Oklahoma legislation · 2026 Regular Session
Oklahoma HB2749: Medicaid; directing establishment of certain nursing facility add-on rate under specified conditions; effective date; emergency.
Status: Signed into law, May 12, 2026
What the bill says
An Act relating to the state Medicaid program; amending 63 O.S. 2021, Section 1-1925.2, which relates to nursing facility reimbursement; directing the Oklahoma Health Care Authority to seek certain federal approval; requiring establishment of certain add-on rate subject to specified conditions; directing promulgation of rules; updating statutory language; providing an effective date; and declaring an emergency. SUBJECT: State Medicaid program.
From the enrolled text, May 6, 2026:
An Act relating to the state Medicaid program; amending 63 O.S. 2021, Section 1-1925.2, which relates to nursing facility reimbursement; directing the Oklahoma Health Care Authority to seek certain federal approval; requiring establishment of certain add-on rate subject to specified conditions; directing promulgation of rules; updating statutory language; providing an effective date; and declaring an emergency. SUBJECT: State Medicaid program SECTION 1. AMENDATORY 63 O.S. 2021, Section 1-1925.2, is amended to read as follows: Section 1-1925.2. A. The Oklahoma Health Care Authority shall fully recalculate and reimburse nursing facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities intermediate care facilities for individuals with intellectual disabilities (ICFs/IID) from the Nursing Facility Quality of Care Fund beginning October 1, 2000, the average actual, audited costs reflected in previously submitted cost reports for the costreporting period that began July 1, 1998, and ended June 30, 1999, inflated by the federally published inflationary factors for the two (2) years appropriate to reflect present-day costs at the midpoint of the July 1, 2000, through June 30, 2001, rate year. 1. The recalculations provided for in this subsection shall be consistent for both nursing facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities intermediate care facilities for individuals with intellectual disabilities (ICFs/IID). 2. The recalculated reimbursement rate shall be implemented September 1, 2000. B. …
Sponsors
- Ajay Pittman (D, HD-099)
- Caldwell (R) · primary sponsor
Latest actions
- : Approved by Governor 05/11/2026
- : Sent to Governor
- : Enrolled measure signed, returned to House
- : Enrolled, signed, to Senate
- : Referred for enrollment
- : Fourth Reading, Measure and Emergency Passed: Ayes: 74 Nays: 13
- : SA's read, adopted
- : SA's received
- : Engrossed to House
- : Referred for engrossment
Votes
- Fourth Reading (May 6, 2026): 74 yea, 13 nay, passed
- Third Reading (May 4, 2026): 34 yea, 10 nay, passed
- Senate Appropriations Committee (April 23, 2025): 25 yea, 0 nay, passed
- Senate Health & Human Services Committee (April 7, 2025): 10 yea, 2 nay, passed
- Third Reading (March 25, 2025): 82 yea, 9 nay, passed
- Floor Vote (March 25, 2025): 68 yea, 14 nay, passed
Common questions
- What is HB2749?
- HB2749 is a bill in the Oklahoma Legislature (2026 Regular Session): Medicaid; directing establishment of certain nursing facility add-on rate under specified conditions; effective date; emergency.
- What does HB2749 do?
- In its own words: An Act relating to the state Medicaid program; amending 63 O.S. 2021, Section 1-1925.2, which relates to nursing facility reimbursement; directing the Oklahoma Health Care Authority to seek certain federal approval; requiring establishment of certain add-on rate subject to specified conditions; directing promulgation of rules; updating statutory language; providing an effective date; and declaring an emergency. SUBJECT: State Medicaid program.
- What is the status of HB2749?
- Signed into law as of May 12, 2026. Latest action: Approved by Governor 05/11/2026 (May 12, 2026).
- Who sponsored HB2749?
- Caldwell (R), with 1 co-sponsor.
- Where is the official record for HB2749?
- On the Oklahoma Legislature website: https://www.oklegislature.gov/BillInfo.aspx?Bill=HB2749&Session=2600
Source: official Oklahoma record. Tracked by Delilah, AI for legislation across all 50 states and Congress.