This bill mandates the Oklahoma Health Care Authority to incorporate an immigration status attestation into every application for Medicaid or SoonerCare. The attestation will require applicants to self-certify their immigration status under penalty of perjury, with the understanding that hospitals and health care providers will not face civil or administrative liability for relying on this self-certification in good faith. Additionally, the bill stipulates that the Oklahoma Health Care Authority must refer all illegal aliens applying for Medicaid or SoonerCare to the appropriate federal authority, as required by federal law.

The new legal language will be codified as Section 4030 of Title 56 in the Oklahoma Statutes. The bill is set to take effect on November 1, 2026.