Department of Health; Oklahoma Rural Health Transformation Program; partner agencies; reporting requirements; Oklahoma Rural Health Transformation Revolving Fund; memoranda of understanding; codification; emergency.
HB 3975 establishes the Oklahoma Rural Health Transformation Program (ORHT) to manage federal funds for rural health initiatives, designating the Oklahoma State Department of Health (ODH) as the lead agency responsible for overseeing these funds and reporting to state officials. The bill creates an Oklahoma Rural Health Transformation Revolving Fund to hold federal funds, requiring ODH to submit annual reports to state leaders and quarterly public updates on fund expenditures and project progress. It mandates ODH to align program outcomes with federal reporting requirements to ensure proper oversight of funds received through the Centers for Medicare and Medicaid Services (CMS).
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Feb 2, 2026
Last action Apr 1, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Floor (House)
·
2 edits
MINOR
The bill text was updated from the 'Engrossed' version to the 'Floor (House)' version, primarily involving formatting adjustments and the addition of a committee report indicating the bill was passed by the Appropriations and Budget Committee. No substantive policy changes, such as new funding amounts, eligibility criteria, or program requirements, were introduced in this specific diff.
TECHNICAL
Header and title page formatting were updated to reflect the 'Floor Version' status and the 2nd Session of the 60th Legislature (2026).
A committee report was added stating the bill was passed by the Committee on Appropriations and Budget on 03/04/2026 as coauthored.
Floor votes · House Mar 11, 2026
How they voted
86–4
Passed · 10 other
Total votes 100
Mar 11, 2026
D
Democratic18
83% Yea
R
Republican82
86% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
12
Key actions
3
Committee
2
Mar 16, 2026
Introduced
First Reading
upper
Mar 16, 2026
Lower · Passed
Engrossed, signed, to Senate
lower
Mar 11, 2026
Committee
Referred for engrossment
lower
Mar 11, 2026
Lower · Passed
Third Reading, Measure and Emergency passed: Ayes: 86 Nays: 4
lower
Mar 4, 2026
Lower · Passed
CR; Do Pass Appropriations and Budget Committee
lower
Feb 2, 2026
Introduced
First Reading
lower
2 primary · 0 co-sponsors
Sponsors
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