4 | | - | An Act |
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5 | | - | ENROLLED SENATE |
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6 | | - | BILL NO. 689 By: Pugh and Murdock of the |
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7 | | - | Senate |
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| 39 | + | |
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| 40 | + | An Act relating to the Oklahoma Health Care |
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| 41 | + | Authority; amending 63 O.S. 2011, Section 5009.2, |
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| 42 | + | which relates to the Advisory Committee on Medical |
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| 43 | + | Care for Public Assistance Recipients; modifying and |
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| 44 | + | limiting membership; limiting duration of |
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| 45 | + | appointments; specifying duration of chair and vice - |
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| 46 | + | chair terms; and providing an effective date. |
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| 52 | + | AMENDMENT NO. 1. Delete the title, enacting cla use and entire bill |
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| 53 | + | and replace with: |
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| 54 | + | |
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| 55 | + | |
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| 56 | + | "An Act relating to the Oklahoma Health Care |
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| 57 | + | Authority; amending 63 O.S. 2011, Section 5009.2, |
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| 58 | + | which relates to the Advisory Committee on Medical |
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| 59 | + | Care for Public Assistance Recipients; modifying and |
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| 60 | + | limiting membership; limiting duration of |
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| 61 | + | appointments; specifying duration of chair and vice - |
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| 62 | + | chair terms; stating policy; prohibiting certain |
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| 63 | + | Oklahoma Health Care Authority contracts from having |
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| 64 | + | certain negative impacts; requiring certain |
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| 65 | + | contracts to purchase transportat ion through |
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| 66 | + | Oklahoma public transit systems and to respect |
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| 67 | + | certain jurisdictional boundaries; requiring certain |
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| 68 | + | contracted entities to collaborate with the entity |
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| 69 | + | implementing a statewide mobility management |
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| 70 | + | program; listing provider requirements; providin g |
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| 71 | + | for codification; and providing an effective date. |
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| 76 | + | ENGR. H. A. to ENGR. S. B. NO. 689 Page 2 1 |
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| 101 | + | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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| 102 | + | SECTION 1. AMENDATORY 63 O.S. 2011, Section 5009.2, is |
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| 103 | + | amended to read as follows: |
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| 104 | + | Section 5009.2 A. The Advisory Comm ittee on Medical Care for |
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| 105 | + | Public Assistance Recipients, created by the Oklahoma Health Care |
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| 106 | + | Authority, pursuant to 42 Code of Federal Regulations, Section |
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| 107 | + | 431.12, for the purpose of advising the Authority about health and |
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| 108 | + | medical care services, shall inclu de among its membership of no more |
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| 109 | + | than fifteen (15) the following: |
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| 110 | + | 1. Board-certified physicians and other representatives of the |
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| 111 | + | health professions who are familiar with the medical needs of low - |
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| 112 | + | income population groups and with the resources available and |
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| 113 | + | required for their care. The Advisory Committee shall, at all |
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| 114 | + | times, include at least one physician from each of the six classes |
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| 115 | + | of physicians listed in Section 725.2 of Title 59 of the Oklahoma |
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| 116 | + | Statutes; provided, however, . All such physicians and other |
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| 117 | + | representatives of the health professions shall be participating |
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| 118 | + | providers in the State Medicaid Plan; |
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| 119 | + | 2. Members of consumers’ groups, including, but not limited to: |
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| 120 | + | a. Medicaid recipients, and |
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| 121 | + | b. representatives from each of the following consumer |
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| 122 | + | organizations which represent the interests of: |
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| 123 | + | (1) people who are economically disadvantaged, |
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| 124 | + | (2) children, |
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| 125 | + | |
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| 126 | + | ENGR. H. A. to ENGR. S. B. NO. 689 Page 3 1 |
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| 151 | + | (3) the elderly, |
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| 152 | + | (4) people with mental illness, |
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| 153 | + | (5) people who are developmentally disabled, and |
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| 154 | + | (6) people with alcohol or substance abuse proble ms |
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| 155 | + | including a member representing nursing homes, a |
