Bill > HB1577

This bill requires the Oklahoma Health Care Authority to provide Medicaid coverage for medically necessary donor human milk-derived products for infants under 12 months old, under specific conditions. Specifically, a licensed physician, physician assistant, or Advanced Practice Registered Nurse must order these products for infants who either weigh less than 1,500 grams, were born at 34 weeks gestation or earlier, or have a congenital or acquired condition where donor human milk products are deemed medically necessary for treatment and recovery. The coverage must adhere to quality standards set by the Oklahoma Health Care Authority Board, and reimbursement for these products in inpatient settings will be separate from existing hospital service payments. The Board is required to create rules for implementing this coverage and may adopt interim policies, which must be publicly posted online. Additionally, the Authority must seek necessary federal approval for the program. The bill is set to become effective on November 1, 2025, providing a clear timeline for implementation of this new Medicaid coverage option for infants.

Health and Social Services

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb1577&Session=2600