Bill > HB1686

This bill requires health insurance providers and managed care organizations in Oklahoma to use specific clinical criteria for identifying and treating sepsis that align with the quality measures established by the federal Centers for Medicare and Medicaid Services (CMS). Sepsis is a life-threatening condition caused by the body's extreme response to an infection, which can lead to tissue damage, organ failure, and death if not quickly diagnosed and treated. The bill mandates that third-party payors and health benefit plans contracted with the Oklahoma Health Care Authority adopt these standardized clinical criteria to ensure consistency with the International Classification of Diseases, 10th Revision (ICD-10-CM) coding system used by CMS. By implementing these uniform standards, the legislation aims to improve early sepsis detection and treatment across healthcare providers in Oklahoma. The bill will become effective on November 1, 2025, giving healthcare organizations and insurers time to update their protocols and systems to comply with the new requirements.

Health and Social Services

http://www.oklegislature.gov/BillInfo.aspx?Bill=hb1686&Session=2600