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| 156 | + | member representing people who are |
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| 157 | + | developmentally disabled, and a member |
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| 158 | + | representing one or more behavioral health |
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| 159 | + | professions; |
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| 160 | + | 3. The Director of the Department of Human Services , or |
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| 161 | + | designee; and |
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| 162 | + | 4. The Commissioner of Mental Health and Substance Abuse |
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| 163 | + | Services, or designee; |
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| 164 | + | 5. A member approved and appointed by the Oklahoma Academy of |
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| 165 | + | Pediatrics a state organization or state chapter of a national |
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| 166 | + | organization of pediatricians dedicated to the healt h, safety and |
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| 167 | + | well-being of infants, children, adolescents and young adults, who |
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| 168 | + | shall: |
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| 169 | + | a. monitor provider relations with the Oklahoma Health |
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| 170 | + | Care Authority, and |
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| 171 | + | b. create a forum to address grievances ; and |
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| 172 | + | 6. A member who is a member or citizen of a fed erally |
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| 173 | + | recognized American Indian tribe or nation whose primary tribal |
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| 174 | + | headquarters is located in this state. |
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| 176 | + | ENGR. H. A. to ENGR. S. B. NO. 689 Page 4 1 |
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| 201 | + | Beginning on January 1, 2022, appointments made to the Advisory |
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| 202 | + | Committee shall be for a duration not to exceed four (4) consecutive |
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| 203 | + | calendar years. |
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| 204 | + | B. The Advisory Committee shall meet bimonthly to review and |
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| 205 | + | make recommendations related to: |
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| 206 | + | 1. Policy development and program administration; |
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| 207 | + | 2. Policy changes proposed by the Authority prior to |
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| 208 | + | consideration of such changes by the Authority; |
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| 209 | + | 3. Financial concerns related to the Authority and the |
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| 210 | + | administration of the programs under the Authority; and |
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| 211 | + | 4. Other pertinent information related to the management and |
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| 212 | + | operation of the Authority and the delivery of health and medical |
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| 213 | + | care services. |
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| 214 | + | C. 1. The Administrator of the Authority shall provide such |
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| 215 | + | staff support and independent technical assistance as needed by the |
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| 216 | + | Advisory Committee to enable the Advisory Committee to make |
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| 217 | + | effective recommendations. |
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| 218 | + | 2. The Advisory Committee shall elect from a mong its members a |
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| 219 | + | chair and a vice-chair who shall serve one-year terms. A member may |
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| 220 | + | serve more than one (1), but not more than four (4), consecutive |
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| 221 | + | one-year terms as chair or vice -chair. A majority of the members of |
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| 222 | + | the Advisory Committee shall const itute a quorum to transact |
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| 223 | + | business, but no vacancy shall impair the right of the remaining |
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| 224 | + | members to exercise all of the powers of the Advisory Committee. |
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| 225 | + | |
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| 226 | + | ENGR. H. A. to ENGR. S. B. NO. 689 Page 5 1 |
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| 251 | + | 3. Members shall not receive any compensation for their |
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| 252 | + | services, but shall be reimbursed pursuant to the provisions of the |
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| 253 | + | State Travel Reimbursement Act, Section 500.1 et seq. of Title 74 of |
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| 254 | + | the Oklahoma Statutes. |
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| 255 | + | D. The Authority shall give due consideration to the comments |
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| 256 | + | and recommendations of the Advisory Committee in the Authority’s |
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| 257 | + | deliberations on policies, administration, management and operation |
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| 258 | + | of the Authority. |
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| 259 | + | SECTION 2. NEW LAW A new section of law to be codified |
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| 260 | + | in the Oklahoma Statutes as Section 5009.7 of Title 63, unless there |
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| 261 | + | is created a duplication in numb ering, reads as follows: |
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| 262 | + | A. It is the policy of the State of Oklahoma that all state |
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| 263 | + | agencies with an interest in public transit should ensure their |
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| 264 | + | programs are in alignment with the Oklahoma Public Transit Policy |
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| 265 | + | Plan as mandated by Sections 322 through 324 of Title 69 of the |
