---
type: "Bill"
title: "Medicaid; directing establishment of certain nursing facility add-on rate under specified conditions; effective date; emergency."
description: "Medicaid; directing establishment of certain nursing facility add-on rate under specified conditions; effective date; emergency."
jurisdiction: "us/states/ok"
legislature: "Oklahoma Legislature"
session: "2026"
identifier: "HB 2749"
citation: "Oklahoma HB 2749 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Caldwell (Trey)", "Hall"]
version_count: 10
action_count: 34
vote_count: 7
first_action: "2025-02-03"
last_action: "2026-05-12"
source: "openstates"
source_identifier: "ocd-bill/b8809b3b-bae5-4316-98b8-e026e8938723"
source_url: "http://www.oklegislature.gov/BillInfo.aspx?Bill=HB2749&session=2600"
source_hash: "b8432226e148a095486aa2c456964a35e78ba2a11cf495e7220ce01f3d7e7f0c"
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 2749 (2026) — Medicaid; directing establishment of certain nursing facility add-on rate under specified conditions; effective date; emergency.

## 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/HB2749 INT.PDF)
2. **Amended And Engrossed** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 AMENDMENTS/Amendment and Engr/HB2749 SAHB AND ENGR.PDF)
3. **Engrossed** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENGR/hB/HB2749 ENGR.PDF)
4. **Enrolled (final version)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 ENR/hB/HB2749 ENR.PDF)
5. **Floor (House)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/HFLR/HB2749 HFLR.PDF)
6. **Floor (Senate)** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLR/SFLR/HB2749 SFLR.PDF)
7. **HB2749 (4-29-26) (HALL) FS FA1.PDF** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLOOR AMENDMENTS/Senate/HB2749 (4-29-26) (HALL) FS FA1.PDF)
8. **HB2749 (4-29-26) (HALL) RT FA2.PDF** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 FLOOR AMENDMENTS/Senate/HB2749 (4-29-26) (HALL) RT FA2.PDF)
9. **House Committee Substitute** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 COMMITTEE SUBS/HCS/HB2749 CS.PDF)
10. **Proposed Committee Substitute (full committee) 1** (committee substitute) — [source](https://www.oklegislature.gov/cf_pdf/2025-26 COMMITTEE AMENDMENTS/House/HB2749 FULLPCS1 TREY CALDWELL-JM.PDF)

## Votes

- Fourth Reading — **74–13** (pass) · lower
- Third Reading — **82–9** (pass) · lower
- Third Reading — **34–10** (pass) · upper
- Appropriations — **25–0** (pass) · upper
- Emergency — **68–14** (pass) · lower
- Health & Human Services — **10–2** (pass) · upper
- Appropriations And Budget Committee: Do Pass As Amended By Cs — **32–0** (pass) · lower

## Sponsors

- Caldwell (Trey) — primary (person)
- Hall — primary (person)

## Timeline

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

- **2025-02-03** First Reading `introduction, reading-1`
- **2025-02-03** Authored by Representative Caldwell (Trey)
- **2025-02-04** Second Reading referred to Rules `reading-2, referral-committee`
- **2025-02-12** Withdrawn from Rules Committee
- **2025-02-12** Referred to Appropriations and Budget `referral-committee`
- **2025-03-10** CR; Do Pass, amended by committee substitute Appropriations and Budget Committee `committee-passage`
- **2025-03-10** Emergency added
- **2025-03-25** General Order
- **2025-03-25** Authored by Senator Hall (principal Senate author)
- **2025-03-25** Third Reading, Measure and Emergency passed: Ayes: 82 Nays: 9; Ayes: 68 Nays: 14 `passage, reading-3`
- **2025-03-25** Referred for engrossment
- **2025-03-26** Engrossed, signed, to Senate `passage`
- **2025-03-26** First Reading `introduction, reading-1`
- **2025-03-26** Coauthored by Representative Pittman
- **2025-04-01** Second Reading referred to Health and Human Services Committee then to Appropriations Committee `reading-2, referral-committee`
- **2025-04-07** Reported Do Pass as amended Health and Human Services committee; CR filed `committee-passage`
- **2025-04-07** Title stricken
- **2025-04-07** Referred to Appropriations `referral-committee`
- **2025-04-23** Reported Do Pass Appropriations committee; CR filed `committee-passage`
- **2025-04-28** Placed on General Order
- **2026-05-04** General Order, Amended by Floor Substitute
- **2026-05-04** Title restored
- **2026-05-04** Measure passed: Ayes: 34 Nays: 10 `passage`
- **2026-05-04** Emergency passed: Ayes: 42 Nays: 2
- **2026-05-04** Referred for engrossment
- **2026-05-05** Engrossed to House `passage`
- **2026-05-05** SA's received
- **2026-05-06** SA's read, adopted
- **2026-05-06** Fourth Reading, Measure and Emergency Passed: Ayes: 74 Nays: 13 `passage`
- **2026-05-06** Referred for enrollment
- **2026-05-06** Enrolled, signed, to Senate
- **2026-05-06** Enrolled measure signed, returned to House
- **2026-05-06** Sent to Governor `executive-receipt`
- **2026-05-12** Approved by Governor 05/11/2026 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b8809b3b-bae5-4316-98b8-e026e8938723`. Confidence: reported (aggregated from official Oklahoma legislature records).