SB469 HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 58th Legislature (2022) ENGROSSED SENATE BILL NO. 469 By: Hicks, Garvin, Stanley, David, Kirt, and Floyd of the Senate and Bush, Miller, Waldron, and Lepak of the House [ Medicaid - requiring coverage of medically necessary pasteurized donor human milk under certain conditions - effective date – emergency ] BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new s ection of law to be codified in the Oklahoma Statutes as Secti on 5026.1 of Title 63, unless there is created a duplication in numbering, reads as follows: A. The Oklahoma Health Care Authority , to the extent permissible under federal law, shall provide Medicaid coverage for medically necessary pasteurized donor human milk in a home setting; provided: SB469 HFLR Page 2 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1. A physician, physician assistant or Advanced Practice Registered Nurse licensed in this state signs an order stating th at such milk is medically necessary for an infant Medicaid beneficiary ; 2. a. The infant is medically or physic ally unable to receive maternal breast mil k or participate in breastfeeding, or b. The infant’s mother is medically or physically unable to produce maternal breast milk in suffici ent quantities; and 3. Such milk is provided by a donor human milk bank that adheres to quality standards of and is ac credited by the Human Milk Banking Association of North America or such other standards or accreditation as may be required by the Author ity. B. The Oklahoma Health Care Authority Board shall promulgate rules to implement the provisions of this section including, but not limited to, establishing infant birth weight and health conditions that may make the provision of pasteurized donor human milk medically necessary and time limits for Medicaid coverage of pasteurized donor human milk. The Board may adopt a policy or procedure to implement the provisions of this section while in the process of promulgating rules; provided, such policy or procedure is posted on the Internet web site of the Authority prior to adoption of the policy. SB469 HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 C. The Authority shall seek any federal approval necessary to implement this section. SECTION 2. This act shall become effective July 1, 2021. SECTION 3. It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and after its passage and a pproval. COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS AND BUDGET, dated 04/21/2022 - DO PASS, As Amended and Coauthored.