Legislation: batch D — NY OH OK OR PA RI SC SD TX UT

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/ok/2026/hb-4430.md

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+---
+type: "Bill"
+title: "Medical malpractice; Physician Assistant Act requirements; Advanced Practice Registered Nurse malpractice insurance requirements; compliance; effective date."
+description: "Medical malpractice; Physician Assistant Act requirements; Advanced Practice Registered Nurse malpractice insurance requirements; compliance; effective date."
+jurisdiction: "us/states/ok"
+legislature: "Oklahoma Legislature"
+session: "2026"
+identifier: "HB 4430"
+citation: "Oklahoma HB 4430 (2026)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Hilbert", "Rosino"]
+version_count: 7
+action_count: 24
+vote_count: 5
+first_action: "2026-02-02"
+last_action: "2026-05-07"
+source: "openstates"
+source_identifier: "ocd-bill/378daed7-73e6-4c76-99b7-643b22b646fa"
+source_url: "http://www.oklegislature.gov/BillInfo.aspx?Bill=HB4430&session=2600"
+source_hash: "e7ff83bf59f4000a39d05f9067a95d2fde2dde6cc0437d8a1e1e54ee9d7bd3cd"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-ok"]
+---
+
+# Oklahoma HB 4430 (2026) — Medical malpractice; Physician Assistant Act requirements; Advanced Practice Registered Nurse malpractice insurance requirements; compliance; effective date.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 INT/hB/HB4430 INT.PDF)
+2. **Engrossed** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENGR/hB/HB4430 ENGR.PDF)
+3. **Enrolled (final version)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENR/hB/HB4430 ENR.PDF)
+4. **Floor (House)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/HFLR/HB4430 HFLR.PDF)
+5. **Floor (Senate)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/SFLR/HB4430 SFLR.PDF)
+6. **House Committee Substitute** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 COMMITTEE SUBS/HCS/HB4430 CS.PDF)
+7. **Proposed Committee Substitute (full committee) 1** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 COMMITTEE AMENDMENTS/House/HB4430 FULLPCS1 KYLE HILBERT-TJ.PDF)
+
+## Votes
+
+- Health & Human Services — **12–0** (pass) · upper
+- Third Reading — **90–4** (pass) · lower
+- Public Health Committee: Do Pass — **5–0** (pass) · lower
+- Health And Human Services Oversight Committee: Do Pass As Amended By Cs — **13–0** (pass) · lower
+- Third Reading — **44–0** (pass) · upper
+
+## Sponsors
+
+- Hilbert — primary (person)
+- Rosino — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2026-02-02** First Reading `introduction, reading-1`
+- **2026-02-02** Authored by Representative Hilbert
+- **2026-02-03** Second Reading referred to Health and Human Services Oversight `reading-2, referral-committee`
+- **2026-02-03** Referred to Public Health `referral-committee`
+- **2026-02-11** Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health `committee-passage`
+- **2026-03-05** CR; Do Pass, amended by committee substitute Health and Human Services Oversight Committee `committee-passage`
+- **2026-03-23** General Order
+- **2026-03-23** Coauthored by Representative(s) Deck
+- **2026-03-23** Authored by Senator Rosino (principal Senate author)
+- **2026-03-23** Third Reading, Measure passed: Ayes: 90 Nays: 4 `passage, reading-3`
+- **2026-03-23** Referred for engrossment
+- **2026-03-24** Engrossed, signed, to Senate `passage`
+- **2026-03-24** First Reading `introduction, reading-1`
+- **2026-04-01** Second Reading referred to Health and Human Services `reading-2, referral-committee`
+- **2026-04-13** Reported Do Pass Health and Human Services committee; CR filed `committee-passage`
+- **2026-04-15** Placed on General Order
+- **2026-04-29** General Order, Considered
+- **2026-04-29** Measure passed: Ayes: 44 Nays: 0 `passage`
+- **2026-04-29** Engrossed measure signed, returned to House `passage`
+- **2026-04-30** Referred for enrollment
+- **2026-04-30** Enrolled, signed, to Senate
+- **2026-04-30** Enrolled measure signed, returned to House
+- **2026-04-30** Sent to Governor `executive-receipt`
+- **2026-05-07** Becomes law without Governor's signature 05/07/2026 `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/378daed7-73e6-4c76-99b7-643b22b646fa`. Confidence: reported (aggregated from official Oklahoma legislature records).
+