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| 266 | + | Oklahoma Statutes and that state policy and program direction |
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| 267 | + | related to public transit and transportation should ensure a |
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| 268 | + | coordinated public transit network that meets the mobility needs of |
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| 269 | + | all Oklahomans in a safe, reliable, consi stent and economical |
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| 270 | + | manner. |
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| 271 | + | B. The Oklahoma Health Care Authority, in contracting for |
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| 272 | + | nonemergency medical transportation for Medicaid or SoonerCare |
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| 273 | + | participants, shall not allow any existing contract to have or award |
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| 274 | + | any new contract that will have a ne gative impact on the financial |
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| 301 | + | stability of the state's public transit network as envisioned by the |
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| 302 | + | Oklahoma Public Transit Policy Plan. |
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| 303 | + | C. The Oklahoma Health Care Authority shall direct any entity |
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| 304 | + | contracted to broker or schedule nonemergency medical tr ansportation |
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| 305 | + | for Medicaid or SoonerCare participants, whether such contract is |
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| 306 | + | between the entity and the Oklahoma Health Care Authority or is an |
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| 307 | + | entity subcontracted with an entity under contract with the Oklahoma |
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| 308 | + | Health Care Authority, to purchase partic ipants' transportation |
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| 309 | + | through Oklahoma public transit systems, as defined by Sections |
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| 310 | + | 5307, 5310 and 5311 of Title 49 of the United States Code, in all |
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| 311 | + | instances where public transit services are available to meet the |
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| 312 | + | participants' needs in as cost -effective a manner as other |
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| 313 | + | transportation providers meeting the same state and federal |
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| 314 | + | regulations, safety and cleanliness standards, and education and |
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| 315 | + | training standards as prescribed in subsection E of this section. |
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| 316 | + | In purchasing such nonemergency medical tr ansportation, the Oklahoma |
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| 317 | + | Health Care Authority and any contracted or subcontracted entity |
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| 318 | + | shall first respect the jurisdictional boundaries of such public |
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| 319 | + | transit systems as defined by the Office of Mobility and Public |
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| 320 | + | Transit at the Oklahoma Department of Transportation. |
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| 321 | + | D. Any entity contracted to broker or schedule nonemergency |
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| 322 | + | medical transportation for Medicaid or SoonerCare participants, |
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| 323 | + | whether such contract is between the entity and the Oklahoma Health |
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| 324 | + | Care Authority or is an entity subcontracted with an entity under |
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| 351 | + | contract with the Oklahoma Health Care Authority, shall reasonably |
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| 352 | + | collaborate with the entity implementing a statewide mobility |
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| 353 | + | management program as envisioned by the Oklahoma Public Transit |
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| 354 | + | Policy Plan and recognized by the public transit agencies in the |
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| 355 | + | state to ensure such trips coordinate with public transit services |
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| 356 | + | and human services transportation through the recognized statewide |
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| 357 | + | mobility management program. |
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| 358 | + | E. In order for any public transit provider or transportation |
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| 359 | + | company to provide nonemergency medical transportation for Medicaid |
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| 360 | + | or SoonerCare participants, such provider or company shall have a |
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| 361 | + | valid certification from the Oklahoma Transit Association affirming |
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| 362 | + | that the provider or company has met certain education and training |
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| 363 | + | standards, adheres to all state and federal regulations, adheres to |
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| 364 | + | industry safety and cleanliness standards and is based in the State |
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| 365 | + | of Oklahoma. |
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| 366 | + | SECTION 3. This act shall become effective November 1, 2021. " |
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| 395 | + | Passed the House of Representatives the 19th day of April, 2021. |
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| 401 | + | Presiding Officer of the House of |
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| 402 | + | Representatives |
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| 405 | + | Passed the Senate the ____ day of __________, 2021. |
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| 411 | + | Presiding Officer of the Senate |
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| 439 | + | ENGROSSED SENATE |
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| 440 | + | BILL NO. 689 By: Pugh of the Senate |
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