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OK SB875
Bill
AI Summary
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Contracted entities holding Medicaid capitated contracts must spend at least 11% of total health care expenses on primary care services by the end of the fourth year of the initial contracting period
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Entities failing to meet the 11% threshold face liquidated damages equal to the shortfall amount, with proceeds directed to primary care services, plus scoring penalties on future contract proposals
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Entities allocating less than 8% of health care expenses to primary care services become ineligible for capitated contract awards in the subsequent procurement cycle
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The Medicaid Delivery System Quality Advisory Committee receives new authority to develop methodology for spending liquidated damages proceeds on primary care services
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Effective July 1, 2025, with emergency clause for immediate effect upon passage and approval
Legislative Description
State Medicaid program; making contracted entities ineligible for capitated contracts for failure to meet certain minimum expense requirement. Effective date. Emergency.
Last Action
Vetoed 05/09/2025
5/12/2025