Medicaid expansion

One of the primary provisions of the Affordable Care Act gives states the options to expand their Medicaid eligibility to include people below 138 percent of the federal poverty level ($16,735 per year for one person or $34,638 for a family of four). The costs of expansion were paid for in full by the federal government through 2016, before dropping down (and freezing at) 90 percent in 2020, well above the typical federal match.

As of March 2019, 37 states, including Washington D.C., have expanded Medicaid. Oklahoma has opted not to, leaving billions in federal funding on the table, and more than 100,000 Oklahomans in a ‘coverage crater’ (too low-income to qualify for subsidies on the health insurance marketplace, too wealthy or not a member of a population group that is eligible to qualify for traditional Medicaid in Oklahoma).

An initiative petition to expand Medicaid in Oklahoma, State Question 802, was launched in 2019 and gathered more than enough signatures to qualify for the ballot in 2020.