HB 4490 Oklahoma House · 2026 Regular Session

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

HB 4490 creates the Oklahoma Families Thriving Everywhere Now (OFTEN) program through the Oklahoma State Department of Health, using $3 million in state funds for the 2027 fiscal year. The program provides telecare support, community outreach, and care coordination for women with high-risk pregnancies and parents of children under three, aiming to promote healthy childbirth, stable family formation, and economic self-sufficiency. Services include referrals, case management, and parenting assistance delivered by Oklahoma-based community providers. The bill takes effect July 1, 2026, and includes an emergency declaration to accelerate implementation.

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2026

Committee Review

Mar 2026

House Passage

Mar 2026

Senate Passage

Governor

Introduced Feb 2, 2026 Last action Mar 26, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

Proposed Committee Substitute (sub committee) 1 → Floor (House) · 1 edit

MINOR

The bill was amended to remove the original 'Proposed Subcommittee Substitute' header and replace it with a formal 'Floor Version' for the House of Representatives. Substantively, the text of the act itself remains identical, preserving the creation of the OFTEN Revolving Fund, the requirement for electronic service delivery, and the prohibition on performing or referring for elective abortions.

Scope change

The scope of the legislation remains unchanged; the amendment is primarily procedural, updating the document's versioning and headers to reflect its status as the final House floor version.

TECHNICAL

Replaced the 'Proposed Subcommittee Substitute' title and committee amendment headers with the official 'Floor Version' title and House of Representatives formatting.

Introduced → House Committee Substitute · 6 edits

MODERATE

The bill was revised from an 'Introduced' version to a 'House Committee Substitute,' which significantly expanded the program's scope and clarified its operational rules. The changes transform the initiative from a general maternal care program into a specific 'Revolving Fund' designed to contract with non-profit organizations for telecare and community support services. Crucially, the new version explicitly excludes direct medical services and mandates that participating organizations cannot refer women to abortion providers, while also adding detailed criteria for eligibility and auditing.

Scope change

The bill's scope shifted from a broad directive to create a program to a specific mandate establishing a 'Revolving Fund' that contracts with non-profit organizations to deliver non-medical support services via telecare and digital means.

DEFINITION

The program title was updated to include 'Revolving Fund,' and the funding mechanism was redefined as a continuing fund drawn from state, federal, and private sources rather than a single one-time appropriation.

REQUIREMENT

New requirements mandate that participating organizations must be non-profits capable of delivering services primarily through electronic means (e.g., video, text) and must certify they do not perform or refer for elective abortions.

The program objectives were expanded to include improving maternal and infant health outcomes and reducing specific health disparities among minority mothers.

ELIGIBILITY

Eligibility for services is now strictly limited to Oklahoma residents who are pregnant or parents of unborn children at the time of initial contact.

ENFORCEMENT

The bill added provisions for annual programmatic reviews, on-site or virtual monitoring, and broad audit rights for the State Auditor, the Department, and the federal government.

SCOPE

A detailed list of non-medical services was added, including digital outreach, risk screening, care coordination, and behavioral health support, while explicitly excluding the provision of clinical medical services or medication prescriptions.

Floor votes · House Mar 25, 2026

How they voted

52–38

Passed · 10 other

Total votes 100

Mar 25, 2026

D Democratic18

1 Yea 14 Nay 3

77% Nay

R Republican82

51 Yea 24 Nay 7

62% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 26, 2026

Lower · Passed

Amended

lower

Mar 25, 2026

Lower · Passed

Motion to reconsider adopted: Ayes: 52 Nays: 37

lower

Mar 5, 2026

Lower · Passed

CR; Do Pass, amended by committee substitute Appropriations and Budget Committee

lower

Feb 17, 2026

Lower · Passed

Recommendation to the full committee; Do Pass, amended by committee substitute Appropriations and Budget Health Subcommittee

lower

Feb 3, 2026

Committee

Referred to Appropriations and Budget Health Subcommittee

lower

Feb 2, 2026

Introduced

First Reading

lower

2 primary · 0 co-sponsors