Oklahoma 2026 Regular Session Status: Passed Senate 2 R cosponsors

SB 1380 — Medicaid; requiring certain death record verifications; requiring certain denial or disenrollment of deceased individuals; prohibiting certain payments. Effective date.

Last action — HAs read

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the Senate. Introduced February 02, 2026. It now moves to the second chamber.

Signed by Governor Kevin Stitt (Republican) on May 07, 2026.

Next likely step: consideration and a floor vote in the House.

Prognosis

Advancing 50% · moderate confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed Senate

    Current position in the legislative process.

  • 2 sponsors

    2 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 R).

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

The bill requires verifying death records for Medicaid eligibility and prohibits payments for deceased individuals.

SB 1380 mandates the Oklahoma Health Care Authority to verify death records before approving Medicaid coverage and to disenroll deceased individuals promptly. It ensures no payments are made for services rendered after a recipient's death.

What this means for you
  • Consumers: Consumers will see stricter verification processes for Medicaid eligibility, potentially affecting coverage if death records are not verified.

Bill Text

What changed in the latest version

174 added · 180 removed

Plain-language change summary

The latest version of SB 1380 includes new provisions that require the Oklahoma Health Care Authority to verify the eligibility of Medicaid applicants by checking death records right before approval. This is a significant addition because it helps ensure that benefits are not being awarded to deceased individuals, which could prevent misuse of funds. Additionally, the bill now clearly outlines exemptions for applicants under certain programs, reinforcing that people with intellectual disabilities receiving specific services won’t be affected by these verification processes. Overall, these changes aim to tighten the eligibility process and improve the integrity of the Medicaid program.

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Previous
Latest
HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 60th Legislature (2026) ENGROSSED SENATE BILL NO.
ENGROSSED SENATE BILL NO.
Stewart of the Senate and Stinson of the House 8 An Act relating to the state Medicaid program;
Stewart of the Senate and Stinson of the House 5 An Act relating to the state Medicaid program;
Prior to awarding assistance approving coverage under the state Medicaid program, the Oklahoma Health Care Authority shall SB1380 HFLR Page 1 BOLD FACE denotes Committee Amendments.
Prior to awarding assistance approving coverage under the state Medicaid program, the Oklahoma Health Care Authority shall verify eligibility information of each applicant, including death record verification conducted immediately prior to approval, excluding those applicants who would be eligible under the Tax ENGR.
verify eligibility information of each applicant, including death record verification conducted immediately prior to approval, excluding those applicants who would be eligible under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) and excluding those applicants with intellectual disabilities receiving Home and Community Based Medicaid waiver Medicaid home- and community-based services and state-funded services.
S.
B.
NO.
1380 Page 1 Equity and Fiscal Responsibility Act of 1982 (TEFRA) and excluding those applicants with intellectual disabilities receiving Home and Community Based Medicaid waiver Medicaid home- and community-based services and state-funded services.
SB1380 HFLR Page 2 BOLD FACE denotes Committee Amendments.
If the death of an applicant is confirmed prior to approval, the Authority shall deny the application and ensure that no Medicaid coverage or payments are authorized on behalf of the deceased individual.
If the death of an applicant is confirmed prior to approval, the Authority shall deny the application and ensure that no Medicaid ENGR.
S.
B.
NO.
1380 Page 2 coverage or payments are authorized on behalf of the deceased individual.
On a quarterly monthly basis, the Oklahoma Health Care Authority shall receive and review information concerning individuals enrolled in the state Medicaid program that indicates a change in circumstances that may affect eligibility, excluding those individuals who would be eligible under the Tax SB1380 HFLR Page 3 BOLD FACE denotes Committee Amendments.
On a quarterly monthly basis, the Oklahoma Health Care Authority shall receive and review information concerning individuals enrolled in the state Medicaid program that indicates a change in circumstances that may affect eligibility, excluding those individuals who would be eligible under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) and excluding those individuals with intellectual disabilities receiving Home and ENGR.
Equity and Fiscal Responsibility Act of 1982 (TEFRA) and excluding those individuals with intellectual disabilities receiving Home and Community Based Medicaid waiver Medicaid home- and community-based services and state-funded services.
S.
NO.
1380 Page 3 Community Based Medicaid waiver Medicaid home- and community-based services and state-funded services.
B.
SB1380 HFLR Page 4 BOLD FACE denotes Committee Amendments.
3.
ENGR.
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NO.
1380 Page 4 3.
Nothing in this section shall preclude the Authority from receiving or reviewing additional information related to eligibility not detailed in this section or from contracting with one or more SB1380 HFLR Page 5 BOLD FACE denotes Committee Amendments.
Nothing in this section shall preclude the Authority from receiving or reviewing additional information related to eligibility not detailed in this section or from contracting with one or more independent vendors to provide additional information not detailed in this section.
independent vendors to provide additional information not detailed in this section.
ENGR.
G.
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NO.
1380 Page 5 G.
SB1380 HFLR Page 6 BOLD FACE denotes Committee Amendments.
After receiving the explanation, the Authority may request additional documentation if it determines that there is risk of fraud, misrepresentation or inadequate documentation;
After receiving the explanation, the Authority ENGR.
S.
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NO.
1380 Page 6 may request additional documentation if it determines that there is risk of fraud, misrepresentation or inadequate documentation;
In no case shall the Authority discontinue assistance upon finding a discrepancy or change in circumstances SB1380 HFLR Page 7 BOLD FACE denotes Committee Amendments.
In no case shall the Authority discontinue assistance upon finding a discrepancy or change in circumstances until the individual has been given notice of the discrepancy and the opportunity to respond as required under the HOPE Act.
until the individual has been given notice of the discrepancy and the opportunity to respond as required under the HOPE Act.
ENGR.
I.
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B.
Show all 49 changed rows (9 more)
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NO.
1380 Page 7 I.
8 COMMITTEE REPORT BY:
Passed the Senate the 24th day of March, 2026.
COMMITTEE ON HEALTH AND HUMAN SERVICES OVERSIGHT, dated 04/15/2026 - DO PASS.
7 Presiding Officer of the Senate 9 Passed the House of Representatives the ____ day of __________, 2026.
SB1380 HFLR Page 8 BOLD FACE denotes Committee Amendments.
Presiding Officer of the House of Representatives ENGR.
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NO.
1380 Page 8
View plain text versions (6)

