SB32X HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) ENGROSSED SENATE BILL NO. 32x By: Thompson (Roger) and Hall of the Senate and Wallace, Martinez, and Fugate of the House An Act relating to the Oklahoma Health Care Authority; requiring that portions of certain appropriated funds be used for certain purposes; directing Oklahoma Health Care Authority to implement increased payment for certain long-term care and intermediate care facilities for individuals with intellectual disabilities; directing the Authority to distribute funds to certain institutions; requiring the Authority to work with certain association to create the methodology for disbursement; requiring submission of certain plan by certain date; providing for duties and compensation of administrators and employees; authorizing p ayment of certain expenses; authorizing certain transfers; requiring certain transfers; authorizing certain early transfer requests; authorizing the e xemption of unanticipated federal funds from expenditure and budgetary limitations; providing procedures; requiring certain budget procedures; prohibiting certain budget procedures; and providing lapse dates. BE IT ENACTED BY THE PEOPLE OF TH E STATE OF OKLAHOMA: SECTION 1. From the funds appropria ted to the Oklahoma Health Care Authority in Enrolled House Bill No. 1004 of the 1st SB32X HFLR Page 2 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Extraordinary Session of the 59th Oklahoma Legislature, the sum of Thirty Million Dollars ( $30,000,000.00) shall be used to provide grant funding to providers for the one-time connection to the state- designated entity for health information exchange. SECTION 2. From the funds appropria ted to the Oklahoma Health Care Authority in Enrolled House Bill No. 1004 of the 1st Extraordinary Session of the 59th Oklahoma Legislature, the sum of Forty-seven Million Seven Hundred Sixty-seven Thousand Four Hundred Fifty-eight Dollars ($47,767,458.00) shall be used to increase reimbursement to long-term care facilities by Thirty-five Dollars ($35.00) per day and reimbursement to intermediate care facilities for individuals with intellectual disabilities (ICF/IID) by Seventeen Dollars ($17.00) per day. SECTION 3. A. From the funds appropriated to the Oklahoma Health Care Authority in Enrolled House Bill No. 1004 of the 1st Extraordinary Session of the 59th Oklahoma Legislature, the sum o f Two Hundred Million Dollars ( $200,000,000.00) shall be used for one- time funding to critical access hospitals and hospitals participating in the Supplemental Hosp ital Offset Payment Program. B. The Authority shall work in conjunction with an Oklahoma- based association of hospitals to create the methodology for the disbursement of this funding. C. The Authority shall submit to the Senate Appropriations Committee Chair and the House of Representatives Appropriations and SB32X HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Budget Committee Chair a plan for the disbursement of the funds listed in this section by no later than July 31st, 2023. SECTION 4. A. The duties and compensation of employees, not otherwise prescribed by law, necessary to perform the duties imposed upon the Oklahoma Health Care Authority by law sh all be set by the Administrator of the Oklahoma Health Care Au thority. B. The Oklahoma Health Care Authority is authorized to: 1. Pay professional expenses of the Administrator of the Authority including dues, licenses, professional memberships , and continuing education classes conducted in this state; and 2. Pay professional expenses of any employee including dues, licenses, professional membersh ips, continuing medical education classes conducted in this state, and medical malpractice insurance provided he or she is a full-time employee of the Authority in accordance with subsection B of Section 5006 of Title 63 of the Oklahoma Statutes and is utilizing those professional skills in the performance of his or her job duties. SECTION 5. In order to facilitate cash management of federal grant receipts and disbursements, the Office of Management and Enterprise Services shall transfer monies between the Oklahoma Health Care Authority federal and revolving funds in amounts requested by the Oklahoma Health Care Authority. SECTION 6. The Oklahoma Health Care Authority is authorized to transfer funds from Fund 205 and Fund 270 to Fund 200 and Fund 340 SB32X HFLR Page 4 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 to satisfy claims made to the Authority under the Suppleme ntal Hospital Offset Payment Progr am Act. SECTION 7. The Administrator of the Oklaho ma Health Care Authority may request, in the manner provided in this section, that receipt and expenditure of unanticipated federal funds awarded after July 1, 2023, be exempt from expendit ure limitations and from budgetary limitations. 