Changeflow GovPing Government General Terminates Medicaid Expansion Coverage
Urgent Rule Removed Final

Terminates Medicaid Expansion Coverage

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Published March 26th, 2026
Detected April 7th, 2026
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Summary

The Oklahoma House Joint Resolution 1067 passed both chambers, terminating Medicaid expansion coverage under specified conditions. The resolution, sponsored by Representatives Eaves, Daniels, and Lepak, passed the House 72-20 and Senate 14-2, removing the statutory effect of Oklahoma's Medicaid expansion program. Healthcare providers and approximately 200,000+ enrollees in the state face loss of coverage eligibility.

What changed

Oklahoma HJR1067, a joint resolution to terminate Medicaid expansion coverage, passed the House on March 25, 2026 (72-20) and the Senate on April 6, 2026 (14-2). The resolution removes the statutory provisions implementing Medicaid expansion coverage under specified conditions, effectively ending the program for qualifying low-income adults. The bill underwent floor and committee amendments before final passage.

Healthcare providers and state Medicaid agencies must prepare for coverage termination and beneficiary transition. Eligible enrollees will lose Medicaid coverage upon the resolution's effective date. Providers should assess patient panels for affected coverage groups and prepare for reduced reimbursement. The state must establish transition procedures for individuals losing coverage, potentially directing them to other coverage options or safety-net programs.

What to do next

  1. Review Medicaid expansion eligibility criteria to identify affected patient populations
  2. Prepare coverage transition plans for patients losing Medicaid eligibility
  3. Coordinate with state Medicaid agency on implementation timeline and beneficiary notification

Source document (simplified)

ChangeBridge / Oklahoma / HJR1067 Passed HJR1067 House Joint Resolution Passed 2026-03-26

Joint resolution; terminating effect of Medicaid expansion coverage namdate under specified condition; providing certain construction.

Bill Details

State Oklahoma

Session 2026 Regular Session

Chamber House

Official Source www.oklegislature.gov/BillInfo.aspx?Bill=h...

LegiScan View on LegiScan

Sponsors

Ryan Eaves (Rep - R) Julie Daniels (Sen - R) Mark Lepak (Rep - R)

Action History

2026-04-06 S Reported Do Pass, amended by committee substitute 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: 19 2026-03-25 H Third Reading, Measure passed: Ayes: 72 Nays: 20 2026-03-25 H Amended by floor substitute 2026-03-25 H Coauthored by Representative(s) Lepak 2026-03-25 H General Order 2026-03-05 H Authored by Senator Daniels (principal Senate author) 2026-03-05 H CR; Do Pass Rules Committee 2026-02-03 H Second Reading referred to Rules 2026-02-02 H Authored by Representative Eaves 2026-02-02 H First Reading

Votes

2026-03-05 House: Rules Committee: DO PASS Yea: 8 Nay: 2 2026-03-25 House: THIRD READING Yea: 72 Nay: 20 2026-03-25 House: ADOPT MOTION Yea: 74 Nay: 19 2026-04-06 Senate: ADOPT Yea: 14 Nay: 2

Committee Referrals

2026-02-03 H Rules 2026-04-01 S Rules

Amendments

2026-03-24 House Floor 1 Floor Amendment by EAVES 2026-04-03 Senate Committee Committee Amendment

Bill Text Versions

2026-01-15 Introduced 2026-03-06 Amended 2026-03-25 Engrossed Legislative data powered by LegiScan (CC BY 4.0)

Named provisions

Joint Resolution - Medicaid Expansion Termination Construction Provisions

Source

Analysis generated by AI. Source diff and links are from the original.

Classification

Agency
OK Legis.
Published
March 26th, 2026
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
HJR1067 (Oklahoma 2026 Regular Session)

Who this affects

Applies to
Healthcare providers Patients Government agencies
Industry sector
6211 Healthcare Providers 6221 Hospitals & Health Systems 9211 Government & Public Administration
Activity scope
Medicaid Coverage Healthcare Benefits Administration
Threshold
Adults meeting prior Medicaid expansion eligibility criteria
Geographic scope
US-OK US-OK

Taxonomy

Primary area
Healthcare
Operational domain
Legal
Topics
Social Services State Budget

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