Welcome to the Oklahoma House of Representatives

OKLAHOMA CITY – Rep. Carl Newton, R-Cherokee, on Monday held an interim study on the critical role of advanced primary care and value-based care in improving Oklahoman's healthcare outcomes and reducing costs. The study was held before the House Appropriations and Budget Health Subcommittee. "We're concerned about the cost of healthcare and are trying to make all aspects of it more affordable for individuals and taxpayers," Newton said. "When people can afford to access preventative healthcare, they have a better quality of life." Kari Webber, executive vice president of the Oklahoma Academy of Family Physicians and the executive director of the Oklahoma Chapter of the American Academy of Pediatrics, said both organizations are doing everything possible to promote primary care. "One of the things that we know," Webber said, "is that when patients are meeting with primary care physicians, costs of healthcare go down. And when we're doing that preventative care and care coordination models, we know we see impacts not only in the patient and their health outcomes but also the costs of overall care in general." Newton explained in his study request that advanced primary care is a physician-led, team-based model that expands upon traditional primary care by emphasizing prevention, care coordination, enhanced patient access, behavioral health integration and accountability for quality and outcomes. Traditional fee-for-service payment models, however, often do not provide the resources necessary for such care. Advanced primary care and value-based care are complementary strategies. Value-based care rewards providers for improving outcomes and reducing costs, while advanced primary care provides the infrastructure and care management capabilities necessary to achieve those goals. Both have shown to reduce overall healthcare costs by reducing unnecessary treatments and hospitalizations. For the study, Newton drew together healthcare providers representing rural, regional and tribal interests. These included Dr. John Zubialde, senior advisor for the Oklahoma Health Care Authority, Teresa Huggins, CEO of the Stigler Health & Wellness Center, Inc.; Dr. Marty M. Lofgren, and registered nurses Sandra Vaughn and Deana Aissaoui with Absentee Shawnee Tribal Health Systems; Dr. Jesse Campbell, regional physician executive, Sommer Skinner, vice president of Primary Care, and Rachel Allen, a registered nurse and director of operations for Mercy Oklahoma Community. Presenters discussed the successful implementation of advanced primary care, which requires investments in care teams, technology, data analytics, quality reporting and patient outreach. The study further examined whether current payment models adequately support these investments, particularly for independent and rural physician practices. Study presenter Dr. John Zubialde explained the overall need for advanced primary care versus other care models to address those with chronic and more complex healthcare needs. This generally represents the greatest costs to patients, insurers and the public. "When we look at Oklahoma's health statistics compared to national averages," Zubialde said, "we can see that chronic disease prevalence in Oklahoma is substantially above many national averages across the majority of the major measures." Mental health concerns, including depression, and substance abuse disorders, including methamphetamine and opioid use, along with preventable deaths, premature death rates and preventable hospitalizations also are substantially higher than national averages. At the same time, the use of preventive care services are well below the national average. "Oklahoma ranks about mid-tier in per capita health spending," Zubialde said. "That's a positive. However, when you recognize that in terms of per-capita income and resources for the average Oklahoma family, we're in the bottom area." This all translates into some statistics that must be considered, he said. "We're in the top ten states for the steepest health services cost increases. We're in the top ten states for individuals forgoing care because they cannot afford it. Even worse, we're in the top two states for highest medical debt, approximately double the national average, and we're in the top two states for highest rates of uninsured patients." That ranks Oklahoma at about 48th out of 51 states and Washington, D.C. "Broad-based primary care that incorporates advanced primary care has the best chance for helping to change this equation in our state," he said. The study can be watched on the House website under News & Media, live proceedings, search by date for Aug. 24, IS26-035 Advanced Primary Care and Value Based Care in Oklahoma .

OKLAHOMA CITY – Oklahoma House Speaker Pro Tempore Anthony Moore, R-Clinton, has been selected to serve on the National Conference of State Legislatures' Executive Committee. This governing board maintains and advances NCSL's mission of representing and supporting legislatures from all 50 states as well as U.S. commonwealths and territories. The group works to improve the quality and effectiveness of state legislatures, promotes policy innovation and communication among the legislatures and ensures state legislatures maintain a strong, cohesive voice in the federal system. The bipartisan group assists 7,386 state lawmakers and more than 30,000 legislative staff. In this new role, Moore will be on the front lines of making decisions on behalf of all legislators and staff served by NCSL. "It's an honor to be chosen to serve at this national level and to bring Oklahoma's perspective and voice to this national conversation," Moore said. "Our state is making great strides in many areas, and I'll be able to share our trajectory. I also will draw on the experience of those from other states and learn what has worked well and what remains challenging on many different policy fronts." House Speaker Kyle Hilbert, R-Bristow, commended Moore's selection. "Anthony has been a trusted leader on many of our state's most significant policy initiatives," Hilbert said. "Whether strengthening educational opportunities, defending constitutional freedoms, protecting property rights or advancing policies that promote economic growth, Anthony has consistently demonstrated the ability to build consensus and lead with conviction. He will certainly represent Oklahoma well in his new role on the NCSL executive committee. “Anthony’s selection ensures Oklahoma has a seat at the table on important issues facing state legislatures across the country. Our federal government is created by the states, not the other way around, and strong leadership at the state level is as important as ever. There are over 7,000 state legislators across the nation and Speaker Pro Tem Moore will be a strong voice for building consensus on tough issues that will help the United States of America continue to thrive for our next 250 years.”  Terms on the executive committee are for one year and renewable for up to three years. Moore's first term began at this year's legislative summit in Chicago, held at the end of July. It culminates at next year's summit in August in Atlanta. 

Members of the Oklahoma Accountancy Board and the Oklahoma Society of CPAs joined Rep. Gerrid Kendrix, R-Altus, for the ceremonial signing of legislation that offers another pathway to obtaining certified public accountant (CPA) designation. House Bill 4317 creates an additional path to achieving the certification while maintaining the requirement to pass the CPA exam. Kendrix said the update will modernize the licensure structure while protecting the quality of work. Kendrix, the bill's author and a CPA of more than 30 years, said the change will help address the state’s ongoing shortage of CPAs as the profession has evolved beyond traditional number-crunching to include more consulting and advisory work. "We need to make sure our licensing requirements are preparing students for the workforce, not simply requiring them to take more classes and pay more costs," Kendrix said. "This legislation helps us move toward a system that emphasizes mentorship and real-world experience, while still maintaining the higher education path for those who choose it." In addition to passing the CPA exam and one year of supervised work experience, the existing paths require either a master's degree in accounting or at least 150 additional credit hours. The new path requires a bachelor's degree in accounting and two years of supervised work experience. All candidates will still be required to pass the four sections of the Uniform CPA Examination within the designated timeframe before receiving their CPA certification. Prior to licensure, candidates must also pass an ethics exam and a criminal background check. HB4317 also allows the Oklahoma Accountancy Board to grant CPA certificates to applicants licensed in other states. The update takes effect Nov. 1.