HJR 1067: Joint resolution; terminating effect of Medicaid expansion coverage mandate under specified condition; providing certain construction. - Oklahoma

Floor (House) → Floor (Senate) · 4 edits

MODERATE

The bill was renumbered from a House-only version to a Senate floor version, indicating it has moved through the legislative process. The substantive policy content regarding Medicaid expansion funding thresholds and constitutional amendment procedures remains unchanged, though the text was slightly edited for clarity and consistency.

Scope change

The bill's scope and applicability remain unchanged; it still proposes a constitutional amendment allowing Oklahoma to stop covering Medicaid expansion if federal funding drops below 90%.

TECHNICAL

The document header was updated from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' and the date was added to April 6, 2026, reflecting the bill's progression to the Senate.

The resolution number format was updated from 'HJR 1067' to 'HJR NO. 1067' to align with Senate formatting standards.

Minor text edits were made to the proposed constitutional language to improve clarity, such as changing 'Constitution of the State of Oklahoma' to 'Oklahoma Constitution' and refining the description of the ballot title.

The committee report date was updated to April 6, 2026, and the status was changed to 'DO PASS AS AMENDED BY CS' to reflect the committee substitute version.

HJR1067 (4-08-26) (DANIELS) WDFA1.PDF → Floor (House) · 4 edits

MODERATE

The bill was converted from a Senate chamber document into the official House Floor version, establishing it as a joint resolution. The core policy remains to allow Oklahoma to opt out of covering Medicaid expansion costs if federal funding drops below 90%, but the text was reorganized to conform to House formatting standards and procedural requirements.

Scope change

The document's scope changed from a Senate committee draft to a finalized House floor version intended for public referendum, though the underlying policy scope regarding Medicaid funding thresholds remains identical.

TECHNICAL

The document header and title were updated to reflect the House of Representatives floor version, replacing the Senate chamber designation and adding session details.

The amendment instructions were replaced with the final text of the resolution, removing the step-by-step editing commands used in the draft version.

Formatting and section numbering were adjusted to align with House joint resolution standards, including the addition of a committee report section.

REQUIREMENT

A formal ballot title was added to clearly state the proposition's gist to voters, explaining that the state may not cover Medicaid expansion if federal matching funds fall below 90%.

HJR1067 (4-08-26) (DANIELS) FA1.PDF → HJR1067 (4-08-26) (DANIELS) WDFA1.PDF · 1 edit

MINOR

The only change to the bill is the update of the document's timestamp from April 8, 2026, to April 13, 2026. This indicates a revision or re-submission of the draft by the sponsor, but the actual text of the legislation remains identical.

TIMELINE

The document date was updated to reflect a later revision date, indicating the bill was amended or resubmitted on April 13, 2026.

Senate Committee Substitute for House Bill → HJR1067 (4-08-26) (DANIELS) FA1.PDF · 4 edits

MODERATE

This bill was amended to conditionally activate a constitutional amendment and new state laws regarding Medicaid expansion. The changes ensure that the state's duty to provide coverage to low-income adults only begins if federal Medicaid funding (FMAP) drops below 90%. Additionally, the amendment text was updated to clarify that it repeals specific constitutional sections and moves related language into state statutes, which can be modified by the legislature.

Scope change

The bill's scope shifted from an unconditional mandate to a conditional one, making state coverage obligations dependent on a specific federal funding threshold.

FISCAL

Added a condition requiring federal Medicaid funding (FMAP) to drop below 90% before the state must provide coverage to low-income adults.

SCOPE

Changed the constitutional amendment language to repeal specific sections of Article XXV-A and move the Medicaid expansion rules into state statutes instead.

REQUIREMENT

Added a new requirement that the legislative referendum and proposed constitutional amendment must be withdrawn from the ballot if the funding threshold is not met.

TECHNICAL

Renumbered sections and updated the ballot title to reflect the new conditional language and statutory changes.

Engrossed → Senate Committee Substitute for House Bill · 5 edits

MODERATE

The bill was renumbered from a House Joint Resolution to a Senate Committee Substitute and updated to reflect the 2026 legislative session. The core policy remains the same: it proposes a constitutional amendment allowing Oklahoma to stop covering Medicaid expansion for low-income adults if the federal funding drops below 90%. However, the language was refined to use the official federal term 'FMAP' and clarified that the state's duty to cover these adults ends immediately if the threshold is breached, regardless of future funding increases.

Scope change

The scope of the bill's applicability remains focused on Medicaid expansion eligibility, but the conditions for triggering the loss of coverage were clarified to be immediate and permanent once the 90% funding threshold is crossed.

TECHNICAL

The document header was updated from 'Engrossed House' to 'Committee Substitute for Engrossed House Joint Resolution' and the session year was updated to 2026.

DEFINITION

The term 'federal financial participation' was changed to the more precise legal term 'federal medical assistance percentage (FMAP)'.

REQUIREMENT

The condition for stopping Medicaid coverage was clarified to state that the duty ceases immediately if FMAP drops below 90%, and this cessation remains in effect even if federal funding later increases.

The contingency clause regarding a conflicting State Question (House Bill 4440) was moved from Section 1 to Section 2 to better organize the logic of when the amendment would take effect.

The special election date was updated from August 25, 2026, to a blank date in the main text, while the ballot title section retained the specific date of August 25, 2026.

Amended And Engrossed → Engrossed · 3 edits · Apr 14, 2026

MINOR

The bill was renumbered from a Senate Amendment to a standalone Engrossed House Joint Resolution. The substantive text of the proposed constitutional amendment and the legislative resolution itself remains unchanged, though the formatting and page numbering were updated to reflect the final version.

Scope change

No change to the bill's scope or applicability; the text of the proposed constitutional amendment and legislative resolution is identical to the previous version.

TECHNICAL

The document title was changed from 'Engrossed Senate Amendment' to 'Engrossed House Joint Resolution', indicating the bill has been passed by both chambers and is in its final form.

Page numbers and line numbers were adjusted throughout the document to reflect the new structure.

The list of sponsors was slightly reformatted to include 'Daniels of the Senate' more clearly.

Introduced → Amended And Engrossed · 3 edits · Apr 14, 2026

MINOR

The bill was amended to clarify that the State's duty to cover Medicaid expansion for low-income adults ends immediately if federal funding drops below 90%, regardless of any later funding increases. It also added a contingency clause stating that the entire amendment will not take effect if a separate state question (HB 4440) is approved by voters. The text was reorganized to move the ballot title and filing instructions to a new page structure.

Scope change

The scope of the amendment now explicitly includes a 'notwithstanding' clause ensuring the state stops coverage immediately upon a funding drop, preventing future funding increases from automatically reinstating the mandate. It also adds a condition where the whole amendment fails if a related voter question passes.

FISCAL

The condition for ending Medicaid coverage was strengthened to apply immediately and permanently if federal matching drops below 90%, even if funding rises again later.

REQUIREMENT

A new condition was added that prevents the amendment from taking effect if a separate state question regarding HB 4440 is approved by voters.

TECHNICAL

The document structure was reorganized, moving the ballot title and filing instructions to a new page and updating the header to reflect the Senate amendment status.

Joint resolution; terminating effect of Medicaid expansion coverage mandate under specified condition; providing certain construction.

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