HB 44402026
bill
2026 Regular Session · House bill
HB 4440
State Medicaid program; Constitutional amendment; requiring state to provide certain medical assistance; requiring Oklahoma Health Care Authority to maximize certain federal action; directing filing.
Health & mental healthState government & agenciesHealth care & pharma industry how tagged
Official title shown; Open States carries no separate summary for Oklahoma bills. See the AI analysis below.
Passed both chambers Last action April 16, 2026: SA's received
The 2026 regular session's scheduled last day was May 29, 2026. Measures not passed by then did not become law this session.
AI analysis AI-generated
AI-generated · may be inaccurate or incomplete. Written by a language model (Workers AI, llama-3.3-70b-instruct-fp8-fast) from the bill's official title, actions, votes, sponsors, committee referrals and hearings in our database — not from the bill text. Check the official text on oklegislature.gov before relying on it. Not legal advice.
Authors & coauthors 3
- Principal House author
- Kyle Hilbert R
- Principal Senate author
- Lonnie Paxton R
- House coauthors
- Mark Lepak R
Principal authors from Open States; coauthors read from “Coauthored by …” actions (removals applied).
Status
- Introduced
- In committee (origin chamber)
- Passed committee (origin chamber)
- Passed origin chamber
- In committee (second chamber)
- Passed committee (second chamber)
- Passed both chambers
- Sent to Governor
- Enacted / adopted
Committee referrals 2
| Referred | Chamber | Committee | Outcome |
|---|---|---|---|
| Feb. 3, 2026 | House | Rules | Passed (committee substitute) March 9, 2026 |
| April 1, 2026 | Senate | Rules | Passed April 6, 2026 |
Roll-call votes 8
March 5, 2026HouseRules Committee: Do Pass As Amended By CsPassed10–2
yes (10) Archer, Bashore, George, Harris, Hilbert, Lawson, Moore, Osburn, Pfeiffer, West
Official vote record: oklegislature.gov
March 25, 2026HouseAdopt MotionPassed74–18 7 excused
yes (74) Adams, Banning, Bashore, Blair, Boles, Caldwell, Caldwell, Cantrell, Chapman, Cornwell, Crosswhite Hader, Culver, Dempsey, Dobrinski, Duel, Eaves, Fetgatter, Ford, Gann, George, Gise, Grego, Hader, Hall, Hardin, Harris, Hasenbeck, Hays, Hildebrant, Hill, Jenkins, Johns, Kane, Kelley, Kendrix, Kerbs, Lawson, Lay, Lowe, Luttrell, Manger, Marti, May, Maynard, Miller, Moore, Mr. Speaker, Newton, Norwood, Olsen, Osburn, Pae, Patzkowsky, Pfeiffer, Roberts, Roe, Shaw, Smith, Staires, Stark, Steagall, Sterling, Strom, Townley, Travis, Turner, West, West, West, Wilk, Williams, Wolfley, Woolley, Worthen
no (18) Alonso Sandoval, Archer, Blancett, Clinton, Dollens, Fugate, Hefner, McCane, Munson, Pogemiller, Provenzano, Ranson, Rosecrants, Schreiber, Stewart, Timmons, Waldron, West
excused (7) Deck, Humphrey, Kannady, Menz, Sneed, Stinson, Tedford
Official vote record: oklegislature.gov
March 25, 2026HouseThird ReadingPassed77–20 2 excused
yes (77) Adams, Banning, Bashore, Blair, Boles, Caldwell, Caldwell, Cantrell, Chapman, Cornwell, Crosswhite Hader, Culver, Dempsey, Dobrinski, Duel, Eaves, Fetgatter, Ford, Gann, Gise, Grego, Hader, Hall, Hardin, Harris, Hasenbeck, Hays, Hildebrant, Hill, Humphrey, Jenkins, Johns, Kane, Kannady, Kelley, Kendrix, Kerbs, Lawson, Lay, Lepak, Lowe, Luttrell, Manger, Marti, May, Maynard, Miller, Moore, Mr. Speaker, Newton, Norwood, Olsen, Osburn, Pae, Patzkowsky, Pfeiffer, Roberts, Roe, Shaw, Smith, Staires, Stark, Steagall, Sterling, Stinson, Strom, Townley, Travis, Turner, West, West, West, Wilk, Williams, Wolfley, Woolley, Worthen
