Medicaid; Oklahoma Health Care Authority; waiver; state plan amendment; expansion in cost-sharing; effective date.

Summary

The bill directs the Oklahoma Health Care Authority to file a Medicaid waiver or state plan amendment by Jan. 1, 2027 that sets a $35 cost‑sharing fee for each item, service, or care provision for Medicaid expansion members. The fee cannot be reduced for non‑emergency emergency‑department visits and the total cost‑share for a family may not exceed 5% of its income each quarter. Providers may require payment of these charges, which will be deducted from the amount the state pays them.

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