All Roll Calls
Yes: 117 • No: 3
OklahomaHB 4040Oklahoma 2026 Regular SessionHouseWALLET
State Department of Health; creating the Oklahoma Rural Health Transformation Program; creating revolving fund; emergency.
Sponsored By: Trey Caldwell (Republican)
Signed by Governor
Senate Committee
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Health Department runs rural health program
The law makes the Oklahoma State Department of Health the lead agency for the Rural Health Transformation Program. The Department handles federal funds and required reports to the federal government. This central role helps Oklahoma plan and run rural health projects tied to Public Law 119-21.
Revolving fund for rural health projects
The law creates a revolving fund to pay for rural health projects that the federal Centers for Medicare & Medicaid Services approve. The Health Department can spend this money and use written agreements (MOUs) with partner agencies to carry out projects. At the end of the program, the fund must keep a balance equal to the amount moved under Section 74 of Enrolled SB 1177 (2nd Session, 60th Legislature). This setup speeds projects but also sets a spending guardrail over time.
Sponsors & Cosponsors
Sponsor
Trey Caldwell
Republican • House
Cosponsors
Chuck Hall
Republican • Senate
John Haste
Republican • Senate
John Kane
Republican • House
Roll Call Votes
Senate vote • 4/16/2026
THIRD READING
Yes: 0 • No: 0
House vote • 4/14/2026
Top_of_Page
Yes: 91 • No: 3
House vote • 4/13/2026
DO PASS
Yes: 26 • No: 0
Senate vote • 4/13/2026
Top_of_Page
Yes: 0 • No: 0
Actions Timeline
Approved by Governor 04/22/2026
4/22/2026HouseSent to Governor
4/16/2026HouseEnrolled measure signed, returned to House
4/16/2026SenateEnrolled, signed, to Senate
4/16/2026HouseReferred for enrollment
4/16/2026HouseEngrossed measure signed, returned to House
4/16/2026SenateMeasure and Emergency passed: Ayes: 45 Nays: 0
4/16/2026SenateJCR adopted
4/16/2026SenateDirect to Calendar
4/15/2026SenateFirst Reading
4/14/2026SenateEngrossed, signed, to Senate
4/14/2026HouseReferred for engrossment
4/14/2026HouseThird Reading, Measure and Emergency passed: Ayes: 91 Nays: 3
4/14/2026HouseJCR adopted
4/14/2026HouseGeneral Order
4/14/2026HouseEmergency added
4/13/2026HouseJCR; Do pass, amended by committee substitute Joint Committee on Appropriations and Budget
4/13/2026HouseSecond Reading referred to Joint Committee on Appropriations and Budget
2/3/2026HouseCoauthored by Senator(s) Haste
2/2/2026HouseAuthored by Senator Hall (principal Senate author)
2/2/2026HouseAuthored by Representative Caldwell (Trey), Kane
2/2/2026HouseFirst Reading
2/2/2026House
Bill Text
Enrolled (final version)
4/16/2026
Engrossed
4/14/2026
Floor (House)
4/13/2026
House Committee Substitute
4/13/2026
House Joint Committee Report
4/13/2026
Introduced
1/15/2026
Related Bills
HB 4030 — Education; apportionment of certain appropriated funds; purposes for allocated funds; effective date; emergency.
HB 4072 — Public Finance; creating the Taxpayer Endowment Trust Fund Act; creating the Taxpayer Endowment Trust Fund; effective date; emergency.
SB 1733 — Schools; requiring public and private school employees to report certain disclosure, allegation, or information to law enforcement within certain time period; requiring school employees to annually sign certain attestation. Effective date. Emergency.
SB 1481 — Schools; requiring certain schools to provide students in certain grades with certain amount of recess per day. Effective date. Emergency.
SB 1176 — Oklahoma Water Resources Board; creating the Water and Wastewater Infrastructure Investment Program. Effective date. Emergency.
SB 1161 — Oklahoma Health Care Authority; general appropriations; modifying certain date; providing for duties and compensation of administrators and employees. Effective date. Emergency.