---
type: "Bill"
title: "Medicaid; creating I/T/U Shared Savings Program; providing for certain reimbursement; specifying criteria for care coordination agreements. Effective date. Emergency."
description: "Medicaid; creating I/T/U Shared Savings Program; providing for certain reimbursement; specifying criteria for care coordination agreements. Effective date. Emergency."
jurisdiction: "us/states/ok"
legislature: "Oklahoma Legislature"
session: "2021"
identifier: "SB 434"
citation: "Oklahoma SB 434 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["McCortney", "McEntire"]
version_count: 6
action_count: 43
vote_count: 0
first_action: "2021-02-01"
last_action: "2021-05-28"
source: "openstates"
source_identifier: "ocd-bill/2132a9b4-0d7c-452c-9975-f49b9de80ac0"
source_url: "http://www.oklegislature.gov/BillInfo.aspx?Bill=SB434&session=2100"
source_hash: "0d04103f0a64741b1a571687ab760f4ab7e1c18a8792a0c6f159bc0d05a5afd9"
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 SB 434 (2021) — Medicaid; creating I/T/U Shared Savings Program; providing for certain reimbursement; specifying criteria for care coordination agreements. Effective date. Emergency.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2021-22 INT/SB/SB434 INT.PDF)
2. **Amended And Engrossed** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2021-22 AMENDMENTS/Amendment & Engr/SB434 HASB & ENGR.PDF)
3. **Engrossed** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2021-22 ENGR/SB/SB434 ENGR.PDF)
4. **Enrolled (final version)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2021-22 ENR/SB/SB434 ENR.PDF)
5. **Floor (House)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2021-22 FLR/HFLR/SB434 HFLR.PDF)
6. **Floor (Senate)** (committee substitute) — [source](http://webserver1.lsb.state.ok.us/cf_pdf/2021-22 FLR/SFLR/SB434 SFLR.PDF)

## Sponsors

- McCortney — primary (person)
- McEntire — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-01** First Reading `introduction, reading-1`
- **2021-02-01** Authored by Senator McCortney
- **2021-02-01** Coauthored by Representative McEntire (principal House author)
- **2021-02-02** Second Reading referred to Appropriations `reading-2, referral-committee`
- **2021-02-02** Referred to Appr/Sub-Health and Human Services `referral-committee`
- **2021-02-10** Recommendation to the full committee; Do Pass Appr/Sub-Health and Human Services sub-committee `committee-passage`
- **2021-02-18** Reported Do Pass Appropriations committee; CR filed `committee-passage`
- **2021-03-10** General Order, Considered
- **2021-03-10** Measure and Emergency passed: Ayes: 41 Nays: 3 `passage`
- **2021-03-10** Referred for engrossment
- **2021-03-11** Engrossed to House `passage`
- **2021-03-11** First Reading `introduction, reading-1`
- **2021-03-22** Second Reading referred to Appropriations and Budget `reading-2, referral-committee`
- **2021-03-23** Referred to Appropriations and Budget Health Subcommittee `referral-committee`
- **2021-03-29** Recommendation to the full committee; Do Pass Appropriations and Budget Health Subcommittee `committee-passage`
- **2021-04-08** CR; Do Pass, as amended, Appropriations and Budget Committee `committee-passage`
- **2021-04-08** Title stricken
- **2021-04-08** Enacting clause stricken
- **2021-04-21** General Order
- **2021-04-21** Coauthored by Representative(s) Pittman
- **2021-04-21** Third Reading, Measure and Emergency passed: Ayes: 89 Nays: 4 `passage, reading-3`
- **2021-04-21** Referred for engrossment
- **2021-04-22** Engrossed, signed, to Senate `passage`
- **2021-04-22** HAs read
- **2021-04-27** HAs rejected, conference requested `amendment-failure`
- **2021-05-04** SCs named GCCA
- **2021-05-06** Conference granted, naming GCCA
- **2021-05-18** CCR read, GCCA
- **2021-05-18** Title restored
- **2021-05-18** Enacting clause restored
- **2021-05-19** Coauthored by Senator Floyd
- **2021-05-19** CCR adopted, GCCA
- **2021-05-19** Measure and Emergency passed, to House: Ayes: 36 Nays: 10 `passage`
- **2021-05-19** CCR submitted
- **2021-05-25** CCR adopted
- **2021-05-25** Coauthored by Representative(s) Fugate
- **2021-05-25** Fourth Reading, Measure and Emergency Passed: Ayes: 81 Nays: 4 `passage`
- **2021-05-25** To Senate
- **2021-05-25** Referred for enrollment
- **2021-05-25** Enrolled, to House
- **2021-05-25** Signed, returned to Senate
- **2021-05-25** Sent to Governor `executive-receipt`
- **2021-05-28** Approved by Governor 05/28/2021 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2132a9b4-0d7c-452c-9975-f49b9de80ac0`. Confidence: reported (aggregated from official Oklahoma legislature records).