HB4440Introduced in the House
State Medicaid program; Constitutional amendment; requiring state to provide certain medical assistance; requiring Oklahoma Health Care Authority to maximize certain federal action; directing filing.
Introduced by Kyle Hilbert, District 29
What does this bill do?
Plain-English breakdown
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Official description
State Medicaid program; Constitutional amendment; requiring state to provide certain medical assistance; requiring Oklahoma Health Care Authority to maximize certain federal action; directing filing.
Where it stands
SA's received
April 16, 2026
How did lawmakers vote?
House votes
3 recorded votes · each counted separately
Senate votes
4 recorded votes · each counted separately
SenateStage: Senate: RECONSIDER · April 14, 2026
27
Yes
18
No
3
Absent or Not Voting
48 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
What do people think?
Citizen Voice
How would you vote on this bill?
An unofficial public opinion poll. It does not affect the bill or the official vote.
One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Micheal Bergstrom | 1 | Yes |
| Ally Seifried | 2 | Yes |
| Julie McIntosh | 3 | No |
| Tom Woods | 4 | Yes |
| George Burns | 5 | No |
| David Bullard | 6 | No |
| Warren Hamilton | 7 | Yes |
| Bryan Logan | 8 | Yes |
| Avery Frix | 9 | Yes |
| Bill Coleman | 10 | Yes |
Bill history
First Reading
Authored by Representative Hilbert
Second Reading referred to Rules
CR; Do Pass, amended by committee substitute Rules Committee
General Order
Coauthored by Representative(s) Lepak
Authored by Senator Paxton (principal Senate author)
Amended by floor substitute
Third Reading, Measure passed: Ayes: 77 Nays: 20
Special election provision passed: Ayes: 74 Nays: 18
Referred for engrossment
Engrossed, signed, to Senate
First Reading
Second Reading referred to Rules
Reported Do Pass Rules committee; CR filed
Placed on General Order
General Order, Amended by Floor Substitute
Measure passed: Ayes: 30 Nays: 8
Special Election failed: Ayes: 30 Nays: 9
Notice served to reconsider vote on special election Paxton
Motion to reconsider vote adopted
Special Election failed: Ayes: 29 Nays: 13
Referred for engrossment
Engrossed to House
SA's received
Verify the information
- Official page on the Oklahoma Legislature website
- House Committee Proposed Committee Substitute (full committee) 1 (amendment)
- House Floor 1 Floor Amendment by HILBERT (amendment)
- Senate Floor HB4440 (4-13-26) (PAXTON) FS FA1 (amendment)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Introduced (text)
- Comm Sub (text)
- Amended (text)
- Engrossed (text)
- Amended (text)
- Engrossed (text)
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