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STATE OF OKLAHOMA
2nd Session of the 60th Legislature (2026)
SENATE JOINT
RESOLUTION 55 By: Grellner
AS INTRODUCED
A Joint Resolution directing the Secretary of State
to refer to the people for their approval or
rejection a proposed amendment to repeal Sections 1,
2, 3, and 4 of Article XXV-A of the Oklahoma
Constitution, which relate to Medicaid expansion;
ordering a legislative referendum; defining terms;
requiring state to provide certain medical
assistance; prohibiting certain burdens and
restrictions; requiring Oklahoma Health Care
Authority to maximize certain federal funding;
providing ballot title; providing for codification;
and directing filing.
BE IT RESOLVED BY THE SENATE AND THE HOUSE OF REPRESENTATIVES OF THE
2ND SESSION OF THE 60TH OKLAHOMA LEGISLATURE:
SECTION 1. The Secretary of State shall refer to the people for
their approval or rejection, as and in the manner provided by law, a
proposed amendment to repeal Sections 1, 2, 3, and 4 of Article XXV-
A of the Oklahoma Constitution.
SECTION 2. Pursuant to Section 3 of Article V of the Oklahoma
Constitution, there is hereby ordered the following legislative
referendum which shall be filed with the Secretary of State and
addressed to the Governor of the state, who shall submit the same to
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the people for their approval or rejection at the next General
Election.
SECTION 3. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1011.26 of Title 56, unless
there is created a duplication in numbering, reads as follows:
A. As used in this section:
1. “Low-income adults” refers to those individuals over
eighteen (18) years of age and under sixty-five (65) years of age
whose income does not exceed one hundred thirty-three percent (133%)
of the federal poverty level, as described by and using the income
methodology provided in the federal Medicaid statute at 42 U.S.C.,
Section 1396a(a)(10)(A)(i)(VIII), and who meet applicable
nonfinancial eligibility conditions for Medicaid under 42 C.F.R.,
Part 435, Subpart E;
2. “Medical assistance” means payment of part or all of the
cost of the care and services, or the care and services themselves,
or both, as provided in the federal Medicaid statute, 42 U.S.C.,
Section 1396 et seq.; and
3. “Oklahoma Health Care Authority” refers to the single state
agency responsible for administering the state Medicaid program
pursuant to 42 U.S.C., Section 1396a(a)(5).
B. In addition to those otherwise eligible for medical
assistance under the state Medicaid program, the state shall provide
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medical assistance under the state Medicaid program to low-income
adults.
C. No greater or additional burdens or restrictions on
eligibility or enrollment shall be imposed on persons eligible for
medical assistance pursuant to this section than on any other
population eligible for medical assistance under the state Medicaid
program.
D. The Oklahoma Health Care Authority shall take all actions
necessary to maximize federal financial participation in funding
medical assistance pursuant to this section.
SECTION 4. The Ballot Title for the proposed Constitutional
amendment as set forth in SECTION 1 of this resolution and the
legislative referendum as ordered in SECTION 2 and as set forth in
SECTION 3 of this resolution shall be in the following form:
BALLOT TITLE
Legislative Referendum No. ____ State Question No. ____
THE GIST OF THE PROPOSITION IS AS FOLLOWS:
This measure repeals Sections 1, 2, 3, and 4 of Article 25-A of
the Oklahoma Constitution and enacts substantially the same
language related to Medicaid expansion from the repealed
constitutional provisions into the Oklahoma Statutes. The
statutes could be amended, repealed, or otherwise modified by
the Legislature pursuant to the same procedures that allow
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enactment of laws during any regular or extraordinary session of
the Legislature.
SHALL THE PROPOSAL BE APPROVED?
FOR THE PROPOSAL — YES _____________
AGAINST THE PROPOSAL — NO _____________
SECTION 5. The President Pro Tempore of the Senate shall,
immediately after the passage of this resolution, prepare and file
one copy thereof, including the Ballot Title set forth in SECTION 4
hereof, with the Secretary of State and one copy with the Attorney
General.
60-2-3990 DC 4/23/2026 3:47:11 PM