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STATE OF OKLAHOMA
2nd Session of the 60th Legislature (2026)
SENATE BILL 1648 By: Nice
AS INTRODUCED
An Act relating to the state Medicaid program;
creating the Healthy Moms, Healthy Babies Act;
providing short title; requiring coverage and
reimbursement of specified services; requiring
certain reimbursement methodology; describing covered
services; providing certain coverage conditions;
requiring the Oklahoma Health Care Authority to seek
certain federal authority; directing promulgation of
rules; 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 5029.2 of Title 63, unless there
is created a duplication in numbering, reads as follows:
A. This section shall be known and may be cited as the “Healthy
Moms, Healthy Babies Act”.
B. The state Medicaid program shall provide coverage and
reimbursement for depression screening of a pregnant woman.
C. 1. The state Medicaid program shall provide coverage and
reimbursement for prenatal, delivery, and postpartum services. Such
services shall be reimbursed separately and shall not be reimbursed
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through a global payment or an all-inclusive payment methodology for
maternity services.
2. Prenatal, delivery, and postpartum services shall include,
but not be limited to:
a. office visits,
b. laboratory fees,
c. physician-ordered testing,
d. blood work,
e. remote monitoring,
f. fetal nonstress tests, and
g. continuous glucose monitors or other services for
gestational diabetes when medically necessary.
D. The state Medicaid program shall make presumptive
eligibility determinations for pregnant women who are applying for
the program to improve access to prenatal care and allow prenatal
care to be delivered immediately while waiting for a full
application to be processed.
E. 1. The state Medicaid program shall provide coverage and
reimbursement for self-measurement blood pressure monitoring
services for pregnant women and postpartum women.
2. Self-measurement blood pressure monitoring services shall
include:
a. validated blood pressure monitoring devices, such as a
blood pressure cuff and replacement cuffs, as
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medically necessary, to diagnose or treat
hypertension,
b. patient education and training on the setup and use of
a self-measurement blood pressure measurement device
that is validated for clinical accuracy, device
calibration, and the procedure for obtaining self-
measurement readings, and
c. collection of data reports by the patient or caregiver
for submission to a health care provider to
communicate blood pressure readings and create or
modify treatment plans.
F. 1. The state Medicaid program shall provide coverage and
reimbursement for medically necessary remote ultrasound procedures
utilizing established Current Procedural Terminology codes for
remote ultrasound procedures when the patient is in a residence or
other off-site location from the health care provider of the patient
and the same standard of care is met.
2. A remote ultrasound procedure shall be reimbursable when the
health care provider uses digital technology that:
a. collects medical and other forms of health data from a
patient and electronically transmits the information
securely to a health care provider in a different
location for interpretation and recommendation,
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b. is compliant with the Health Insurance Portability and
Accountability Act of 1996, 42 U.S.C., Section 1320d
et seq., and
c. is approved by the United States Food and Drug
Administration.
G. The state Medicaid program shall provide coverage and
reimbursement for doulas and community health workers for home
visitation related to prenatal care and postpartum care.
H. 1. The Oklahoma Health Care Authority shall apply for any
federal waiver, Medicaid state plan amendments, or other authority
necessary to implement this section.
2. The Oklahoma Health Care Authority Board shall promulgate
rules to implement this section.
SECTION 2. This act shall become effective November 1, 2026.
60-2-2668 DC 1/13/2026 8:01:55 PM