Medicaid; Oklahoma Health Care Authority; immigration status attestation; application; illegal aliens; federal authority; effective date.

HB 2969 requires the Oklahoma Health Care Authority to include an immigration status attestation on every Medicaid application, where applicants must self-certify their status under penalty of perjury. This attestation is subject to post-enrollment verification, and hospitals or providers cannot face liability for good-faith reliance on it. The bill also mandates that the Authority report information about applicants identified as "illegal aliens" to federal authorities when required by federal law. The changes take effect November 1, 2026, impacting Medicaid applicants and healthcare providers processing applications.