no (20) Alonso Sandoval, Archer, Blancett, Clinton, Deck, Dollens, Fugate, Hefner, McCane, Menz, Munson, Pogemiller, Provenzano, Ranson, Rosecrants, Schreiber, Stewart, Timmons, Waldron, West
Official vote record: oklegislature.gov
April 6, 2026SenateRulesPassed14–2
yes (14) Bergstrom, Bullard, Coleman, Daniels, Green, Hall, Hamilton, Howard, Jech, Murdock, Paxton, Rader, Seifried, Thompson
Official vote record: oklegislature.gov
April 14, 2026SenateThird ReadingPassed30–8 10 excused
yes (30) Alvord, Bergstrom, Bullard, Coleman, Daniels, Frix, Gillespie, Gollihare, Green, Hall, Hamilton, Haste, Hines, Howard, Jech, Kern, Logan, Murdock, Paxton, Pederson, Pugh, Rader, Reinhardt, Rosino, Seifried, Stanley, Stewart, Thompson, Weaver, Woods
no (8) Boren, Brooks, Dossett, Goodwin, Hicks, Kirt, Mann, Nice
excused (10) Burns, Deevers, Grellner, Guthrie, Jett, McIntosh, Prieto, Sacchieri, Standridge, Wingard
Official vote record: oklegislature.gov
April 14, 2026SenateSpec'L ElectionPassed30–9 9 excused
yes (30) Alvord, Bergstrom, Coleman, Daniels, Frix, Gillespie, Gollihare, Green, Hall, Hamilton, Haste, Hines, Howard, Jech, Kern, Logan, Murdock, Paxton, Pederson, Pugh, Rader, Reinhardt, Rosino, Seifried, Stanley, Stewart, Thompson, Weaver, Wingard, Woods
no (9) Boren, Brooks, Bullard, Dossett, Goodwin, Hicks, Kirt, Mann, Nice
excused (9) Burns, Deevers, Grellner, Guthrie, Jett, McIntosh, Prieto, Sacchieri, Standridge
Official vote record: oklegislature.gov
April 14, 2026SenateReconsiderPassed27–18 3 excused
yes (27) Alvord, Bergstrom, Coleman, Daniels, Frix, Gillespie, Gollihare, Green, Hall, Hamilton, Haste, Hicks, Hines, Howard, Jech, Kern, Logan, Paxton, Pederson, Pugh, Rader, Reinhardt, Rosino, Seifried, Stanley, Thompson, Woods
no (18) Boren, Brooks, Bullard, Burns, Deevers, Dossett, Goodwin, Grellner, Guthrie, Jett, Kirt, Mann, McIntosh, Nice, Prieto, Sacchieri, Standridge, Wingard
excused (3) Murdock, Stewart, Weaver
Official vote record: oklegislature.gov
April 14, 2026SenateSpec'L ElectionPassed29–12 7 excused
yes (29) Alvord, Bergstrom, Coleman, Daniels, Frix, Gillespie, Gollihare, Green, Hall, Hamilton, Haste, Hines, Howard, Jech, Kern, Logan, Murdock, Paxton, Pederson, Pugh, Rader, Reinhardt, Rosino, Seifried, Stanley, Stewart, Thompson, Wingard, Woods
no (12) Boren, Brooks, Bullard, Burns, Dossett, Goodwin, Grellner, Hicks, Kirt, Mann, Nice, Prieto
excused (7) Deevers, Guthrie, Jett, McIntosh, Sacchieri, Standridge, Weaver
Official vote record: oklegislature.gov
Official text & documents
- 1 Floor Amendment by HILBERT · PDF on oklegislature.gov
- Amended And Engrossed · PDF on oklegislature.gov
- Engrossed · PDF on oklegislature.gov
- Floor (House) · PDF on oklegislature.gov
- Floor (Senate) · PDF on oklegislature.gov
- HB4440 (4-13-26) (PAXTON) FS FA1.PDF · PDF on oklegislature.gov
- House Committee Substitute · PDF on oklegislature.gov
- Introduced · PDF on oklegislature.gov
- Proposed Committee Substitute (full committee) 1 · PDF on oklegislature.gov
2 committee reports and other documents
Official bill page: https://www.oklegislature.gov/BillInfo.aspx?Bill=HB4440&session=2600
