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STATE OF OKLAHOMA
1st Session of the 58th Legislature (2021)
COMMITTEE SUBSTITUTE
FOR ENGROSSED
SENATE BILL NO. 131 By: Garvin of the Senate
and
McEntire of the House
COMMITTEE SUBSTITUTE
An Act relating to public health; creating the
Oklahomans Caring for Oklahomans Act; directing the
Oklahoma Health Care Authority to develop a certain
program; providing for elements of the program;
requiring maximization of sharing certain
information; requiring data sharing programs to have
ability to screen for certain determinants; requiring
the Oklahoma Health Care Authority to maintain and
improve certain partnerships; directing the Oklahoma
Health Care Authority to promulgate rules; and
declaring an emergency.
BE IT ENACTED BY THE PEOPLE OF TH E STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1010.14 of Title 56, unless
there is created a duplication in numbering, reads as follows:
This act shall be known and m ay be cited as the "Oklahomans
Caring for Oklahomans Act".
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SECTION 2. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1010.15 of Title 56, unless
there is created a duplication in numbering, reads as follows:
A. The Oklahoma Health Care Authority shall implement the
Oklahomans Caring for Oklahomans Act by developing a program that
controls costs and improves health outcomes for Medicaid
beneficiaries. The plan shall contain new or improve upon existi ng
programs of the Authority and shall include, but not be limited to,
the following elements:
1. Prevention. Medicaid beneficiaries shall enroll in the
program and renew annually at their wellness visits to their primary
provider clinics. Enrollment an d renewal shall include a standard
baseline risk assessment following the Centers for Medicare and
Medicaid Services' guidelines for substance abuse, mental health,
and physical health. The assessment shall identify social health
risks including, but not limited to, smoking, sedentary lifestyle,
obesity, social factors such as domestic violence, and food
insecurity.
2. Chronic care management. The Authority shall develop and
carry out a plan for chronic care coordination that shall include,
but not be limited to, the following components:
a. medication therapy management,
b. patient education,
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c. frequent interaction between the Authority and
beneficiaries to identify potential health needs and
decrease emergency department and hospital
utilization, and
d. development of a long -term plan of wellness for each
beneficiary.
3. Payment reform. Building upon the success of primary care
medical homes, the Authority shall develop a transition care
management plan to incentivize compliance behaviors by patie nts
following inpatient treatment to decrease rehospitalizations and
emergency department utilization. The Authority shall establish
value-based payments for providers that incentivize providers with
improved quality metrics and health outcomes. If the A uthority adds
to the covered benefit plan any new benefits that cost more than
Five Hundred Thousand Dollars ($500,000.00), the new benefits must
be approved by the Legislature unless a corresponding budget offset
can be found within the Authority's existi ng agency budget.
B. Health information exchange. In order to reduce redundancy
for medical services, the Authority shall maximize the sharing of
health information among providers. Any program for sharing data
shall also have the ability to screen fo r social determinants of
health.
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C. Partnerships with tribal nations shall be maintained and
enhanced by the Authority in implementation of the Oklahomans Caring
for Oklahomans Act.
D. The Oklahoma Health Care Authority shall promulgate rules as
necessary to implement this act.
SECTION 3. It being immediately necessary for the preservation
of the public peace, health or safety, an emergency is hereby
declared to exist, by reason whereof this act shall take effect and
be in full force from and after its passage and approval.
58-1-8095 AB 04/07/21