Oklahoma § 63-2565 - Consultations with advocacy groups required – Process to

§ 63-2565. Consultations with advocacy groups required – Process to

ensure stakeholder engagement and transparency – Research and

analysis methods.

A. Any agency making decisions on utilization management

measures, coverage, reimbursement or incentive programs shall be

required to consult with:

1. Organizations representing patients and people with

disabilities, including both self-advocacy organizations and

organizations representing patients, prior to proceeding on any

measure likely to impact the relevant patient or disability

community; and

2. Organizations representing patients and people that advocate

for the rights of patients to obtain treatment without regard to the

patients' quality of life and representatives of organizations that

advocate for the rights of older persons to receive health care.

B. Any agency making decisions on utilization management

measures, coverage, reimbursement or incentive programs shall ensure

that a process is in place to ensure robust stakeholder engagement

and full transparency surrounding the provision of any research and

analysis relied upon for decision-making that would impact access to

health care treatments and services by patient groups provided for

in subsection A of this section, including:

Oklahoma Statutes - Title 63. Public Health and Safety

1. Providing stakeholders with meaningful notice and

opportunity to comment on the retention of any vendor providing

research and analysis to the agency;

2. Subjecting research and analysis relied upon by an agency to

meaningful notice and comment process;

3. Ensuring deliberation around the coverage or reimbursement

for health care treatments and services occurs in open meetings;

4. Presenting and releasing any research and analysis relied

upon for decision-making in public meetings or publicly released

prior to deliberation;

5. Requiring full disclosure into funding sources and conflicts

of interest of any third party providing research and analysis to

the state;

6. Prohibiting sole-source contracts for research and analysis

to ensure reliance on a range of evidence; and

7. Preparing an annual report assessing beneficiary access to

health care treatments and services. The report shall assess the

impact of any form of utilization management on access to care with

a specific analysis of the impact on persons with disabilities,

chronic illness and advanced age. The report shall be submitted to

the State Legislature, be posted on the state Medicaid website, and

the agency shall provide an opportunity for public comment.

C. Any research and analysis relied upon for decision-making

that would impact coverage and access to health care treatments and

services shall measure outcomes prioritized by patients and persons

with disabilities as required by this section, as well as consider

meaningful differences in the characteristics, needs and preferences

of patients and persons with disabilities.

Added by Laws 2020, c. 113, § 6, eff. Nov. 1, 2020.