SB 875 Summary

• Requires Oklahoma Health Care Authority to award at least three statewide capitated contracts for comprehensive integrated health services and two for dental coverage, with preference scoring for provider-led and provider-owned entities that demonstrate ability to fulfill contract requirements.

• Establishes 11% minimum primary care services expense requirement for contracted entities by end of fourth year of initial contracting period, with 8% as minimum threshold for contract eligibility.

• Contracted entities failing to meet 11% primary care requirement must pay liquidated damages to the Authority, with all proceeds spent on primary care services through a methodology approved by the Administrator based on Medicaid Delivery System Quality Advisory Committee recommendations.

• Contracted entities failing to meet 8% minimum primary care expense threshold become ineligible for capitated contract awards in the subsequent procurement cycle; those missing 11% target face scoring penalties.

• Expands Medicaid Delivery System Quality Advisory Committee duties to develop methodology for use of liquidated damages proceeds and recommend quality measures for contracted entities; effective July 1, 2025.