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Bill > HB4440
OK HB4440
OK HB4440State Medicaid program; Constitutional amendment; requiring state to provide certain medical assistance; requiring Oklahoma Health Care Authority to maximize certain federal action; directing filing.
summary
Introduced
02/02/2026
02/02/2026
In Committee
04/06/2026
04/06/2026
Crossed Over
03/26/2026
03/26/2026
Passed
Dead
05/14/2026
05/14/2026
Introduced Session
2026 Regular Session
Bill Summary
An Act relating to public health and safety; ordering a legislative referendum pursuant to the Oklahoma Constitution to amend the Oklahoma Constitution by repealing Sections 1, 2, 3 and 4 of Article XXV-A; ordering a legislative referendum; providing for enactment of statutes related to Medicaid and Medicaid expansion; defining terms; requiring certain medical services be made available to certain persons; imposing duty on Oklahoma Health Care Authority; providing ballot title; ordering a special election; and directing filing. AMENDMENT NO. 1. , strike the title, enacting clause and entire bill and insert “An Act relating to the state Medicaid program; directing the Secretary of State to refer to the people for their approval or rejection a proposed amendment to Section 2 of Article XXV-A of the Oklahoma Constitution; removing prohibition for imposing certain eligibility restrictions; directing the Secretary of State to refer to the people for their approval or rejection a proposed amendment to repeal Sections 1, 2, 3, and 4 of Article XXV-A of the Oklahoma Constitution, which relate to Medicaid expansion; making repealers contingent upon certain federal action; ordering a legislative referendum; defining terms; requiring state to provide certain medical assistance; requiring Oklahoma Health Care Authority to maximize certain federal funding; making provisions contingent upon certain federal action; providing ballot title; providing for codification; and directing filing.
AI Summary
This bill proposes a constitutional amendment and statutory changes related to Oklahoma's Medicaid program, which provides medical assistance to eligible individuals. Specifically, it seeks to allow for the provision of medical assistance to "low-income adults," defined as individuals aged 18-65 whose income is no more than 133% of the federal poverty level and who meet other non-financial eligibility requirements. The bill also directs the Oklahoma Health Care Authority, the state agency that administers Medicaid, to take all necessary steps to maximize federal funding for this medical assistance. Crucially, these provisions, both the constitutional amendment and the statutory changes, would only take effect if the federal medical assistance percentage (FMAP), a measure of federal funding for Medicaid, drops below 90%. The bill also includes a provision to repeal existing constitutional sections related to Medicaid expansion if the FMAP falls below 90%, effectively moving the program's framework into state statutes, which could then be more easily amended by the legislature. The proposed changes will be put to a public vote through a legislative referendum.
Sponsors (5)
Last Action
SA's received (on 04/16/2026)
Taxonomy
Health
- ‐ Health Insurance Reform
Official Document
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