An Act relating to the Oklahoma Health Care Authority; amending 63 O.S. 2021, Section 5006, which relates to the Authority’s powers and duties; requiring the Authority to use certain federal immigration reporting systems; requiring the Authority to report certain applicants to federal agencies; and providing an effective date.
2 Replies to “HB 4423 (2026)”
The introduced bill required OHCA to use SAVE to verify the immigration status of all applicants to all programs, and it also required checking the “qualified adult” on child-only Medicaid applications.
The substitute narrows the verification language to Medicaid applicants and removes the qualified-adult/child-only provision, and it also adds a requirement to post a notice on the OHCA website/application portal.
Finally, the introduced bill had OHCA notify ICE directly when status is unverifiable, while the substitute routes it through the Oklahoma Attorney General’s Office for review before ICE is notified.
HB 4423 amends the powers-and-duties statute for the Oklahoma Health Care Authority to require immigration-status checks for applicants before benefits are approved.
It directs the agency to use the United States Citizenship and Immigration Services SAVE system for all applicants to all programs. If the agency makes a final determination that an applicant is not lawfully in the U.S., it must report that person to Immigration and Customs Enforcement.
It also requires SAVE checks for the “qualified adult” applying on behalf of a child for child-only Medicaid, and requires the same ICE notification if that adult’s status can’t be verified as lawful.
Effective date: October 1, 2026
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