Req. No. 753 Page 1 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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 60th Legislature (2025) SENATE BILL 441 By: Coleman AS INTRODUCED An Act relating to the state Medicaid program; requiring certain coverage of chiropractic care; prohibiting certain exclusion from cover age; preventing certain prior authorization requirement; directing promulgation of rules; requiring Oklahoma Health Care Authority to seek necessary federal approval; providing for codification; providing an effective date; and declaring an emergency . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 5029.2 of Title 63, unless there is created a duplication in numbering, reads a s follows: A. The state Medicaid program shall cover chiropractic care performed by licensed chiropractic physicians when such services are medically necessary for the diagnosis and treatment of illness or injury or to improve the functioning of a malform ed body member. B. The state Medicaid program shall not exclude members from coverage under this section on the basis of age. C. No prior authorization shall be required for a member to receive medically necessary chiropractic care. Req. No. 753 Page 2 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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 D. The Oklahoma Heal th Care Authority Board shall promulgate rules as necessary to implement the provisions of this section. E. The Oklahoma Health Care Authority shall seek any federal approval necessary to implement the provisions of this section. SECTION 2. This act shall become effective July 1, 2025. 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 a nd be in full force from and after its passage and approval. 60-1-753 DC 1/7/2025 6:57:39 PM