Oklahoma Remove Medicaid Expansion from State Constitution and Implement as Statute Amendment (August 2026)
| Oklahoma Remove Medicaid Expansion from State Constitution and Implement as Statute Amendment | |
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| Election date |
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| Topic Public health insurance |
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| Status Proposed |
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| Type Legislatively referred constitutional amendment |
Origin |
The Oklahoma Remove Medicaid Expansion from State Constitution and Implement as Statute Amendment (August 2026) may be on the ballot in Oklahoma as a legislatively referred constitutional amendment on August 25, 2026.
The constitutional amendment would repeal Article XXV-A from the state constitution and instead publish the article as a state statute. Article XXV-25 governs the expansion of Medicaid coverage eligibility in the state and was added to the state constitution when voters approved State Question 802 in 2020.[1]
Text of measure
Ballot title
The official ballot title is as follows:[1]
| “ | This measure proposes an amendment to the Oklahoma Constitution by repealing Sections 1, 2, 3 and 4 of Article 25-A, and it also proposes the enactment of substantially the same language from those constitutional sections as statutes. If this question passes, then the sections from the Oklahoma Constitution would be repealed, but the substantive language related to Medicaid from the constitutional sections would become enacted as statutes of the State of Oklahoma. The statutes could be amended, repealed, or otherwise modified by the Legislature pursuant to the same procedures that allow enactment of laws during any regular or extraordinary session of the Legislature.
SHALL THE PROPOSAL BE APPROVED?[2] |
” |
Full text
The full text of the measure can be read here.
Path to the ballot
Amending the Oklahoma Constitution
- See also: Amending the Oklahoma Constitution
A simple majority vote is required during one legislative session for the Oklahoma State Legislature to place a constitutional amendment on the ballot. That amounts to a minimum of 51 votes in the Oklahoma House of Representatives and 24 votes in the Oklahoma State Senate, assuming no vacancies. Amendments do not require the governor's signature to be referred to the ballot.
House Bill 4440 (2026)
The following is the timeline of the amendment in the state legislature:[3]
- February 2, 2026: State Rep. Kyle Hilbert (R-29) introduced the amendment to the state House as House Bill 4440 (HB 4440).
- March 25, 2026: The state House approved the amendment in a vote of 77-20. Seventy-six Republicans and one Democrat voted yes. Two Republicans and 18 Democrats voted no. Two Republicans did not vote.
- March 25, 2026: The state House voted to approve a motion to put the amendment on a special election ballot on August 25, 2026. The vote was 74-18, with seven representatives absent or not voting.
| Votes Required to Pass: 51 | |||
| Yes | No | NV | |
|---|---|---|---|
| Total | 77 | 20 | 2 |
| Total % | 77.8% | 20.2% | 2.0% |
| Democratic (D) | 1 | 18 | 0 |
| Republican (R) | 76 | 2 | 2 |
External links
See also
View other measures certified for the 2026 ballot across the U.S. and in Oklahoma.
Explore Oklahoma's ballot measure history, including constitutional amendments.
Understand how measures are placed on the ballot and the rules that apply.
Footnotes
- ↑ 1.0 1.1 Oklahoma State Legislature, "Text of HJR 1067," accessed March 27, 2026
- ↑ Note: This text is quoted verbatim from the original source. Any inconsistencies are attributable to the original source.
- ↑ Oklahoma State Legislature, "Bill History for HB 4440," accessed March 27, 2026
