All Roll Calls
Yes: 117 • No: 0
OklahomaHB 4051Oklahoma 2026 Regular SessionHouseWALLET
Health Care Authority; Rate Preservation Fund; modifying and limiting authorized uses of funds; emergency.
Sponsored By: Trey Caldwell (Republican)
Signed by Governor
Senate Committee
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Keeps Medicaid provider rates steady
The law creates a continuing Rate Preservation Fund for the Oklahoma Health Care Authority. The fund is used to keep Medicaid provider payment rates steady when the federal match goes down, as the Legislature directs each year. With approval from the Director of the Office of Management and Enterprise Services, the Authority can move up to one-third (1/3) of the fund in a fiscal year to cover Medicaid cash flow, but must return it before the fiscal year ends. The fund is not tied to the fiscal year, so money carries forward. This act takes effect immediately.
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: 92 • No: 0
House vote • 4/13/2026
DO PASS
Yes: 25 • 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: 44 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: 92 Nays: 0
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
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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.