The Democrat effort to nationalize the work of state health departments to create a database of personal vaccine histories; HR550 - Immunization Infrastructure Modernization Act; got the support of 2 of Oklahoma's 5 House members.
Tom Cole & Frank Lucas voted 'Yes' to spend half a billion dollars on the project which would allow the federal govt. to monitor each citizen's participation in scores of vaccines and other medical treatments.
Oklahoma's State Health Dept already has this program which allows citizens to either report their vaccines to the state database, or receive the vaccines directly from the state agency.
This redundancy on the federal level will result in state records becoming the property of federal agencies.
Armed with this data, govt health agencies could plausibly tie federal benefits to a family's participation, undergoing mandated treatments or seeking the possible waivers via forms, submitting more personal health records, and perhaps having to seek appeal hearings.
This example of federal bloat and mission-creep may face a constitutional challenge. But it will be up to federal courts or a state nullification in order to keep the federal govt. from yet another power-grab from the 'sovereign states'.