Steve Lewis served as Speaker of the Oklahoma House of Representatives from 1989-1991. He currently practices law in Tulsa and represents clients at the Capitol.
The latest state-by-state comparison for incarceration rates drew headlines in Oklahoma because we are now number one in incarceration. Rounding out the top ten after Oklahoma are Louisiana, Mississippi, Georgia, Alabama, Arkansas, Texas, Arizona, Kentucky and Missouri. A quick view at the list suggested the question of whether there is a correlation between incarceration rates and Medicaid expansion, so I decided to look.
I found that six of the ten highest incarcerating states have refused to expand Medicaid coverage: Oklahoma, Mississippi, Georgia, Alabama, Texas and Missouri. Louisiana adopted a “demonstration” version of expansion like the Arkansas plan, effective July 1, 2016. Since then it has dropped from Number one to Number two. Arkansas, on March 4, 2014 adopted its private option version of Medicaid expansion. Arizona adopted a private option version of Medicaid expansion but 42 percent of the state’s 773,000 uninsured are eligible but not enrolled in Medicaid due to certain barriers; Kentucky had one of the more successful transitions to Medicaid expansion although it recently changed to a private option plan.
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