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HB3904 • 2026

Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; effective date.

Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; effective date.

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Hefner
Last action
2026-04-16
Official status
Coauthored by Representative Dollens
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; effective date.

Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; effective date.

What This Bill Does

  • Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; effective date.
  • Bill Summaries/Fiscal Impact for HB 3904 (House): Proposed Committee Substitute (sub committee) 1 (2/23/2026) Bill Summaries/Fiscal Impact for HB 3904 (House): Introduced (2/16/2026) Bill Summaries/Fiscal Impact for HB 3904 (House): Proposed Committee Substitute (sub committee) 2 (2/23/2026) Bill Summaries/Fiscal Impact for HB 3904 (House): Sub Committee Recommendation (3/2/2026) Bill Summaries/Fiscal Impact for HB 3904 (House): Committee Substitute (3/23/2026)

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Filed

Plain English: HB3904 SUBPCS1 Ellyn Hefner-TJ 2/11/2026 8:37:28 am AMEND TITLE TO CONFORM TO AMENDMENTS Amendment submitted by: Ellyn Hefner Adopted: _____________________________ ______________________________________ Reading Clerk COMMITTEE AMENDMENT HOUSE OF REPRESENTATIVES State of Oklahoma SPEAKER: CHAIR: I move to amend HB3904 Of the printed Bill Page Section Lines Of the Engrossed Bill By deleting the content of the entire measure, and by inserting in lieu thereof the following language: Req.

  • HB3904 SUBPCS1 Ellyn Hefner-TJ 2/11/2026 8:37:28 am AMEND TITLE TO CONFORM TO AMENDMENTS Amendment submitted by: Ellyn Hefner Adopted: _____________________________ ______________________________________ Reading Clerk COMMITTEE AMENDMENT HOUSE OF REPRESENTATIVES State of Oklahoma SPEAKER: CHAIR: I move to amend HB3904 Of the printed Bill Page Section Lines Of the Engrossed Bill By deleting the content of the entire measure, and by inserting in lieu thereof the following language: Req.
  • No.
  • 16078 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 60th Legislature (2026) PROPOSED SUBCOMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
  • 3904 By: Hefner PROPOSED SUBCOMMITTEE SUBSTITUTE An Act relating to Medicaid; clarifying and standardizing coverage and reimbursement for certain maternal health services; providing for depression screening for pregnant and postpartum women; authorizing flexible payment structures for prenatal, delivery, and postpartum care; directing coverage for certain maternal health services delivered through remote and home-based care models; providing for codification; and providing an effective date.
Filed

Plain English: HB3904 SUBPCS2 Ellyn Hefner-TJ 2/16/2026 1:57:04 pm AMEND TITLE TO CONFORM TO AMENDMENTS Amendment submitted by: Ellyn Hefner Adopted: _____________________________ ______________________________________ Reading Clerk COMMITTEE AMENDMENT HOUSE OF REPRESENTATIVES State of Oklahoma SPEAKER: CHAIR: I move to amend HB3904 Of the printed Bill Page Section Lines Of the Engrossed Bill By deleting the content of the entire measure, and by inserting in lieu thereof the following language: Req.

  • HB3904 SUBPCS2 Ellyn Hefner-TJ 2/16/2026 1:57:04 pm AMEND TITLE TO CONFORM TO AMENDMENTS Amendment submitted by: Ellyn Hefner Adopted: _____________________________ ______________________________________ Reading Clerk COMMITTEE AMENDMENT HOUSE OF REPRESENTATIVES State of Oklahoma SPEAKER: CHAIR: I move to amend HB3904 Of the printed Bill Page Section Lines Of the Engrossed Bill By deleting the content of the entire measure, and by inserting in lieu thereof the following language: Req.
  • No.
  • 16396 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 60th Legislature (2026) PROPOSED SUBCOMMITTEE SUBSTITUTE FOR HOUSE BILL NO.
  • 3904 By: Hefner PROPOSED SUBCOMMITTEE SUBSTITUTE An Act relating to Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; providing for codification; and providing an effective date.
Filed

Plain English: Req.

  • Req.
  • No.
  • 16444 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 60th Legislature (2026) SUBCOMMITTEE RECOMMENDATION FOR HOUSE BILL NO.
  • 3904 By: Hefner SUBCOMMITTEE RECOMMENDATION An Act relating to Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; providing for codification; and providing an effective date.

Bill History

  1. 2026-04-16 Senate

    Coauthored by Representative Dollens

  2. 2026-04-13 Senate

    Withdrawn from Appropriations committee

  3. 2026-04-13 Senate

    Placed on General Order

  4. 2026-04-08 Senate

    Reported Do Pass Health and Human Services committee; CR filed

  5. 2026-04-08 Senate

    Referred to Appropriations

  6. 2026-04-01 Senate

    Second Reading referred to Health and Human Services Committee then to Appropriations Committee

  7. 2026-03-26 House

    Engrossed, signed, to Senate

  8. 2026-03-26 Senate

    First Reading

  9. 2026-03-25 House

    General Order

  10. 2026-03-25 House

    Coauthored by Representative(s) Ranson

  11. 2026-03-25 House

    Third Reading, Measure passed: Ayes: 82 Nays: 12

  12. 2026-03-25 House

    Referred for engrossment

  13. 2026-03-05 House

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

  14. 2026-03-05 House

    Authored by Senator Frix (principal Senate author)

  15. 2026-02-17 House

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

  16. 2026-02-03 House

    Second Reading referred to Appropriations and Budget

  17. 2026-02-03 House

    Referred to Appropriations and Budget Health Subcommittee

  18. 2026-02-02 House

    First Reading

  19. 2026-02-02 House

    Authored by Representative Hefner

Official Summary Text

Medicaid; authorizing flexible payment structures for prenatal, delivery, and postpartum care; effective date.
Bill Summaries/Fiscal Impact for HB 3904 (House): Proposed Committee Substitute (sub committee) 1 (2/23/2026)
Bill Summaries/Fiscal Impact for HB 3904 (House): Introduced (2/16/2026)
Bill Summaries/Fiscal Impact for HB 3904 (House): Proposed Committee Substitute (sub committee) 2 (2/23/2026)
Bill Summaries/Fiscal Impact for HB 3904 (House): Sub Committee Recommendation (3/2/2026)
Bill Summaries/Fiscal Impact for HB 3904 (House): Committee Substitute (3/23/2026)

Current Bill Text

Read the full stored bill text 
ENGR. H. B. NO. 3904 Page 1
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ENGROSSED HOUSE
BILL NO. 3904 By: Hefner and Ranson of the
House

and

Frix of the Senate

An Act relating to Medicaid; authorizing flexible
payment structures for prenatal, delivery, and
postpartum care; providing for codification; and
providing an effective date.

BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 4013 of Title 56, unless there
is created a duplication in numbering, reads as follows:
A. The Oklahoma Medicaid Program shall reimburse for prenatal,
delivery, and postpartum services separately in lieu of a global
payment or an all-inclusive payment methodology for maternity
services.
B. Prenatal, delivery, and postpartum services include without
limitation:
1. Office visits;
2. Laboratory fees;
3. Physician-ordered testing;

ENGR. H. B. NO. 3904 Page 2
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4. Blood work;
5. Fetal nonstress tests; and
6. Continuous glucose monitors or other services for
gestational diabetes, when medically necessary.
SECTION 2. This act shall become effective November 1, 2026.
Passed the House of Representatives the 25th day of March, 2026.

Presiding Officer of the House
of Representatives

Passed the Senate the ___ day of __________, 2026.

Presiding Officer of the Senate