Today we released the 19th issue of our monthly Numbers You Need bulletin, which tracks monthly and quarterly data for key economic indicators. As in many recent months, the overall economic news was mixed: a slight increase in employment and rebound in state revenues, offset by continued high numbers of bankruptcy filings. But while we have seen  fluctuations in many indicators of the state’s economic well-being over the course of the economic downturn,  one constant has been an increasing number of Oklahomans turning to public programs for assistance with food and medical care. In March, participation in the Supplemental Nutrition Assistance Program (formerly food stamps) rose for the 24th consecutive month (it has since risen again in April and May). Meanwhile, enrollment rose for the 15th straight month in March in SoonerCare (Medicaid), the federal-state health insurance program for low-income individuals in various categories.

This chart (which is based on DHS monthly statistical bulletins available here) shows monthly participation for both programs going back to January 2008: Read the rest of this entry »

This is the second of what will be an ongoing series of posts looking at the impact of the new federal health care reform law on Oklahoma and Oklahomans. The first looked at how reform will mitigate the public benefits “cliff effect”. For full information on health care reform, the Henry J. Kaiser Family Foundation website is excellent.We encourage your contributions as comments or as  a guest blog.

The passage of the new federal health care law represents a monumental shift in the nation’s health care delivery system that will unfold over the coming years. States and state governments will be effected by the new law in myriad ways, only some of which are recognized at this early stage. One issue that has caused some concern for state governments, particularly in the context of the deep and prolonged state fiscal crisis, is the obligation that states will eventually be asked to assume for a portion of the cost of covering the newly insured.

With the passage of health care reform, the Oklahoma Health Care Authority has estimated that an additional 250,000 Oklahomans will be newly qualified for Medicaid, the nation’s primary health insurance program for the poor, jointly financed by the federal and state governments.  Under the law, all working-age  adults with household incomes up to 133 percent of the federal poverty level – around $24,000 for a family of three in 2009 – will become eligible for Medicaid effective in 2014.  Read the rest of this entry »

OK Policy has argued repeatedly  that next year’s budget outlook, with shortfalls equal to cuts of 12 percent across all agencies of state government above those already enacted this year, threatens to have catastrophic consequences for the state’s economy, businesses, and families (see our budget page for an op-ed, issue brief and fact sheet, or this blog post). Here we examine the especially grim options for dealing with budget shortfalls faced by the Oklahoma Health Care Authority (OHCA), the state agency responsible for administering the state Medicaid program that serves nearly 700,000 low-income Oklahomans, primarily low-income children, seniors, pregnant women, and persons with disabilities.

At recent legislative hearings, the agency outlined next year’s budget situation. This year, the agency’s state funding – after budget cuts and including $33 million in additional funds that were authorized as part of the mid-year “supplemental” approved by the Legislature – is $980 million. As a result of increased enrollment and utilization, OHCA estimates that it will need $1.098 billion in state appropriations to maintain the Medicaid program in FY ‘11 at its current levels. If, as is possible, the Legislature were to remove the supplemental from OHCA’s base and cut funding by an additional 10 percent, its appropriation for FY ‘11 would be some $850 million. Thus, OHCA anticipates that it could be facing a shortfall for the coming year of some $250 million in state funds. With the corresponding loss of federal matching funds, the program would face the challenge of enacting total cuts of at least $1 billion. Read the rest of this entry »

This is the first of what will be an ongoing series of posts looking at the impact of the new federal health care reform law on Oklahoma and Oklahomans. For full information on health care reform, the Henry J. Kaiser Family Foundation website is excellent. We encourage your contributions as comments or as  a guest blog.

Last June, I posted a blog which I titled “Sorry, I can’t afford that raise” discussing the cliff effect. This is the situation  that occurs whereby low-income working families lose eligibility for public benefit and work support programs as their incomes rise.  As described in a 2007 report prepared for the Women’s Foundation of Colorado and the Women and Family Action Network Coalition:

A benefit cliff occurs when just a small increase in income leads to the complete termination of a benefit. The result is that parents can work and earn more, while their families end up worse off than they were before.

I noted that:

At a certain threshold, workers find themselves in a situation where the rational response to an offer of a raise or a better job is to respond, “Sorry, but I just can’t afford it.” Read the rest of this entry »

This week I had the pleasure of attending a gathering of policy analysts and advocates from 15 states on “Transforming Health Care Coverage for Children and Families,” convened by Georgetown University’s Center for Children and Families. The conference, which focused on the opportunities and challenges of providing coverage to the uninsured while the new health care reform law is being implemented, featured a keynote address by Cindy Mann, Director of the Center for Medicaid and State Operation within CMS, the Centers for Medicare and Medicaid Services. This post shares some of her key points. It has been cross-posted to CCF’s “Say Ahhh!” blog.

Mann started out by reminding the attendees that Medicaid is already a key source of health insurance, providing coverage to nearly 63 million Americans over the course of the year in 2008. Currently, Medicaid is of particular importance for covering children in low-income families, and has been primarily responsible for the substantial progress made in reducing the rates of uninsured children to below 10 percent nationally in 2008.  Enrollment in Medicaid and CHIP, the program that covers children from moderate income families in some states, grew by 2.6 million children in 2008-09, picking up the slack for declining employer-based coverage during the initial phase of the economic downturn. Read the rest of this entry »

One of the most important provisions of the stimulus bill passed by Congress last February was the assistance provided to beleaguered state budgets in the form of enhanced federal matching rates for Medicaid. Now, as Oklahoma and other states remained mired in a deep fiscal crisis, the prospects seem good for an extension of the enhanced federal Medicaid match for an additional six months. This is one of the few promising signs on the fiscal horizons, and good news for the hundreds of thousands of Oklahoma families that receive health insurance coverage through Medicaid. Read the rest of this entry »

According to the latest U.S. Census figures, 565,000 Oklahomans, or 15.8 percent of the total population, were without health insurance in 2007-2008. The uninsured rate is just under 10 percent for children but over 20 percent for adults ages 18-64.

The Oklahoma Legislature has made several efforts in recent years to chip away at the number of uninsured by expanding eligibility for Insure Oklahoma, a program that provides public subsidies towards the purchase of employer-sponsored coverage for employees of small businesses or a public product for those without access to employer coverage. Eligibility for Insure Oklahoma goes up to 200 percent of the federal poverty level ($44,000 for a family of four) and is available to employees of businesses with up to 250 employees. Read the rest of this entry »

According to an e-mail that went out late last Friday afternoon from Nico Gomez, the Deputy CEO for External Relations and Communications of the Oklahoma Health Care Authority (OHCA), the agency will recommend to its Board this week that it make up for shortfalls in its FY ‘10 budget by adopting a cut of 2.5 to 3 percent in the rates it pays all its providers. Read the rest of this entry »