Oklahoma Code § 63-1-851.3

Title 63. Public Health And Safety: Certificate of need required
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No long-term care facility shall be developed, acquired or
offered unless a certificate of need therefor has been issued as
provided in the Long-term Care Certificate of Need Act.  No
governmental entity shall approve any grant of funds, issue any
debentures or issue or renew any license for the operation of a
long-term care facility, nor shall any third-party purchasers,
licensed or operated by this state, issue reimbursement for services
provided to its insurers or clients, unless the certificate of need
as provided in the Long-term Care Certificate of Need Act has been
obtained.

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