Medicaid; establishing powers and duties related to Transforming Maternal Health (TMaH) Model; requiring inclusion of nutrition support services. Effective date. Emergency.
SB 1565 requires Oklahoma's Medicaid program to include nutrition support services for pregnant and postpartum women with diet-related conditions or high-risk pregnancy factors. It mandates medically tailored home-delivered meals designed by dietitians to meet specific medical needs, along with optional nutritional counseling, to improve maternal health outcomes. The bill authorizes Oklahoma Health Care Authority to use federal funds from the CMS Transforming Maternal Health (TMaH) Model exclusively for these services. The law takes effect July 1, 2026, and is designated as an emergency measure.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
Senate Passage
Mar 2026
House Passage
Apr 2026
Signed into Law
May 2026
Introduced Feb 2, 2026
Signed May 6, 2026
Maddy AI version diff · 5 comparisons
What changed between versions
Floor (House)
→
Floor (Senate)
·
2 edits
MINOR
The bill text was reformatted from the House version to the Senate floor version, which includes updated page headers and a revised committee report date. No substantive policy changes were made to the bill's definitions, funding rules, service requirements, or effective dates.
TECHNICAL
Page headers were updated to reflect the Senate floor version with a new date of February 9, 2026, replacing the House floor version headers.
The committee report section was updated to reflect the Senate floor date and status as 'DO PASS AS AMENDED' instead of the original House date.
Floor votes · Senate Mar 26, 2026 · House Apr 29, 2026
How they voted
42–0
Passed · 8 other
Total votes 50
Mar 26, 2026
D
Democratic9
88% Yea
R
Republican41
82% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
27
Key actions
7
Committee
7
Amendments
1
May 6, 2026
Signed into law
Approved by Governor 05/06/2026
upper
Apr 29, 2026
Committee
Referred for enrollment
upper
Apr 29, 2026
Lower · Passed
Third Reading, Measure and Emergency passed: Ayes: 79 Nays: 1
lower
Apr 16, 2026
Lower · Passed
CR; Do Pass Health and Human Services Oversight Committee
lower
Apr 8, 2026
Lower · Passed
Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
lower
Mar 31, 2026
Committee
Referred to Public Health
lower
Mar 30, 2026
Introduced
First Reading
lower
Mar 30, 2026
Upper · Passed
Engrossed to House
upper
Mar 26, 2026
Committee
Referred for engrossment
upper
Mar 26, 2026
Upper · Passed
Measure and Emergency passed: Ayes: 42 Nays: 0
upper
Mar 26, 2026
Introduced
General Order, Amended
upper
Feb 9, 2026
Committee
Referred to Appropriations
upper
Feb 9, 2026
Upper · Passed
Reported Do Pass as amended Health and Human Services committee; CR filed
upper
Feb 2, 2026
Introduced
First Reading
upper
2 primary · 0 co-sponsors
Sponsors
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