The Affordable Care Act, the federal health care law that takes full effect in 2014, is expected to provide health insurance coverage to over 335,000 uninsured Oklahomans and reduce the state’s uncompensated health care costs by more than two-thirds , according to a new report from the Robert Wood Johnson Foundation (RWJF).

Currently, some 597,000 Oklahomans, or 19 percent of the non-elderly population, lack health insurance. Under the Affordable Care Act (ACA), the number of uninsured is projected to fall by 57 percent to 259,000, or 10 percent of the non-elderly population. Oklahoma’s 57 percent drop exceeds the national average of 48 percent and is the tenth highest drop among the states.

The researchers, who are health care policy experts at the Urban Institute, use the Health Insurance Policy Simulation Model to build projections of how coverage will be affected by the new law. For Oklahoma and for the nation, they find that the ACA will lead to more people with both public and private health insurance. Specifically, they project that: Read the rest of this entry »

Juan Pedroza is a Research Associate at The Urban Institute’s Center on Labor, Human Services and Population. This originally appeared on the Urban Institute Metro Trends blog and is reposted with permission. Juan’s research will appear in a forthcoming issue of the Journal of Latino/Latin American Studies.

Are immigrants from states passing tough immigration laws leaving in droves? Since Alabama grabbed headlines after passing a restrictive law, accounts and images of idle store fronts, vacancy signs, empty pew aisles, and dips in school enrollment swept the airwaves.  News coverage of similar experiments in Arizona, Oklahoma, and Georgia also featured accounts of imminent flight. The mass exodus storyline is tempting because it stokes immigration control advocates and outrages immigrant rights advocates.

But are these accounts reliable? The answer is more complicated than the headlines. As I wrote in an article for The Journal of Latino-Latin American Studies, growing evidence suggests that most immigrants (especially families with school-age children) are here to stay, except perhaps where local economies are particularly weak (click here for the forthcoming article). Read the rest of this entry »

Under the new national health care law, the Patient Protection and Affordable Care Act (ACA), one major strategy for providing health insurance coverage to the 50 million Americans who are currently uninsured is an expansion of eligibility in the Medicaid program. Even though the federal government will assume the lion’s share of the costs of insurance for those who gain Medicaid coverage, this expansion has created concern and uncertainty about the impact the law will have on state budgets.

We do not yet have a comprehensive study of the projected costs and savings of the Affordable Care Act for Oklahoma’s state budget. However, as a new OK Policy issue brief shows, most studies of the impact of the Affordable Care Act have concluded that increases to state Medicaid budgets will be modest. National studies from the Urban Institute and projections developed by the Oklahoma Health Care Authority have estimated that state spending on Medicaid may grow by $200 to $800 million between 2014 and 2019 or 2020, depending on various assumptions, while increasing state Medicaid spending by under 10 percent.  The federal government will assume over 90 percent of total costs of expanded Medicaid coverage. To cite the conclusion of the study by John Holahan and Irene Headen, the Urban Institute’s experienced and widely-respected health policy analysts: Read the rest of this entry »

No piece of legislation in Oklahoma in the past decade was more controversial or contentious than HB 1804. Passed in 2007, HB 1804 – officially designated the Oklahoma Taxpayer and Citizen Act – enacted a series of restrictions intended to limit access to jobs and public services for undocumented immigrants and to expand the powers of state and local law enforcement to verify the legal status of those they encounter.

Supporters and critics alike labeled HB 1804 as among “the toughest anti-illegal immigrant bills in the nation”. Supporters fervently hoped, while opponents fervently feared, that passage and implementation of HB 1804 would have a significant effect on the undocumented population of the state, encouraging many to leave the state and deterring others from coming, while making life harder and more precarious for those who remained. Read the rest of this entry »