A&B Health Subcommittee

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 .

The Oklahoma House of Representatives today added to its transparency portal a government efficiency survey intended to root out duplication of services, waste and inefficiencies in state government.  This initiative piggybacks on the federal effort to eliminate government waste through the newly-created federal Department of Government Efficiency (DOGE). "We will work hand-in-hand with President-Elect Trump and our federal delegation on broader efforts to make government more efficient with DOGE," said House Speaker-Elect Kyle Hilbert, R-Bristow. "We want to ensure our state government is working as efficiently and cost-effectively as possible. As lawmakers, we want the assistance of Oklahomans who have first-hand experience with duplicative and wasteful spending of taxpayer dollars." Oklahomans can enter any examples they have experienced of state governmental waste or duplication into the easy-to-use portal, which will be submitted to House budget leaders for review to be utilized during legislative budget hearings and the crafting of the FY26 state budget.  "We know Oklahomans get frustrated every day with the inefficiency of government, and we need their help to root out the most egregious examples so we can eliminate unnecessary expenditures," said Rep. Trey Caldwell, R-Lawton, who will serve as House Appropriations Chairman for the 60th Legislature. "The more efficient we can become, the more we can invest in critical government services and pursue lowering the overall tax burden for all Oklahomans." Constituents can file government waste complaints online by entering some demographic information, the issue area their example encompasses, and details of waste or inefficiencies. "We are confident we will get examples of inefficiency that we likely would not have known about otherwise," said Rep. John Kane, R-Bartlesville, who will serve as Vice Chairman of the House Appropriations Committee this upcoming session. "Every January we have an opportunity to walk through budget requests with state agencies, and we will have the ability to ask about these constituent submissions directly in an effort to make government as efficient and effective as possible." The portal is live today, and Oklahomans can immediately start entering examples of waste they have already encountered or will see in the future. "We hope to capitalize on the momentum we are seeing on the federal level with the efforts of President Trump at DOGE, and the national priority they have set to reduce waste," Hilbert said. "Oklahoma has the opportunity to align with these efforts and lead at the state and local level as we seek best practices and frameworks for auditing and reducing waste in government spending." The Government Efficiency survey may be accessed via the homepage of the House website, okhouse.gov, similar to the House Budget HQ , which was launched in the 2024 session and updated regularly. All submitted agency FY26 budget requests have been updated and can be viewed in the portal.  

OKLAHOMA CITY – First-of-its-kind legislation that gives an expansive tax credit to Oklahoma family caregivers took effect Jan. 1. For the 2024 tax year, unpaid family caregivers will be able to claim up to $2,000 or $3,000 in tax credits for out-of-pocket costs incurred for eligible expenses, depending upon the person for whom they are providing care. House Majority Leader Tammy West, R-Oklahoma City, shepherded House Bill 1029XX – the Caring for Caregivers Act – through the Legislature last session. "While caregiving is a labor of love, it can come at a great financial toll," West said. "I'm thrilled to be able to offer this tax relief to our Oklahoma family caregivers. This will help ensure their loved ones can stay in their homes when their health is failing, eliminating the need for the much more costly option and the added emotional burden of being cared for in a taxpayer-funded nursing home."  The tax credit is up to 50% of eligible caregiver costs, including home modifications such as installing a ramp, durable medical equipment, assistive technologies, home health services and more. The credit is capped at $2,000 per year for family caregivers with a federally adjusted gross income below $50,000 for single filers or $100,000 for joint filers. Those caring for veterans or people with a dementia-related diagnosis are eligible for up to $3,000 per year. The total cap for the state is $1.5 million per year. Individuals must qualify as a dependent, spouse, parent or other relation by blood or marriage to the family caregiver. Oklahomans receiving care from a family caregiver must be 62 years of age or older and require assistance with at least two activities of daily living as certified by a licensed health care provider. Other states offer smaller tax credits to certain caregivers or for expenses like home modifications, but AARP reports Oklahoma is the first to adopt the more expansive credit. According to AARP, Oklahoma has 490,000 family caregivers that provide a staggering $6.6 billion in unpaid care with the average individual spending an estimated $7,200 a year on expenses related to their duties. That’s on top of the emotional and physical challenges that often come with providing unpaid care for an older loved one. A recent AARP survey shows 93% of Oklahoma family caregivers pay out-of-pocket expenses for things such as transportation, medical equipment, home modifications, hiring in-home support services and providing respite services. To learn more about Oklahoma’s new family caregiver tax credit and frequently asked questions visit: www.aarp.org/OKCaregiverTaxCredit