How this bill changes current law

8 changes Share ↗

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill amends existing law to enhance verification processes of Medicaid eligibility, including death record checks, and implements measures to prevent coverage and payments for deceased individuals.

  • 56 O.S. 2021, Section 246

    the information verified by the Authority shall include, but is not limited to: 8. Death records, which shall be verified through, at a minimum, the Social Security Administration’s Death Master File and the State Department of Health’s system of vital statistics; → 8. Death records, which shall be verified through, at a minimum, the Social Security Administration’s Death Master File and the State Department of Health’s system of vital statistics; prior to approval, excluding those applicants who would be eligible under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) and excluding those applicants with intellectual disabilities receiving Home and Community Based Medicaid waiver Medicaid home- and community-based services and state-funded services.

    The bill now requires death record verification to be conducted immediately prior to approval of Medicaid assistance.

  • 56 O.S. 2021, Section 246

    the Authority shall deny the application and ensure that no Medicaid coverage or payments are authorized on behalf of the deceased individual. → the Authority shall deny the application and ensure that no Medicaid coverage or payments are authorized on behalf of the deceased individual, indicating that no benefits should be provided posthumously.

    It clarifies that applications must be denied if an applicant is confirmed dead prior to approval.

  • 56 O.S. 2021, Section 247

    On a quarterly monthly basis → On a monthly basis

    The frequency of reviews of individuals enrolled in Medicaid has been changed to monthly.

  • 56 O.S. 2021, Section 247

    The Authority shall conduct monthly death record verification for all individuals enrolled in the state Medicaid program beginning no later than January 1, 2027. → The Authority shall conduct monthly death record verification for all individuals enrolled in the state Medicaid program beginning no later than January 1, 2027.

    Regular monthly death record verifications for Medicaid enrollees are mandated, starting on the specified date.

  • 56 O.S. 2021, Section 247

    the Authority shall ensure that no Medicaid payments are made on behalf of a deceased enrollee for services rendered after the date of death. → the Authority shall ensure that no Medicaid payments are made on behalf of a deceased enrollee for services rendered after the date of death.

    It mandates that no payments can be made for Medicaid services provided after an enrollee's death.

  • 56 O.S. 2021, Section 247

    The Authority shall recoup any funds expended on behalf of a deceased enrollee for capitated payments or services occurring after the date of death, to the extent permitted under state and federal law. → The Authority shall recoup any funds expended on behalf of a deceased enrollee for capitated payments or services occurring after the date of death, to the extent permitted under state and federal law.

    This provision requires the recoupment of funds for payments made after a member's death, subject to legal limitations.

  • 56 O.S. 2021, Section 247

    the Authority shall explore joining any multistate cooperative to identify individuals who are also enrolled in public assistance programs outside of this state, including the National Accuracy Clearinghouse. → the Authority shall explore joining any multistate cooperative to identify individuals who are also enrolled in public assistance programs outside of this state, including the National Accuracy Clearinghouse, and provide further eligibility verification.