1. The Administrator shall make a request for exemption to the Office of Management and Enterprise Services in writing and f ile a revised budget program. 2. The Administrator shall also file copies of the r equest for exemption and budget work program revisions with the Senate Appropriations Committee Chair and the House of Representatives Appropriations and Budget Committee Chair. The Senate Appropriations Committee Chair and/or the House Appropriati ons and Budget Committee Chair shall notify the Office of Ma nagement and Enterprise Services of any noncompliance of the request with legislative intent within twelve (12) calendar days of receipt of the exemption request. The Office of Management and Enterprise Services shall approve the request for exemption unless both the Chair and Vice Chair of the Legislative Oversight Committee on State Budget Performance provide written notification to the Office of Management and Enterprise Services within twe lve (12) calendar days of the Committee’s receipt of the exemption request th at the SB32X HFLR Page 5 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 exemption subverts the intention and objectives of the Legislature in establishing the original limi t. The Office of Management and Enterprise Services shall give written notice of approval or disapproval of each exemption to the agency, the Govern or, the Chair of the Senate Appropriations Committee , and the Chair of the House Appropriations and Budget Committee within eighteen (18) calendar days of receiving the request. SECTION 8. A. The Director of the Office of Management and Enterprise Services shall transfer monies appropriated from the General Revenue Fund and the Health Care Enhancement Fund to the Oklahoma Health Care Authority disbursing funds in the amounts and ratios requested by the Authority, except that the cumulative amounts transferred shall not exceed the cumulative amounts of equal monthly allotments of the appropriat ions from the General Revenue Fund and Health Care Enhancement Fund. B. Monies appropriated or collected for the fiscal year ending June 30, 2024, may be transferred to these disbursing funds for the fiscal year ending June 30, 2023, to satisfy encumbrance s and obligations of such fiscal year; provided, that monies equal in amount are transferred from appropriations or collections for the fiscal year ending June 30, 2023, to the disbursing fund for the fiscal year ending June 30, 2024, to satisfy encumbranc es and obligations of such fiscal year. All transfer requests shall be in SB32X HFLR Page 6 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 writing to the Director of the Office of Management and Enterprise Services. C. The Oklahoma Health Care Authority shall maintain records of the inter-year transfers. SECTION 9. The Administrator of the Oklahoma Health Care Authority may request, through the Director of the Office of Management and Enterpris e Services, the early transfer by the Oklahoma Tax Commission of tax collections to the General Revenue Fund for the purpose of early allocation to the agency’s disbursing funds to alleviate ca sh-flow problems. SECTION 10. Appropriations made b y Enrolled House Bill No. 1004 of the 1st Extraordinary Session of the 59th Oklahoma Legislature , not including appropriations made for capital outlay purposes, may be budgeted for the fiscal year ending June 30, 2024 (hereafter FY - 24), or may be budgeted for the fiscal year ending June 30, 2025 (hereafter FY-25). Funds budgeted for FY -24 may be encumbered on ly through June 30, 2024, and must be expended by November 15, 2024. Any funds remaining after November 15, 2024, and not budgete d for FY-25, shall lapse to the credit of the proper fund for the then current fiscal year. Funds budgete d for FY-25 may be encumbered only through June 30, 2025. Any funds remaining after November 15, 2025, shall lapse to the credit of the proper fund f or the then current fiscal year. These appropriations may not be budgeted in both fiscal years simultaneo usly. Funds budgete d in FY-24, and not SB32X HFLR Page 7 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 required to pay obligations for that fiscal year, may be budgeted for FY-25, after the agency to which the fun ds have been appropriated has prepared and submitted a budget work program revision removing these funds f rom the FY-24 budget work program and after such revision has been approved by the Office of Management and Enterprise Services. COMMITTEE REPORT BY: COMMITTEE ON JOINT COMMITTEE ON APPRO PRIATIONS AND BUDGET, dated 05/ 23/2023 – DO PASS, As Amended.