Medicaid Expansion Medical Services Legislative Referendum
Summary
Oklahoma HB4440 creates a legislative referendum requiring the Oklahoma Health Care Authority to make certain medical services available to individuals under Medicaid expansion. The bill passed the House 77-20 and was signed to the Senate on March 25-26, 2026, after committee review and floor amendments.
What changed
Oklahoma HB4440 establishes a legislative referendum mandating that the Oklahoma Health Care Authority provide specific medical services to persons eligible under Medicaid expansion. The bill, sponsored by Representatives Hilbert and Senator Paxton, passed the House 77-20 on third reading after floor amendments and committee substitutes, and was engrossed and signed to the Senate on March 26, 2026. The measure requires a ballot title for voter consideration and includes codification provisions.
Healthcare providers and state agencies should monitor the bill's progress through the Senate Rules Committee and prepare for potential implementation requirements. The Health Care Authority will need to ensure compliance with new duties regarding medical service availability. The bill's successful passage with strong bipartisan support (77-20 House vote) signals likely continued momentum through the legislative process.
What to do next
- Monitor HB4440 Senate progress and any further amendments
- Prepare for potential Health Care Authority compliance requirements upon final enactment
- Review expanded Medicaid service coverage requirements when codified
Source document (simplified)
ChangeBridge / Oklahoma / HB4440 Passed HB4440 House Bill Passed 2026-03-26
Public health and safety; legislative referendum; Medicaid and Medicaid expansion; requiring certain medical services be made available to certain persons; Health Care Authority duty; ballot title; codification; filing.
Bill Details
State Oklahoma
Session 2026 Regular Session
Chamber House
Official Source www.oklegislature.gov/BillInfo.aspx?Bill=h...
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Sponsors
Kyle Hilbert (Rep - R) Lonnie Paxton (Sen - R) Mark Lepak (Rep - R)
Action History
2026-04-06 S Reported Do Pass Rules committee; CR filed 2026-04-01 S Second Reading referred to Rules 2026-03-26 S First Reading 2026-03-26 H Engrossed, signed, to Senate 2026-03-25 H Referred for engrossment 2026-03-25 H Special election provision passed: Ayes: 74 Nays: 18 2026-03-25 H Third Reading, Measure passed: Ayes: 77 Nays: 20 2026-03-25 H Amended by floor substitute 2026-03-25 H Authored by Senator Paxton (principal Senate author) 2026-03-25 H Coauthored by Representative(s) Lepak 2026-03-25 H General Order 2026-03-09 H CR; Do Pass, amended by committee substitute Rules Committee 2026-02-03 H Second Reading referred to Rules 2026-02-02 H Authored by Representative Hilbert 2026-02-02 H First Reading
Votes
2026-03-05 House: Rules Committee: DO PASS AS AMENDED BY CS Yea: 10 Nay: 2 2026-03-25 House: THIRD READING Yea: 77 Nay: 20 2026-03-25 House: ADOPT MOTION Yea: 74 Nay: 18 2026-04-06 Senate: Rules Committee: DO PASS Yea: 14 Nay: 2
Committee Referrals
2026-02-03 H Rules 2026-04-01 S Rules
Amendments
2026-03-03 House Committee Proposed Committee Substitute (full committee) 1 2026-03-23 House Floor 1 Floor Amendment by HILBERT
Bill Text Versions
2026-01-15 Introduced 2026-03-09 Comm Sub 2026-03-10 Amended 2026-03-25 Engrossed Legislative data powered by LegiScan (CC BY 4.0)
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