← All legislation

2026 Regular Session

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.

Legislative progress

i

This summary includes only completed milestones supported by recorded actions. It does not predict the next step, and it preserves later committee reassignments, concurrence, conference, veto, and approval actions when they occur.

Introduced in House February 2, 2026 House committee substitute March 9, 2026 House floor substitute March 25, 2026 House passed March 25, 2026 Sent to Senate March 26, 2026 Introduced in Senate March 26, 2026 Senate committee passed April 6, 2026 Senate floor substitute April 14, 2026 Senate passed April 14, 2026 Sent to House April 16, 2026

Partner positions

Dislikes

Recorded floor votes

7 roll calls are available for this bill. This record includes procedural and intermediate action as well as substantive final votes.

March 5, 2026 · House

House: Rules Committee: DO PASS AS AMENDED BY CS

Passed

10 yea–2 nay

View roll call

March 25, 2026 · House

House: THIRD READING

Passed ⭐ Substantive final action

77 yea–20 nay · 2 absent

View roll call

March 25, 2026 · House

House: ADOPT MOTION

Passed

74 yea–18 nay · 7 absent

View roll call

April 6, 2026 · Senate

Senate: Rules Committee: DO PASS

Passed

14 yea–2 nay

View roll call

April 14, 2026 · Senate

Senate: THIRD READING

Passed ⭐ Substantive final action

30 yea–8 nay · 10 absent

View roll call

April 14, 2026 · Senate

Senate: Committee: DO PASS

Passed

30 yea–9 nay · 9 absent

View roll call

April 14, 2026 · Senate

Senate: RECONSIDER

Passed

27 yea–18 nay · 3 absent

View roll call

Committee referrals

April 1, 2026 · Senate

Rules

February 3, 2026 · House

Rules

Instrument history

i

This is the complete recorded action history in the current source package. Highlighted entries are marked as significant by the source. A roll-call link appears only when a vote-like action has one unambiguous same-day chamber vote.

  1. House SA's received
  2. Senate Engrossed to House
  3. Senate Referred for engrossment
  4. Senate Special Election failed: Ayes: 29 Nays: 13
  5. Senate Motion to reconsider vote adopted
  6. Senate Notice served to reconsider vote on special election Paxton
  7. Senate Special Election failed: Ayes: 30 Nays: 9
  8. Senate Measure passed: Ayes: 30 Nays: 8
  9. Senate General Order, Amended by Floor Substitute
  10. Senate Placed on General Order
  11. Senate Reported Do Pass Rules committee; CR filed View roll call
  12. Senate Second Reading referred to Rules
  13. Senate First Reading
  14. House Engrossed, signed, to Senate
  15. House Referred for engrossment
  16. House Special election provision passed: Ayes: 74 Nays: 18
  17. House Third Reading, Measure passed: Ayes: 77 Nays: 20
  18. House Amended by floor substitute
  19. House Authored by Senator Paxton (principal Senate author)
  20. House Coauthored by Representative(s) Lepak
  21. House General Order
  22. House CR; Do Pass, amended by committee substitute Rules Committee
  23. House Second Reading referred to Rules
  24. House Authored by Representative Hilbert
  25. House First Reading
Source provenance