An Act ENROLLED SENATE BILL NO. 225 By: Seifried of the Senate and Dempsey of the House An Act relating to public health; amending 63 O.S. 2021, Section 7301, which relates to diabetes prevention reporting; modifying reporting period; requiring submission to Governor; requiring submission of components of r eport under certain conditions; updating statutory language; updating statutory references; creating the School Nurse Pilot Program Revolving Fund; specifying type of fund and source of monies; authorizing expenditure of funds for specified purpose; provid ing procedure for expenditures; requiring the State Department of Health to utilize certain funds for specified pilot program; listing criteria and limitations for pilot program; authorizing promulgation of rules; providing for codification; and providing an effective date. SUBJECT: Public health BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLA HOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 7301, is amended to read as follows: Section 7301. A. The Oklahoma Health Care Authority and the State Department of Health shall collaborate to identify benchmarks and develop goals to reduce the incidence rates of, improve health care services for, and control complications resulting from diabetes. ENR. S. B. NO. 225 Page 2 B. The Authority and the Department shall submit a report to the President Pro Tempore of the Senate and, the Speaker of the House of Representatives, and the Governor by January 10th of odd- numbered years January 10 of every fifth year. Such report shall contain the following information: 1. The fiscal impact of all types of diabetes on the Authority, the Department, and county health d epartments including the number of persons with diabe tes receiving services thr ough the Authority, the Department, and county heal th departments; 2. The fiscal impact of diabetes o n the Authority, the Department, and county heal th departments in compariso n to other chronic diseases; 3. An assessment of the benefits of diabetes pr evention programs including a summary of funding dire cted to the Authority and the Department from the Oklahoma State Legislature; 4. A description of coordination between the Au thority and the Department including, but not limited to, programs relating to the treatment and prevention of all forms of diabet es; 5. Detailed action plans for battling diabetes with actionable items for consideration by the Legislature including, but not limited to, steps to reduce the impact of diabete s, pre-diabetes, and related diabetes complications; 6. Identification of ex pected outcomes of the action steps and benchmarks for controlling and preventing all forms of diab etes; and 7. The development of a detailed budget blueprint identifying needs, costs, and resources required to implement the plan provided for in this act section. Such blueprint shall include a budget range for all options presented in the plan for con sideration by the Legislature. C. In addition to the complete re port required by subsection B of this section, the Authority or the Department shall , to the extent practicable, provide components of the up coming report as listed in subsection B of this sectio n upon request to the President ENR. S. B. NO. 225 Page 3 Pro Tempore of the Senate, the Speaker of the House of Representatives, and the Governor. D. The provisions of this act section shall be limited to diabetes information, data, initiatives, and programs within the Authority and the Department prior to the effective date of this act November 1, 2015, unless there is available funding for diabetes in each agency that may be used for new research, data collection reporting or other requirements of this act section. SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 2065 of Title 63, unless there is created a duplication in numbering, reads as follows: A. There is hereby created in the State Treasury a revolving fund for the State Department of Health to be designated the " School Nurse Pilot Program Revolving Fund". The fund shall be a continuing fund, not subject to fiscal ye ar limitations, and shall consist of all monies designated for and eligible for deposit under law . All monies accruing to the credit of said fund are hereby appropriated and may be budgeted and expended by the State Department of Health to facilitate the implementation of a pilot program as described in subsection B of this section including but not limited to the distribution of such funds through grants administered by the Department or in coordination with the Department . Expenditures from said fund shall be made upon warrants issued by the State Treasurer against claims filed as prescribed by law with the Director of the Office of Management and Enterprise Serv ices for approval and payment. B. The State Department of Health shall utilize funds deposited to the School Nurse Pilot Program Rev olving Fund for the purpose of implementing a pilot program to deliver school nur se services that address health, mental health, and social ser vices needs of students and families to promote the ability for students to have the best opportunity to learn an d be successful in their public school district. Such pilot program shall include the following criteria and limitations: 1. Encompass a contiguous three-county area with no more than twenty percent (20%) of the area's school districts having enrollments greater than three thousand (3,000) weighted average ENR. S. B. NO. 225 Page 4 daily membership as calculated by the State Department of Education the year of the pilo t program's inception; and 2. Have consolidated implementation coordinated by a single nonprofit provider. C. The State Department of Health may promulgate rules and adopt policies and procedures as required to administer the provisions of this section . SECTION 3. This act shall become effective November 1, 2023. ENR. S. B. NO. 225 Page 5 Passed the Senate the 23rd day of May, 2023. Presiding Officer of the Senate Passed the House of Representatives the 27th day of April, 2023. Presiding Officer of the House of Representatives OFFICE OF THE GOVERNOR Received by the Office of the Governor this _______ _____________ day of _________________ __, 20_______, at _______ o'clock _______ M. By: _______________________________ __ Approved by the Governor of t he State of Oklahoma this _________ day of _________________ __, 20_______, at _______ o'clock _______ M. _________________________________ Governor of the State of Oklahoma OFFICE OF THE SECRETARY OF STATE Received by the Office of the Secretary of State this __________ day of __________________, 20 _______, at _______ o'clock _______ M. By: _______________________________ __