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ENGROSSED SENATE
BILL NO. 927 By: Hicks of the Senate
and
Munson of the House
An Act relating to the state Medicaid program;
amending 63 O.S. 2021, Section 5030.1, which relates
to the Medicaid Drug Utilization Review Board;
modifying appointmen t procedure for certain members;
updating statutory language; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 63 O.S. 2021, Section 5030.1, is
amended to read as f ollows:
Section 5030.1. A. There is hereby created within the Oklahoma
Health Care Authority the Medicaid Drug Utilization Review Board,
which shall be responsible for the development, implementation and
assessment of retrospective and prospective drug u tilization
programs under the direction of the Authority.
B. The Medicaid Drug Utilization Re view Board shall consist of
ten (10) members appointed by the administrator of the Authority as
follows:
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1. Four physicians, licensed and actively engaged in the
practice of medicine or osteopathic medicine in this state, of
which:
a. three shall be physicians , each of whom is chosen from
a list of not less than six three names submitted by
the Oklahoma State Medical Association, and
b. one shall be a physician ch osen from a list of not
less than two names submitted by the Oklahoma
Osteopathic Association;
2. Four licensed pharmacists actively engaged in the practice
of pharmacy, chosen from a list of not less than six names submitted
by the Oklahoma Pharmaceutical Pharmacists Association;
3. One person representing the lay community, who shall not be
a physician or a pharmacist, but shall be a health care professional
with recognized knowledge and expertise in at least one of the
following:
a. clinically appropriate prescribing of covered
outpatient drugs,
b. clinically appropriate dispensing and monitori ng of
covered outpatient drugs,
c. drug use review, evaluation and intervention, and
d. medical quality assurance; and
4. One person representing the pharmaceuti cal industry who is a
resident of the State of Oklahoma this state, chosen from a list of
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not less than two names submitted by the Pharmaceutical Research and
Manufacturers of America. The member representing the
pharmaceutical industry shall be prohibite d from voting on action
items involving drugs or classes of drugs.
C. Members shall serve ter ms of three (3) years, except that
one physician, one pharmacist and the lay representative shall each
be initially appointed for two -year terms in order to stagg er the
terms. In making the appointments, the administrator shall provide,
to the extent possible, for geographic balance in the representation
on the Medicaid Drug Utilization Review Board. Members may be
reappointed for a period not to exceed three thr ee-year terms and
one partial term. Vacancies on the Medicaid Drug Utilization Review
Board shall be filled for the balance of the unexpired term from new
lists submitted by the entity originally submitting the list for the
position vacated.
D. The Medicaid Drug Utilization Review Board shall elect from
among its members a chair and a vice-chair vice chair who shall
serve one-year terms, provided they may succeed themselves.
E. The proceedings of all meetings of the Medicaid Drug
Utilization Review Board shall comply with the provisions of the
Oklahoma Open Meeting Act and shall be subject to the provisions of
the Administrative Procedures Act.
F. The Medicaid Drug Utilization Review Board may advise and
make recommendations to the Authority regarding ex isting, proposed
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and emergency rules governing retrospective and prospective drug
utilization programs. The Oklahoma Health Care Authority Board
shall promulgate rules pursuant to the provisions of the
Administrative Procedures Act for implementation of t he provisions
of this section.
SECTION 2. This act shall become effective Nov ember 1, 2025.
Passed the Senate the 17th day of March, 2025.
Presiding Officer of the Senate
Passed the House of Representatives the ____ day of _________ _,
2025.
Presiding Officer of the House
of Representatives