Oklahoma Code § 63-5026.1

Title 63. Public Health And Safety: Annual review of all medications and forms of treatment
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for sickle cell disease.
A.  The Oklahoma Health Care Authority shall conduct an annual
review of all medications and forms of treatment for sickle cell
disease and services for enrollees with a diagnosis of sickle cell
disease.  The purpose of the annual review is to determine if the
available covered medications, treatments, and services are adequate
to meet the needs of enrollees with a diagnosis of sickle cell
disease, and whether the Authority should seek to add or recommend
additional medications, treatments, or services.
B.  The review shall include, but not be limited to:
1.  The extent to which healthcare transitional programs covered
under the state Medicaid program prepare, transfer, and integrate
emerging adults into the adult care setting from a pediatric
setting;
2.  The extent to which emergency department providers are
adequately trained and otherwise prepared to treat and manage sickle
cell patients presenting with vaso-occlusive crises including but
not limited to the extent to which providers follow clinically

validated algorithms and protocols regarding such treatment and
management;
3.  The extent to which sickle cell patients covered under the
state Medicaid program are entitled to receive the same standard of
care when referred or transferred to an out-of-state facility, and
the extent to which the state reimburses such patients for
reasonable interstate travel costs; and
4.  Any additional areas identified by the Authority that impact
the care and treatment of individuals in this state living with
sickle cell disease or sickle cell trait.
C.  When conducting the annual review required by this section,
the Authority shall solicit and consider input from the general
public, with specific emphasis on seeking input from persons or
groups with knowledge and experience in the area of sickle cell
disease treatment.
D.  To the extent practicable, the Authority shall utilize the
Oklahoma State Health Information Network and Exchange created under
Section 1-133 of Title 63 of the Oklahoma Statutes to collect
information for the purpose of implementing this section.
E.  On or before January 15, 2023, and on or before January 15
each year thereafter, the Authority shall submit a report to the
President Pro Tempore of the Senate and the Speaker of the House of
Representatives for distribution to the appropriate subject matter
committees that details the Authority's findings from the annual
review required by this section and any recommendations to the
Legislature based upon those findings.  The Authority shall publish
the annual report required by this subsection to its website in a
manner accessible by the general public.

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