The bill amends Sections 246 and 247 of the Oklahoma Statutes related to the "Act to Restore Hope, Opportunity, and Prosperity for Everyone" (HOPE Act). It removes specific language that previously excluded certain applicants from the eligibility verification process for Medicaid assistance, particularly those eligible under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) and individuals with intellectual disabilities receiving Home and Community Based Medicaid waiver and state-funded services. The amendments require the Oklahoma Health Care Authority to verify a range of eligibility information for all applicants, including income, employment status, residency, and potential identity fraud.

Additionally, the bill mandates that the Oklahoma Health Care Authority review information on a quarterly basis regarding changes in circumstances that may affect Medicaid eligibility. It outlines procedures for handling discrepancies, including the requirement for individuals to respond to notices regarding changes in their eligibility status. The bill emphasizes the importance of thorough verification and accountability in the Medicaid assistance process, while also ensuring that individuals have the opportunity to address any discrepancies before assistance is discontinued. The act is set to become effective on November 1, 2025.