Oklahoma Health Care Authority; federal immigration reporting systems; requiring Authority to report certain applicants to the Attorney General; notification to Immigration and Customs Enforcement; effective date.

The entire text of the bill was replaced with new language that formally creates the Oklahoma Health Care Authority and details its specific powers and duties.

The bill's effective date was changed from October 1, 2026, to October 1, 2026, with associated internal tracking numbers and dates updated to reflect the committee's revision.

The document header and footer information, including the bill number tracking and committee identification, were updated to reflect the House Committee Substitute version.

The document header was updated to reflect the new version type ('Proposed Policy Committee Substitute') and the sponsor's name was simplified from a list of multiple sponsors to a single sponsor (Kyle Hilbert).

Page footers were changed from 'ENGR. H. B. NO. 4423' to 'Req. No. 16165', which is a standard internal tracking number used during committee review.

The list of co-sponsors was removed, and the date of the amendment was added to the header.

The list of House and Senate sponsors was updated to include additional legislators (Archer, Lawson, Lepak, Wilk, Maynard, George, Hildebrant, Turner, Woolley, Adams, Crosswhite, Hader, Duel, Kelley, Gise, Hays, and Staires).

The summary description of the act was slightly revised to specify that the Office of the Attorney General will review cases and that ICE will be notified only if an applicant's legal presence is unverifiable.

Minor formatting adjustments were made to the section headers and page numbering to reflect the bill's progression through the legislative process.