Oklahoma legislation · 2026 Regular Session
Oklahoma HB4440: State Medicaid program; Constitutional amendment; requiring state to provide certain medical assistance; requiring Oklahoma Health Care Authority to maximize certain federal action; directing filing.
Status: Passed both chambers, April 16, 2026
What the bill says
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, 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…
From the engrossed text, April 16, 2026:
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, 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. Page 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; ENGR. S. A. TO ENGR. H. B. NO. 4440 Page providing …