Sepsis protocols; requiring certain payors to use specified clinical criteria; effective date.
HB 1686 requires Oklahoma hospitals to establish and update evidence-based protocols for the early identification and treatment of sepsis and septic shock. These protocols must include provisions for screening, identifying appropriate patients for treatment, treatment guidelines, population-specific variations, and staff training. Additionally, the bill mandates that certain third-party payors and health benefit plans, including those contracting for Medicaid services, use specific clinical criteria for sepsis diagnosis. These criteria require a provider's diagnosis with a suspected infection and at least two symptoms of inflammatory response, such as elevated body temperature or heart rate. The bill aims to standardize sepsis identification and treatment practices, becoming effective November 1, 2025.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
Mar 2025
Senate Passage
Governor
Introduced Feb 3, 2025
Last action Apr 23, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Floor (House)
→
Floor (Senate)
·
4 edits
MODERATE
The bill was amended to simplify sepsis identification criteria and change the codification section number. The Senate version removed detailed hospital protocol requirements and replaced them with a simpler standard requiring only a diagnosis of sepsis plus two inflammatory symptoms. The effective date was moved from the original version to November 1, 2025.
Scope change
The bill's scope was narrowed by removing detailed hospital protocol requirements and replacing them with a simpler clinical criteria standard for Medicaid and Medicare coverage.
REQUIREMENT
Removed detailed hospital protocol requirements including screening procedures, population-specific variations, and staff training mandates.
Added simplified clinical criteria requiring only a provider diagnosis of sepsis plus two inflammatory symptoms (temperature, heart rate, white blood count, or respiratory rate).
DEFINITION
Changed the codification section number from 1-724.1 to 1-724.2 in the Oklahoma Statutes.
TIMELINE
Added specific effective date of November 1, 2025.
Floor votes
How they voted
This bill passed the House by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
18
Key actions
6
Committee
5
Amendments
1
Apr 21, 2025
Upper · Passed
Reported Do Pass as amended Health and Human Services committee; CR filed
upper
Mar 11, 2025
Introduced
First Reading
upper
Mar 11, 2025
Lower · Passed
Engrossed, signed, to Senate
lower
Mar 10, 2025
Committee
Referred for engrossment
lower
Mar 10, 2025
Lower · Passed
Third Reading, Measure passed: Ayes: 86 Nays: 7
lower
Mar 10, 2025
Lower · Passed
Amended
lower
Feb 26, 2025
Lower · Passed
CR; Do Pass Health and Human Services Oversight Committee
lower
Feb 5, 2025
Lower · Passed
Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
lower
Feb 4, 2025
Committee
Referred to Public Health
lower
Feb 3, 2025
Introduced
First Reading
lower
2 primary · 0 co-sponsors
Sponsors
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