5007, which relates to the Oklahoma Health Care Authority Board; modifying member qualifications; modifying members ' terms of service; amending 63 O.S. 2021, Section 5008, which relates to the Administrator of the Oklahoma Health Care Authority; modifying Administrator 's qualifications, selection process, and term of service; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 20 21, Section 5007, is amended to read as follows: Section 5007. A. There is hereby created the Ok lahoma Health Care Authority Board which shall consist of the following nine (9) members: 1. Five members appointed by the Governor . Two of the members appointed by the Governor shall be consumers and one shall be a physician licensed to practice medicin e in the State of Oklahoma ; 2. Two members appointed by the Speaker of the House of Representatives; and Req. No. 8441 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Two members appointed by the President Pro Tempore of the Senate. B. Members appointed pursuant to subsection A of this section, with the exception of the consumer members, shall include pers ons having experience in medical care, health care services, health care delivery, health care finance, health insurance, or managed health care. Consumer members shall have no financial or professional interest in medical care, health care services, heal th care delivery, health care finance, health insurance, or managed health care. In making the appointments, the appointing authority shall also give consideration to urban, rural, gender, and minority representation. C. Each member shall serve at the pleasure of until the end of the term of his or her appointing authority and may be removed or replaced without with cause. Any member of the Board shall be prohibited from voting on any issue in which the membe r has a direct financial interest. The Admini strator of the Oklahoma Health Care Authority shall be an ex officio member of the Board, but shall be entitled to vote only in case of a tie vote. C. D. The Board shall have the power and duty to: 1. Establish the policies of the Oklahoma Health Care Authority; Req. No. 8441 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. Adopt and promulgate rules as necessary and appropriate to carry out the duties and responsibilities of the Authority. The Board shall be the rulemaking body for the Authority; and 3. Adopt, publish and submit by January 1 of each year to th e Governor, the President Pro Tempore of the Senate, and the Speaker of the House of Representatives appropriate administrative policies and the business plan for that year. All actions governed by the administrative policies and annual business plan shal l be examined annually in an independent audit. D. E. A majority of the members of the Board shall constitute a quorum for the transaction of business and for taking any official action. Official action of th e Board must have a favorable vote by a majority of the members present. E. F. Members appointed pursuant to subsection A of this section shall serve without compensation but shall be reimbursed for expenses incurred in the performance of their duties in accordance with the State Travel Reimbursement Act. F. G. The Board and the Authority shall act in accordance with the provisions of the Oklahoma Open Meeting Act, the Oklahoma Open Records Act and the Administrative Procedures Act. SECTION 2. AMENDATORY 63 O.S. 20 21, Section 5008, is amended to read as follows: Section 5008. A. The Administrator of the Oklahoma Health Care Authority shall have the training and experience necessary for the Req. No. 8441 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 administration of the Authority , as determined by the Oklahoma Health Care Authority Board, including, but not limited to, prior experience in the administration of managed health care . The Administrator shall be appointed by the Governor with the advice and consent of the Senate and from among three candidates who m the Board shall select. The Administrator shall serve at the pleasure of the Governor Board and may be removed or replaced without with cause. Compensation for the Administrator shall be determined by the Governor Board. The Administrator may be removed from office by a two-thirds (2/3) vote of the members elected to and constituting each chamber of the Legislature. B. The Administrator of the Oklahoma Health Care Authority shall be the chief executive officer of the Authority an d shall act for the Authority in all matters e xcept as may be otherwise provided by law. The powers and duties of the Administrator shall include but not be limited to: 1. Supervision of the activities of the Authority; 2. Formulation and recommendation of rules for approval or rejection by the Okl ahoma Health Care Authority Board and enforcement of rules and standards promulgated by the Board; 3. Preparation of the plans, reports and proposals required by the Oklahoma Health Care Authority Act, Section 5003 et seq. of this title, other reports as necessary and appropriate, and an annual budget for the review and approval of the Board; Req. No. 8441 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 4. Employment of such staff as may be necessary to perform the duties of the Authority including but not limited to an attorney to provide legal assistance to the Au thority for the state Medicaid program; and 5. Establishment of a contract bidding process which: a. encourages competition among entities contracting with the Authority for state -purchased and state-subsidized health care; provided, however, the Authorit y may make patient volume adjustments to any managed care plan whose prime contractor is a state -sponsored, nationally accredited medical school. The Authority may also make education or research supplemental payments to state-sponsored, nationally accred ited medical schools based on the level of participation in any managed care plan by managed care plan participants, b. coincides with the state budgetary process, and c. specifies conditions for awarding contr acts to any insuring entity. C. The Administrator may appoint advisory committees as necessary to assist the Authority with the performance of its duties or to provide the Authority with expertise in technical matters. Req. No. 8441 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 3. This act shall become effective November 1, 2022. 58-2-8441 AB 09/13/21