The bill amends Section 5006 of the Oklahoma Health Care Authority Act to enhance the Authority's responsibilities regarding immigration status verification for applicants seeking health care benefits. Specifically, it mandates that the Authority utilize the United States Citizenship and Immigration Services' Systematic Alien Verification for Entitlements (SAVE) system to verify the immigration status of all applicants before approving any benefits. Additionally, the bill requires the Authority to report any applicants whose SAVE status indicates they are not lawfully present in the United States to the United States Immigration and Customs Enforcement Agency. This verification process also extends to qualified adults applying for child-only Medicaid benefits.

Furthermore, the bill removes a previous provision regarding the classification of positions within the Authority, replacing it with a new requirement that all positions remain unclassified until the approval of an annual business and personnel plan. This plan must be submitted by the Governor and Legislature and include a detailed description and justification of all unclassified positions and their compensation. The bill is set to take effect on October 1, 2026.