Constitutional amendment; Medicaid funding.

Updated the document header to identify it as the House floor version instead of the Senate engrossed version.

Inserted a committee report stating the Committee on Administrative Rules passed the bill on 05/06/2026.

Adjusted page numbering and formatting to match the House's specific document style.

Removed the proposal to amend Section 2 of Article XXV-A of the Oklahoma Constitution regarding federal Medicaid funding modifications.

Added approval of specific permanent rules (OAC 317:30-5-354, etc.) for the Oklahoma Health Care Authority.

Eliminated the requirement for a legislative referendum and public vote to approve the changes.

Removed the constitutional provision that would have required the state to provide medical assistance to low-income adults when the federal match was 100%.

Removed the constitutional definition of the state's duty to provide funding based on federal medical assistance percentage (FMAP) changes.

The bill was replaced entirely with a new text that orders a legislative referendum instead of approving permanent rules.

New requirements were added to refer a proposed constitutional amendment to the people for approval or rejection.

The amendment proposes to provide medical assistance to low-income adults until federal funding drops below 90%, with an automatic expiration clause if federal funding is reduced.

A strict 15-day timeline was established for officials to act once the federal government modifies the Medicaid funding percentage.

New definitions were introduced regarding the Centers for Medicare and Medicaid Services (CMS) and the federal medical assistance percentage (FMAP).