Read the full stored bill text
Req. No. 3291 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
2nd Session of the 60th Legislature (2026)
SENATE BILL 1382 By: Hicks
AS INTRODUCED
An Act relating to the state Medicaid program;
directing the Oklahoma Health Care Authority to
pursue certain policies and programs; directing
establishment of the Diabetes Prevention Program
(DPP); imposing certain duty on contracted entities;
describing DPP; providing certain powers and duties
of Medicaid providers; requiring provision of
services by peer coaches; describing peer coach;
specifying certain limits on allowed coaching
sessions; directing development of certain payment
methodologies; requiring certain arrangement for
unlicensed peer coach; limiting effect of act;
authorizing certain contracts; providing certain
exemption; providing for codification; and providing
an effective date.
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 5009.6A of Title 56, unless
there is created a duplication in numbering, reads as follows:
A. The Oklahoma Health Care Authority shall pursue policies and
programs to assist members of the state Medicaid program in
preventing or delaying the onset of type 2 diabetes.
Req. No. 3291 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
B. 1. The Authority shall establish the “Diabetes Prevention
Program” (DPP) within the fee-for-service and managed care delivery
systems of the state Medicaid program.
2. Each contracted entity shall make the DPP available to
enrolled members in accordance with this section.
3. The DPP shall be an evidence-based, lifestyle change program
designed to prevent or delay the onset of type 2 diabetes among
individuals with prediabetes.
C. A Medicaid provider may identify and recommend participation
in the DPP to a member who meets the eligibility requirements of the
federal Centers for Disease Control and Prevention (CDC) Diabetes
Prevention Recognition Program.
D. In implementing the DPP, the Authority shall require that
Medicaid providers offering DPP services:
1. Comply with guidelines issued by the CDC and obtain CDC
recognition in connection with the National Diabetes Prevention
Program; and
2. Use a CDC-approved lifestyle change curriculum that does all
of the following:
a. emphasizes self-monitoring, self-efficacy, and
problem-solving,
b. provides for coach feedback,
c. includes participant materials to support program
goals, and
Req. No. 3291 Page 3
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. requires participant weigh-ins to track and achieve
program goals.
E. DPP services shall be provided by peer coaches who shall
promote realistic lifestyle changes, emphasize weight loss through
healthy eating and physical activity, and implement the DPP
curriculum. A trained peer coach may be a physician, a nonphysician
practitioner, or an unlicensed person who has been trained to
deliver the required curriculum content and possesses the skills,
knowledge, and qualities specified in the National Diabetes
Prevention Program guidelines.
F. A member who participates in the DPP shall be allowed to
participate in twenty-two peer coaching sessions over a period of at
least one (1) year. Thereafter, the Authority shall provide a
participating member who achieves and maintains a required minimum
weight loss of five percent (5%) from the first core session, in
accordance with CDC standards, with less intensive, ongoing
maintenance sessions to help the member continue healthy behaviors.
G. 1. The Authority shall develop payment methodologies, or
adjust existing methodologies, for reimbursing DPP services and
activities in the Medicaid fee-for-service delivery system, not to
exceed eighty percent (80%) of the federal Medicare program
reimbursement for comparable service, billing, and diagnosis codes
under the federal Medicare program.
Req. No. 3291 Page 4
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
2. For purposes of reimbursement under the Medicaid fee-for-
service delivery system, an unlicensed peer coach shall have an
arrangement with a participating Medicaid provider for purposes of
reimbursement for rendered DPP services.
H. This section shall be implemented only to the extent that
the Authority obtains federal financial participation to the extent
permitted by federal law, and obtains any necessary federal
approvals.
I. For the purposes of implementing this section, the Authority
may enter into exclusive or nonexclusive contracts on a bid or
negotiated basis, including contracts for the purpose of obtaining
subject matter expertise or other technical assistance. A contract
may be statewide or on a limited geographic basis. A contract
entered into or amended pursuant to this section shall be exempt
from the Oklahoma Central Purchasing Act.
SECTION 2. This act shall become effective November 1, 2026.
60-2-3291 DC 12/30/2025 6:01:25 PM