HB 4412 Oklahoma House · 2026 Regular Session

Medicaid; ADvantage Waiver Home and Community-based Services for Seniors Revolving Fund; purpose; effective date; emergency.

HB 4412 creates a permanent revolving fund in Oklahoma's State Treasury called the "ADvantage Waiver Home and Community-based Services for Seniors Revolving Fund." This fund, managed by the Oklahoma Health Care Authority, will provide home and community-based care services to seniors who would otherwise require nursing facility placement but choose to remain in home or community settings instead. The fund will be financed using state and federal funds, donations, grants, and other designated contributions, with no annual budget restrictions. It becomes effective July 1, 2026, to support seniors seeking alternatives to nursing home care.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2026

Committee Review

Floor Vote

Governor

Introduced Feb 2, 2026 Last action Feb 3, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Proposed Committee Substitute (full committee) 1 · 3 edits

MINOR

The bill was amended from its original introduced version to a proposed committee substitute version. The primary substantive change is that the agency responsible for administering the new revolving fund was changed from the Oklahoma Health Care Authority to the Department of Human Services. This shift likely affects oversight, budgeting, and operational control of the ADvantage Waiver Home and Community-based Services for Seniors Revolving Fund.

Scope change

The scope of the bill remains focused on creating a revolving fund for home and community-based services for seniors, but the administering agency changed from the Health Care Authority to the Department of Human Services.

FISCAL

The agency designated to manage the new revolving fund was changed from the Oklahoma Health Care Authority to the Department of Human Services, altering which department controls fund expenditures and budgeting.

TECHNICAL

The bill's statutory citation was updated from Section 1019 of Title 56 to Section 16211, and the request number was changed from 15900 to 16211 to reflect the committee amendment.

The bill header was updated to reflect it is now a 'Proposed Committee Substitute' rather than the original 'As Introduced' version, indicating it has been reviewed by the House Committee on Health.

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Full legislative history

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Key actions

Committee

Feb 2, 2026

Introduced

First Reading

lower

1 primary · 0 co-sponsors