HB 4490 — Maternal care; Oklahoma Families Thriving Everywhere Now (OFTEN) Revolving Fund; appropriations; effective date.

HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 60th Legislature (2026) SUBCOMMITTEECOMMITTEE RECOMMENDATIONSUBSTITUTE FOR HOUSE BILL NO.

Townley 6of 8the SUBCOMMITTEEHouse RECOMMENDATIONand Weaver of the Senate 9 COMMITTEE SUBSTITUTE An Act relating to maternal care;

and providing an effective date;date.

and declaring an emergency.

The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of all monies received by the State DepartmentHB4490 ofHFLR HealthPage from1 state-appropriatedBOLD funds,FACE federaldenotes funds,Committee donations,Amendments. grants, and contributions from any public or private Req.

No.Department of Health from state-appropriated funds, federal funds, donations, grants, and contributions from any public or private source and designated for the purpose set forth in this act.

16441 Page 1 source and designated for the purpose set forth in this act.

HB4490 HFLR Page 2 BOLD FACE denotes Committee Amendments.

Program services shall be delivered primarily through electronic means, including telephone, secured video, text, and other remote technologies, and coordinated with in-person pregnancy Req.resource centers, community-based organizations, health care providers, and social service agencies physically located in the State of Oklahoma.

No.

16441 Page 2 resource centers, community-based organizations, health care providers, and social service agencies physically located in the State of Oklahoma.

HB4490 HFLR Page 3 BOLD FACE denotes Committee Amendments.

Consultations, supports, social services case management, referrals, and care coordination to address medical, behavioral Req.health, social, educational, economic, environmental, and parenting needs throughout pregnancy and the postpartum period;

No.

16441 Page 3 health, social, educational, economic, environmental, and parenting needs throughout pregnancy and the postpartum period;

Nothing in thisHB4490 subsectionHFLR prohibitsPage program4 personnelBOLD fromFACE providingdenotes medicallyCommittee accurate,Amendments. pregnancy-related medical information or from encouraging and facilitating timely prenatal, postpartum, and pediatric medical care by licensed health professionals.

Req.this subsection prohibits program personnel from providing medically accurate, pregnancy-related medical information or from encouraging and facilitating timely prenatal, postpartum, and pediatric medical care by licensed health professionals.

No.SECTION 3.

16441 Page 4 SECTION 3.

the State Department of Health personnel may conduct annual, and, at the Department's discretion, additional, programmatic contract reviews, including on-site or virtual monitoring for compliance, and b.HB4490 HFLR Page 5 BOLD FACE denotes Committee Amendments.

b.

Req.B.

No.

16441 Page 5 B.

HB4490 HFLR Page 6 BOLD FACE denotes Committee Amendments.

Req.B.

No.

16441 Page 6 B.

This act shall become effective JulyNovember 1, 2026.

SECTIONCOMMITTEE 6.REPORT BY:

ItCOMMITTEE beingON immediatelyAPPROPRIATIONS necessaryAND forBUDGET, thedated preservation03/05/2026 of- theDO publicPASS, peace,As healthAmended or safety, an emergency is hereby declared to exist, by reason whereof this act shall take effect and beCoauthored. in full force from and after its passage and approval.

60-2-16441HB4490 TJHFLR 02/17/26Page Req.7 BOLD FACE denotes Committee Amendments.

No.

16441 Page 7