State Medicaid program; medically necessary; donor human milk-derived products; reimbursement; promulgation of rules; policy or procedure; Oklahoma Health Care Authority; federal approval; effective date.

HB 1577 requires Oklahoma Medicaid to cover medically necessary donated breast milk products for infants under 12 months old in inpatient or outpatient settings. It specifically applies to infants with birth weights under 1,500 grams, gestational age of 34 weeks or less, or certain medical conditions requiring such products, as certified by a licensed provider. The bill mandates separate reimbursement for these products (not bundled with hospital payments) and requires the Oklahoma Health Care Authority to establish quality standards and rules for coverage. The policy takes effect November 1, 2025, pending federal approval.