The associated production of a Higgs boson with a b quark is a discovery
channel for the lightest MSSM neutral Higgs boson. We consider the SUSY QCD
contributions from squarks and gluinos and discuss the decoupling properties of
these effects. A detailed comparison of our exact order(alpha_s) results with
those of a widely used effective Lagrangian approach, the \Delta_b
approximation, is presented. The \Delta_b approximation is shown to accurately
reproduce the exact one-loop SQCD result to within a few percent over a wide
range of parameter space.