Req. No. 750 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 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 1st Session of the 60th Legislature (2025) SENATE BILL 203 By: Thompson AS INTRODUCED An Act relating to the state Medicaid program; requiring the Oklahoma Health Care Authority to provide certain reimbursement to hospita ls under specified conditions; directing the Authority to seek certain federal approval; providing for codification; providing an effective date; and declaring an emergency. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 5025.1 of Title 63, unless there is created a duplication in numbering, reads as follows: A. The Oklahoma Health Care Authority shall provide Medicaid reimbursement to a hospital at one hundred percent (100%) of the statewide average nursing facility per diem rate for an individual if the individual: 1. Is enrolled in the state Medicaid program; 2. Has been admitted as an inpatient to such hospital; 3. No longer requires acute inpatient care and discharge planning as described in 4 2 C.F.R., Section 482.43; Req. No. 750 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 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. Requires nursing facility level of care upon discharge; and 5. Is unable to be transferred to a nursing facility due to a lack of nursing facility beds available to the individual or, in cases where the transfer requires a guardian, because the court has not appointed a guardia n. B. Reimbursement for services under this section shall be subject to federal approval. The Authority shall seek any fede ral approval necessary to implement the provisions of this section. SECTION 2. This act shall become effective July 1, 2025. SECTION 3. It being immediately necessary for the preservation of the public peace, health or saf ety, 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. 60-1-750 DC 12/30/2024 3:27:57 PM