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Oklahoma requires Medicaid coverage of medically necessary donor human milk-derived products for infants under twelve months

Original title: State Medicaid program; medically necessary; donor human milk-derived products; reimbursement; promulgation of rules; policy or procedure; Oklahoma Health Care Authority; federal approval; effective date.

Last action · February 26, 2025: CR; Do Pass Health and Human Services Oversight CommitteeSponsor: Josh West

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Official description

State Medicaid program; medically necessary; donor human milk-derived products; reimbursement; promulgation of rules; policy or procedure; Oklahoma Health Care Authority; federal approval; effective date.

Why it matters

Infant Medicaid beneficiaries meeting clinical criteria gain state-funded access to specialized nutrition products, with inpatient reimbursement provided separately from standard hospital payments.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Infant Medicaid beneficiaries

Eligible infants under twelve months old gain state Medicaid coverage for medically necessary donor human milk-derived products in inpatient and outpatient settings.

Directly affected

Physicians, physician assistants, and Advanced Practice Registered Nurses

Licensed providers are authorized to sign orders establishing the medical necessity of donor human milk-derived products for infant beneficiaries.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Which infants qualify for Medicaid coverage of donor human milk-derived products under this bill?
Infants under twelve months of age qualify if an ordering provider determines the products are medically necessary and the infant has a birth weight under 1,500 grams or below healthy levels, a gestational age at birth of 34 weeks or less, or a congenital or acquired condition requiring the products.
How does hospital reimbursement work for these products under the measure?
Reimbursement for donor human milk-derived products provided to an inpatient infant must be handled separately from the existing hospital payment for inpatient services.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · passed the House.

Procedural history

8 actions
  1. Feb 26, 2025HouseFloor
    CR; Do Pass Health and Human Services Oversight Committee
  2. Feb 6, 2025House
    Authored by Senator Daniels (principal Senate author)
  3. Feb 6, 2025House
    Coauthored by Representative(s) West (Josh)
  4. Feb 6, 2025HouseFloor
    Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
  5. Feb 4, 2025HouseCommittee
    Referred to Public Health
  6. Feb 4, 2025HouseCommittee
    Second Reading referred to Health and Human Services Oversight
Show 2 earlier actions
  1. Feb 3, 2025House
    Authored by Representative Lawson
  2. Feb 3, 2025HouseIntroduced
    First Reading

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Oklahoma Health Care Authority, Oklahoma Health Care Authority Board
OrganizationOklahoma Health Care Authority“State agency directed to provide Medicaid coverage and seek federal approval”Map →
OrganizationOklahoma Health Care Authority Board“Board required to promulgate rules and set quality standards”Map →

Sources

Open source document

www.oklegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 65)
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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