---
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).