This bill mandates that the Oklahoma Health Care Authority provide Medicaid coverage for medically necessary donor human milk-derived products for infants under twelve months of age, contingent upon federal law and approval. Coverage is required when a licensed physician, physician assistant, or Advanced Practice Registered Nurse certifies the necessity of these products based on specific medical criteria, such as low birth weight, premature birth, or certain congenital conditions. Additionally, the products must meet quality standards set by the Authority's Board.

The bill also stipulates that reimbursement for these products in inpatient settings will be separate from existing hospital payments. The Board is tasked with creating rules for the implementation of this coverage and may adopt interim policies, which must be publicly posted before finalization. The Authority is directed to seek any necessary federal approvals to enact these provisions, with the law set to take effect on November 1, 2025.