HB4423

Oklahoma Health Care Authority; federal immigration reporting systems; requiring Authority to report certain applicants to the Attorney General; notification to Immigration and Customs Enforcement; effective date.

Chamber Passed·3/2/26

Oklahoma HB4423 mandates the Oklahoma Health Care Authority to use federal immigration reporting systems to verify applicants' legal status and.

Oklahoma HB4423 amends the Oklahoma Health Care Authority's duties to include using federal immigration reporting systems, specifically the Systematic Alien Verification for Entitlements (SAVE) system, to verify applicants' legal status. If an applicant's status is unverifiable, the Authority must notify the United States Immigration and Customs Enforcement Agency. This applies to both individual applicants and qualified adults applying for child-only Medicaid benefits. The act becomes effective October 1, 2026.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Last
Passed the House · 80–18 · Mar 2
Current
The Senate
Next
Senate floor vote

Sponsors

0
32
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Democratic CaucusRepublican Caucus

Roll Call Votes

80 Yea

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18 Nay

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1 Absent

R

Calendar

Feb 19

11:15 AM

House Health and Human Services Oversight Hearing

Feb 19

11:30 AM

House Health and Human Services Oversight Hearing

History

May 14

Senate

Coauthored by Senator Seifried

May 5

Senate

Withdrawn from Health and Human Services committee

May 5

Senate

Placed on General Order