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Oklahoma Legislature· HB 1974Second Reading referred to Rules

An act relating to preventative diagnostic services, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1                            STATE OF OKLAHOMA

2                1st Session of the 60th Legislature (2025)

3 HOUSE BILL 1974            By: Williams

4

5

6                            AS INTRODUCED

7   An Act relating to preventative diagnostic services;

    providing for eligibility; directing what the program

8   will provide; providing who will administer the

    program; providing for coverage; providing for

9   educational and public awareness of the program;

    requiring an annual report to the Legislature;

10  providing for codification; and providing an

    effective date.

11

12

13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:

14  SECTION 1.      NEW LAW  A new section of law to be codified

15 in the Oklahoma Statutes as Section 7150 of Title 63, unless there

16 is created a duplication in numbering, reads as follows:

17  A. The Medicare program shall provide preventative health

18 screenings, advanced diagnostic testing, and imaging services

19 annually, at no cost, to Medicare-eligible individuals in the State

20 of Oklahoma.

21  B. Covered diagnostic tests and services include, but are not

22 limited to:

23  1. Annual coverage of cardiovascular testing to include the

24 following:

    Req. No. 10871                                                Page 1
1   a. LDL direct,

2   b. Apo A1,

3   c. Apo B,

4   d. Apo B: Apo A-1 ratio,

5   e. PLAC test,

6   f. Homocysteine,

7   g. Ox-LDL (oxidized low-density lipoprotein),

8   h. MPO (myeloperoxidase),

9   i. NT-proBNP (N-terminal pro b-type Natriuretic Peptide),

10  j. sdLDL (small dense low-density lipoprotein), and

11  k. Lp(a) (lipoprotein(a));

12  2. Annual coverage of diabetes testing to include the

13 following:

14  a. blood glucose,

15  b. HbA1c (hemoglobin A1c),

16  c. glycated serum proteins,

17  d. adiponectin,

18  e. ferritin,

19  f. beta cell function testing, and

20  g. insulin levels;

21  3. Annual coverage of endocrinology testing to include the

22 following:

23  a. ANA (antinuclear antibodies),

24  b. ENA (extractable nuclear antigens),

    Req. No. 10871                                              Page 2
1   c. PF IgM (phospholipid IgM),

2   d. Anti-CCP3 IgG and IgA (anti-cyclic citrullinated

3   peptide),

4   e. T3, triiodothyronine,

5   f. T4, thyroxine,

6   g. free T3 and free T4,

7   h. TSH (thyroid-stimulating hormone),

8   i. anti-TPO (thyroid peroxidase antibodies),

9   j. reverse T3, and

10  k. anti-TG (thyroglobulin antibodies); and

11  4. Coverage when warranted of advanced imaging to include

12 magnetic resonance imaging (MRI), for comprehensive cardiovascular,

13 neurological, and endocrinological assessments.

14  C. The State Department of Health shall administer the program

15 in collaboration with health care providers, laboratories, and

16 imaging facilities statewide.

17  D. Health care providers shall ensure that diagnostic services

18 are timely, accurate, and accessible to all eligible participants.

19  E. Each Medicare-eligible individual shall have the option to

20 access these preventative services annually if determined necessary

21 by his or her health care provider.

22  F. Additional diagnostic testing may be covered if medically

23 justified, ensuring comprehensive disease prevention.

24

    Req. No. 10871                                                 Page 3
1   G. No eligible individual shall incur out-of-pocket expenses

2 for any covered services.

3   H. The program shall include an educational campaign to inform

4 eligible individuals about the availability of preventative testing

5 and the importance of early detection.

6   I. Outreach efforts shall target communities statewide,

7 particularly rural and underserved areas.

8   J. 1. The Department shall submit an annual report to the

9 Oklahoma Legislature detailing:

10  a. the number of individuals served,

11  b. tests and services provided,

12  c. impact on early disease detection rates, and

13  d. cost savings achieved through preventative measures.

14  2. The report shall include recommendations for expanding or

15 improving the program.

16  SECTION 2. This act shall become effective November 1, 2025.

17

18  60-1-10871      TJ       01/05/25

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    Req. No. 10871                                             Page 4
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