    The Authority is now tasked with investigating collaborative efforts to improve eligibility verification across state lines.

  • 56 O.S. 2021, Section 247

    the Authority shall conduct periodic reviews of the Oklahoma Health Care Authority to ensure compliance with the requirements of this section. → The State Auditor and Inspector shall conduct periodic reviews of the Oklahoma Health Care Authority to ensure compliance with the requirements of this section.

    Shifts the responsibility for periodic reviews of Medicaid eligibility compliance to the State Auditor and Inspector.

Amendments

1 amendment

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. HAs read

  2. Engrossed, signed, to Senate

  3. Referred for engrossment

  4. Third Reading, Measure passed: Ayes: 93 Nays: 0

  5. Amended

  6. Coauthored by Representative(s) Archer

  7. General Order

  8. CR; Do Pass Health and Human Services Oversight Committee

  9. Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health

  10. Referred to Public Health

  11. Second Reading referred to Health and Human Services Oversight

  12. First Reading

  13. Engrossed to House

  14. Referred for engrossment

  15. Measure passed: Ayes: 41 Nays: 5

  16. Title restored

  17. General Order, Amended

  18. Placed on General Order

  19. Title stricken

  20. Reported Do Pass as amended Health and Human Services committee; CR filed

  21. Coauthored by Representative Stinson (principal House author)

  22. Second Reading referred to Health and Human Services

  23. Authored by Senator Stewart

  24. First Reading

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

2 sponsors · 0 co-sponsors · 149 not signed on · 5 voted No

Sponsors (2)

Co-sponsors (0)

None.

Not signed on (149)

149 members have not signed on to this bill.

Show all 149 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 93 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Republican 74005
Unaffiliated 3001
Democrat 16001
Total 93007
% of votes cast 93%0%0%7%
How each member voted (100)
Member Party Vote
Alonso-Sandoval — Yea
Mr. Speaker — Yea
VACANCY: — Not Voting
Crosswhite Hader — Yea
Aletia Timmons Democrat Yea
Amanda Clinton Democrat Yea
Andy Fugate Democrat Yea
Annie Menz Democrat Yea
Cyndi Munson Democrat Yea
Ellen Pogemiller Democrat Yea
Ellyn Hefner Democrat Yea
Jacob Rosecrants Democrat Yea
Jared Deck Democrat Yea
John Waldron Democrat Not Voting
Melissa Provenzano Democrat Yea
Meloyde Blancett Democrat Yea
Michelle McCane Democrat Yea
Mickey Dollens Democrat Yea
Ronald Stewart Democrat Yea
Suzanne Schreiber Democrat Yea
Trish Ranson Democrat Yea
Anthony Moore Republican Yea
Bob Ed Culver Republican Yea
Brad Boles Republican Yea
Brian Hill Republican Yea
Carl Newton Republican Yea
Chad Caldwell Republican Yea
Chris Banning Republican Yea
Chris Kannady Republican Yea
Chris Sneed Republican Yea
Clay Staires Republican Yea
Cody Maynard Republican Yea
Collin Duel Republican Yea
Cynthia Roe Republican Not Voting
Daniel Pae Republican Yea
Danny Sterling Republican Yea
Danny Williams Republican Yea
David Hardin Republican Yea
David Smith Republican Yea
Dell Kerbs Republican Yea
Derrick Hildebrant Republican Yea
Dick Lowe Republican Yea
Dillon Travis Republican Yea
Eddy Dempsey Republican Yea
Emily Gise Republican Yea
Eric Roberts Republican Yea
Erick Harris Republican Yea
Gabe Woolley Republican Yea
Gerrid Kendrix Republican Yea
Jason Blair Republican Yea
Jay Steagall Republican Yea
Jim Grego Republican Yea
Jim Olsen Republican Yea
Jim Shaw Republican Yea
John George Republican Yea
John Kane Republican Yea
John Pfeiffer Republican Yea
Jonathan Wilk Republican Yea
Josh Cantrell Republican Not Voting
Josh West Republican Yea
Judd Strom Republican Yea
Justin Humphrey Republican Yea
Ken Luttrell Republican Not Voting
Kenton Patzkowsky Republican Yea
Kevin Norwood Republican Yea
Kevin West Republican Not Voting
Marilyn Stark Republican Yea
Mark Chapman Republican Yea
Mark Lawson Republican Yea
Mark Lepak Republican Yea
Mark Tedford Republican Not Voting
Max Wolfley Republican Yea
Mike Dobrinski Republican Yea
Mike Kelley Republican Yea
Mike Lay Republican Yea
Mike Osburn Republican Yea
Molly Jenkins Republican Yea
Neil Hays Republican Yea
Nick Archer Republican Yea
Nicole Miller Republican Yea
Preston Stinson Republican Yea
Rande Worthen Republican Yea
Rick West Republican Yea
Rob Hall Republican Yea
Robert Manger Republican Yea
Ronny Johns Republican Yea
Ross Ford Republican Yea
Rusty Cornwell Republican Yea
Ryan Eaves Republican Yea
Scott Fetgatter Republican Yea
Stacy Jo Adams Republican Yea
Stan May Republican Yea
Steve Bashore Republican Yea
T.J. Marti Republican Yea
Tammy Townley Republican Yea
Tammy West Republican Yea
Tim Turner Republican Yea
Tom Gann Republican Yea
Toni Hasenbeck Republican Yea
Trey Caldwell Republican Yea

