Medicaid is a public insurance program that provides health coverage to low-income families and individuals, including children, parents, pregnant women, seniors, and people with disabilities. The program, which was created by Congress in 1965 as Title XIX of the Social Security Act, is operated by the states and funded jointly by the federal government and the states.

In Oklahoma, the Medicaid program is known as SoonerCare and is operated primarily by the Oklahoma Health Care Authority. In FY 2019, the Medicaid program served just under 1 million individuals at some point over the course of the year. As of November 2020, SoonerCare’s total monthly enrollment was 929,017 people. Of these, nearly two-thirds (62 percent) were low-income children under the age of 18.

Oklahoma’s total Medicaid spending was $5.784 billion in FY 2019, with the federal government accounting for $3.274 billion of that amount. The federal matching rate (FMAP) for most expenses was 62.4 percent.

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