Timeline 25 actions
- Feb. 2, 2026HouseFirst Reading
- Feb. 2, 2026HouseAuthored by Representative Hilbert
- Feb. 3, 2026HouseSecond Reading referred to Rules
- March 9, 2026HouseCR; Do Pass, amended by committee substitute Rules Committee
- March 25, 2026HouseGeneral Order
- March 25, 2026HouseCoauthored by Representative(s) Lepak
- March 25, 2026HouseAuthored by Senator Paxton (principal Senate author)
- March 25, 2026HouseAmended by floor substitute
- March 25, 2026HouseThird Reading, Measure passed: Ayes: 77 Nays: 20
- March 25, 2026HouseSpecial election provision passed: Ayes: 74 Nays: 18
- March 25, 2026HouseReferred for engrossment
- March 26, 2026HouseEngrossed, signed, to Senate
- March 26, 2026SenateFirst Reading
- April 1, 2026SenateSecond Reading referred to Rules
- April 6, 2026SenateReported Do Pass Rules committee; CR filed
- April 8, 2026SenatePlaced on General Order
- April 14, 2026SenateGeneral Order, Amended by Floor Substitute
- April 14, 2026SenateMeasure passed: Ayes: 30 Nays: 8
- April 14, 2026SenateSpecial Election failed: Ayes: 30 Nays: 9
- April 14, 2026SenateNotice served to reconsider vote on special election Paxton
- April 14, 2026SenateMotion to reconsider vote adopted
- April 14, 2026SenateSpecial Election failed: Ayes: 29 Nays: 13
- April 15, 2026SenateReferred for engrossment
- April 16, 2026SenateEngrossed to House
- April 16, 2026HouseSA's received
On committee agendas 2
- Thursday, March 5, 2026, 11:30 a.m. — House Rules · Room 450
- Monday, April 6, 2026, 8:30 a.m. — Senate Rules · Room 535
Momentum: 64 of 100
| Stage (Passed both chambers) | 38 / 50 |
|---|---|
| Recency (43 days before May 29, 2026) | 12 / 20 |
| Committee progress | 10 / 10 |
| Coauthors | 4 / 10 |
| Bipartisan sponsorship | 0 / 10 |
How this is calculated
- Stage reached — up to 50. 50 × (stage − 1) ÷ 8, where the stages are 1 Introduced · 2 In committee · 3 Passed committee · 4 Passed its first chamber · 5 In committee in the second chamber · 6 Passed that committee · 7 Passed both chambers · 8 Sent to the Governor · 9 Enacted / adopted.
- Recency — up to 20. 20 if the last recorded action was within 14 days of the reference date, falling in a straight line to 0 at 90 days. The reference date is the earlier of the data date (Oct. 1, 2026) and the session's last scheduled day, so a finished session is scored as it stood when it ended.
- Committee progress — up to 10. 5 for each chamber in which a committee reported the bill favourably.
- Coauthors — up to 10. 1 per coauthor (max 7), plus 3 if its authors and coauthors include members of both chambers.
- Bipartisan sponsorship — 10. 10 if the authors and coauthors include at least one Republican and one Democrat.
Rules on top: an enacted bill (signed, law without signature, or veto overridden) or an adopted resolution scores 100. A vetoed bill without an override, or one whose last committee vote failed, has its score halved.
Disclaimer. The momentum score is an automated, rough indicator built only from the public record (stage, dates, authors and committee reports). It is not a prediction, does not measure merit or support, and can be wrong when an action is mis-recorded or an author is mis-matched. Coauthors are read from the action text (“Coauthored by …”). Always check the official record on oklegislature.gov.