OklahomaSB 1847Oklahoma 2026 Regular SessionSenateWALLET

Medicaid home- and community-based services; modifying eligibility criteria for the ADvantage Waiver Program. Effective date. Emergency.

Sponsored By: Grant Green (Republican)

Became Law

Senate Committee

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More Medicaid home care for eligible adults

The law expands access to Oklahoma’s ADvantage Waiver, which provides Medicaid home- and community-based services. Adults age 65 or older qualify when they meet the financial, care, housing, and safety requirements below. Adults ages 19–64 must also have one of three qualifying conditions. These are a physical disability determined by the Social Security Administration; a developmental disability without related intellectual disability or cognitive impairment; or a qualifying disease. The disease must be clinically documented, progressive, degenerative, and responsive to treatment. It must have previously required hospital or long-term-care facility care to maintain treatment and prevent health decline. Applicants must qualify financially for Medicaid and need nursing-facility-level care. Oklahoma’s Department of Human Services now makes that care determination, replacing the Aging Services Division. Participants can live in their own home, a family member’s home, or an assisted living center contracted with the department under ADvantage. Waiver services and family or community support must safely meet their needs. The law states a July 1, 2026, effective date and also includes an emergency clause calling for effect upon passage and approval.

Sponsors & Cosponsors

Sponsor

  • Grant Green

    Republican • Senate

Cosponsors

  • Jared Deck

    Democratic • House

  • Anthony Moore

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 214 • No: 31

Senate vote • 4/20/2026

FOURTH READING

Yes: 35 • No: 11

House vote • 4/13/2026

THIRD READING

Yes: 78 • No: 10

House vote • 4/7/2026

DO PASS

Yes: 29 • No: 0

House vote • 4/6/2026

DO PASS

Yes: 7 • No: 0

Senate vote • 3/9/2026

THIRD READING

Yes: 34 • No: 10

Senate vote • 2/25/2026

Committee vote: Appropriations

Yes: 21 • No: 0

Senate vote • 2/9/2026

Committee vote: Health & Human Services

Yes: 10 • No: 0

Actions Timeline

  1. Becomes law without Governor's signature 04/28/2026

    4/28/2026Senate
  2. Sent to Governor

    4/21/2026Senate
  3. Signed, returned to Senate

    4/21/2026House
  4. Enrolled, to House

    4/21/2026Senate
  5. Referred for enrollment

    4/20/2026Senate
  6. Emergency passed: Ayes: 43 Nays: 3

    4/20/2026Senate
  7. Measure passed: Ayes: 35 Nays: 11

    4/20/2026Senate
  8. HAs adopted

    4/20/2026Senate
  9. HAs read

    4/14/2026Senate
  10. Engrossed, signed, to Senate

    4/14/2026House
  11. Referred for engrossment

    4/13/2026House
  12. Third Reading, Measure and Emergency passed: Ayes: 78 Nays: 10

    4/13/2026House
  13. General Order

    4/13/2026House
  14. Title restored

    4/8/2026House
  15. Coauthored by Representative(s) Deck

    4/8/2026House
  16. CR; Do Pass, amended by committee substitute Appropriations and Budget Committee

    4/8/2026House
  17. Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee

    4/7/2026House
  18. Referred to Appropriations and Budget Health Subcommittee

    3/31/2026House
  19. Second Reading referred to Appropriations and Budget

    3/30/2026House
  20. First Reading

    3/10/2026House
  21. Engrossed to House

    3/10/2026Senate
  22. Referred for engrossment

    3/9/2026Senate
  23. Measure and Emergency passed: Ayes: 34 Nays: 10

    3/9/2026Senate
  24. General Order, Considered

    3/9/2026Senate
  25. Placed on General Order

    3/2/2026Senate

Bill Text

  • Enrolled (final version)

    4/21/2026

  • Amended And Engrossed

    4/13/2026

  • Floor (House)

    4/8/2026

  • House Committee Report

    4/8/2026

  • House Committee Substitute for Senate Bill

    4/8/2026

  • House Committee Report

    4/6/2026

  • Engrossed

    3/10/2026

  • Floor (Senate)

    2/26/2026

  • Senate Committee Report 2

    2/25/2026

  • Senate Committee Report 1

    2/9/2026

  • Introduced

    1/14/2026

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