SB253 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 60th Legislature (2025) ENGROSSED SENATE BILL NO. 253 By: Hines of the Senate and Stinson and Osburn of the House An Act relating to the state Medicaid program; requiring the Oklahoma Health Care Authority to include certain information in annual budget request; specifying calculation method of certain costs; providing for codification; and providing an effective date. 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 1 -1925.2A of Title 63, unless there is created a duplication in numbering, reads as follows: A. The Oklahoma Health Care Authorit y in its annual budget request submitted pursuant to Section 34.36 of Title 62 of the Oklahoma Statutes shall include a supplemental item reflecting the new state and federal funding necessary to meet the additional costs associated with reimbursing nursin g facilities and intermediate care SB253 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 facilities for individuals with intellectual disabilities at the most recent audited cost. B. Audited cost shall be calculated by using the latest cost report submitted to the Oklahoma Health Care Authority. SECTION 2. This act shall become effective November 1, 2025. COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS AND BUDGET , dated 04/16/2025 - DO PASS, As Coauthored .