Oklahoma legislation · 2026 Regular Session
Oklahoma SB1553: Medicaid; specifying certain qualifications for appeals; providing for recovery of certain costs. Effective date.
Status: Signed into law, May 13, 2026
What the bill says
An Act relating to the state Medicaid program; amending 56 O.S. 2021, Section 4002.8, as last amended by Section 3, Chapter 372, O.S.L. 2025 (56 O.S. Supp. 2025, Section 4002.8), which relates to review and appeal of adverse determinations; specifying qualifications for psychologist reviewing appeal; updating statutory language; and providing an effective date. SUBJECT: Medicaid contracted entity appeals.
From the enrolled text, May 7, 2026:
An Act relating to the state Medicaid program; amending 56 O.S. 2021, Section 4002.8, as last amended by Section 3, Chapter 372, O.S.L. 2025 (56 O.S. Supp. 2025, Section 4002.8), which relates to review and appeal of adverse determinations; specifying qualifications for psychologist reviewing appeal; updating statutory language; and providing an effective date. SUBJECT: Medicaid contracted entity appeals SECTION 1. AMENDATORY 56 O.S. 2021, Section 4002.8, as last amended by Section 3, Chapter 372, O.S.L. 2025 (56 O.S. Supp. 2025, Section 4002.8), is amended to read as follows: Section 4002.8. A. A contracted entity shall utilize uniform procedures established by the Oklahoma Health Care Authority under subsection B of this section for the review and appeal of any adverse determination by the contracted entity sought by any member or provider adversely affected by such determination. B. The Authority shall develop procedures for members or providers to seek review by the contracted entity of any adverse determination made by the contracted entity. C. A provider shall have six (6) months from the receipt of a claim denial to file an appeal. D. A contracted entity shall ensure that all appeals of adverse determinations made by the contracted entity are reviewed by a licensed physician or, if appropriate for the requested service, a licensed psychologist or mental health professional. The contracted entity …
Sponsors
- Paul Rosino (R, SD-045) · primary sponsor
Latest actions
- : Approved by Governor 05/12/2026
- : Sent to Governor
- : Enrolled, to House
- : Referred for enrollment
- : Signed, returned to Senate
- : Third Reading, Measure passed: Ayes: 90 Nays: 2
- : General Order
- : CR; Do Pass Health and Human Services Oversight Committee
- : Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
- : Referred to Public Health
Votes
- Third Reading (May 6, 2026): 90 yea, 2 nay, passed
- Floor Vote (April 15, 2026): 13 yea, 0 nay, passed
- Floor Vote (April 1, 2026): 5 yea, 0 nay, passed
- Third Reading (March 25, 2026): 45 yea, 0 nay, passed
- Floor Vote (March 25, 2026): 46 yea, 0 nay, failed
- Floor Vote (March 25, 2026): 44 yea, 0 nay, failed
Subjects: Health Care, Professions and Occupations, Health
Common questions
- What is SB1553?
- SB1553 is a bill in the Oklahoma Legislature (2026 Regular Session): Medicaid; specifying certain qualifications for appeals; providing for recovery of certain costs. Effective date.
- What does SB1553 do?
- In its own words: An Act relating to the state Medicaid program; amending 56 O.S. 2021, Section 4002.8, as last amended by Section 3, Chapter 372, O.S.L. 2025 (56 O.S. Supp. 2025, Section 4002.8), which relates to review and appeal of adverse determinations; specifying qualifications for psychologist reviewing appeal; updating statutory language; and providing an effective date. SUBJECT: Medicaid contracted entity appeals.
- What is the status of SB1553?
- Signed into law as of May 13, 2026. Latest action: Approved by Governor 05/12/2026 (May 13, 2026).
- Who sponsored SB1553?
- Paul Rosino (R, SD-045).
- Where is the official record for SB1553?
- On the Oklahoma Legislature website: https://www.oklegislature.gov/BillInfo.aspx?Bill=SB1553&Session=2600
Source: official Oklahoma record. Tracked by Delilah, AI for legislation across all 50 states and Congress.