Official roll call →

Passed 10 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 8000
Democrat 2000
Total 10000
% of votes cast 100%0%0%0%
How each member voted (10)
Member Party Vote
Ellyn Hefner Democrat Yea
Trish Ranson Democrat Yea
Bob Ed Culver Republican Yea
Daniel Pae Republican Yea
Danny Williams Republican Yea
Derrick Hildebrant Republican Yea
Josh Cantrell Republican Yea
Marilyn Stark Republican Yea
Preston Stinson Republican Yea
T.J. Marti Republican Yea

Official roll call →

Third Reading

Passed 41 Yea · 5 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 38001
Democrat 3501
Total 41502
% of votes cast 85%10%0%4%
How each member voted (48)
Member Party Vote
Carri Hicks Democrat Nay
Jo Anna Dossett Democrat Yea
Julia Kirt Democrat Nay
Mark Mann Democrat Yea
Mary B. Boren Democrat Not Voting
Michael Brooks Democrat Nay
Nikki Nice Democrat Nay
Regina Goodwin Democrat Nay
Ronald Stewart Democrat Yea
Aaron Reinhardt Republican Yea
Adam Pugh Republican Yea
Ally Seifried Republican Yea
Avery Frix Republican Yea
Bill Coleman Republican Yea
Brenda Stanley Republican Yea
Brent Howard Republican Yea
Brian Guthrie Republican Yea
Bryan Logan Republican Yea
Casey Murdock Republican Yea
Christi Gillespie Republican Yea
Dana Prieto Republican Yea
Darcy Jech Republican Yea
Dave Rader Republican Yea
David Bullard Republican Yea
District 24 Republican Not Voting
Dusty Deevers Republican Yea
George Burns Republican Yea
Grant Green Republican Yea
Jerry Alvord Republican Yea
John Haste Republican Yea
Jonathan Wingard Republican Yea
Julie Daniels Republican Yea
Julie McIntosh Republican Yea
Kelly Hines Republican Yea
Kendal Sacchieri Republican Yea
Kristen Thompson Republican Yea
Lisa Standridge Republican Yea
Lonnie Paxton Republican Yea
Micheal Bergstrom Republican Yea
Paul Rosino Republican Yea
Randy Grellner Republican Yea
Rob Hall Republican Yea
Roland Pederson Republican Yea
Shane Jett Republican Yea
Spencer Kern Republican Yea
Todd Gollihare Republican Yea
Tom Woods Republican Yea
Warren Hamilton Republican Yea

Official roll call →

Health & Human Services

Passed 10 Yea · 2 Nay
Party YeaNayPresentNot Voting
Republican 9000
Democrat 1200
Unaffiliated 0001
Total 10201
% of votes cast 77%15%0%8%
How each member voted (13)
Member Party Vote
STRIKE THE TITLE - ADOPTED — Not Voting
Carri Hicks Democrat Nay
Jo Anna Dossett Democrat Yea
Nikki Nice Democrat Nay
Aaron Reinhardt Republican Yea
Adam Pugh Republican Yea
Bill Coleman Republican Yea
Brenda Stanley Republican Yea
John Haste Republican Yea
Julie McIntosh Republican Yea
Kristen Thompson Republican Yea
Lisa Standridge Republican Yea
Paul Rosino Republican Yea

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors SB 1380?
SB 1380 is sponsored by Preston Stinson (Republican) and Jack Stewart (Republican).
What is the current status of SB 1380?
This bill has passed the Senate. Introduced February 02, 2026. It now moves to the second chamber.
Where can I track SB 1380?
Track SB 1380 free on One Click Politics — get push/email alerts when it moves.

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